Региональная модель организации телемедицинских консультаций в офтальмологии: проблемы и перспективы.

Abstract

Relevance. In modern healthcare, there is an increasing role of information and telecommunication technologies. Digital transformation of the medical industry makes it possible to ensure continuity of patient monitoring, optimize the diagnostic stage, and improve the quality of medical prevention. Today, teleconsultations are widely implemented in the activities of national medical research centers. This article presents a regional model for organizing and conducting telemedicine consultations in the 3rd level ophthalmological center of the Republic of Tatarstan – State Autonomous Institution «RKOB MZ RT named after Prof. E. V. Adamyuk» for the period 2019–2022, an analysis of problems and prospects for improving interaction Level 3 medical organizations with National Medical Research Center when carrying out remote consultations (consiliums). The purpose of the study studying the results of introducing telemedicine consultations (hereinafter referred to as TMC) into the activities of a regional ophthalmological center providing primary specialized health care and specialized (including high-tech medical care), in 2019–2022. and development of proposals to improve the efficiency of the use of telemedicine technologies in the provision of medical care. Materials and methods. An analysis of the legal regulation of telemedicine technologies in healthcare was carried out, an assessment was made of the number and structure of telemedicine consultations with the National Medical Research Center using information from the unified state information system of the regional ophthalmological center for the period 2019–2022. Results. When organizing telemedicine in the clinic, local regulatory documents were developed, the main processes of teleconsultations were identified, and responsible persons were appointed. Since the introduction of telemedicine technologies in the State Autonomous Institution “RKOB MZ RT named after Prof. E. V. Adamyuk”, 130 telemedicine consultations with the National Medical Research Center have been carried out. The structure of nosological forms during TMC is dominated by inflammatory diseases of the eye (49,5%), degenerative diseases of the retina (13%), and glaucoma (8,4%). Most often, specialists at the National Medical Research Center for TMC recommended face-to-face consultation or surgical treatment of the patient in the conditions of the National Medical Research Center (46,6%), correction of the ongoing conservative therapy (24,8%). Conclusions. The work carried out indicates the demand for remote consultations with the National Medical Research Center when providing medical care in the field of ophthalmology. The more active introduction of telecommunication technologies into the activities of regional specialized centers in interaction with medical organizations of the second and first levels is becoming relevant.