DEVELOPMENT OF A ROUTING SCHEME FOR PATIENTS WITH DISEASES OF THE MUCOSA OF THE MOUTH

Abstract

Abstract. Introduction. Patients with lichen planus are a complex group that requires not only individual diagnosis and treatment of pathology, but also interdisciplinary interaction of medical specialists, a differentiated objective approach. In connection with the foregoing, is the introduction of telemedicine technologies in the routing scheme for patients with lichen planus. The purpose of the study is to evaluate the effectiveness of telemedicine technologies when they are included in the routing scheme for patients with lichen planus. Materials and methods. 29 patients with lichen planus were consulted using telemedicine technologies in the mode of deferred consultations. The following forms of lichen planus were identified: typical, exudative-hyperemic, erosive-ulcerative, hyperkeratotic, bullous, atypical. After receiving and studying the documents of patients with lichen planus, the staff of the Department of Dentistry prepared medical reports in electronic form to determine and correct the patient management scheme and recommendations for the dentist. After telemedicine consultations, this type of technology was assessed when they were included in the routing scheme for patients with lichen planus. Results and discussion. When studying the forms of lichen planus requiring consultation using telemedicine, we identified the greatest difficulty in managing a patient with erosive-ulcerative and bullous forms. The tasks of telemedicine requests were: confirmation of the diagnosis of mucosal disease, clarification of the need for laboratory methods for diagnosing the disease, discussion of the patient management scheme. Conclusion. The obtained results of remote consultation of patients with pathology of the oral mucosa confirm the effectiveness of the use of telemedicine technologies. All of the above indicates the need to optimize the routing scheme for patient data with the inclusion of a protocol for conducting telemedicine consultations.