Analysis Of Telemedicine Research Articles

Telemedicine Screening for Diabetic Retinopathy Using Digital Technology: Foreign Experience

Background. Timely detection and treatment of diabetic retinopathy (DR) could prevent the development of blindness. However, large number of patients are diagnosed at late stages when effective treatment becomes impossible. In this context, active screening for DR plays an important role. Various screening programs have been developed, including programs using digital technologies.Objective. To analyze and summarize the literature data on digitalization of DR screening.Materials and methods. The study was carried out based on the results of a search in the PubMed / Medline bibliographic database and the Google system. The used keywords were “diabetes”, “retinopathy”, “telemedi-cine”, “digital technologies”, “artificial intelligence” and others. Relevant publications were selected by exam-ining the titles and abstracts of articles.Results. The study addressed the approaches to organizing the telemedicine programs of DR screening. The examples of innovative digital technologies for performing diagnostic studies as well as the characteristics of various electronic systems and devices are presented. It was noted that the DR screening could be performed in a local center with data transfer to a regional specialized diagnostic (analytical) center where telemedicine analysis is done. All diagnostic information is available to the diabetologist who prescribes and adjusts ther-apy. This operating principle facilitates the interaction between various specialists and thus increases the efficiency of screening.Discussion. Although the telemedicine screening for diabetic retinopathy has already been introduced in a number of countries, it is still at its early stages of development. Many modern technologies such as portable mobile devices could be adapted and used in the implementation of telemedicine programs. Deep machine learning algorithms and other artificial intelligence-based approaches demonstrate excellent results. Some systems have already received regulatory approval. Conclusions. The early diagnostics of diabetic retinopathy could be improved by integrating innovative screening technologies in a unified digital platform implemented in routine clinical practice.

TELEMEDICINE AND ITS FUTURE PROSPECTS: A COMPREHENSIVE REVIEW

Telemedicine, Recent breakthroughs in communication technology and a global trend toward digitization have spurred an unparalleled surge in the use of technology to provide healthcare services remotely. In primary care, telemedicine typically takes the form of phone discussions between the patient and the doctor regarding non-emergency medical issues that don't need to be seen in person. When in-person consultation is required, telemedicine enhances rather than replaces it. Right now, the true value of telemedicine is in the convenience it provides to both patients and providers by eliminating the need for in-person visits in order to receive medical advice or treatment. Additionally, it is less expensive than waiting to see a physician or other healthcare professional. After a doctor's office closes, telemedicine can assist with choosing critical calls as well. When it comes to monitoring patients with long-term conditions like diabetes, hypertension, or high cholesterol, it is extremely beneficial. The ease of telemedicine can be advantageous for those who don't have an urgent medical issue but still need assistance with lifestyle changes, medication refills, dose adjustments, or even just getting access to support groups. The ability to schedule telemedicine consultations in addition to necessary laboratory tests or vital sign monitoring is a convenient feature. Physicians have actually been using telemedicine for a long time, just not under this label. Although this is true, using broadband internet technology has reduced the cost of audio and video calls and opened them up to a larger segment of the population, making them a viable replacement for the traditional system. This article offers a thorough analysis of telemedicine, including its historical foundations, present uses, difficulties, and potential future developments.

Телемедицина в странах ЕАЭС: реальность и перспективы

This article is devoted to a comprehensive analysis of telemedicine in the countries of the Eurasian Economic Union: its legal regulation, methods of implementation and development prospects. The authors pay attention not only to a comparative legal analysis of telemedicine regulation in the EAEU countries, but also to determining the possibility of creating a general agreement on telemedicine between the Russian Federation, the Republic of Belarus, the Republic of Armenia, the Republic of Kazakhstan and the Kyrgyz Republic. Identifying gaps in the national regulation of telemedicine in these countries, the authors point out the aspects in which it is necessary to harmonize the regulatory framework for telemedicine consulting, and also provide for those provisions that must be necessarily disclosed in the agreement on telemedicine within the EAEU.

Patients’ selfoperated telemedical solutions for ecg screening

Currently, a number of manufacturers offer devices for self-registration of ECG and other parameters of the cardiovascular system (CVS) by patients and signal analysis using telemedicine technologies. This makes it possible to create medical services based on mobile remote monitoring. The purpose of the article: a review of existing telemedicine solutions for individual ECG recording and related mobile applications and server-side data analysis software for assessing applicability in functional diagnostics and cardiology services. The article highlights the history of the development of methods for telemedicine analysis of ECG, provides a comparative review of modern solutions for medical cardioregistration. Findings. 1. Individual ECG telemonitoring is a promising technology that is comparable in terms of diagnostic capabilities to assess cardiac rhythm disturbances with Holter ECG monitoring and multifunctional monitoring implanted with ECG loopback recorders. The main vector of development of individual ECG telemonitoring systems is related to the automation of ECG analysis both on the server side and in the patient’s mobile application, for this the application of artificial intelligence and big data (bigdata) is promising. 2. Telecardiogram of an electrocardiogram promotes closer contact of the patient and medical service at the minimum expenses of time for such interaction.

Telehealth in the Pacific: current status and analysis report (1999-2000).

From the summer of 1999 to the spring of 2000, we undertook an on-site investigation of the management and operational status of telehealth in the Pacific. The writers also gathered additional materials upon returning to Japan to provide as detailed a report as possible on the current status and analysis of telemedicine in the Pacific. Following the collapse of the Soviet Union, various regions around the world has sought a gentler alternative to "deterrence by arms." The writers of this paper believe one such means is telemedicine. We believe telemedicine services may help offset the emotional stress and sense of inequality experienced by "islanders and civilians living around military bases," which the financial benefits of the so-called "base-economy" alone has never been able to remedy. There are numerous medical support activities currently operating in the Pacific region, and telecommunications is the most effective tool for connecting and unifying such a vast region. We believe that projects for this region must have a clear focus and objective and be able to demonstrate concrete results in order to win subsidies or aid.

Analysis of telemedicine from an organizational perspective.

To conduct an in-depth case analysis of the University of Kansas Telemedicine Program in order to identify organizational and communications elements that may be hindering the program's effectiveness. A case analysis was done, employing a combination of methodologies (direct observation, interview, and survey) involving extensive data collection from telemedicine program personnel throughout the state of Kansas. Analysis of this program's organizational communication focused on structure and boundaries, definitions and goals, leadership and decision making, and membership and roles. Significant organizational communication deficits were identified. These included a dearth of perceived central leadership, lack of information about the technology itself, poorly designed and cumbersome means for scheduling and utilizing telemedicine technology, absence of explicit strategic goals; and poor communication in introducing this technology to medical personnel and to the public. Other important findings were: organizational members expanded the scope of this organization beyond the providing of a simple consultation; the perception that decision making falls into the hands of almost everyone but the referring physician; and the role that language (or lack of common terminology) plays in confusion about this innovation. Organizational factors may be critical determinants of success or failure of a telemedicine program. Innovations in telemedicine technology need to be matched by innovations in organizational communication and structure. Findings from this study can be applied to existing or planned programs. Examples include redefinition of the roles and responsibilities of certain personnel, increasing the efficiency and decreasing the complexity of the consultation scheduling process, clarification and formalization of leadership and decision making, and development of a universal terminology of telemedicine.