Use Of Telemedicine Technologies Research Articles

Prospects for the use of telemedicine technologies based on artificial intelligence during medical examination

Prospects for the use of telemedicine technologies based on artificial intelligence during medical examination

Modern possibilities of functional glaucoma screening (part 2)

Nowadays methods of standard and non-standard computerized perimetry using stationary devices are widely used in functional screening of glaucoma. The information about new portable devices for perimetry has appeared in foreign literature in recent years, describing such advantages as economic availability, autonomy and mobility, which open up new possibilities for their use. New possibilities include cloud storage of data, the use of telemedicine technologies, artificial intelligence, examination of patients with disabilities, including those who are bedridden, as well as examination outside of medical institutions. All of this can allow glaucoma patients to receive ophthalmic care when in-person visits are unavailable, including social distancing needed during a pandemic or quarantine. This review of the literature describes the latest portable devices and applications for perimetry, attempts to classify them according to similar parameters, and assesses their advantages and disadvantages, as well as the prospects for their use in functional screening of glaucoma.

The use of telemedicine Technologies in the Work of Nurses from the Perspective of Doctors in the Czech Republic

Aim: To assess the expectations of Czech doctors during the COVID-19 pandemic relative to the ability of nurses to use telemedicine technologies. Design: descriptive and cross-sectional Participants: 1,203 physicians were included in the study. The sample is representative in terms of gender, age, and region. Methods: A representative sociological survey was conducted. A non-standardized questionnaire was used to collect data. The field survey was conducted using standardized face-toface interviews. Results: Most physicians agree that nurses can learn how to use telemedicine technologies and can use these technologies to collaborate with physicians in the care of patients. Most respondents (80.7%) believe that doctors support the active involvement of nurses in educating patients with chronic diseases. Conclusion: Respondents agree that nurses can use e-technologies to acquire further information, participate in online courses, and collaborate with physicians to provide patients with recommendations.

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

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.

Modern possibilities of functional glaucoma screening (part 1)

Nowadays methods of standard and non-standard computerized perimetry using stationary devices are widely used in functional screening of glaucoma. The information about new portable devices for perimetry has appeared in foreign literature in recent years, describing such advantages as economic availability, autonomy and mobility, which open up new possibilities for their use. New possibilities include cloud storage of data, the use of telemedicine technologies, artificial intelligence, examination of patients with disabilities, including those who are bedridden, as well as examination outside of medical institutions. All of this can allow glaucoma patients to receive ophthalmic care when in-person visits are unavailable, including social distancing needed during a pandemic or quarantine. This review of the literature describes the latest portable devices and applications for perimetry, attempts to classify them according to similar parameters, and assesses their advantages and disadvantages, as well as the prospects for their use in functional screening of glaucoma.

Межведомственное взаимодействие при организации телемедицинских консультаций по схеме «врач – врач» с участием медицинских специалистов лечебных медицинских организаций Федерального медико-биологического агентства

Summary. The data are considered on conducting telemedicine consultations in 2021-2022 under “doctor – doctor” scheme with participation of attending physicians and consulting physicians of medical organizations (MO) of the Federal Medical and Biological Agency (FMBA of Russia). The division of telemedicine consultations by medical profiles, forms and types is given. The conclusion is made: ensuring the availability and quality of medical care with the use of telemedicine technologies in remote interaction between medical specialists is directly related to the possibility of conducting telemedicine consultations with the participation of medical specialists of MOs of different departmental affiliation in the presence of common information space, including under the conditions of liquidation of medical and sanitary consequences of emergency situations.

Телемедицина: определение, особенности внедрения в практику, эффективность и перспективы применения в кардиологии

INTRODUCTION: Information and communication technologies in healthcare were realized in the advent of telemedicine (TM). This article presents current definitions, as well as describes the existing difficulties of terminology and classification. The main documents regulating the use of TM technologies in Russia at present are given. It is noted that the development of TM and its introduction into clinical practice is associated with a number of barriers that are associated with patients, medical professionals, as well as various technical, legal, ethical and economic problems. The presented article refers to a narrative review focused on some sources for the purpose of an unstructured description of the direction of interest. The search for literary sources was carried out in PubMed, eLibrary systems for 1995–2023 by keywords: telemedicine, telemedicine technologies, telemedicine in cardiology, telemedicine efficiency, remote control systems, telemonitoring, telemedicine in practice. The article presents the information about the role of TM in certain groups of cardiac patients, namely in patients with implanted medical devices, hypertension, chronic heart failure, high cardiovascular risk, as well as the elderlypatients and in cardiac rehabilitation. Changes in the areas of TM use are discussed, namely, attempts to use it in emergency pathology, in particular in acute coronary syndrome. CONCLUSION: Despite the absence of a common global practice and approaches to TM and the well-known barriers restraining its development, the prospects of this direction are beyond doubt. The spread of new TM technologies contributes to the improvement of providing health services system. It allows doctors to work with patients more efficiently and increases the opportunities of patients to receive expert advice. The accumulated scientific knowledge, the gradual adaptation of TM to the user’s needs, taking into account practical experience, make it possible to use this technology successfully in different groups of cardiac patients. In the future, artificial intelligence will be connected and trained to expand the opportunities for remote data analysis and the possibility of remote monitoring of patients' health, related regulatory issues will be resolved, as well as of the liability of the parties will be clearly defined. In the context of increasing demand for TM with an increase in the level of security of services provided and data protection, a global spread of advanced professional knowledge and skills is expected to improve public health.

Equivalence of the autism spectrum disorders diagnostics in children in telemedicine and face-to-face consultations: a literature review.

The use of remote forms of mental health care has become widespread during the period of epidemiological restrictions due to the COVID-19 pandemic. Methodological and organizational issues remain insufficiently developed, including the level of equivalence of the use of telemedicine technologies in the diagnosis of autistic spectrum disorders. Study of the equivalence of diagnostic tools in the framework of telemedicine and face-to-face consultations in children with autistic spectrum disorders according to modern scientific literature. A descriptive review of scientific studies published between January 2017 and May 2023 was carried out. The papers presented in the electronic databases PubMed, Web of Science, and eLibrary were analyzed. Descriptive analysis was used to summarize the obtained data. The conducted analysis convincingly indicates sufficient equivalence of remote tools used in different countries for level I screening, assessment scales, and structured procedures for diagnosing autistic spectrum disorders with a high level of specificity from 60.0 to 94.4%, sensitivity from 75 dog 98.4%, and satisfaction of patients and their legal representatives. The widespread use of validated telemedicine diagnostic systems in clinical practice contributes to the early detection of autistic spectrum disorders, increasing the timeliness and effectiveness of medical, corrective psychological, pedagogical, and habilitation interventions.

Organization of children's otorhinolaryngological care in conditions of biological risks: international experience

The COVID-19 pandemic has spurred the introduction of new devices and technologies into the organization of otorhinolaryngological care, the development of safety measures and clinical work protocols in order to increase the safety of doctors and patients. Virtual outpatient clinics have been integrated into the pediatric and basic outpatient services, the potential of which for pediatric otolaryngology is considered quite significant. In otorhinolaryngological practice, the transition to the expanded use of telemedicine technologies (individual gadgets for examining ENT patients, including a direct access otoscope connected to an otolaryngologist's computer) was especially significant. The practice of pediatric ENT services tends to combine virtual and face-to-face visits, even after the acute phase of the COVID-19 pandemic. When organizing otorhinolaryngological care, it is necessary to pay special attention to dialogic consensus - an inclusive and reflective dialogue between a doctor and a patient.

Digital environment of a medical institution: implementation and provision

At present, the implementation by the state of its social function in the field of healthcare is of particular importance. The digital environment makes it possible to provide medical services in remote areas. The modern directions of the organization of the digital environment in medical institutions are considered; the impact of OT technologies on the level and quality of medical care, including the role and limits of the use of telemedicine technologies. The analysis of the organization of the provision of medical services by branches of a medical institution is carried out; features of the legal status of remote workers and the corresponding tax obligations of the employer.

Отношение врачей к применению телемедицины в детской стоматологии

Currently, favorable conditions are being created in the Russian Federation for the development and effective use of telemedicine in healthcare. Options for the use of information and communication technologies in pediatric dentistry are: telemedicine consultations, consultations, distance education of medical workers, medical education and preventive activities among the child population. The aim of the research as part of the dissertation work, the research was aimed at studying the attitude of dentists to the use of telemedicine technologies in pediatric dentistry. Materials and methods. The process of studying the attitude and readiness of pediatric dentists to use telemedicine technologies was aimed at identifying individual (micro) and conceptual (meso- and macro) factors affecting the use of medicine in pediatric dentistry. The study included a semi-formal interview and questionnaire. Results. As a result of the research on the sections: Telemonitoring – remote monitoring of patients, including outpatient management of patients; storage and transmission of medical data; interactive telemedicine, it was found that doctors in Tver and the Tver region have both positive and negative beliefs and opinions that can promote or hinder their use of telemedicine in their professional practice. Conclusions. Research with the participation of pediatric dentists will help both developers and managers of medical institutions to understand the limitations and advantages of technologies from the point of view of practicing pediatric dentists, will allow predicting its development. The results of this study will contribute to solving the problems of implementing telemedicine services, contribute to the rational development of telemedicine platforms in pediatric dentistry in Tver and the Tver region.

Personal Data Protection Issues in the Realm of Telemedicine. Blockchain, Civil Liability and other Methods to Overcome Them.

The subject of this article is the legal regulation of personal data protection in the field of medical care with the use of telemedicine technologies and digital healthcare. Its purpose is to identify and analyze the problems of personal data protection and to find ways to overcome them. The relevance of the work is due to the presence of a large number of leaks of personal data, gaps in regulation, and the lack of an effective system of norms aimed at preventing the compromise of patient information. The author examines the main aspects of regulating the procedure for working with the patient's consent to the processing of personal data. Much attention in the article is paid to blockchain technology, traditionally considered in the Russian legal literature only within the framework of the use of cryptocurrencies. The article also analyzes the issues of the application of civil liability measures for offenses in the field of personal data protection of recipients of telemedicine services.The author criticizes the unreasonably strict regulation of the procedure for obtaining the patient's consent to the processing of personal data by a medical organization, emphasizes the need to introduce a flexible form of consent. This will reduce the amount of information at risk of leakage. In addition, the idea of creating a mechanism for revoking the patient's consent to the processing of personal data and securing the patient's right to demand from the medical organization the termination of their processing is put forward. The paper points to the prospects for the use of blockchain in the field of telemedicine, including for the protection of personal data. A regulatory division of blockchain systems into centralized and decentralized ones is proposed, suggesting their different regulation in relation to the protection of confidential information. In addition, the article notes the lack of elaboration of the norms on civil liability for offenses in the field of working with personal data in telemedicine, it is proposed to tighten regulation in order to increase the level of protection of patients' rights.

TELEMEDICINE AS A TOOL FOR OPTIMIZING AND IMPROVING METHODS OF PROVIDING MEDICAL AID TO THE POPULATION

Today, the population of Ukraine is experiencing significant difficulties in various spheres of life, however, one of the most urgent problems remains to ensure the proper level of health and preserve the life of the nation. Therefore, the quality of medical care needs special attention now, not only as a direct function but also as a kind of criterion of the level of activity of the health care system and state policy as a whole. One of the innovative directions of the provision of medical care to the population in the 21st century is digital, as well as information and telecommunication technologies, the use of which made it possible to create a single medical information space that combines practical and theoretical medicine, ensures the planning of new scientific research and targeted training specialists of various fields of medicine, who later implement knowledge and skills in medical practice. The purpose of our research was to study the directions of using telemedicine technologies in the work of medical institutions and the possibilities of improving the provision of medical care to the population through their use.Research methods. The used methods of the system approach and system analysis made it possible to investigate the possibilities of optimal use of telemedicine technologies and analyze existing problems and propose ways to solve them.The results. Modern sources of professional literature consider telemedicine from different angles: as a set of tools and complexes that provide users with access to current medical resources, including international ones, realize the potential of modern information and telecommunication technologies in health care; as well as a multi-level and multi-component system, which includes both medical organizations with their professional, informational and educational resources, medical diagnostic devices, databases and system users, as well as technical means of access to telecommunication networks, communication channels and network means, transmitters and other converters of medical information into digital electrical signals for further transmission through communication channels. Taking into account the multidisciplinary nature of medicine and a wide range of medical services, the unification of clinical, anamnestic, laboratory, radiation, etc. databases and the possibility of their transmission and reception using equipment from different manufacturers is of particular importance. One of the unified and most widely used standards in the field of medical image transmission today is DICOM (Digital Imaging and Communications in Medicine) - an international standard for processing and transmitting radiological and other medical images from medical devices to a computer, which has found wide application in various industries of medicineConclusions. The analysis of literary sources proves the need for further detailed study of the possibilities of digital and information technologies in medicine to improve the methods of providing medical assistance to the population in wartime conditions. For the most effective targeted application of information systems and obtaining optimal results, a clear understanding of their capabilities and functions is necessary to achieve the ultimate goal - providing timely and high-quality medical care to the patient. Provision of reliable information archiving and recovery systems, communication systems between medical institutions of different levels, optimization of mobile medical programs, and monitoring systems for vital indicators of patients with various severity of diseases guarantee the continuity of the treatment and diagnostic process in modern complex conditions.

ТЕЛЕМЕДИЦИНА В ПСИХИАТРИИ: МИРОВОЙ И ОТЕЧЕСТВЕННЫЙ ОПЫТ Печать

Significance. The use of telemedicine technologies can solve the existing problems of accessibility of medical care and become a supplement or alternative to face-to-face consultations with specialists. The active use of telemedicine technologies in psychiatry is mainly due to the fact, that most often, patients with mental disorders do not require instrumental methods of diagnosis to correct their treatment and assess the course of the disease. Despite a widespread use and obvious benefits of telemedicine technologies, there are still a number of issues that require a detailed study. The key issue is the assessment of efficacy of tools used to treat and diagnose patients with mental disorders, as well as identification of factors that contribute to and limit the spread of telemedicine technologies in psychiatry. The purpose of the study is to summarize and analyze available data on the use of telemedicine technologies in treatment and diagnosis of patients with mental disorders in Russia and in the world. Material and Methods. This review includes studies published between 2001 and 2022. The search for publications was carried out in the databases PubMed, Google Scholar, Elibrary. The keywords included "remote monitoring of mental disorder", "telepsychiatry in COVID-19", "platform for monitoring mental disorders", "telemedicine in psychiatry", "remote monitoring in psychiatry". A total of 218 704 publications were found. After the initial screening, 100 sources were selected for the analysis. Of these, 60 were excluded due to a smaller sample size compared to the included sources, absence or incompleteness of information necessary to realize the idea of the publication. In total, 40 publications were included in the analysis with their content corresponding to the main research question: to identify main direct and indirect advantages of using telemedicine technologies in psychiatry. Results. The analysis of the experience of using telemedicine technologies in psychiatry shows that the use of technologies for remote monitoring in practical medicine expands the capabilities of both doctor and patient, allowing them to monitor the state of health and adjust treatment, as well as receive consultations from other specialists, reducing the number of face-to-face visits to a medical facility. However, today there are a number of challenges that the professional community has to face, including safety assurance of patient data and quality assessment of remote consultations on the part of the doctor and on the part of the patient. In order to ensure a widespread use and dissemination of telemedicine in psychiatry, it is necessary to solve the issues related to identification and authentication of telemedicine consultation participants, development of a list of conditions for which the use of telepsychiatry will be justified and safe for the patient, regulation of the procedure for prescribing medications and correction of the prescribed therapy, as well as identification of approaches to selecting platform solutions for remote counseling.

Retrospective analysis of develop-ment and use of telemedicine technologies in Russia and abroad

The article presents a retrospective analysis of bibliographical sources devoted to the development and use of telemedicine technologies in Russia and abroad. Each historical period had ultimate and advanced technologies for telemedicine purposes. Telemedicine history can be viewed as a gradual progression of communication tools and remote information exchange. On the other hand, stages of telemedicine history are based on the progressive development of clinical capabilities. Telemedicine development can be classified into periods by technological types of telecommunications (telephone, radio, satellite communications, etc.) and by clinical forms of application (remote transmission of diagnostic examination data; teleconsultations for planned and emergency care; telemedicine for remote work; biotelemetry; telemonitoring; mobile telemedicine for remote and hard-to-reach areas, etc.) In both cases, periods have blurred and tentative boundaries, with many stages “intersecting” or ongoing simultaneously. It can be remarked that “remote provision of medical aid and medical services through telecommunications” had globally started at least 50 years before the very idea and concept of telemedicine was formulated, and the term came into use. Telemedicine has been successfully applied in many countries, including the Russian Federation, and has proven to be an effective method for improving access to medical services in lowly populated and remote areas and for reducing the costs of medical services.

Использование телемедицинских технологий для оказания медицинской помощи беременным с факторами риска преждевременных родов.

Introduction. Telemedicine technologies are increasingly being used in various areas of medicine to manage patients with various nosologies. Obstetrics is no exception, in particular the use of telemedicine technologies in the management of pregnant women with risk factors for preterm birth. To study the world experience, a search was carried out in Russian and international databases. Relevant articles were selected for detailed study. The purpose of the study – to search for publications on the use of telemedicine technologies in obstetric practice for the management of pregnant women with risk factors for preterm birth, to analyze and systematize, and on the base of the expe- rience presented in the articles, to determine the acceptability, problems and prospects for the development of tele-obstetrics for the management of pregnant women with risk factors for preterm birth. Materials and methods. A search was carried out in the international electronic database PubMed and the Russian electronic libraries CyberLeninka, eLIBRARY.RU. Results. For the five-year period under review, from 2017 to 2021 with the help of electronic libraries, 15 relevant full-text articles were selected for detailed study. The analysis of the articles showed that 46.6% of scientific papers are devoted to de- scription of the experience of using telemedicine technologies in assisting pregnant women, 33.3% describe the introduction of telemedicine applications, and 13.3% are devoted to the use of telemonitoring. 33.3% of the selected articles reflect the ef- fectiveness of using automated pregnancy monitoring systems, 6.7% of the articles consider the methodology for creating databases, 6,7% give the legislative framework for integrating telemedicine into the obstetric service, and 6,7% are reviews. Conclusion. The use of telemedicine technologies in obstetrics has good prospects, as it improves the availability, quality and safety of medical care, and reduces the psycho-emotional stress experienced by pregnant women during hospitalization.

COVID-TECH AND DIGITAL TECHNOLOGIES IN FOREIGN AND RUSSIAN HEALTH CARE DURING THE NEW CORONAVIRUS INFECTION PANDEMIC

The novel coronavirus infection (COVID-19) pandemic has become the biggest challenge to global and national health systems in the last 100 years. At the same time, the rapid spread of COVID-19, which required the introduction of quarantine measures, the need to maintain social distance and isolate the infected, spurred the development of information technology (IT). In healthcare, information technology has begun to play the role of support systems for various types of medical activities that have experienced a tremendous increase in workload. The use of modern information technologies in the fight against the consequences and spread of the pandemic has even acquired its own term - COVID-Tech. The article provides an overview of the achievements of COVID-Tech made in the world and in Russia since the beginning of the pandemic. Experts identify 6 main areas of application of information technologies in medicine during a pandemic: diagnostics and screening of COVID-19, search for treatment regimens for the disease and new drugs based on big data analysis, work with databases, their analysis and analytics (for example, creating maps of the spread of a pandemic virus SARS-CoV-2), monitoring social distancing, the spread of the disease, information support for the population during a global emergency, the use of telemedicine technologies in medical education and the use of robotic assistants. For each of the 6 areas, an overview of the developed technologies is presented. An assessment was made of the contribution of information technology to addressing urgent health issues during a period of increased workload.

Legal regulation of medical care with the use of telemedical technologies by regulatory acts of the Russian Federation

Introduction. The development of the information component of the health care system, as part of the social security system, is an inevitable process. Since 2018, the possibility of providing medical care using telemedicine technologies has been enshrined at the legislative level in the Russian Federation [1]. The purpose of the study was to determine the regulation of relations for the provision of medical care using telemedicine technologies by the regulations of the Russian Federation. Materials and methods. The authors conducted a system-structural study based on the study of the legislative framework presented in the Consultant Plus system. To ensure the greatest completeness of information by the introduced limitation of the study, a requirement was adopted for the relevance of the action of the legal acts in question. Results. The issues of legal regulation of the provision of medical care using telemedicine technologies at the legislative level are spelled out in detail. The Constitution of the Russian Federation defines the fundamental provisions on medical care and health protection. No. 323-FZ Federal law is a law [9] that regulates the rights of citizens in the field of health care, it contains rules on the use of telemedicine technologies in the provision of medical care [10]. Acts of the Government of the Russian Federation on the provision of medical care using telemedicine technologies can be divided into groups: acts on the management of health care, on the financing of medical care, and acts of a program nature. Discussion. However, the current regulation is not without its shortcomings. Thus, the establishment of many formal requirements for the conditions and procedure for the provision of medical services using telemedicine technologies is seen as ambiguous. Conclusion. The study showed that the system of sources of legal regulation of the provision of medical care using telemedicine technologies: fixed at all levels with the priority of acts of the federal level, regulated by the Constitution of the Russian Federation only in general matters, mainly prescribed by Federal Law No. 323-FZ [1], defined in detail by Order No. 965n [2], needs to maintain the constant relevance of the sources of legal regulation.

Innovative learning - key question in teaching naval surgery

Simulation training plays an important role in the preparation of future naval surgeons. In this regard, nowadays in the department of naval surgery there is a training simulator, modernized on the model of the most modern diesel submarine. In contrast to the previous simulator it contains necessary devices for solving situational tasks with the use of telemedicine technologies. The simulator is equipped with sanitary stretchers and a tripod with medical melts. It allows to organize a military medical game with the introductory on transporting conditionally sick and injured both inside and outside the ship that improves the quality of preparing future naval surgeons.

The value of the outpatient clinic for cardiovascular surgery in the context of modernization

As a result of the Program “Modernization of primary health care in the Russian Federation” medical care has been developed at all levels of its provision, starting from primary health care and up to specialized. Aim. Аanalysis of the current state of the outpatient health care link and the results of its activities in ensuring the availability of medical care to the population in the field of “cardiovascular surgery”. Material and methods. The sources of information were the information provided by the subjects of the Russian Federation at the request of the Bakulev National Medical Research Center for Cardiovascular Surgery (Bakulev NMRCCS), official statistical reporting data, materials obtained during field events in supervised regions of the Russian Federation on the organization of medical care in the field of “cardiovascular surgery” by specialists from Bakulev NMRCCS. The organization of providing medical care in the profile “cardiovascular surgery” at the level of the polyclinic level in 38 regions Russian Federation supervised by the Bakulev NMRCCS was studied. Results. The article presents the current state of staffing of outpatient clinics, their relationships with higher-level medical organizations and measures to improve their work in general. The role of the introduction of registers of patients with diseases of the cardiovascular system and the importance of a unified information system in improving the quality of medical care is noted. The importance of telemedicine technologies in increasing the availability of medical care is shown. Discussion. Most of the subjects of Russia have improved the provision of their residents with cardiologists. Successful modernization of the primary care depends on the introduction of the unified state information system of healthcare at all levels of healthcare, starting from the possibility of making an independent appointment with a doctor in an electronic schedule of outpatient appointments. The high prevalence of cardiovascular diseases mortality requires the decision on a unified form of registers for the main diseases. Also, the modernization program should include provisions on the activation of the use of telemedicine technologies. Conclusion. Thus, the target program “Modernization of primary health care in the Russian Federation” is one of the most relevant events in the domestic health care. One of the criteria for the effectiveness of polyclinic departments can be considered the number of residents of the subjects of the Russian Federation who received highly specialized medical care.