Dvoryashina M, Tarasenko E
V.A. Trapeznikov Institute of Control Sciences of RAS, Moscow, Russia.
Higher School of Economics, Moscow, Russia.
IFAC Pap OnLine. 2021;54(13):323-326. doi: 10.1016/j.ifacol.2021.10.467. Epub 2021 Nov 12.
The COVID-19 pandemic has led to an explosive growth in telemedicine solutions. On the one hand, this is an important moment for the development of telehealth, which promotes inclusion and diversity, and reduces inequalities in health care. On the other hand, telehealth may be less accessible to minorities such as people with cancer, heart disease or rural patients. As telehealth begins to play an increasing role in healthcare delivery in Russia, telemedicine solutions need to be more socially responsive and to transform practices at the individual and organizational levels, helping the organization's efforts to reduce inequality. Workflows for video conferencing should be designed based on the experience of outpatient teams with video conferencing experience. The authors recommend that telemedicine engineering companies use the ISA 315 Organization's Internal Control System with its D&I component.
新冠疫情导致远程医疗解决方案呈爆发式增长。一方面，这是远程医疗发展的重要时刻，它促进了包容性和多样性，减少了医疗保健中的不平等现象。另一方面，癌症患者、心脏病患者等少数群体以及农村患者可能较难获得远程医疗服务。随着远程医疗在俄罗斯医疗服务中开始发挥越来越重要的作用，远程医疗解决方案需要更具社会响应性，并在个人和组织层面改变医疗实践，助力机构减少不平等的努力。视频会议工作流程应基于有视频会议经验的门诊团队的经验来设计。作者建议远程医疗工程公司使用带有多元化和包容性组成部分的国际审计准则第315号《被审计单位的内部控制》。
