Nazarova A S, Prikazchikova S S, Kalashnikov V Y, Melnichenko G A, Mokrysheva N G
Endocrinology Research Centre.
Probl Endokrinol (Mosk). 2024 Nov 4;70(5):4-13. doi: 10.14341/probl13500.
In the first months after the pandemic of the COVID-19, the provision of medical care through telemedicine technologies took a leading position, in particular regarding endocrine nosologies. Meanwhile, at present, comprehensive information on telecommunications interaction between doctors of various medical organizations of the regions of the Russian Federation and employees of federal centers is insufficient, which determines the relevance of studying this topic.
Analysis of the provision of medical care in remote interaction of medical workers using telemedicine technologies («doctor-doctor») between the Endocrinology Research Centre and the regions of the Russian Federation in 2019-2023.
A single-center, observational, single-sample study was conducted, including completed planned and urgent telemedicine consultations in the format of «doctor-doctor « in the fields of «endocrinology» and «pedia-tric endocrinology», conducted through a telemedicine system for remote consultations at federal and regional levels between 2019 and 2023. Data on the referral rate of medical personnel from the regions of the Russian Federation to the Endocrinology Research Centre for telemedicine consultations were analyzed, including annual dynamics of treatment, frequency of referrals from each region, nosological structure of referrals, and number of patients admitted to the center based on the results of these consultations. Analysis of interdepartmental cooperation between the Endocrinology Research Centre and other federal centers was also performed.
In the period from 2019-2023, 14,475 telemedicine consultations «doctor-doctor» were conducted. In 2019, medical workers from 78 regions of the Russian Federation applied to the Endocrinology Research Centre. By 2023, this figure has increased to 88 (including newly annexed territories). The Yamalo-Nenets Autonomous Okrug, Tambov Region and Astrakhan Region were the leading regions in terms of the circulation of medicines at the Endocrinology Research Centre. In the nosological structure, the largest number of consultations in adult patients were conducted for acromegaly and primary hyperparathyroidism, in children for stunting and type 1 diabetes mellitus. In the period from 2019-2023, the Endocrinology Research Centre sent a total of 300 «outgoing» requests to 17 medical organizations.
Consulting with the use of telemedicine technologies has become a convenient and multifunctional way of providing medical care. Further analysis of the place of telemedicine in practical healthcare will expand its capabilities, including considering the introduction of financing by the territorial fund of compulsory medical insurance for this area of medical activity.
在新冠疫情大流行的最初几个月里，通过远程医疗技术提供医疗服务占据了主导地位，尤其是在内分泌疾病方面。与此同时，目前俄罗斯联邦各地区各类医疗组织的医生与联邦中心员工之间电信互动的全面信息不足，这决定了研究该主题的相关性。
分析2019 - 2023年内分泌研究中心与俄罗斯联邦各地区医疗工作者利用远程医疗技术（“医生 - 医生”）进行远程互动时提供医疗服务的情况。
进行了一项单中心、观察性、单样本研究，包括2019年至2023年期间通过联邦和地区层面的远程医疗系统以“医生 - 医生”形式在“内分泌学”和“儿科内分泌学”领域完成的计划内和紧急远程医疗会诊。分析了俄罗斯联邦各地区医务人员向内分泌研究中心进行远程医疗会诊的转诊率数据，包括年度治疗动态、每个地区的转诊频率、转诊的疾病分类结构以及基于这些会诊结果入住该中心的患者数量。还对内分泌研究中心与其他联邦中心之间的部门间合作进行了分析。
在2019 - 2023年期间，共进行了14475次“医生 - 医生”远程医疗会诊。2019年，俄罗斯联邦78个地区的医疗工作者向内分泌研究中心提出申请。到2023年，这一数字已增至88个（包括新并入的领土）。亚马尔 - 涅涅茨自治区、坦波夫州和阿斯特拉罕州是内分泌研究中心药品流通方面的领先地区。在疾病分类结构方面，成年患者中进行会诊最多的是肢端肥大症和原发性甲状旁腺功能亢进症，儿童中是发育迟缓与1型糖尿病。在2019 - 2023年期间，内分泌研究中心共向17个医疗组织发出了300份“外发”请求。
利用远程医疗技术进行会诊已成为提供医疗服务的一种便捷且多功能的方式。对远程医疗在实际医疗保健中的地位进行进一步分析将扩展其能力，包括考虑由地区强制医疗保险基金为这一医疗活动领域引入资金。
