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Kostin F.N.

Dmitry Rogachev National Medical Research Center for Pediatric Hematology, Oncology and Immunology;
Semashko National Research Institute of Public Health

Rumyantsev A.G.

Dmitry Rogachev National Medical Research Center for Pediatric Hematology, Oncology and Immunology

Shapochnik A.P.

Regional Children’s Clinical Hospital

Rumyantsev A.A.

Altai Regional Clinical Center for Maternal and Child Health

Aleksandrova O.Yu.

Semashko National Research Institute of Public Health

Experience of telemedicine technologies for pediatric oncology-hematology in the constituent entities of the Russian Federation

Authors:

Kostin F.N., Rumyantsev A.G., Shapochnik A.P., Rumyantsev A.A., Aleksandrova O.Yu.

More about the authors

Journal: Medical Technologies. Assessment and Choice. 2025;47(3): 47‑53

DOI: 10.17116/medtech20254703147

Read: 363 times

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Table of contents

EXPERIENCE OF TELEMEDICINE TECHNOLOGIES FOR PEDIATRIC ONCOLOGY-HEMATOLOGY IN THE CONSTITUENT ENTITIES OF THE RUSSIAN FEDERATION
EXPERIENCE OF TELEMEDICINE TECHNOLOGIES FOR PEDIATRIC ONCOLOGY-HEMATOLOGY IN THE CONSTITUENT ENTITIES OF THE RUSSIAN FEDERATION

To cite this article:

Kostin FN, Rumyantsev AG, Shapochnik AP, Rumyantsev AA, Aleksandrova OYu. Experience of telemedicine technologies for pediatric oncology-hematology in the constituent entities of the Russian Federation. Medical Technologies. Assessment and Choice. 2025;47(3):47‑53. (In Russ.)
https://doi.org/10.17116/medtech20254703147

 
Подписка 2026 Медицинские технологии. Оценка и выбор (Medical Technologies. Assessment and Choice)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To analyze the efficacy of telemedicine consultations in specialized medical care for children with oncological and hematological diseases in remote regions of the Russian Federation.

MATERIAL AND METHODS

We analyzed the results of telemedicine consultations in three remote regions between 2021 and 2023. The object of the study was purpose of requests for telemedicine consultations and compliance (%) with subsequent recommendations. Descriptive statistics included absolute values and percentages. To assess changes over time, we analyzed dynamic series and growth rates. Frequencies of various diseases identified after telemedicine consultations were assessed. Confidence intervals were calculated to determine accuracy of results.

RESULTS

There were 2777 telemedicine consultations. Consultations on pediatric oncology predominated (82.5%), while consultations on hematology (9%) and immunology (8.5%) were less common. The annual number of telemedicine consultations increased by 38%. Patients hospitalized in federal centers comprised about 44% of those seeking telemedicine consultation. In remote analysis of pathomorphological material, coincidence of diagnoses varied from 0% to 43.5% in different regions. The number of expert reviews of computed tomography/magnetic resonance imaging results significantly increased (by 1.8—4.4 times). Full compliance with recommendations of federal center in regional hospitals was noted.

CONCLUSION

Optimized regional costs and higher efficiency of management of patient in pediatric oncology and hematology are possible with widespread use of telemedicine technologies. Clarification of treatment and diagnosis was the most popular in all three profiles (82.5% of all requests).

Keywords:

pediatric oncology-hematology
improving the quality of medical care
telemedicine technologies
medicine
healthcare organization
videoconferencing
constituent entities of the Russian Federation

Authors:

Kostin F.N.

Dmitry Rogachev National Medical Research Center for Pediatric Hematology, Oncology and Immunology;
Semashko National Research Institute of Public Health

Rumyantsev A.G.

Dmitry Rogachev National Medical Research Center for Pediatric Hematology, Oncology and Immunology

Shapochnik A.P.

Regional Children’s Clinical Hospital

Rumyantsev A.A.

Altai Regional Clinical Center for Maternal and Child Health

Aleksandrova O.Yu.

Semashko National Research Institute of Public Health

Received:

19.11.2024

Accepted:

26.03.2025

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References:

  1. Kostin FN, Slinin AS. Application of telemedicine technologies in paediatric oncology-haematology and immunology. Mezhdunarodnyj nauchno-issledovatel`skij zhurnal. 2023;(12):10.23670/IRJ.2023.138.25. (In Russ.). https://doi.org/10.23670/IRJ.2023.138.25
  2. Medvedeva EI, Aleksandrova OA, Kroshilin SV. Telemedicine in modern conditions: The attitude of society and the vector of development. E`konomicheskie i social`ny`e peremeny`: fakty`, tendencii, prognoz. 2022;15(3):200-222. (In Russ.). https://doi.org/10.15838/esc.2022.3.81.11
  3. Malykhin FT. Opportunities for using telemedicine based on the COVID-19 pandemic. Kachestvennaya Klinicheskaya Praktika. 2024;(1):17-29. (In Russ.). https://doi.org/10.37489/2588-0519-2024-1-17-29
  4. Mishon EV. Cifrovizaciya mediciny i potencial`nye ugrozy regional`nomu zdravookhraneniyu. Rossiya: tendencii i perspektivy razvitiya. Ezhegodnik. 2021;(16-2):681-683. (In Russ.).
  5. Blaya JA, Fraser HS, Holt B. E-health technologies show promise in developing countries. Health Affairs (Millwood). 2010;29(2):244-251.  https://doi.org/10.1377/hlthaff.2009.0894
  6. Tsaregorodcev AL. Efficiency of telemedicine at the Northern Regions Russian Federation. Zhurnal telemediciny i e`lektronnogo zdravookhraneniya. 2015;(1):18-22. (In Russ.).
  7. Lagutin MD, Chigrina VP, Samofalov DA, Tyufilin DS, Kilnik AI, Kobyakova OS, Deev IA. The analysis of application of telemedicine technologies in the Russian Federation in 2019-2022. Problemy social`noj gigieny, zdravookhraneniya i istorii mediciny. 2023;31(2):264-269. (In Russ.). https://doi.org/10.32687/0869-866X-2023-31-2-264-269
  8. Rozhkova EV. Telemedicine in the context of accessibility of medical aid In Russia. Naselenie i e`konomika. 2018;2(2):110-128. (In Russ.). https://doi.org/10.3897/popecon.2.e36049
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