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Kalinina A.M.

National Medical Research Center for Therapy and Preventive Medicine

Gornyy B.E.

National Medical Research Center for Therapy and Preventive Medicine

Dubovoy I.I.

Bryansk Basic Medical College

Antonov K.A.

Bryansk City Polyclinic No. 5

Komkov D.S.

National Medical Research Center for Therapy and Preventive Medicine

Drapkina O.M.

National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

The attitude of primary care physicians to the use of telemedicine technologies in dispensary observation of patients with chronic diseases (medical and sociological research)

Authors:

Kalinina A.M., Gornyy B.E., Dubovoy I.I., Antonov K.A., Komkov D.S., Drapkina O.M.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2020;23(6‑2): 8‑13

DOI: 10.17116/profmed2020230628

Views: 929

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To cite this article:

Kalinina AM, Gornyy BE, Dubovoy II, Antonov KA, Komkov DS, Drapkina OM. The attitude of primary care physicians to the use of telemedicine technologies in dispensary observation of patients with chronic diseases (medical and sociological research). Russian Journal of Preventive Medicine. 2020;23(6‑2):8‑13. (In Russ.)
https://doi.org/10.17116/profmed2020230628

 
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PURPOSE OF THE STUDY

To investigate the attitude of primary care physicians to the use of remote monitoring of health parameters in dispensary observation of patients with chronic non-infectious diseases.

MATERIAL AND METHODS

A questionnaire was conducted among doctors at 6 polyclinics in Bryansk using a specially developed questionnaire to assess the attitude to the introduction of telemedicine technologies for remote monitoring of the health parameters of patients undergoing dispensary observation. All respondents were doctors of primary health care, whose tasks include conducting dispensary observation of chronic patients, including using remote technologies. A self-completion questionnaire was used.

RESULTS AND DISCUSSION

Satisfactory awareness of doctors in the effectiveness of the use of technologies for remote monitoring of blood pressure (BP) was revealed. The majority of respondents believe that the most preferable target group for using the remote monitoring method is young patients who work and take antihypertensive drugs. Doctors are ready to spend 40 minutes on average during their working hours for remote monitoring of patients with hypertension. The survey made it possible to identify barriers and obstacles that, according to doctors, may arise with the possible widespread introduction of dispensary observation with remote control of blood pressure. The majority of responders (80.6%) named lack of time as barriers, 44.1% — economic reasons (cost of equipment), 39.8% — difficulties in teaching patients, 15.0% indicated the difficulty of analyzing observation results.

CONCLUSION

The data obtained confirm the assumption that now primary care doctors are suspicious of the prospect of widespread introduction of remote dispensary observation: the overwhelming majority of responders have no personal experience in conducting such monitoring and predict a lack of time for it, along with this interest in new technology is quite high — about 1/2 of the responders are ready to start remote monitoring in the short term.

Keywords:

attitude of doctors
primary health care
remote control of blood pressure
telemedicine
chronic non-infection diseases
Bryansk

Authors:

Kalinina A.M.

National Medical Research Center for Therapy and Preventive Medicine

Gornyy B.E.

National Medical Research Center for Therapy and Preventive Medicine

Dubovoy I.I.

Bryansk Basic Medical College

Antonov K.A.

Bryansk City Polyclinic No. 5

Komkov D.S.

National Medical Research Center for Therapy and Preventive Medicine

Drapkina O.M.

National Medical Research Center for Therapy and Preventive Medicine;
A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Received:

03.09.2020

Accepted:

04.09.2020

List of references:

  1. Federal Law of 21.11.11 No. 323-FZ (ed. of 29.05.19) «On the basics of public health protection in the Russian Federation». Accessed September 17, 2020. (In Russ.). https://base.garant.ru/12191967
  2. Bubnova MG, Tiguntseva LV, Ostroushko NI, Burlachuk VT, Nekhaenko NE, Prozorova GG, Sharapova YuA, Kozhevnikova SA, Razvorotnev AV, Drapkina OM. Vliyanie distantsionnogo dispansernogo nablyudeniya na techenie arterial’noj gipertenzii. The Russian Journal of Preventive Medicine. 2018;21(5): 77-82.  https://doi.org/10.17116/profmed20182105177
  3. De la Torre-Díez I, López-Coronado M, Vaca C, Aguado JS, de Castro C. Cost-utility and cost-effectiveness studies of telemedicine, electronic, and mobile health systems in the literature: a systematic review. Telemed JE Health. 2015;21(2):81-85.  https://doi.org/10.1089/tmj.2014.0053
  4. Lee JY, Lee SWH. Telemedicine Cost-Effectiveness for Diabetes Management: A Systematic Review. Diabetes Technol Ther. 2018;20(7):492-500.  https://doi.org/10.1089/dia.2018.0098
  5. Michaud TL, Zhou J, McCarthy MA, Siahpush M, Su D. Costs of home-based telemedicine programs: a systematic review. Int J Technol Assess Health Care. 2018;34(4):410-418.  https://doi.org/10.1017/S0266462318000454
  6. Kessler EA, Sherman AK, Becker ML. Decreasing patient cost and travel time through pediatric rheumatology telemedicine visits. Pediatr Rheumatol Online J. 2016;14(1):54.  https://doi.org/10.1186/s12969-016-0116-2
  7. Boytsov SA, Komkov DS, Valdenberg AV, Rovkina EI, Shipachev KV, Grishanova TG. Metodika provedeniya distantsionnogo dispansernogo nablyudeniya. M. 2016. Accessed September 17, 2020. (In Russ.). https://org.gnicpm.ru/wp-content/uploads/2018/11/Metodika_DDN_vers-2.pdf
  8. Order of the Ministry of health of the Russian Federation No. 173n dated 29.03.19 «On approval of the procedure for conducting dispensary supervision of adults». Accessed September 17, 2020. (In Russ.). https://www.garant.ru/products/ipo/prime/doc/72132764
  9. Order of the Ministry of health of the Russian Federation No. 965n dated November 30, 2017 «On approval of the procedure for organizing and providing medical care using telemedicine technologies». Accessed September 17, 2020. (In Russ.). https://www.garant.ru/products/ipo/prime/doc/71751294

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