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Kalinina A.M.

National Medical Research Center for Therapy and Preventive Medicine

Kulikova M.S.

National Medical Research Center for Therapy and Preventive Medicine

Gomova T.A.

Regional Clinical Hospital

Gornyy B.E.

National Medical Research Center for Therapy and Preventive Medicine

Dubovoy I.I.

Bryansk Basic Medical College

Drapkina O.M.

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

On the topic of demand and usage of the telemedicine model «doctor-patient» for the prevention and control of chronic diseases: the view of a primary health care doctor

Authors:

Kalinina A.M., Kulikova M.S., Gomova T.A., Gornyy B.E., Dubovoy I.I., Drapkina O.M.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2021;24(6): 28‑36

DOI: 10.17116/profmed20212406128

Read: 2260 times

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Table of contents

ON THE TOPIC OF DEMAND AND USAGE OF THE TELEMEDICINE MODEL «DOCTOR-PATIENT» FOR THE PREVENTION AND CONTROL OF CHRONIC DISEASES: THE VIEW OF A PRIMARY HEALTH CARE DOCTOR
ON THE TOPIC OF DEMAND AND USAGE OF THE TELEMEDICINE MODEL «DOCTOR-PATIENT» FOR THE PREVENTION AND CONTROL OF CHRONIC DISEASES: THE VIEW OF A PRIMARY HEALTH CARE DOCTOR

To cite this article:

Kalinina AM, Kulikova MS, Gomova TA, Gornyy BE, Dubovoy II, Drapkina OM. On the topic of demand and usage of the telemedicine model «doctor-patient» for the prevention and control of chronic diseases: the view of a primary health care doctor. Russian Journal of Preventive Medicine. 2021;24(6):28‑36. (In Russ.)
https://doi.org/10.17116/profmed20212406128

Подписка 2026 Профилактическая медицина (Russian Journal of Preventive Medicine)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

OBJECTIVE

To conduct a survey of primary care physicians on the demand and usage of telemedicine technologies in dispensary observation of patients with chronic diseases, in particular with arterial hypertension and assess the attitude of physicians to remote monitoring of health parameters including disease risk factors.

MATERIAL AND METHODS

A medical-sociological survey of primary care physicians in two pilot regions was carried out using a specially developed questionnaire. Statistical processing was carried out by means of the IBM SPSS Statistics 23 software package.

RESULTS

The 284 doctors (average age 47.0±15.8 years) were interviewed with a response in two pilot regions of 62.4 and 88.9%, respectively. Among the respondents were internists (84.5%) and general practitioners (15.5%). The survey showed that doctors widely use telecommunication technologies including their professional activities; however, they are not sufficiently familiar with the practice of the telemedicine model «doctor—patient» for remote dispensary observation (in particular, only 18.1% of doctors had personal experience of such observation for patients with arterial hypertension), and for 1/3 of doctors the remote observation is difficult. Physicians are less familiar with the use of telemedicine technologies in medical prevention and management of chronic disease risk factors.

CONCLUSION

The study showed that raising awareness, professional knowledge and preventive activity of practitioners should be considered priority measures for the successful implementation of new telemedicine remote technologies and organizational models of not only chronic diseases control but also the prevention of their development risk into primary health care practice.

Keywords:

primary health care
remote dispensary observation (RDO)
telemedicine organizational models

Authors:

Kalinina A.M.

National Medical Research Center for Therapy and Preventive Medicine

Kulikova M.S.

National Medical Research Center for Therapy and Preventive Medicine

Gomova T.A.

Regional Clinical Hospital

Gornyy B.E.

National Medical Research Center for Therapy and Preventive Medicine

Dubovoy I.I.

Bryansk Basic Medical College

Drapkina O.M.

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

Received:

01.04.2021

Accepted:

22.04.2021

Close metadata

References:

  1. Federal law of 21.11.11 No. 323-FZ (ed. of 22.12.20) «On the basics of public health protection in the Russian Federation» (with changes and additions entered into force on 01.01.21). Accessed March 30, 2021. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_121895/ccf02734a76e335943ae86f86b319d6035cca374/
  2. 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 March 30, 2021. (In Russ.). https://www.garant.ru/products/ipo/prime/doc/71751294
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  11. 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 J E Health. 2015;21(2):81-85.  https://doi.org/10.1089/tmj.2014.0053
  12. 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
  13. 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
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  15. Kalinina AM, Gornyi 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). Preventive Medicine. 2020;23(6):8-13. (In Russ.). https://doi.org/10.17116/profmed2020230628
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