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Chekhonadsky I.I.

Orenburg Regional Clinical Psychiatric Hospital No. 2

Skripov V.S.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Semenova N.V.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Shvedova A.A.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Malyshko L.V.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Capabilities of telemedicine consultations of patients with mental disorders

Authors:

Chekhonadsky I.I., Skripov V.S., Semenova N.V., Shvedova A.A., Malyshko L.V.

More about the authors

Journal: Russian Journal of Preventive Medicine. 2021;24(9): 74‑78

DOI: 10.17116/profmed20212409174

Views: 706

Downloaded: 39

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To cite this article:

Chekhonadsky II, Skripov VS, Semenova NV, Shvedova AA, Malyshko LV. Capabilities of telemedicine consultations of patients with mental disorders. Russian Journal of Preventive Medicine. 2021;24(9):74‑78. (In Russ.)
https://doi.org/10.17116/profmed20212409174

 
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The introduction of telemedicine technologies into the practice of the psychiatrist provided specialists from regional health care facilities an opportunity to receive remote consultations for diagnosis and treatment in complicated cases. In addition, such consultations are crucial to improving access to health care for the population.

OBJECTIVE

To analyze the profile of patients with mental and behavioral disorders referred for the telemedicine consultation and assess the results of such consultations.

MATERIAL AND METHODS

The outcomes of cooperation between the head psychiatric hospital of the Orenburg region and the National Medical Research Center, which provides remote assistance in the field of “psychiatry” and “psychiatry and addiction medicine” are presented. Requests for telemedicine consultations and relevant medical conclusions were analyzed using the continuous sampling. Extensive and intensive coefficients and mean values were calculated.

RESULTS

A total of 102 protocols of telemedicine consultations for the period 2019-2020 were processed. Most consulted patients were males (64.7%). The average age of the patients was 34.7±3.0 years. The largest percentage of patients referred for telemedicine consultations had the following ICD-10 groups diagnoses: F20-F29 (45.1%), F30-F39 (17.7%), and F00-F09 (5.7%). In 47.1% of cases, the federal center consultants revised the diagnosis, but most cases were diagnosed within the same ICD-10 groups: F20-F29 (49.1%), F30-F39 (19.6%), and F00-F09 (13.7%). The treatment regimen was revised for 84.3% of patients, and in 31.4% of patients additional diagnostic tests were recommended.

CONCLUSION

The profile of patients with mental disorders, which benefit the most from remote consultations was established. Based on a review of the medical conclusions, the attending physicians were provided alternative options for managing patients in complicated clinical cases. Quality diagnosis and well-timed adequate treatment contribute to long-term remission and improve the disease prognosis.

Keywords:

telemedicine
specialized care
psychiatry
information and communication technologies in medicine
telecommunication technologies
telemedicine center

Authors:

Chekhonadsky I.I.

Orenburg Regional Clinical Psychiatric Hospital No. 2

Skripov V.S.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Semenova N.V.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Shvedova A.A.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Malyshko L.V.

Bekhterev National Medical Research Center for Psychiatry and Neurology

Received:

25.05.2021

Accepted:

04.06.2021

List of references:

  1. Baranov AA, Vishneva EA, Namazova-Baranova LS. Telemedicine — prospects and difficulties before a new development stage. Pediatricheskaya farmakologiya. 2013;10(3):6-11. (In Russ.). https://doi.org/10.15690/pf.v10i3.691
  2. Vladzimirsky AV. Telemedicine: Curatio Sine Tempora et Distantia. M. 2016. (In Russ.).
  3. Melik-Guseinov DV, Khodyreva LA, Turzin PS, Kondratenko DV, Gozulov AS, Emmanuel A. Telemedicine: regulatory support, realities and prospects of application in the domestic healthcare. Eksperimental’naya i klinicheskaya urologiya. 2019;1:4-10. (In Russ.).
  4. Semenova NV, Yanushko MG, Yakovleva YuA. Ethical issues of the informed consent procedure in schizophrenia patients in view of cognitive dysfunction. Obozrenie psikhiatrii i meditsinskoj psikhologii im. V.M. Bekhtereva. 2018;4:108-116. (In Russ.). https://doi.org/10.31363/2313-7053-2018-4-108-116

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