Telemedicine and information technology in healthcare. Experience and perspectives

Abstract

In modern conditions, telecommunication technologies (TMT), designated by the term “telemedicine,” are increasingly used to provide medical services at a distance. Purpose. To analyze the work of telemedicine consultations (TMK) during the COVID-19 pandemic. Material and methods. The experience of using TMT (telemedicine) in a city hospital, on the basis of which a “Covid hospital” was opened during the spread of COVID-19 from September 2020 to September 2021, is presented. Patients applied for TMK through call centers or the clinic’s registry. Results. The operating principles of telemedicine have been formed, the possibilities of outpatient patient management in a remote format, a minimum list of examinations at home, routing rules and indications for inpatient treatment have been determined. Based on the identification of key complaints and diagnostic criteria, a questionnaire was created that reduces consultation time. The experience gained allows us to make wider use of remote management technologies, TMK, medical consultations, to develop and implement monitoring technologies for monitoring patients at home to optimize the work of primary healthcare.