[Clinical and demographic analysis of telemedicine «doctor-patient» consultations at the Endocrinology Research Centre].

Q4 Medicine Problemy endokrinologii Pub Date : 2022-04-01 DOI:10.14341/probl13088

A M Gorbacheva, O V Logvinova, N G Mokrysheva

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引用次数: 3

Abstract

Background: The COVID-19 pandemic has accelerated the development of telemedicine technologies. Today there is evidence of the successful use of telemedicine in various fields of health care, in particular in endocrinology. At the same time, there is not enough information for effective integration of telemedicine into the management of patients with various endocrinopathies.

Aim: The aim of this study is a clinical and demographic assessment of the structure of telemedicine consultations (TMC) conducted at the Endocrinology Research Centre in 2020-2021.

Materials and methods: A single-stage, single-center retrospective study was conducted. The study included all patients who received at least one TMC at the Endocrinology Research Centre in 2020-2021. Clinical and demographic information was analyzed (gender, age of patients, region of residence, ICD-10 code). All patients signed voluntary informed consent for TMC. The obtained data were processed using the Microsoft Office 2013 software package.

Results: In 2020, 1,548 TMC were held, in 2021 - 4180 TMC. Among adults, women predominated in the structure of referrals (83-86%), among children there is a tendency towards equivalent referrals for boys and girls (in 2021 - 45% and 55%, respectively). The median age of adult patients in 2021 was 38 years [31; 53], among children - 11 years [7; 14]. In 2020, residents of 74 regions of the Russian Federation applied for TMC, in 2021 - of 82 regions. There is a tendency towards the prevalence of patients from the Central, Volga, Southern and North Caucasian federal districts in the TMC structure. Diseases of the thyroid gland predominated in the nosological structure of TMC.

Conclusion: TMC turned out to be in demand in patients with a wide variety of endocrinopathies. It is important to conduct further analysis of both the TMC market and the effectiveness of remote counseling for various nosologies to determine the place of telemedicine in the modern healthcare structure and to introduce TMK into the system of clinical guidelines and programs of territorial compulsory medical insurance funds.

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[内分泌学研究中心远程医疗«医患»咨询的临床和人口分析]。

背景:新冠肺炎大流行加速了远程医疗技术的发展。今天，有证据表明远程医疗在卫生保健的各个领域，特别是在内分泌学领域得到了成功的应用。同时，没有足够的信息将远程医疗有效地整合到各种内分泌疾病患者的管理中。目的:本研究的目的是对2020-2021年在内分泌研究中心进行的远程医疗咨询(TMC)结构进行临床和人口统计评估。材料与方法:采用单阶段、单中心回顾性研究。该研究包括2020-2021年在内分泌学研究中心至少接受过一次TMC的所有患者。分析临床和人口统计信息(性别、患者年龄、居住地区、ICD-10代码)。所有患者均签署了自愿知情同意书。使用Microsoft Office 2013软件包对数据进行处理。结果:2020年举办1548场TMC, 2021年举办4180场TMC。在成人中，女性在转诊结构中占主导地位(83% -86%)，在儿童中，男孩和女孩的转诊趋势相当(2021年分别为45%和55%)。2021年成人患者的中位年龄为38岁[31;[53]，儿童- 11岁[7;14)。2020年，俄罗斯联邦74个地区的居民申请了TMC, 2021年，82个地区的居民申请了TMC。在TMC结构中，有来自中部、伏尔加河、南部和北高加索联邦区的患者的流行趋势。甲状腺疾病在TMC的病理结构中占主导地位。结论:TMC在各种内分泌疾病患者中都有应用需求。进一步分析远程医疗市场和各种病种远程咨询的有效性，以确定远程医疗在现代医疗结构中的地位，并将远程医疗纳入临床指南体系和地区强制性医疗保险基金项目。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Problemy endokrinologii Medicine-Endocrinology, Diabetes and Metabolism

CiteScore

1.40

自引率

0.00%

发文量

期刊介绍： Since 1955 the “Problems of Endocrinology” (or “Problemy Endocrinologii”) Journal publishes timely articles, balancing both clinical and experimental research, case reports, reviews and lectures on pressing problems of endocrinology. The Journal is aimed to the most topical issues of endocrinology: to chemical structure, biosynthesis and metabolism of hormones, the mechanism of their action at cellular and molecular level; pathogenesis and to clinic of the endocrine diseases, new methods of their diagnostics and treatment. The Journal: features original national and foreign research articles, reflecting world endocrinology development; issues thematic editions on specific areas; publishes chronicle of major international congress sessions and workshops on endocrinology, as well as state-of-the-art guidelines; is intended for scientists, endocrinologists diabetologists and specialists of allied trade, general practitioners, family physicians and pediatrics.