Screening surveillance systems and remote methods of diagnosis of oncoproliferative skin diseases in wartime conditions

Abstract

Objective — to find out and specify what is fundamentally important to do today to provide the full range of specialized medical care to the population of Ukraine in wartime conditions. To determine how not to violate legal norms, using current regulatory documents of the Ministry of Health, hardware and conditions of their use, as well as to prove that this is relevant for the further adaptation of the system of specialized care provision which was actually destroyed as a result of military aggression, and the development of a modern system of medical care.The work of the regional skin and venereological dispensary in the zone of the deoccupied territories in the first period of Russian aggression is analyzed. For this, regular and non­regular staff was used, according to orders No. 554 of 2007 and No. 312 of 2009.The implementation of modern digital methods of research and objectification of oncoproliferative skin diseases made it possible to optimize the provision of specialized medical care to the adult population in wartime conditions. The use of radio wave removal of skin neoplasms has significantly expanded the possibilities of outpatient admission of patients. Devices for conducting dermatoscopy, which are used for the diagnosis and treatment of patients with oncoproliferative skin diseases, are not included in the list of regulatory documents of the Ministry of Health of Ukraine. It is extremely important to introduce modern accessible (especially through humanitarian channels) methods of diagnosis and treatment into the work of the dermatovenerological care service. The dermatovenereological service does not have time to wait for regulatory documents that do not allow to go beyond the legal field. We proposed and made changes to the current regulatory framework of the Ministry of Health of Ukraine, due to the expansion of the professional capabilities of dermatologists in the field of minor and plastic surgery based on the experience of developed countries of the world.