E. S. Samsonova, I. Mikhailov, V. V. Omelyanovsky, M. V. Avksentieva, I. Zheleznyakova, G. G. Lebedenko
{"title":"确定用于评估各种医疗保健远程医疗咨询需求的指标","authors":"E. S. Samsonova, I. Mikhailov, V. V. Omelyanovsky, M. V. Avksentieva, I. Zheleznyakova, G. G. Lebedenko","doi":"10.17816/dd622846","DOIUrl":null,"url":null,"abstract":"Background: Unified system for assessing the results and real contribution of of telemedicine consultations (TMC) to improving the quality of medical care in the healthcare system of the Russian Federation has not yet been developed. \nAim: Development of a system of indicators for differentiated assessment of the need for TMC in the provision of medical care of various profiles. \nMaterials and methods: At the first stage we analyzed reports on the results of on-site activities of NMRCs in regions of the Russian Federation and annual public reports of NMRCs (2020-2022) to identify indicators that determine the need for TMC. The identified indicators were clarified and validated in an open interview with representatives of the NMRCs. At the second stage we determined the value of each indicator on the bases of expert survey. 18 experts had to score each indicator from 1 to 5. Then we calculated the weight coefficient of each indicator for their subsequent use in planning TMC volumes. \nResults: Three groups of indicators have been identified. The first group includes indicators of mortality, disability and hospital mortality, the frequency of emergency/urgent consultations and the frequency of consultations of intensive care patients. The second group includes indicators for assessing the effectiveness and efficiency of TMC, subjective (satisfaction with the results of TMC) and objective (the number of positive and negative disease and hospitalization cases outcomes for which TMC was performed). The third group includes indicators characterizing the validity of requests for TMС: patients examination completeness of before TMC, diagnosis accuracy. The weight coefficients of the indicators of the first group ranged from 0.05 to 1.61 and were different for different profiles. \nConclusion: A system of indicators has been proposed for differentiated assessment of the need for TMC when providing medical care of different profiles.","PeriodicalId":34831,"journal":{"name":"Digital Diagnostics","volume":"74 46","pages":""},"PeriodicalIF":0.0000,"publicationDate":"2024-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Identification of indicators used to assess needs for telemedical consultations in various profiles of medical care\",\"authors\":\"E. S. Samsonova, I. Mikhailov, V. V. Omelyanovsky, M. V. Avksentieva, I. Zheleznyakova, G. G. Lebedenko\",\"doi\":\"10.17816/dd622846\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"Background: Unified system for assessing the results and real contribution of of telemedicine consultations (TMC) to improving the quality of medical care in the healthcare system of the Russian Federation has not yet been developed. \\nAim: Development of a system of indicators for differentiated assessment of the need for TMC in the provision of medical care of various profiles. \\nMaterials and methods: At the first stage we analyzed reports on the results of on-site activities of NMRCs in regions of the Russian Federation and annual public reports of NMRCs (2020-2022) to identify indicators that determine the need for TMC. The identified indicators were clarified and validated in an open interview with representatives of the NMRCs. At the second stage we determined the value of each indicator on the bases of expert survey. 18 experts had to score each indicator from 1 to 5. Then we calculated the weight coefficient of each indicator for their subsequent use in planning TMC volumes. \\nResults: Three groups of indicators have been identified. The first group includes indicators of mortality, disability and hospital mortality, the frequency of emergency/urgent consultations and the frequency of consultations of intensive care patients. The second group includes indicators for assessing the effectiveness and efficiency of TMC, subjective (satisfaction with the results of TMC) and objective (the number of positive and negative disease and hospitalization cases outcomes for which TMC was performed). The third group includes indicators characterizing the validity of requests for TMС: patients examination completeness of before TMC, diagnosis accuracy. The weight coefficients of the indicators of the first group ranged from 0.05 to 1.61 and were different for different profiles. \\nConclusion: A system of indicators has been proposed for differentiated assessment of the need for TMC when providing medical care of different profiles.\",\"PeriodicalId\":34831,\"journal\":{\"name\":\"Digital Diagnostics\",\"volume\":\"74 46\",\"pages\":\"\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2024-01-29\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Digital Diagnostics\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.17816/dd622846\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Digital Diagnostics","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.17816/dd622846","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Identification of indicators used to assess needs for telemedical consultations in various profiles of medical care
Background: Unified system for assessing the results and real contribution of of telemedicine consultations (TMC) to improving the quality of medical care in the healthcare system of the Russian Federation has not yet been developed.
Aim: Development of a system of indicators for differentiated assessment of the need for TMC in the provision of medical care of various profiles.
Materials and methods: At the first stage we analyzed reports on the results of on-site activities of NMRCs in regions of the Russian Federation and annual public reports of NMRCs (2020-2022) to identify indicators that determine the need for TMC. The identified indicators were clarified and validated in an open interview with representatives of the NMRCs. At the second stage we determined the value of each indicator on the bases of expert survey. 18 experts had to score each indicator from 1 to 5. Then we calculated the weight coefficient of each indicator for their subsequent use in planning TMC volumes.
Results: Three groups of indicators have been identified. The first group includes indicators of mortality, disability and hospital mortality, the frequency of emergency/urgent consultations and the frequency of consultations of intensive care patients. The second group includes indicators for assessing the effectiveness and efficiency of TMC, subjective (satisfaction with the results of TMC) and objective (the number of positive and negative disease and hospitalization cases outcomes for which TMC was performed). The third group includes indicators characterizing the validity of requests for TMС: patients examination completeness of before TMC, diagnosis accuracy. The weight coefficients of the indicators of the first group ranged from 0.05 to 1.61 and were different for different profiles.
Conclusion: A system of indicators has been proposed for differentiated assessment of the need for TMC when providing medical care of different profiles.
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