All this became possible, thanks to the national project “Health”, which has intensified the promotion of the telemedicine in our lives.
Sakhalin capabilities of telemedicine technologies used for the treatment of patients with coronavirus. This approach fits right in with the conditions of self-isolation.
In Dolyna Central regional hospital where they are temporarily settled down the infectious diseases hospital for the treatment of patients with COVID-19, installed special equipment. The equipment helps doctors get in touch with experts and colleagues from different medical institutions of the region, and if necessary – and the whole country. Telemedicine equipment enables students to communicate and transmit data via secured communication channels.
Previously, the hospital was a multi-Agency, so there is all the necessary equipment for treatment and resuscitation. Telemedicine was an additional stand along with ventilators, monitors, equipment for determination of acid-base balance, hemodialysis, and others.
“to minimize the number of contacts and ensure the quality of medical care established a telemedicine link directly from intensive care, – said the chief doctor Natalia Dolinskaya CRH Mirow. For two months we have consulted with colleagues from the Moscow hospital No. 52, interacted with regional institutions. Now this process is more convenient and informative”.
In the possibilities of telemedicine in the Sakhalin region because of isolation of the region from the mainland Russia and the big distances between settlements on the Islands used to be very active. Since the beginning of the year, local doctors performed more than 320 consultations with colleagues from other regions.
According to the Minister of health of area Vladimir Yushchuk, often remote consultations given to residents of the North of Sakhalin and the Kuril Islands. This saves time and money of patients that they would have spent on the road to the regional center.
In Dagestan, the situation with the incidence of coronavirus remains tense. And there also began to actively introduce modern information technologies to combat COVID-19.
for Example, earned telemedicine consultations involving the best Federal experts.
Running the pilot project “Electronic clinical pharmacologist”, told “RG” in the Ministry of health of the Republic.
It is developed by the company-resident of SKOLKOVO of JSC “Socmedia” with the participation of the National Association of honoured doctors. And has already been clinically tested and used in several regions of the country. A new online service, according to the developers, will assist physicians in assigning patients medications and reduce hhe number of medical errors in clinical practice.
the Program will be able to track all prescribing and issuing, if necessary, recommendations to the attending physician. Artificial intelligence in seconds will assess the safety of drugs available contraindications and age restrictions. Warn of possible allergic reactions.
“Thus, we will streamline costs for medication due to a more rational prescription, – explained in the Ministry of health of the region. Decreases the risk of complications and side effects from the medication, the time of the appointment. And thereby improving the quality of medical care”. The new system will be implemented in eight major hospitals of the Republic.
In Dagestan also constantly held consultations in the format of video with the best doctors in the country. Recently there was a video with the leadership of the Department of health of Moscow and Moscow specialists in different regions of Russia. The team of Professor Andrey Mylnikov via teleconference shared the results of their work in Dagestan. “Even in remote mountain hospitals doctors are quite aware and know current recommendations,” said the Professor.
Two or three times in a month shall consult with the specialists of the leading Russian medical centers in Irkutsk. About this “RG” said Yulia Bakhareva, head of the telemedicine Centre working on the basis of the Irkutsk regional clinical hospital.
“we Have built relationships with almost all specialized centers, said Bakharev. – A lot of consultations with the Moscow center of Transplantology and artificial organs, as Irkutsk hospital for several years actively develops in this direction. Consult with cardiology. They assign more research, clarify diagnoses, adjusted purpose.”
Yulia Bakhareva highlights: consultants specialized medical centers have vast experience, it is crucial. “Our doctors usually ask advice on some very complicated cases, continues the interlocutor “RG”. This can be a rare disease, or unusual currents”. That is for the doctor in the municipal hospital this is an isolated incident, and doctors specialized center typical.
“although we put diagnoses and to treat for the same protocols, there are nuances in the clinical presentation, – says Yulia Bakhareva. And for us to hear the opinion of more experienced colleagues is very important.”
much of the consultation takes place in absentia: from Irkutsk to profile the centre for secure communication channels is sent to medical records. During the day, comes the answer. If that’s not enough, appointed a Council, in which experts exchange views, andsometimes even arguing.
“Not so long ago, was witness to a heated discussion, – continues the head. – Our surgeons and hematologists argued about one patient. Each of the parties have advanced their arguments. Then colleagues from Moscow has reconciled the opponents, offering to provide some more tests and on the basis of the obtained results to make a decision. Additional consultation was not needed: treatment strategy became apparent as soon as the data came”.
the Epidemic of coronavirus was added to the staff of the telemedicine Center of this work-now they associate doctors infectious hospitals the Moscow colleagues. “We help collect the necessary documents, to formulate questions, and then contact the relevant centre, – says Yulia Bakhareva, for example, from the research Institute of Phthisiopulmonology of them.Sechenov. The consultation brought to colleagues. Try to do everything quickly. Here time is a crucial factor”.
