A telemedicine system in the assessment of risks for socially significant chronic non-communicable diseases


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Abstract

One of the pressing problems of modern healthcare is a steady increase in the proportion of chronic non-communicable diseases (CNCDs) that are most commonly caused by an improper lifestyle. Timely identification of risk factors contributing to the development of CNCDs will be able to preserve and considerably augment the health of each person and the general population. For effective screening of risk factors for CNCDs, preventive medical examination programs have been introduced into practical health care. Screening programs make it possible to detect diseases at earlier stages and, accordingly, to use a wider range of therapy options, which eventually enhances treatment efficiency and reduces the risks of possible adverse consequences. One of the possible options for the widespread introduction of screening programs is telemedicine. The advantages of the latter include reducing the number of medical errors, saving the time of a physician and a patient, enhancing the effectiveness of medical and preventive establishments, high-quality diagnosis and prevention of diseases, regardless of the patients area of residence. The use of telemedicine technologies became especially relevant during the COVID-19 pandemic. The forced cancellation of full-time visits to the physician, the reprofiling of hospitals, and implemented lockdowns served as an impetus for the development of telemedicine in both Russia and foreign countries. Telemedicine under pandemic conditions makes it possible to closely monitor the patient without the need for movement around the city and for a direct physical contact, which ultimately assists in reducing the spread of infection.

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About the authors

P. V Seliverstov

I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia

Email: seliverstov-pv@yandex.ru
Candidate of Medical Sciences

S. R Bakaeva

I.I. Mechnikov North-Western State Medical University, Ministry of Health of Russia

V. V Shapovalov

Saint Petersburg State Electrotechnical University (LETI)

References

  1. Chronic non-communicable diseases. Fact sheet: World Health Organization, 2015. URL: http://www.who.int/mediacentre/factsheets/fs355/en/
  2. Профилактика хронических неинфекционных заболеваний: рекомендации. Под ред. С.А. Бойцова, А.Г. Чучалина. М., 2013; 128 с.
  3. Федеральный закон от 21.11.2011 №323-ФЗ (ред. от 29.12.2015) «Об основах охраны здоровья граждан в Российской Федерации» URL: http://www. consultant.ru/document/cons_doc_LA W_121895/
  4. Приказ Минздрава России от 03.02.2015 №36ан «Об утверждении порядка проведения диспансеризации определенных групп взрослого населения» [Prikaz Minzdrava Rossii ot 03.02.2015 №36an «Ob utverzhdenii poryadka provedeniya dispanserizatsii opredelennykh grupp vzroslogo naseleniya» (in Russ.)] URL: https://normativ.kontur.ru/document?moduleId=1&documen tId=297174/
  5. Regional Office for Europe. Cancer. Screening and early detection. Fact sheet: World Health Organization, 2016. URL: http://www.euro.who.int /en/health-topics/noncommunicable-diseases/cancer/policy/screening-and-earlydetection
  6. Population screening programmes - guidance. NHS population screening explained. Fact sheet: UK National Screening Committee (UK NSC), 2013. URL: https://www.gov.uk/guidance/nhs-population-screening-explained
  7. Всемирная организация здравоохранения. Доклад о результатах второго глобального обследования в области электронного здравоохранения. 2012 г.
  8. Kim J., Alanazi H., Daim Т. Prospects for Telemedicine Adoption: Prognostic Modeling as Exemplified by Rural Areas of USA. Foresight and STI Governance. 2015; 9 (4): 32-41. doi: 10.17323/1995-459x.2015.4.32.41
  9. Nelson R. Telemedicine and Telehealth. Am J. Nurs. 2017; 117 (6): 17-8. doi: 10.1097/01.NAJ.0000520244.60138.1c
  10. Vidal-Alaball J. et al. Telemedicine in the face of the COVID-19 pandemic. Aten Primaria. 2020; 52 (6): 418-22. https://doi.org/10.1016/j.aprim.2020.04.003
  11. Киселева А. Просто спросить: коронавирус подстегнул спрос на онлайн-докторов в России. Россия Сегодня. Выпуск от 19 мая 2020 URL: https://1prime.ru/ state_regulation/20200519/831468461.html
  12. Скобелев В. Правительство попросили разрешить врачам ставить диагнозы через интернет. РБК. Выпуск от 19 марта 2020 URL: https://www.rbc.ru/technology_and_media/19/03/20 20/5e72097e9a794721221e1a46?from=newsfeed
  13. Hong Z., Li N., Li D. et al. Telemedicine During the COVID-19 Pandemic: Experiences From Western China. J. Med Internet Res. 2020; 22 (5): e19577. doi: 10.2196/19577
  14. Liu X., Luo H., Zhang L. et al. Telephone-based re-education on the day before colonoscopy improves the quality of bowel preparation and the polyp detection rate: a prospective, colonoscopist-blinded, randomised, controlled study. Gut. 2014; 63: 125-30. doi: 10.1136/gutjnl-2012-304292
  15. Cross R.K., Jambaulikar G., Langenberg P. et al. TELEmedicine for Patients with Inflammatory Bowel Disease (TELE-IBD): Design and implementation of randomized clinical trial. Contemp Clin Trials. 2015; 42: 132-44. DOI: 10.1016/j. cct.2015.03.006
  16. Elkjaer M., Shuhaibar M., Burisch J. et al. E-health empowers patients with ulcerative colitis: a randomised controlled trial of the web-guided ‘Constant-care’ approach. Gut. 2010; 59: 1652-61. doi: 10.1136/gut.2010.220160
  17. Pedersen N., Elkjaer M., Duricova D. et al. eHealth: individualisation of infliximab treatment and disease course via a self-managed web-based solution in Crohn’s disease. Aliment Pharmacol Ther. 2012; 36: 840-9. DOI: 10.1111/ apt.12043
  18. Xia W. et al. Transmission of coronavirus disease 2019 during the incubation period may lead to a quarantine loophole. medRxiv (preprint 2020). https://doi.org/10.1101/2020.03.06.20031955
  19. Hollander J.E., Carr B.G. Virtually Perfect? Telemedicine for Covid-19. N. Engl J. Med. 2020; 382 (18): 1679-81. doi: 10.1056/NEJMp2003539
  20. Lurie N., Carr B.G. The Role of Telehealth in the Medical Response to Disasters. JAMA Internal Medicine. 2018; 178 (6): 745-6. DOI: 10.1001/ jamainternmed.2018.1314
  21. Бойцов С.А., Чучалин А.Г., Арутюнов Г.П. и др. Профилактика хронических неинфекционных заболеваний. Рекомендации. М., 2013; с. 5-6 URL: http://webmed.irkutsk.ru/doc/pdf/prevent.pdf
  22. Siegel C.A. Transforming Gastroenterology Care With Telemedicine. Gastroenterology. 2017; 152 (5): 958-63. doi: 10.1053/j.gastro.2017.01.048
  23. Dorsey E.R., Topol E.J. State of Telehealth. N. Engl J. Med. 2016; 375 (2): 154-61. doi: 10.1056/NEJMra1601705

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