Experience in organizing a telemedicine center in university clinics

Background. Telemedicine is an important tool for ensuring the availability of medical care, contributing to the reduction of morbidity and mortality, primarily from chronic diseases. It is necessary to introduce organizational models into clinical practice for the development of telemedicine in our country.
Aim. To form new approaches for monitoring patients using telemedicine technologies in a federal institution. Material and methods. The work on conducting telemedicine consultations (TMC) «doctor-patient» and «doctordoctor » was initiated and promoted in the center of telemedicine of SamSMU. Postoperative telepatronage of patients discharged from the hospital after surgical interventions has been introduced. The fast-track approach has been implemented in surgery and interventional cardiology. Remote monitoring of cardiological patients has been organized. Work has been established on remote monitoring of patients on the waiting list for organ transplantation and after its completion.
Results. The number of TMC conducted in 2022 exceeded the corresponding numbers of 2020 and 2021 by 32.9 and 25.4 times, respectively. The analysis of «doctor-patient» TMC showed an increase in 2022 compared to 2021 by 358 times. The growth in the number of «doctor-doctor» TMC in 2022 compared to 2021 by 2.5 times was noted. 6602 TMC were performed during the implementation of outpatient telepatronage. 284 TMC performed in 2022 allowed monitoring of patients after surgical interventions. The «fast-track» approach made it possible to reduce in-hospital length of stay and provided telemedicine monitoring of 987 patients after cardiac surgery. The practice of remote monitoring allowed for dynamic monitoring of 53 patients on the waiting list for organ transplantation and after transplantation.
Conclusions. The organization of specialized telemedicine centers in medical and preventive institutions contributes to the development of telemedicine technologies in our country and the introduction of the best innovative practices in domestic medicine aimed at improving the quality and accessibility of medical care

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