V.M. Levanov
Nizhny Novgorod State Medical Academy, Nizhny Novgorod 

Summary. The development of regional telemedicine systems is a defining condition for large scale e-health adoption.

In recent years, such systems are formed in several regions of Russia, but their development requires a complex regulatory environment, economic, technological, organizational, human nature and a phased implementation. The article discusses the main tendencies of development of regional systems by studying the experience of telemedicine centers of the Volga Federal District and other regions of Russia. The basic stages of formation of regional systems are the following: from regional telemedicine centers, pilot projects, implementation of telemedicine technologies in the most remote areas, to creation of telemedicine offices on the basis of specialized centers and the subsequent inter-building network. The main legal forms and types of telemedicine centers and offices, including focus groups, matrix structure, functional departments of medical institutions and universities are observed.

At present, significantly expanded range of electronic services that include not only clinical but also the educational, administrative direction, organization of medical care in its various stages, that is the general term "e-health." This is due, above all, to the progress in the development of information and telecommunication technologies. The example of the Nizhny Novgorod regional telemedicine center shows the main types of electronic services. At the same time in the development of e-health services, there are problems associated with lack of complete regulatory framework, sustainable financing mechanisms, and system of medical personnel training. These problems can be overcome by using the experience of telemedicine and eHealth available in the regions.

Keywords. Telemedicine, telemedicine center, e-health, e-health services, regional telemedicine system, telemedicine consultation, videoconferencing, Internet medicine.

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