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DOI: 10.21045/2071-5021-2016-49-3-6
Finchenko E.A.1,2, Butsko E.V.3, Strygin A.V.1, Shalygina L.S.1,2
1 Novosibirsk Research Institute of Traumatology and Orthopedics named after Ja. L. Tsyv'jan, Russian Ministry of Health
2Novosibirsk State Medical University, Russian Ministry of Health,
3European Medical Center (ZAO European medical center)
Contacts: Eugeny F. Finchenko, e-mail:
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Abstract
Background. For Russia, with its vast spaces,
telemedicine is a socially significant project, providing every citizen
with the opportunity to obtain quality counseling by best specialists.
The purpose of the study: scientific rationale for developing the system of distant X-ray diagnostics at the regional level.
Methods: expert and statistical methods. Organization
of X-ray diagnostic system was peer-reviewed by leading specialists in
diagnostic radiology of the Novosibirsk region in terms of developing
the regional system of distant X-ray diagnostics.
Results. Medical organizations are insufficiently
equipped with digital X-ray equipment, qualification of radiology
specialists is low, especially at municipal health care facilities. Main
problems that hinder development of the distant X-ray diagnostics are
not of financial, but rather of organizational nature. Key problems
include the following: lack of the X-ray diagnostics development
strategy at the regional level and discrepancy between class of the
equipment and level and type of the health care facility.
Organizational directions for developing a regional distant X-ray
diagnostic system include: to optimize equipment for digital X-ray
diagnostics according to the level and type of health care facilities;
to improve skills of care providers, particularly at municipal
(district) health care facilities; to enhance utilization of the
existing equipment for X-ray diagnostics, equipment of expert class
mainly; to optimize network of the digital equipment for X-ray
diagnostics at health care facilities; and to set up regional counseling
and diagnostic centers.
Conclusions: Provision of health care facilities
with digital X-ray equipment is insufficient, and qualification of the
X-ray specialists is low. The main problems that hinder development of
distant X-ray diagnostics at the regional level are of organizational
nature mainly including: lack of the X-ray diagnostics development
strategy at the regional level and discrepancy between class of the
equipment and level and type of the health care facility.
Keywords: distant X-ray diagnostics; telemedicine; Novosibirsk region.
References
-
Blinov A.B., Blinov N.N., Vilenskiy A.V., Gorelik F.G., Zinichenko
B.Ya., Yaroslavskiy V.A. Sovremennye problemy pereosnashcheniya
rentgenodiagnosticheskoy sluzhby Rossiyskoy Federatsii. [Modern problems
of re-equipment of X-ray diagnostic service of the Russian Federation].
Radiologiya-praktika 2010; (3): 35-44. (In Russian).
-
Gerasimenko I.N. Telemeditsinskie tekhnologii kak organizatsionnyy i
metodicheskiy faktor preduprezhdeniya oshibochnykh deystviy
meditsinskikh spetsialistov [Telemedicine technology as an
organizational and methodological factor preventing erroneous actions of
health professionals]. Zdravookhranenie Rossiyskoy Federatsii 2007; (6): 34-36. (In Russian).
-
Gerasimenko I.N. Nauchnoe obosnovanie organizatsii konsul'tativnoy
sluzhby na regional'nom urovne s ispol'zovaniem telemeditsinskikh
tekhnologiy (na primere Altayskogo regiona) [Scientific grounds for the
organization of advisory services at a regional level with the use of
telemedicine technologies (by an example of Altai region)]. Cand.Med.Sci
[thesis]. Moscow. 2008. 48 p. (In Russian).
-
Gerasimenko I.N. Ispol'zovanie novykh tekhnologiy v formirovanii
telemeditsinskoy seti v tselyakh dostizheniya ekonomicheskoy
effektivnosti [Use of new technologies in the formation of a
telemedicine network in order to achieve economic efficiency]. Ekonomika zdravookhraneniya 2008; (6): 7-11. (In Russian).
-
Gerasimenko I.N. Konsul'tativnoe okazanie meditsinskoy pomoshchi s
ispol'zovaniem telemeditsinskikh tekhnologiy v regional'nom
zdravookhranenii. [Advisory medical care with using telemedicine
technologies in a regional health care] Obshchestvennoe zdorov'e i zdravookhranenie 2008; (2): 31-34. (In Russian).
-
Perevedentsev O.V. Mesto telemeditsiny v klinicheskoy praktike. [The place of telemedicine in a clinical practice]. Zdravookhranenie 2011; (9): 52-57. (In Russian).
-
Perkhov V.I., Kuraeva V.M., Kireev S.A., Baluev E.E. O neobkhodimosti
ispol'zovaniya telekonsul'tatsiy pri organizatsii okazaniya
vysokotekhnologichnoy meditsinskoy pomoshchi [The need for the use of
telemedicine in the organization of high-tech medical aid]. Vrach i informatsionnye tekhnologii 2010; (1):21-29. (In Russian).
-
Frolov S.V., Lyadov M.A. Avtomatizirovannaya informatsionnaya sistema
telemeditsinskogo konsul'tirovaniya [Automated information system of
telemedicine consulting]. Vrach i informatsionnye tekhnologii 2010; (3): 57-65. (In Russian).
-
Krestin G.P. The professional and organizational future of imaging. Inside of the Medical Image. 2010: 1(1): 7-8.
-
McCall I.W. The future role of radiology in healthcare. Inside of the Medical Image. 2010; 1(1): 4-6.
-
Kalininskaya A.A., Malikova L.M. Problemy i puti reformirovaniya
zdravookhraneniya sela. [Problems and ways of reforming rural public
health service]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2016 May 27]; (4). Available from: http://vestnik.mednet.ru/content/view/693/30/lang,ru/ (In Russian).
-
Tsybul'skiy, V.B. Nekotorye prichiny ukhudsheniya pokazateley
deyatel'nosti sistemy okhrany zdorov'ya v strane. [Some of the causes of
health system performance deterioration in the country]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2015 [cited 2016 May 27]; (2). Available from: http://vestnik.mednet.ru/content/view/675/30/lang,ru (In Russian).
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