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Thursday, 30 June 2016

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: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it


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.


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