|
DOI: 10.21045/2071-5021-2017-53-1-3
Smal T.S., Zavadovskaya V.D., Deyev I.A.
Siberian State Medical University, Tomsk, Russian Federation
Contacts: Tatiana Smal, e-mail:
This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Smal T.S., http://orcid.org/0000-0002-8059-1319
Zavadovskaya V.D., http://orcid.org/0000-0001-6231-7650
Deyev I.A., http://orcid.org/0000-0002-4449-4810
Acknowledgments.The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.
Abstract
Significance. Telemedicine is the use of information and
communication technologies to provide medical assistance when distance
between health care professionals and patients is a critical factor.
Teleradiology is a separate area of telemedicine, a modern trend in
medical diagnostics involving transmission of medical diagnostic images
to receive expert opinion or clinical assessment.
Use of information and communication technologies makes it possible
to overcome territorial barriers and increase access to health services.
Due to low availability of health services and shortage of staff
typical of remote areas of the Russian Federation such technologies are
especially relevant for residents of low-density areas including small
and medium-size cities and rural areas of the Russian Federation.
Purpose. To assess quality of distant description of
radiographic images in low-density areas the authors have conducted a
study that includes medical opinions and chest radiographs for 69
patients.
The following methods were used: expert assessments, diagnostic, analytical and statistical methods.
Results. The article presents results of the analysis of
frequency and types of discrepancies in diagnostic decisions regarding
X-rays reports by the on-site physicians and remote experts. The study
identified most common types of diagnostic errors and assessed quality
of X-ray reports.
Conclusions. The authors found out that differences in
diagnostic decisions were due to underestimation of radiographic signs
of intrathoratic organs pathology made by local primary care providers.
Unavailability of high quality specialized medical care in the regions
results in neglecting most important socially significant diseases,
early detection of which contributes to timely treatment and
rehabilitation.
Scope of application. Application of technologies for remote
medical services assisted by highly qualified specialists is of high
practical value for healthcare organization in remote areas and makes
specialized high quality medical care more available.
Keywords: radio diagnostics; telemedicine; teleradiology; organization of medical care; low population density.
References
-
Butsko (Krivushkina) E.V., Sharapov I.V., Ivaninskiy O.I. Obosnovanie
organizatsionnykh napravleniy razvitiya telemeditsinskikh tekhnologiy
(po materialam Novosibirskoy oblasti) [Justification of organizational
trends of telemedical technologies (based on the materials of
Novosibirsk region)]. Meditsina i obrazovanie v Sibiri 2014;(5):1-8. (In Russian).
-
Vladzimirskiy A. V. Telemeditsina: Curatio Sine Tempora et Distantia
[Telemedicine: Curatio Sine Tempora et Distantia]. [Online] 2016 [cited
2016 Sep 16]. Available from: http://itelemedicine.pro/pages/files/Telemedicine_CuratioSineTemporaetDistantia_VladzymyrskyyAV_ISBN%20978-1-77313-486-4.pdf. (In Russian).
-
Koshelev I.A. Tendentsii razvitiya telemeditsinskikh tekhnologiy v
sovremennom mire [Trends in the development of telemedicine technology
in the contemporary world]. Meditsinskiy al'manakh 2010;(1):13–17. (In Russian).
-
Kurnosov S.V., Petrov A.V., Trofimov S.V. Telemeditsina: regional'nyy aspect [Telemedicine: regional aspect]. Informatsionnoe obshchestvo 2006;(1):29-30. (In Russian).
-
Luk'yanenko N.Ya., Bryukhanov A.V., Kolmogorov V.G. Rezul'taty analiza
rentgenologicheskikh priznakov v izuchenii osnovnykh prichin vrachebnykh
oshibok v diagnostike pnevmoniy [The results of the analysis of
radiological signs in the study of the main causes of medical mistakes
in the diagnosis of pneumonia]. Radiologiya — Praktika 2011;(5):45-50. (In Russian).
-
Rylov A.V., Baklanova Yu.O. Razvitie regional'nykh telemeditsinskikh
setey v Rossii (na primere Privolzhskogo federal'nogo okruga)
[Development of regional telemedicine networks in Russia (by an example
of Privolzhsky Federal District)]. Regional'naya ekonomika i upravlenie [serial online] 2009 [cited 2016 Sep 16];(18). Available from: http://eee-region.ru/article/1202/. (In Russian).
-
Jac J. W. M. Jacobs, Rianne Ekkelboom, Jan P. A. M. Jacobs Thys van der
Molen, Robbert Sanderman. Patient satisfaction with a teleradiology
service in general practice. BMC Family Practice [serial online] 2016 [cited 2016 Sep 28]; 8 p. Available from: https://www.researchgate.net/publication/293807988
-
Nicolini D. The work to make telemedicine work: A social and articulative view. Social Science & Medicine 2006;62(11):2754-2767.
-
Salazar A, Aguirre D, Ocampo J, Camacho J, Díaz X. Evaluation of three
pneumothorax size quantification methods on digitized chest X-ray films
using medical-grade grayscale and consumer-grade color displays. J. Digit Imaging 2013; (2): 280–286.
-
Salazar AJ, Camacho JC, Aguirre DA, Ocampo J, Diaz XA. Diagnostic
accuracy of digitized chest x-rays using consumer-grade color displays
for low-cost teleradiology services. Telemed JE Health [serial online] 2016 [cited 2016 Sep 28]; 9 p. Available from: http://www.ajronline.org/doi/abs/10.2214/AJR.13.11509
-
Schwartz AB, Siddiqui G, Barbieri JS, Akhtar AL, Kim W, Littman – Quinn
R, et al. The accuracy of mobile teleradiology in the evaluation of
chest X-rays. J Telemed Talecare 2014; (20):460-463.
-
Rituraj Purohit, editor. The Effects of Real-Time Interactive Multimedia Teleradiology System. BioMed Research International [serial online] 2016 [cited 2016 Sep 28]; 9 p. Available from: http://dx.doi.org/10.1155/2016/4126841.
Views: 12183
|
