Monitoring of medical care for patients with severe pneumonia using a regional telemedicine system

• Egor E. Korchagin
• Vladislav O. Kobanenko

Abstract

Background. Despite numerous innovations in the field of medical care for patients with severe community-acquired pneumonia over the past decade, the disease remains one of the most serious.

Aim – to study of the organization of medical care for patients with severe community-acquired pneumonia using monitoring of medical care in the regional telemedicine system.

Material and methods. To monitor patients with severe pneumonia in the Krasnoyarsk Territory, an RTS model was developed and put into operation in the Regional Clinical Hospital in 2016.

Results. The article presents the results of using the developed system for monitoring of medical care for patients with severe pneumonia using a regional telemedicine system. The use in the monitoring system of medical care for patients with severe pneumonia of unified approaches to timely diagnosis, the validity of the appointment of therapy, dynamic monitoring of patients improved the medical effectiveness of treatment and, as a result, led to an increase in the quality of medical care. The addition of the telemedicine system with the possibility of statistical accounting made it possible to promptly analyze the situation as a whole, both in a separate medical institution and on the territory of the entire Krasnoyarsk Territory.

Conclusion. The introduction of monitoring of medical care for patients with severe pneumonia using a regional telemedicine system makes it possible to improve the quality of medical care and improve continuity in the work of district medical institutions and air ambulance.

Keywords:severe community-acquired pneumonia; telemedicine system; morbidity monitoring

References

1. Pankratova Yu.Yu., Krumkacheva A.Yu. Community-acquired pneumonia. difficulties of diagnosis, assessment of the severity of the course. Meditsinskiy zhurnal [Medical Journal]. 2014; 49 (3): 41–5. (in Russian)

2. Bobylev A.A., Rachina S.A., Kozlov R.S., et al. Community-acquired pneumonia on the background of chronic heart failure: features of diagnosis and treatment. Meditsinskiy sovet [Medical Council]. 2014; (17): 23–7. (in Russian)

3. Yusupova M.A., Hodzhaeva Z.K., Sрarafaddinova G.R. Clinical and radiological indicators for respiratory distress syndrome in pregnant women with community-acquired pneumonia. Avicenna. 2017; (5): 4–8. (in Russian)

4. Leshchenko I.V. Community-acquired pneumonia in adults: diagnosis and treatment in outpatient settings. Ftiziatriya i pul’monologiya [Phthisiology and Pulmonology]. 2017; 16 (3): 50–63. (in Russian)

5. Gordeeva N.V., Demko I.V., Korchagin E.E., et al. The use of telemedicine in the treatment of severe community-acquired pneumonia in the Krasnoyarsk Territory. Meditsinskiy sovet [Medical Council]. 2020; (17): 40–9. (in Russian)

6. Kozlova A.S., Taraskin D.S. Trends in the development of telemedicine and its impact on the insurance market of Russia. Vestnik Saratovskogo gosudarstvennovo sotsial’no-ekonomicheskogo universiteta [Bulletin of the Saratov State Socio-Economic University]. 2018; 71 (2): 144–8. (in Russian)

7. Lipsky S.P., Egorov E.V. The use of modern information technologies in improving the efficiency of the functioning of the healthcare system in the Russian Federation on the example of telemedicine. Vestnik Severo-Osetinskogo gosudarstvennovo universiteta imeni Kosta Levanovicha Khetagurova [Bulletin of the North-Ossetian State University named after Kosta Levanovich Khetagurov]. 2014; (2): 249–52. (in Russian)

8. Nurgalieva D.U. Plans for the development of information and communication technologies in the healthcare system at the present stage. Meditsinskiy zhurnal Zapadnogo Kazakhstana [Medical Journal of Western Kazakhstan]. 2010; 28 (4): 119–20. (in Russian)

9. Stenin A.N., Korsunsky A.A., Pospelov K.G. Development of the information and analytical system of Roszdravnadzor: first results and new tasks. Vestnik Roszravnadzora [Bulletin of Roszravnadzor]. 2009; (5): 73–5. (in Russian)

10. Pudovkina N.A. About ensuring the availability and quality of medical care for citizens living in remote, hard-to-reach settlements. Vestnik obshchestvennogo zdorov’ya i zdravookhraneniya Dal’nego Vostoka Rossii [Bulletin of Public Health and Health Care of the Far East of Russia]. 2013; 10 (1): 4. (in Russian)

11. Tsaregorodtsev A.L. Problems of storage and processing of medical data in the regional telemedicine information system of the HMAO. Nauka i obrazovanie: nauchnoe izdanie MGTU imeni N.E. Baumana [Science and Education: scientific edition of the Bauman Moscow State Technical University]. 2007; (3): 7. (in Russian)

12. Bakker J.P., Weaver T.E., Parthasarathy S., Aloia M.S. Adherence to CPAP: what should we be aiming for, and how can we get there? Chest. 2019; 155 (6): 1272–87. DOI: https://doi.org/10.1016/j.chest.2019.01.012

13. Korneeva E.V. Features of the creation of telemedicine systems. Elektrotekhnicheskie i informatsionnye kompleksy i sistemy [Electrotechnical and Information Complexes and Systems]. 2008; (4): 55–8. (in Russian)

All articles in our journal are distributed under the Creative Commons Attribution 4.0 International License (CC BY 4.0 license)