Ekuqaleni kwalo nyaka, uVladimir Putin waphathiswa uhulumeni ukuthi asebenze emithethweni eTelemedicine. Ngemuva kwengqungquthela yabezindaba kaMongameli, imiyalo eminingi yeNhloko yoMbuso yabhalwa eminyangweni ehlukahlukene. Iwebhusayithi esemthethweni yeKremlin ingatholakala ohlwini lwale miyalo. Ngakho-ke, phakathi kwemiyalo kaMongameli kukhona okuphathelene nokuthuthukiswa kwe-telemedicine ezweni lethu. Inhloko yombuso yanikeza umsebenzi kahulumeni weRussia Federation ngoJulayi 1, 2021 ukuthuthukisa, ukwamukela futhi wamukele izichibiyelo ezidingekayo emikhondweni yezempilo yaseRussia ekunakekelweni kwezempilo yaseRussia.
Izinguquko emthethweni kufanele zithinte izindawo ezilandelayo:
- Izicelo zobuchwepheshe be-telemedicine.
- Ukunwetshwa kohlu lwezitifiketi ezikhishwe yizinyosi kanye ne-bureau ye-medStacexperiza ngesimo se-elektroniki.
Ngaphezu kokulungiswa komthetho, ngokuya ngemibandela emisha yokusetshenziswa kobuchwepheshe be-telemete, inhloko yezwe bacele uHulumeni weRussia Federation isikhathi sikaJulayi 1 ukuhlinzeka ngecebo elisalungiswa lokuguqulwa kwedijithali.
Isidingo sokulawulwa okuphuthumayo komthetho kuqinisekiswa ngemibiko evela ezifundeni ekuxhumeni kwesisindo sezinsizakalo ze-telemedicine ezifundeni.
Izazi ze-Oncologists of Rostov-on-Don zinikeza usizo lwezokwelapha olufanelekile, zisebenzisa amakhono we-telemedicine
Ubuchwepheshe be-telemedicine bakhula ngenkuthalo eningizimu yeRussia. Ngakho-ke, ngesisekelo se-NMIC Oncology ku (rostov-on-don), kulo nyaka kwaqala ukwenza isivumelwano esiphuthumayo, esiphuthumayo futhi esihlelelekile se-telemedicine. Inkonzo yafunwa. Futhi izinyanga eziyi-10, ochwepheshe bachitha izeluleko ezingaphezu kwamakhulu ayisithupha. Kakade namhlanje kusobala ukuthi odokotela basondela kakhulu bazokwedlula ivolumu yonyaka elisungulwe uMnyango Wezempilo - Ukubonisana ngamakhulu ayisithupha namashumi amabili nanhlanu.
I-telemedicine yasiza umsebenzi wodokotela. Ngokushintshana kwemininingwane yezokwelapha ngosizo lwezokuxhumana ngocingo kanye nobuchwepheshe bekhompyutha, udokotela asebenzisa ukubonisana okukude kanye nohlelo "udokotela-Doctor". Odokotela abavela ezifundeni zaseRussia banethuba lokushintshana ngolwazi oluhlukahlukene ngefomethi yedijithali:
- Imephu Yezokwelapha Yezokwelapha Ezokwelashwa;
- imiphumela yokuhlaziya kanye nocwaningo;
- Amarekhodi nezithombe zokucwaninga ezibonakalayo ezibonakalayo: ama-X-ray, ama-MRI, CT, Uz.
Isiteshi esiku-inthanethi lapho amarekhodi ezokwelashwa adluliswa kuwo, ukuvikeleka okuthembekile kokulondolozwa kwemininingwane yangasese. Ochwepheshe abaholayo uNmits Oncology angahlaziya wonke amarekhodi ezokwelapha, axoxe ngamacala ayinkimbinkimbi nozakwethu ngefomethi yendlela ebonakalayo futhi anikeze iziphetho zawo zokwelashwa.
Ukubonisana okukude akubuyiseli ukwamukelwa kuqala udokotela. Uchwepheshe kuphela ongatholakala ethola ukwelashwa. Kepha ekucacisweni kokuhlonza umdlavuza, ngokulungiswa kwamasu okulapha, ukuqapha iziguli futhi kuhlaziye ukusebenza kwamaqhinga okwelashwa asetshenziswa, ubuchwepheshe be-telemedicine abanakubekezela. Wenza udokotela akwazi ukubona kude isimo sesiguli futhi ngokushesha athathe ngokushesha izinyathelo ezidingekayo uma isimo sesiguli siwohloka.
I-NMIC ONCOLOGY yathola isimo seNational Medical Research Center Center Center. Lokhu kwenza kube nokwenzeka ekubonisaneni kwe-telemedicine nazo zonke izikhungo zezokwelapha zaseRussia.
Ngenxa yosizo olukude lochwepheshe abaqeqeshiwe kakhulu ezivela ezikhungweni ze-Federal kanye nama-laminations ezifundeni, iziguli kungenzeka zingahambi ziye kwamanye amadolobha amasu okugcwele kanye nocwaningo. Lokhu kubaluleke kakhulu ngesikhathi sobhubhane lweCoronavirus, ngoba kunciphisa usongo lokutheleleka ngokutheleleka okuyingozi. Manje iziphetho zochwepheshe besikhungo sezokwelapha sokwelashwa, ukuqokwa udokotela, ucingo oluya esibhedlela lunikezwe ngefomethi yedijithali online.
U-Oleg kita, umqondisi jikelele we-NMITS Oncology, Udokotela Wezesayensi Yezokwelapha, uProfesa, ilungu elihambisanayo le-Russian Academy of Science, Kubikwa ukuthi isinqumo esikude sezokwelapha endaweni yokuhlala yeziguli kanye ne-Oncology ye-NMI ngaphandle kwezinkinga. Ngo-2020, odokotela kanye neziguli ezivela ezifundweni ezingama-21 zaseRussia belashwa ngezinsizakalo ze-telemedicine enkabeni ye-Oncology. Ngokuyisisekelo, imibuzo yaqhamuka ezinhlanganweni ze-Oncological ezifundeni eziseningizimu yezwe:
- Isifunda saseRostov;
- ECrimea;
- I-Sevastopol;
- Kalkykia.
Kepha imitholampilo yezinye izifunda zaseRussia yaphathwe ngokubonisana kwe-telemedicine: TVER, VoRONEZH, izifunda zeTomsk, izifunda zaseKhanty-Mansi kanye naseKrasnoyarsk Territory.
Isicelo ngasinye sasebenza ngokucophelela ngochwepheshe be-NMIC Oncology. Ama-20% eziguli ezifaka isicelo sokubonisana se-telemedicine zamukelwa ukwelashwa esikhungweni. Bahlinzekwa ngokunakekelwa okukhethekile okukhethekile, okwenziwe ngobuchwepheshe obuphakeme kakhulu.
Izibhedlela zesifunda zesifunda seKirov zethula izinsizakalo ze-telemedicine
Esifundeni seKirov kukhona ukuthuthukiswa okusebenzayo kobuchwepheshe be-telemedicine. Iseluleko se-Remote Medical sitholakala ezibhedlela zesifunda esifundeni. Ikakhulu, isibhedlela saseSoviet Central District sinikezwa iziguli ezinokulungiswa kwe-telemedicine bobabili ochwepheshe abajwayelekile nochwepheshe abancane.
Ukubonisana okukude okukude okungu-10 kunikeze isazi senhliziyo. Esikhathini esizayo esiseduze online sizoqala ukubonana ne-endocrinologist kanye ne-psychiatrist narcologist.
Udokotela we-Pavel, udokotela oyinhloko weSoviet CRH, waphawula ukuthi ukubonisana okunjalo kochwepheshe abancane abahlali bezindawo ezikude kubaluleke kakhulu. Iziguli zingase zingahambi esikhungweni sesifunda, kepha zivele zifike entweni yazo ye-feldsher-bilisyertric noma i-aversist yazo, cela izeluleko ze-inthanethi futhi zizothola usizo olukude kudokotela owuthandayo ngephrofayili yazo ngalesi sifo.
Usuku lokubonisana luhlelelwe kusengaphambili. Ngalesi sikhathi, odokotela bendawo, odokotela noma ama-Apokobezi lawozi balungiselela wonke amarekhodi ezokwelapha adingekayo esiguli, imiphumela yocwaningo lwayo futhi ahlaziye odokotela abaphathi besifunda. Kwabafundi bezinhliziyo, ngokwesibonelo, kuzonikezwa isifundo se-ECG, imiphumela yokunqunywa kwe-cholesterol, ukukhathazeka kwegazi.
Udokotela onguchwepheshe, ngenkathi esendaweni yawo emsebenzini esibhedlela sesifunda, ehlaziya imininingwane enikeziwe futhi, uma kunesidingo, ibeka ucwaningo olwengeziwe futhi lihlaziye. Ngesikhathi sokubonisana se-telemedicine, ukucindezela kwezemidlalo kulinganiswa, i-pulse oximetry ilinganiswa, izolalela amaphaphu futhi iqhube ukuhlolwa kwangaphandle kwesiguli. Udokotela okhethekile okhethekile usetha imibuzo ecacisa, imininingwane yezinkomba zokuhlola.
U-Alexey Koshkin, ohlala edolobhaneni laseRodgino, waba ngesinye seziguli zokuqala ezathola ukubonisana ngocingo. Unodokotela wezazi ze-cardiologist futhi waphoqeleka ukuba aqhubeke agibele ukwamukelwa nguYe eCrH. Kepha ngamathuba okuqala okubonisana ngocingo, isiguli sasebenzisa insizakalo. .
Ngesikhathi sokuxhumana online, udokotela ulungise ukwelashwa, waqoka ucwaningo olusha futhi ahlaziye futhi anconywe ukushintshela ekudleni okunempilo.
UNgqongqoshe Wezempilo weKirov Region u-Andrei Chernaev wawazisa kakhulu amandla we-telemedicine ngesikhathi sokuqhubeka kwe-coronavirus ubhubhane.
Izinsizakalo zezokwelapha ezikude zivikela iziguli nodokotela ekusongelweni kokutheleleka ngokutheleleka okuyingozi ngesikhathi sokwakhiwa komuntu, songa isikhathi, nikeza ukufinyelela kosizo lwezokwelapha oluqeqeshiwe kubahlali bazo zonke izindawo ezikude.
Iphini likasihlalo wokuqala kahulumeni wesifunda saseKirov, uDmitry Kurdyumov, ubika lowo msebenzi ukuthuthukisa ikhwalithi yokunakekelwa kwezokwelapha esifundeni kuzoqhubeka nokuhleleka. Abamele iziphathimandla kanye nomphakathi wezokwelapha bahlose ukuqhubeka nokwenza ngcono usizo lwezokwelapha kubantu, ukulenza lube nemali kakhulu futhi lube ngcono.
Ukwethulwa kokubonisana kwe-telemedicine kulowo mkhuba wezikhungo zezokwelapha senzeke, ngenxa yokuqaliswa kwephrojekthi yesifunda ukudala i-contour eyodwa yedijithali ekunakekelweni kwezempilo kwezempilo.
Ngokusho kwabezindaba, uNadezhda Danilova olungiselelwe