Problems of Development of Health Monitoring at Residential Settings

Gelman V. Ya.
Doctor of Technical Sciences, Professor, Chair for Medical Informatics and Physics¹²

Dokhov M. A.
MD, PhD, Associate Professor, Chair for Medical Informatics²

1 - North-West State Medical University named after I.I. Mechnikov, St. Petersburg, Russia
2 - St.Petersburg State Pediatric Medical University, St. Petersburg, Russia

Gelman Viktor; e-mail: Viktor.Gelman@szgmu.ru

None declared.

The study had no sponsorship.

Due to its rapid development, telemonitoring technologies in the field of healthcare significantly outstripped the possibilities of implementation in real practice. Therefore, there is a need for the active development of this area of prevention and treatment of chronic patients, identifying emerging problems and finding possible solutions. The aim of this work was to assess the status and development prospects of monitoring of patient health in residential settings and analyze the problems of its inclusion in the existing health care system. Based on the analysis of scientific publications and expert assessments, the existing at-home telemonitoring systems, the main pathologies observed, and the organization of medical care for chronic patients under remote monitoring are examined. It was shown that the on-line treatment of monitored patients in the current health care system is very difficult due to its unpreparedness for the introduction of such technologies and the undeveloped concept of clinical and economic efficiency of their use. The article proposes to carry out special training of patients on effective participation in the process of remote monitoring, and it is also proposed to provide in the treatment and prevention institutions the position of a consultant (general practitioner, with an appropriately equipped workstation) for conducting remote patient consultations.

chronic diseases, telemonitoring, home monitoring, teleconsultation, telemonitoring systems, healthcare organization

10.29234/2308-9113-2020-8-2-50-60

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