Mobile medicine (m-health) a potential reserve of the health care system in crisis situations as exemplified by the coronavirus epidemic COVID-19

2021 ◽  
pp. 58-69
Author(s):  
Liliya G. Ivanova ◽  
Raisa Y. Tatarintseva ◽  
Dmitry V. Migachev
Keyword(s):  
Medical Care ◽  
Meta Analysis ◽  
Dynamic Monitoring ◽  
Mobile Medicine ◽  
Patients At Risk ◽  
Quality Of Medical Care ◽  
Potential Reserve ◽  
Older Citizens ◽  
And Control

The article discusses new opportunities to improve the quality of medical care, including for older citizens, when organizing a system of remote dynamic monitoring using methods of preventive, predictive and personalized medicine, including during the epidemic and quarantine events. Objective: to study the benefits of using mobile medicine technologies (m-health) during the fight against coronavirus infection COVID-19. The research method is the analysis and meta-analysis of publications on this topic. The results of the study show the importance of using mobile medicine technologies (m-health) in the structure of medical care for patients at risk and the particular relevance of using these technologies in the development of organizational measures to prevent and control the epidemic, caused, inter alia, by unknown infectious agents.

scholarly journals ОСОБЛИВОСТІ ВПРОВАДЖЕННЯ Е-МЕДИЦИНИ В УМОВАХ ДЕРЖАВНО-ПРИВАТНОГО ПАРТНЕРСТВА

2017 ◽  
Author(s):  
N. O. Sinyenko ◽  
G. V. Zagoriy ◽  
S. I. Mokhnachov
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Effective Control ◽  
State Control ◽  
Private Partnership ◽  
Mobile Medicine ◽  
Quality Of Medical Care ◽  
Specialized System ◽  
New System

It was discussed the possibilities and the reality of the e-medicine challenges through technology of public-private partnership (PPP). It is shown that the use of e-medicine is one of the most important levers of improving the quality of medical care in Ukraine. Taking into account that the computerization of health care is extremely expensive project its rapid implementation is possible for the widest possible PPP. It is believed that mobile medicine is the best example of modern PPP. It is postulated that for the effective control of the quality of medical care it should be created specialized expertise and advisory mechanisms in a specialized system of state control of the new system of electronic health systems with strictly defined principles such as objectivity, complimentarily, law and so on.

scholarly journals Evaluation of Quality of Medical Care to Patients with the Risk of Developing Acute Kidney Injury

2018 ◽  
Vol 14 (3) ◽  
pp. 36-45
Author(s):  
A. V. Dats ◽  
L. S. Dats
Keyword(s):  
At Risk ◽  
Acute Kidney Injury ◽  
Medical Care ◽  
Kidney Injury ◽  
Irkutsk Oblast ◽  
District Hospitals ◽  
Patients At Risk ◽  
Nephrotoxic Drugs ◽  
Quality Of Medical Care

The purpose of the research: to analyze the quality of medical care of patients who are at risk of developing acute kidney injury.Materials and methods. The work is based on a retrospective analysis of medical records of 140 patients with an acute kidney injury developed during their stay the intensive care units, surgical and medical units of district hospitals the Irkutsk Oblast over the period from 2012 to 2017.Results. Inadequate assessment of the risk of an acute kidney injury was identified in 61% of patients. The most common inadequately assessed damaging factors were critical conditions (in 36% (50/140), sepsis (27% (38/140), and nephrotoxic drugs (19% (26/140). Among inadequately evaluated predisposing factors that could be managed, the following ones were most common: chronic heart disease (in 42% (59/140), dehydration/hypovolaemia (34% (47/140), chronic kidney disease (29% (41/140), and anemia (25% (35/140). In patients at risk of an acute kidney injury, an inadequate examination and inadequate maintenance therapy were found in 66% and 56% cases, respectively. Analysis of implementation of supporting therapy in patients at risk of an acute kidney injury the following misconducting events were revealed: (i) no optimal volumic and perfusion support (59% (82/140) and (ii) no cancellation of nephrotoxic and improperly prescribed drugs (31% (44/140).Conclusions. A good quality medical care restricted only by 24% of patients at risk of an acute kidney injury developed in the ICU, surgical and medical departments of district hospitals of the Irkutsk Oblast. The development of an acute kidney injury when exposed to nephrotoxic drugs and dehydration/ hypovolemia in 14% of cases was predictable and preventable. 

scholarly journals ВИКОРИСТАННЯ ПРИНЦИПІВ Е-МЕДИЦИНИ В УМОВАХ ДЕРЖАВНО-ПРИВАТНОГО ПАРТНЕРСТВА В РЕАБІЛІТОЛОГІЇ. ПОСТАНОВКА ЗАВДАННЯ

2017 ◽  
Author(s):  
O. P. Mintser ◽  
N. O. Sinyenko ◽  
P. P. Haninets ◽  
O. V. Sarkanich ◽  
A. V. Semivolos ◽  
...  
Keyword(s):  
Medical Care ◽  
Rehabilitation Medicine ◽  
Care Quality ◽  
Effective Control ◽  
Advisory Group ◽  
Private Partnership ◽  
Rehabilitation Treatment ◽  
Mobile Medicine ◽  
Quality Of Medical Care

The possibilities and reality of e-medicine problems solving with state-private partnership (SPP) technology in rehabilitation are considered. It is shown that the use of e-medicine is one of the most important levers of improving the quality of medical care during the period of rehabilitation treatment. It is postulated that as the healthcare informatization project are expensive its fast implementation is possible provided the widest use of the principles of SPP. It is believed that mobile medicine is the best example of modern SPP. For effective control of medical care quality the creation of specialized expert and advisory group of specialists is offered. The general principles of e-rehabilitation medicine implementing in the SPP format are defined.

scholarly journals Register of patients with diabetes mellitus in Moscow: possibilities of analysis and control of clinical and epidemiological parameters

2021 ◽  
Vol 1 (2) ◽  
pp. 8-19
Author(s):  
Mikhail B. Аntsiferov ◽  
Nikolay A. Demidov
Keyword(s):  
Diabetes Mellitus ◽  
Glycemic Control ◽  
Medical Care ◽  
Medical Institutions ◽  
Patients With Diabetes ◽  
Quality Of Medical Care ◽  
And Control ◽  
Epidemiological Parameters

Database of patients with diabetes mellitus (Federal Register of Diabetes Mellitus) allows to track changes in the epidemiological parameters of a cohort of patients with diabetes mellitus (prevalence, morbidity), to assess indicators of glycemic control, prevalence of complications and concomitant diseases, as well as long-term dynamics. The data obtained allow assessing the quality of medical care in Moscow in general and in individual districts and medical institutions, and to plan measures to improve glycemic control and reduce the risk of developing complications of diabetes mellitus.

Responsibility for a quality of medical care provided via telemedicine

2018 ◽  
Vol 2018 (1-2) ◽  
pp. 9-15
Author(s):  
Morozov S.P. ◽  
◽  
Vladzymyrskyy A.V. ◽  
Varyushin M.S. ◽  
Aronov A.V. ◽  
...  
Keyword(s):  
Medical Care ◽  
Quality Of Medical Care

METHODOLOGICAL APPROACH TO EVALUATING THE EFFECTIVENESS OF RESOURCE USE BY MEDICAL ORGANIZATIONS

2020 ◽  
Vol 3 (7) ◽  
pp. 62-69
Author(s):  
S. S. BUDARIN ◽  
Keyword(s):  
Medical Care ◽  
Resource Use ◽  
Methodological Approach ◽  
Use Of Resources ◽  
Quality Of Medical Care ◽  
Methodological Approaches ◽  
Performance Audit ◽  
Available Resources

The article reveals methodological approaches to evaluating the effectiveness of the use of resources of medi-cal organizations in order to improve the availability and quality of medical care based on the application of the methodology of performance audit; a methodological approach to the use of individual elements of the efficiency audit methodology for evaluating the performance of medical organizations and the effectiveness of the use of available resources is proposed.

Evaluation of medical care for Diabetic and Hypertensive patients in primary care in Mexico: Observational retrospective study (Preprint)

2020 ◽  
Author(s):  
Agustin Lara-Esqueda ◽  
Sergio A Zaizar-Fregoso ◽  
Violeta M Madrigal-Perez ◽  
Mario Ramirez-Flores ◽  
Daniel A Montes-Galindo ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Medical Care ◽  
Serum Lipids ◽  
Quality Care ◽  
Premature Death ◽  
Current Standard ◽  
Anonymized Data ◽  
Quality Of Medical Care

BACKGROUND Diabetes Mellitus is a worldwide health problem and the leading cause of premature death with increasing prevalence over time. Usually, along with it, Hypertension presents and acts as another risk factor that increases mortality risk. Both diseases impact the country's health while also producing an economic burden for society, causing billions of dollars to be invested in their management. OBJECTIVE The present study evaluated the quality of medical care for patients diagnosed with diabetes mellitus (DM), hypertension (HBP), and both pathologies (DM+HBP) within a public health system in Mexico, according to the official Mexican standard for each pathology. METHODS 45,498 patients were included from 2012 to 2015. All information was taken from the electronic medical records database, exported as anonymized data for research purposes. Each patient record was compared against the standard to test the quality of medical care. RESULTS Glycemia with hypertension goals reached 29.6% in DM+HBP, 48.6% in DM, and 53.2% in HBP. The goals of serum lipids were reached by 3% in DM+HBP, 5% in DM, and 0.2% in HBP. Glycemia, hypertension, and LDL cholesterol reached 0.04%. 15% of patients had an undiagnosed disease of diabetes or hypertension. Clinical follow-up examinations reached 20% for foot examination and clinical eye examination in the whole population. Specialty referral reached 1% in angiology or cardiology in the whole population. CONCLUSIONS Goals for glycemic and hypertension reached 50% in the overall population, while serum lipids, clinical follow-up examinations, and referral to a specialist were deficient. Patients who had both diseases had more consultations, better control for hypertension and lipids, but inferior glycemic control. Overall, quality care for DM and/or HBP has not been met according to the standards. While patients with DM and HBP do not have a current standard to evaluate their own needs.

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