Opportunities for using telemedicine in occupational pathology
Authors: Bukhtiyarov Igor V. , Zhovnerchuk Evgeny V. , Lebedev Georgy S. , Panova Irina V. 
Published: November 2020

Introduction. The Russian Federation has certain socio-demographic and geographical features that make it difficult to provide qualified medical care to the population. The relevance of telemedicine in modern conditions is difficult to overestimate. Telecommunications technologies have significant potential to address the challenges of providing affordable, cost-effective and high-quality health services to the population. Telemedicine uses information and communication technologies to overcome geographical barriers and increase public access to health services. On May 9, 2017, the President of the Russian Federation approved the "Strategy for the development of the information society in the Russian Federation for 2017-2030" by decree № 203. Digital healthcare is an integral part of the digital economy. The aim of study is to analyze the regulatory framework for telemedicine support of occupational pathology activities. Materials and methods. The analysis of the development of telemedicine technologies in the Russian Federation is carried out. The legal framework regulating the work of a professional pathologist using telemedicine technologies has been studied. Results. Consultation of the patient or his legal representative by the medical officer are prevention, collection, analysis of the patient's complaints and data of anamnesis, evaluation of the efficiency of diagnostic and therapeutic activities, medical monitoring of patient's condition and decision on the need for face-to-face reception (examination, consultation). The implementation of these measures using telemedicine technologies is regulated by article 36.2 of Federal Law № 323-FZ, which states that remote monitoring of the patient's health and correction of previously prescribed treatment by the attending physician can be carried out after an in-person appointment (examination, consultation). Remote surveillance is carried out on the basis of data about the patient, was with the use of medical devices intended for monitoring human body, and/or on the basis of the data entered into the unified state information system in health care, or public information system in healthcare of the Russian Federation, or medical information system or information system referred to in part 5 of article 91 of the Federal Law № 323-FZ in compliance with, established by the legislation of the Russian Federation in the field of personal data, and compliance with medical confidentiality. Conclusions. It is necessary to implement telemedicine technologies for pre-hospital consultation of patients to clarify the preliminary diagnosis, methods of examination and treatment, and advice on patient management tactics in the long-term period of the disease. The question of using technologies for patient consultation in the "patient-doctor" system remains open due to the peculiarities of diagnostic and expert work of professional pathologists, which requires the analysis of a large number of documents provided by various departments (medical organizations of different forms of ownership, the office of Rospotrebnadzor, Medical and Social Expertise (MSE), employer, etc.).