ANALYSIS OF THE STRUCTURE OF TELEMEDICINE CONSULTATIONS IN OPHTHALMOLOGY IN THE RUSSIAN FEDERATION

Abstract

Purpose. To analyze the structure of ophthalmic telemedicine consultations (TMC) implemented using the “Telemedicine consultations” component of the subsystem of the Federal electronic registry of the unified state health care information system (component of TMC FER USHIS) for the period from 01.01.2019 to 30.06.2019 in the Russian Federation. Material and methods. The study was carried out according to the reporting forms of the component of TMC FER USHIS. Results. In total, 645 planned TMC of the “doctor-doctor” type were carried out with 47 region of the Russian Federation. In 96,6% of TMC, the consulting medical organization was S. Fyodorov Eye Microsurgery Federal State Institution and in 3,4% (22) - other institutions. The largest number (41,1%) of TMC were performed for disorders of choroid and retina (H30-H36). In 2nd place (15,7%) were TMC for disorders of lens (H25-H27). The 3rd ranking place is disorders of cornea (H16-H18, H19.1 (B0.05)) - 11,3% of TMC. In 4th place is glaucoma (H40) - 7,6% TMC. In 5th place (5,4% of cases), injury of eye and orbit, as well as its sequelae (S05, T90.4). In 73,5% TMC cases was conducted to determine treatment tactics, 11,5% to agree on conditions and hospitalization in a federal medical organization, 9,3% to determine the diagnosis, the other aim of the consultation were 5,7% in total. Conclusion. The analysis of the TMC structure showed that it is necessary to carry out further work on the implementation of the TMC FER USHIS component in medical organizations of the Russian Federation.