Telemedicine technologies in allergology: implementation experience in clinical practice, problems and perspectives
- Authors: Nazarova E.V.1
-
Affiliations:
- National Research Center- Institute of Immunology Federal Medical-Biological Agency of Russia
- Issue: Vol 21, No 3 (2024)
- Pages: 395-403
- Section: Reviews
- Submitted: 24.07.2024
- Accepted: 02.09.2024
- Published: 24.10.2024
- URL: https://rusalljournal.ru/raj/article/view/16957
- DOI: https://doi.org/10.36691/RJA16957
- ID: 16957
Cite item
Abstract
In 2020, the need for widespread restriction of social contacts around the world has raised the issue of alternative types of medical care and, in particular, the development of online consultations with physicians of subspecialties. However, even before the Covid-19 pandemic, telemedicine technologies were demonstrating their ability to save financial and time resources, increase access to health services and improve adherence to treatment for patients with allergic diseases. Despite some technical and legal difficulties associated with the organization of remote appointments, the clinic of the National Research Center ― Institute of Immunology Federal Medical-Biological Agency managed to successfully implement a platform for telemedicine consultations. During the period from 01.09.2020 to 19.04.2024, 4675 patients were consulted, 945 of whom filled out a questionnaire on the quality of medical care provided. According to the results of analyzing the obtained data, we observed high patient satisfaction with the new medical service as well as economic profitability of the project.
The article presents an overview of the world and domestic experience of introducing telemedicine into clinical practice of an allergist, to tell about the way of organization and operation of the platform for telemedicine consultations in the National Research Center ― Institute of Immunology Federal Medical-Biological Agency, and to highlight the current state of the problem.
Full Text
About the authors
Evgeniya V. Nazarova
National Research Center- Institute of Immunology Federal Medical-Biological Agency of Russia
Author for correspondence.
Email: evallergo@yandex.ru
ORCID iD: 0000-0003-0380-6205
SPIN-code: 4788-7407
MD, Cand. Sci. (Medicine)
Россия, 24 Kashirskoe shosse, 115522 MoscowReferences
- Smolinska S, Popescu F, Izquierdo E, et al. Telemedicine with special focus on allergic diseases and asthma--Status 2022: An EAACI position paper. Allergy. 2024;79(4):777–792. EDN: RXPWJO doi: 10.1111/all.15964
- Telemedicine. Opportunities and developments in Member States. Report on the results of the second global eHealth survey. Global eHealth Observatory series. Vol. 2. World Health Organisation; 2012. Р. 93 (In Russ). Available from: https://apps.who.int/iris/bitstream/handle/10665/87687/9789244564141_rus.pdf?sequence=1&isAllowed=y. Accessed: 30.06.2024.
- Vladzimirsky AV, Morozov SP, Urvantseva IA, et al. Application of telemedicine technologies in cardiology: textbook. Surgut: Surgut State University; 2019. 115 р. (In Russ). EDN: IKCWRK
- Craig J, Patterson V. Introduction to the practice of telemedicine. J Telemedicine Telecare. 2005;11(1):3–9. EDN: LXMHFV doi: 10.1258/1357633053430494
- Dwyer TF. Telepsychiatry: Psychiatric consultation by interactive television. Am J Psychiatry. 1973;130(8):865–869. doi: 10.1176/ajp.130.8.865
- Currell R, Urquhart C, Wainwright P, Lewis R. Telemedicine versus face to face patient care: Effects on professional practice and health care outcomes. Cochrane Database Systematic Rev. 2000;2:CD002098. doi: 10.1002/14651858.CD002098
- Bajowala SS, Shih J, Varshney V, Elliott Т. The future of telehealth for allergic disease. J Allergy Clin Immunol. 2022;10(10):2514–2523. EDN: UPDBEO doi: 10.1016/j.jaip.2022.08.022
- Levanov VM, Perevedentsev OV, Sergeev DV, Nikolskiy AV. Telemedicine legislation: 20 years of development. Russ J Telemed E-Health. 2017;(3):160–170. EDN: JDAFXA doi: 10.29188/2542-2413-2017-3-3-160-170
- Smith AC, Thomas E, Snoswell CL, et al. Telehealth for global emergencies: Implications for coronavirus disease 2019 (COVID-19). J Telemed Telecare. 2020;26(5):309–313. doi: 10.1177/1357633X20916567
- Thomas I, Siew LQ, Rutkowski K. Synchronous telemedicine in allergy: Lessons learned and transformation of care during the COVID-19 pandemic. J Allergy Clin Immunol Pract. 2021;9(1):170–176.e1. EDN: UJODLG doi: 10.1016/j.jaip.2020.10.013
- Zhou X, Snoswell CL, Harding LE, et al. The role of telehealth in reducing the mental health burden from COVID-19. Telemedicine e-Health. 2020;26(4):377–379. doi: 10.1089/tmj.2020.0068
- Edgerley S, Zhu R, Quidwai A, et al. Telemedicine in allergy/immunology in the era of COVID-19: A Canadian perspective. Allergy, Asthma Clin Immunol. 2022;18(1):16. EDN: PTSMFH doi: 10.1186/s13223-022-00657-3
- Robbins E, Johal K, Keswani A. The use and teaching of telemedicine in allergy/immunology training programs. Curr Allergy Asthma Rep. 2023;23(8):463–470. EDN: MVHZRX doi: 10.1007/s11882-023-01096-9
- Dowling PJ, Kader R, Portnoy JM. COLA (Conferences On-Line Allergy) at 10 years: Evolution of an online fellowship curriculum. J Allergy Clin Immunol. 2019;7(8):2568–2573. doi: 10.1016/j.jaip.2019.06.025
- Wootton R, Menzies J, Ferguson P. Follow-up data for patients managed by store and forward telemedicine in developing countries. J Telemedicine Telecare. 2009;15(2):83–88. doi: 10.1258/jtt.2008.080710
- Kvedariene V, Burzdikaite P, Cesnaviciute I. mHealth and telemedicine utility in the monitoring of allergic diseases. Front Allergy. 2022;3:919746. EDN: PYUWLP doi: 10.3389/falgy.2022.919746
- Portnoy JM, Waller M, de Lurgio S, Dinakar C. Telemedicine is as effective as in-person visits for patients with asthma. Ann Allergy Asthma Immunol. 2016;117(3):241–245. doi: 10.1016/j.anai.2016.07.012
- Keswani A, Brooks JP, Khoury P. The future of telehealth in allergy and immunology training. J Allergy Clin Immunol Pract. 2020;8(7):2135–2141. doi: 10.1016/j.jaip.2020.05.009
- Lang DM. The impact of telemedicine as a disruptive innovation on allergy and immunology practice. Ann Allergy, Asthma Immunol. 2022;128(2):146–151. EDN: EWARJB doi: 10.1016/j.anai.2021.11.003
- Phadke NA, Wolfson AR, Mancini C, et al. Electronic consultations in allergy/immunology. J Allergy Clin Immunol. 2019;7(8):2594–2602. doi: 10.1016/j.jaci.2019.12.088
- Justvig SP, Haynes L, Karpowicz K, et al. The role of social determinants of health in the use of telemedicine for asthma in children. J Allergy Clin Immunol. 2022;10(10):2543–2549. EDN: YNXGEO doi: 10.1016/j.jaip.2022.07.005
- Taylor L, Waller M, Portnoy JM. Telemedicine for allergy services to rural communities. J Allergy Clin Immunol Pract. 2019;7(8):2554–2559. doi: 10.1016/j.jaip.2019.06.012
- Rusanova NE. History and issues of digital healthcare in Russia. Population Economics. 2018;2(2):5–40. EDN: DJGWMW doi: 10.3897/popecon.2.e36046
- Jennett PA, Affleck Hall L, Hailey D, et al. The socio-economic impact of telehealth: A systematic review. J Telemed Telecare. 2003;9(6):311–320. doi: 10.1258/135763303771005207
- Ramsey A, Mustafa SS, Portnoy JM. Patient and clinician attitudes toward telemedicine for allergy and immunology. J Allergy Clin Immunol. 2022;10(10):2493–2499. EDN: DPPOIY doi: 10.1016/j.jaip.2022.05.008
- Greiwe J. Using telemedicine in a private allergy practice. J Allergy Clin Immunol. 2019;7(8):2560–2567. doi: 10.1016/j.jaip.2019.07.012
- Ofei-Dodoo S, Kellerman R, Hartpence C, et al. Why patients miss scheduled outpatient appointments at urban academic residency clinics: A qualitative evaluation. Kans J Med. 2019;12(3):57–61. doi: 10.17161/kjm.v12i3.11793
- Waibel KH, Bickel RA, Brown T. Outcomes from a regional synchronous tele-allergy service. J Allergy Clin Immunol. 2019;7(3):1017–1021. doi: 10.1016/j.jaip.2018.10.026
- Aggelidis X, Kritikou М, Makris М, et al. Tele-monitoring applications in respiratory allergy. J Clin Med. 2024;13(3):898. EDN: RTBEMM doi: 10.20944/preprints202401.1018.v1
- Dramburg S, Walter U, Becker S, et al. Telemedicine in allergology: Practical aspects. Allerg J. 2021;30(4):119–129. EDN: QNTDOD doi: 10.1007/s40629-021-00167-5
- Amlaev KR, Bakunts SA. The information communication technologies in medicine. Problemy sotsialnoy gigieny, zdravookhraneniya, i istorii meditsiny = Problems Social Hygiene Public Health History Medicine. 2022;30(4):629–638. EDN: RSZUOZ doi: 10.32687/0869-866X-2022-30-4-629-638