Information and legal background for remote outpatient care for patients with diabetes mellitus during COVID-19 pandemic

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Abstract

Objectives – the in-depth analysis of the informational and legal base for organisation of remote medical care for patients with diabetes mellitus in the context of the COVID-19 pandemic.

Material and methods. Official memoranda of the WHO and the International Labour Organization (ILO), decisions of the Government of the Russian Federation and foreign countries on the use of remote telemedicine counseling in the context of the COVID-19 pandemic were reviewed and analysed.

Results. After reviewing the results of remote telemedicine counseling to provide specialized medical care to patients with diabetes during COVID-19 pandemic on various virtual platforms, we defined the factors limiting the widespread use of this technology. We collected metadata of the results of the original experience of remote consultation of patients with endocrine pathology using the automated workplace of an endocrinologist (AWPE).

Conclusion. In the context of the COVID-19 pandemic, the development and implementation of new promising forms of outpatient work using digital telecommunication technologies is particularly relevant. The use of remote access telemedicine consulting techniques via Automated endocrinologist's workplace for patients with endocrine pathology during the period of self-isolation showed its effectiveness in a pilot study. Its widespread introduction into outpatient practice will not only significantly increase the availability of medical care for patients with diabetes, but also minimize the risk of infection with a new coronavirus for doctors.

About the authors

N. A. Pervyshin

Samara City Out-patient Hospital No. 4 in Kirovsky district

Author for correspondence.
Email: depoanalgin@yandex.ru
ORCID iD: 0000-0002-9609-2725

endocrinologist

Russian Federation, Samara

I. V. Lebedeva

A.I. Yevdokimov Moscow State University of Medicine and Dentistry

Email: depoanalgin@yandex.ru
ORCID iD: 0000-0002-0238-367X

PhD, Professor, Department of Public health and healthcare

Russian Federation, Moscow

E. A. Lebedeva

Samara State Medical University

Email: depoanalgin@yandex.ru
ORCID iD: 0000-0001-6494-3778

PhD, Professor, Department of Hospital therapy with a courses of outpatient care and transfusiology

Russian Federation, Samara

S. A. Suslin

Samara State Medical University

Email: depoanalgin@yandex.ru
ORCID iD: 0000-0003-2277-216X

PhD, the Head of the Department of Public Health and Healthcare

Russian Federation, Samara

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Copyright (c) 2020 Pervyshin N.A., Lebedeva I.V., Lebedeva E.A., Suslin S.A.

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