medsovetМедицинский СоветMeditsinskiy sovet = Medical Council2079-701X2658-5790REMEDIUM GROUP Ltd.10.21518/2079-701X-2022-16-23-366-372medsovet-7318Research ArticleПРАКТИКАPRACTICEТелемедицинские технологии: от теории к практикеTelemedical technologies: from theory to practicehttps://orcid.org/0000-0001-5623-4226СеливерстовП. В.SeliverstovP. V.

Селиверстов Павел Васильевич - кандидат медицинских наук, доцент 2-й кафедры (терапии усовершенствования врачей).

194044, Санкт-Петербург, ул. Академика Лебедева, д. 6

Pavel V. Seliverstov - Cand. Sci. (Med.), Associate Professor of the 2nd Department (Advanced Therapy for Physicians), Military Medical Academy named after S.M. Kirov.

6, Akademik Lebedev St., St Petersburg, 194044

seliverstov-pv@yandex.ruhttps://orcid.org/0000-0002-4297-8918БакаеваС. Р.BakaevaS. R.

Бакаева Софья Рафаэлевна - врач-терапевт, гастроэнтеролог.

199106, Санкт-Петербург, проспект Большой В.О., д. 85, лит. К

Sofia R. Bakaeva - General Practitioner, Gastroenterologist, Pokrovsky BSK LLC.

85K, Bolshoi V.O. Ave., St. Petersburg, 199106

sshaidullina@yandex.ruhttps://orcid.org/0000-0002-9764-4018ШаповаловВ. В.ShapovalovV. V.

Шаповалов Валентин Викторович - доктор медицинских наук, профессор кафедры биотехнических систем.

197376, Санкт-Петербург, ул. Профессора Попова, д. 5

Valentin V. Shapovalov - Dr. Sci. (Med.), Professor of the Department of Biotechnical Systems, St Petersburg State Electrotechnical University “LETI” named after V.I. Ulyanov (Lenin).

5, Professor Popov St., St Petersburg, 197376

valshapovalov@mail.ruhttps://orcid.org/0000-0003-0978-043XАлешкоО. В.AleshkoO. V.

Алешко Оксана Валерьевна – кандидат медицинских наук, главный врач.

194021, Санкт-Петербург, ул. Хлопина, д. 11, к. 1

Oksana V. Aleshko - Cand. Sci. (Med.), Chief Physician, City Polyclinic No. 76.

11, Bldg. 1, Khlopin St., St Petersburg, 194021

p76@zdrav.spb.ruВоенно-медицинская академия имени С.М. КироваРоссияMilitary Medical Academy named after S.M. KirovRussian FederationООО «Покровский БСК»РоссияPokrovsky BSK LLCRussian FederationСанкт-Петербургский государственный электротехнический университет «ЛЭТИ» имени В.И. Ульянова (Ленина)РоссияSt Petersburg State Electrotechnical University “LETI” named after V.I. Ulyanov (Lenin)Russian FederationГородская поликлиника №76РоссияCity Polyclinic No. 76Russian Federation202219012023023366372Copyright © Селиверстов П.В., Бакаева С.Р., Шаповалов В.В., Алешко О.В., 20232023Селиверстов П.В., Бакаева С.Р., Шаповалов В.В., Алешко О.В.Seliverstov P.V., Bakaeva S.R., Shapovalov V.V., Aleshko O.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-sovet.pro/jour/article/view/7318

Повсеместное распространение глобальной сети Интернет, социальных сетей, площадок для онлайн-продажи товаров и услуг способствует развитию информационно-коммуникационных технологий (ИКТ), в том числе в сфере здравоохранения. Одним из успешных и перспективных вариантов использования ИКТ является телемедицина, интерес к которой возрос в период пандемии COVID-19. Авторами разработан собственный вариант телемедицинского анкетного скрининга здоровья взрослого населения. Созданная телемедицинская система анкетного скрининга включает методологию отбора и ранжирования вопросов, которая позволяет определять степень существующего риска для здоровья человека по конкретным профилям: кардиология, гастроэнтерология, пульмонология, эндокринология, онкология. Благодаря наличию искусственного интеллекта разработанная нами система способна сформировать персонифицированное итоговое медицинское заключение и рекомендации по здоровому образу жизни. К преимуществам программы относится персонифицированный подход, отсутствие привязки к месту и времени, гибкость решающих правил, адекватных мнению врача-эксперта, собственная методология отбора и ранжирования клинических симптомов с учетом степени их выраженности и достоверности, формирование профиля патологии, а не нозологической единицы, что в конечном счете повышает информативность скрининга и охватывает все основные системы организма. Удобство и понятность результатов и заключений способствуют формированию приверженности здоровому образу жизни, отказу от вредных привычек, а также повышают осведомленность пользователей программы в вопросах профилактики и диагностики неинфекционных заболеваний. Разработка позволяет на 20% сократить время приема пациента в амбулаторном звене при использовании программы в условиях учреждений первичной медико-санитарной помощи.

The ubiquity of the global Internet, social networks, online marketplaces, and other types of services has fostered the development of information and communication technologies (ICTs), including in the healthcare industry. One of the successful and promising uses of ICTs is telemedicine, the interest in which increased during the COVID-19 pandemic. The authors developed their own version of telemedicine questionnaire screening of adult health. The created telemedical questionnaire screening system includes a methodology of selection and ranking of questions, which allows determining the degree of existing health risk in specific profiles: cardiology, gastroenterology, pulmonology, endocrinology and oncology. Due to the presence of artificial intelligence, the system developed by us, is able to form a personalized final medical conclusion and recommendations for a healthy lifestyle. The advantages of the program include a personalized approach, no binding to place and time, flexibility of decisive rules adequate to the expert physician’s opinion, proprietary methodology of selection and ranking of clinical symptoms taking into account their degree of expression and validity, formation of a pathology profile rather than a nosological unit, which ultimately increases the information value of screening and covers all major body systems. Convenience and clarity of the results and conclusions contribute to the formation of adherence to a healthy lifestyle, refusal from bad habits, and increase the awareness of the program users in the issues of prevention and diagnostics of non-infectious diseases. The development will make it possible to reduce the time spent on outpatient appointments by 20% when using the program in primary health care facilities.

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The authors declare that there are no conflicts of interest present.