FUNCTIONAL MODEL OF ORGANIZATION OF REMOTE CARDIOLOGICAL REHABILITATION ON THE BASIS OF INTERNET- AND MOBILE TECHNOLOGIES

封面

如何引用文章

全文:

详细

The development and introduction of modern technologies of cardiac rehabilitation (CR) and secondary prevention, implementing the principles of patient-orientation, suggest a certain organizational transformation, the purpose of which is to increase the role of the patient. Modern communications linking different levels of rehabilitation observation (early inpatient, specialized inpatient, outpatient) increase the availability of specialized observation as a whole. Objective study: to develop a functional model of the organization of an outpatient hospital using electronic and mobile health care tools. Material and methods. The design used the PDCA methodology (Deming cycle) with the implementation of a step-by-step algorithm for doctor-patient interactions: «Plan - Do - Chec - Akt». The conceptual model is built on the principles of the patient’s “managed self-help”. The main elements of the functional model are: office computerized counseling, remote monitoring based on home registration devices with the function of feedback and decision-making of the doctor and patient in the system of remote cardiac rehabilitation (DKR). Results. The step-by-step PDCA algorithm is implemented as a block (modular) type of grouping of elements. The modular structure of the DKR organization is presented with a description of the functionality, execution tools and results of the model stages. Discussion. In the described model, the DKR organization attempted to combine 1) traditional CR methods with proven safety and efficiency; 2) principles of organization of patient-oriented care; 3) the methodology for continuous quality improvement of PDCA; 4) remote patient monitoring technology. Conclusion. The results of the presented development were correlated with the capabilities of modern information and communication technologies and evidence-based knowledge in the field of the Kyrgyz Republic and are proposed as a potential method of overcoming organizational barriers and the development of modern methods of providing rehabilitation assistance.

作者简介

E. Kotel’Nikova

Research Institute of Cardiology, Saratov State Medical University named after V.I. Razumovskiy

编辑信件的主要联系方式.
Email: kotel_elena@mail.ru
俄罗斯联邦

O. Posnenkova

Research Institute of Cardiology, Saratov State Medical University named after V.I. Razumovskiy

Email: noemail@neicon.ru
俄罗斯联邦

参考

补充文件

附件文件
动作
1. JATS XML

版权所有 © Kotel’Nikova E.V., Posnenkova O.M., 2020

Creative Commons License
此作品已接受知识共享署名 4.0国际许可协议的许可

СМИ зарегистрировано Федеральной службой по надзору в сфере связи, информационных технологий и массовых коммуникаций (Роскомнадзор).
Регистрационный номер и дата принятия решения о регистрации СМИ:  ПИ № ФС77-50668 от 13.07.2012 г.