The bill on implementation of telemedicine and introduction of electronic documents in healthcare will help to connect big medical facilities with remote areas. However, this act still needs a follow-up. This is the opinion of obstetrician-gynecologist Kamil Bakhtiyarov working at Semeynaya clinic. He told M-Health Congress about future remote services in medicine, rights of patients, and who would be authorized to prescribe psychotropic medication remotely.
Interviewer: M-Health Congress (MHC)
Respondent: Kamil Bakhtiyarov (К. B.)
MHC: What advantages and disadvantages does the Bill on Amending Certain Legislative Acts of the Russian Federation Concerning Application of Information and Telecommunications Technologies and Introduction of Electronic Documents in Healthcare have?
К. B.: The bill simplifies the communication between big medical centers and remote areas. In many situations, patients require dynamic observation after the first consultation that should take place face-to-face. Telemedicine can provide that.
The main disadvantage of telemedical technologies is the huge amount of needed investments, which we lack today. As a result, we have to look for private investors that are scarce.
MHC: What opportunities and rights does the bill give to physicians and patients?
К. B.: Doctors will receive the right for remote counseling. It will help to cut time spent on the reception of patients not decreasing the quality of treatment.
Patients will have a possibility to stay in communication with the doctor, get prescriptions, and control quality of treatment from the comfort of their homes.
MHC: Which aspects of the bill require a follow-up and why?
К. B.: One of the hardest things is quality assurance in health care. Doctors should communicate with patients using a single base. The situation is quite different in real life: the physician and the ill person that turned for help can use different communication channels.
Another difficult aspect in the doctor-patient interaction is the remuneration of the doctor’s labor. For now, it is not clear who will regulate the cost of services. As many similar questions arise, the bill needs a follow-up.
MHC: Which remote medical services can doctors provide?
К. B.: Doctors can provide only remote counselling. Perhaps, robotic technologies will allow taking operative measures in the future.
MHC: Can the patient feel secure about the safety of personal data stored in the system? Who will bear the responsibility?
К. B.: Currently nobody can be sure that data from medical records will not be publicly disclosed. For now, I have not heard about incidents of someone bearing responsibility for such violations.
MHC: Can doctors prescribe psychotropic and drug medication remotely? Doctors of which specialties can do that?
К. B.: A doctor will have the right to prescribe such medication remotely in case the patient visited this doctor previously. Psychiatrists and oncologists will be allowed to do that.
Kamil Bakhtiyarov will discuss electronic clinical decision support systems in evidence-based medicine at M-Health Congress on March 5.