Nowadays the development of computer technologies, communication networks and the Internet allow us to carry out registration of electrocardiograms (ECG) in any place and to transfer them to a long distance [1]. Distant support in adoption of diagnostic and clinical decisions on results of interpreting of an ECG helps to make use of experience of highly qualified specialists where it is most of all necessary.
Key words: distant analysis, electrocardiogram (ECG), computer technologies.
We generalized two years' experience of use of system of remote transfer and the analysis of an ECG by means of the "Poly-range" program applied on the basis of "Station of Emergency Medical Service" City Polyclinic with self-management rights of Almaty. It is shown how there is a work intensification due to high efficiency of the used automatic syndromal diagnostics and direct transfer of difficult ECGs in the cardiocenter to receiving immediate highly skilled consultation. In addition, direct economic effect of mass introduction of devices of renting and transfer of the ECG as the number of departures of the specialized crews of an intensive care (CIC) on a call of medical assistant's crew decreases is visible [2].
The goal of investigation is studying of efficiency of the remote analysis of electrocardiograms in the conditions of the city station of emergency medical service of Almaty was.
Investigation’s objectives are the improvement of delivery of health care to the patients suffering from illnesses of the blood circulatory system, decline in mortality from cardiovascular diseases, effective use of diagnostic opportunities of a complex with remote interpreting of electrocardiograms and consultation of experts .
Materials and methods of an investigation:
since 2015 year, on the basis of "Station of Emergency Medical Service" City Polyclinic with selfmanagement rights of Almaty the system of remote (distant) transfer and the analysis of ECG "Poly-range" is introduced,
The guideline included: (1) inspection of patients at medical emergencies, (2) dynamic observation over patients before treatment. At inspection of the patient the following datas were fixed: date of making an ECG, a surname, a name, a middle name, age and the patient's address, the anamnesis, the reason of putting off of an ECG and result of its automated analysis [3].
Two years' experience of use of system of remote transfer and the analysis of ECG by means of the Polyrange program applied on the basis of "Station of Emergency Medical Service"City Polyclinic with selfmanagement rights of Almaty showed that:
1. There is a work intensification due to high efficiency of the used automatic syndromal diagnostics and direct transfer of difficult ECGs in the cardiocenter to receiving immediate highly skilled consultation,
2. The existence of direct economic effect of introduction of devices of renting and transfer of the ECG as the number of departures of the specialized crews of an intensive care (CIC) on a call of medical assistant's crew decreases.
Referenes:
- Зарубина Т.В. и др. Поддержка решений врача при интерпретации результатов лабораторных исследований/Международный симпозиум «Информационные технологии и общество-2007» (24.04.01.05.2007, Тель-Авив, Израиль)/В сб. Матер. симпозиума — М.: ООО «Форсикон», С. 20-26.
- Кобринский Б.А. Телемедицина в системе практического здравоохранения. — М.: МЦФЭР, 2002. — 176 с.
- Alkmim M. B.et al. Improving patient access to specialized heatlh care: The Telehealth Network of Minas Gerais, Brasil. Bull World Health Organ. 2012; 90: 373-378.