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  • The role of Telemedicine in Ensuring the Accessibility and Development of Medical Care in Russia, United States of America and India

The role of Telemedicine in Ensuring the Accessibility and Development of Medical Care in Russia, United States of America and India

Student: Mukherjee Shounak

Supervisor: Igor Sheiman

Faculty: Faculty of Social Sciences

Educational Programme: Health Care Administration and Economics (Master)

Final Grade: 7

Year of Graduation: 2020

The Role of Telemedicine in ensuring the Accessibility and Development of Medical Care in Russia, United States of America and India Objective- To provide an understanding of the Russian, American and Indian telemedicine systems at the current stage, their legal aspects (and their insufficiencies) as well as to analyze the impact and outcomes of telemedicine in the development of quality medical care provided in the countries mentioned above and develop recommendations to strengthen telemedicine services and establish the significance of telemedicine especially in the times of a pandemic like COVID-19. Data sources- Laws, regulatory acts and policy documents of healthcare systems in Russia, United States of America and India, foreign and Russian literature on telemedicine, statistical data from research centers (analytical articles concerning the current stage of the telemedicine services in Russia, United States of America and India) and as well as data from official web sites of the Russian, American and Indian healthcare institutions. Methods- The principle method in the study of this issue is the analytical method. Comparative studies of data on clinical, cost, or intermediate outcomes associated with the use of any technology to facilitate consultations for inpatient, emergency, or outpatient care, were conducted. Based on the analysis of the current legislative base, the materials of the Federal Services of respective countries, as well as the publications of leading researchers on issues related to the availability of medical services to the population, the author’s own point of view on the issues of development and accessibility of telemedicine services was determined. As a result, conclusions are drawn and possible directions for solving the identified problems are outlined. Recommendations for the development of telemedicine and innovative medical services in Russia and India are given. Results- The overall results of review of the collected data varied from country to country and clinical topic, but generally the findings are that implementation of telemedicine improved clinical outcomes and has made high quality medical care more accessible and cost-effective to all the sections of the society in each country. Conclusions- In general, the comparative study of Russia, United States of America and India indicates that telemedicine consultations are indeed effective in improving outcomes or providing services, however still there is a need to develop better laws, technologies and networks. There are a number of lessons for both Russia and India to learn from the US model of provision of telemedicine services. There is enough possibility in making the present services more accessible to the rural and urban populations in the respective countries. With the constant revision of laws and amendments we can conclude that at present, especially in the wake of COVID-19 telemedicine has got the right attention of various health administration bodies all over the globe, which it requires to evolve and achieve the primary goal of delivery of quality healthcare services at a distance.

Full text (added May 30, 2020)

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