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Opportunities for using telemedicine based on the COVID-19 pandemic

https://doi.org/10.37489/2588-0519-2024-1-17-29

EDN: GUPNJW

Abstract

Relevance. The SARS-CoV-2 (COVID-19) pandemic highlighted the use of telemedicine in healthcare delivery during a public health emergency to remotely assess and provide care to patients already infected with the coronavirus or those fearing exposure to COVID-19 through face-to-face contact.

Objective. Explore the response of the world’s health systems and their medical institutions to the situation caused by the COVID-19 pandemic using telemedicine and its practical application and contribution to health care in the era of the COVID-19 pandemic.

Methods. A search analysis of published literature data was conducted using the English-language database of medical and biological publications PubMed. The most up-to-date information is obtained from relevant websites.

Results. The concept of telemedicine, its legislative framework, and current trends in its practical application are discussed. It has been confirmed that there has been a sharp increase in the use of telemedicine and mobile applications in response to the COVID-19 pandemic and the need for infection control. Assessed healthcare provider, health insurance, and pharmacy policy reforms in several countries to integrate telemedicine into practice in response to the COVID-19 pandemic. It has been established that the expansion of the use of telemedicine in the COVID-19 era has confronted society as a whole with the need to solve some practical problems that impede progress in this area. The recommendations of professional medical organizations regarding telemedicine during the COVID-19 pandemic were analyzed, and attempts were made to solve the problems of advanced telemedicine practice.

Conclusion. The use of telemedicine is undeniably effective in promoting social distancing and isolation/quarantine of patients, which is a proven means of strengthening the public health position in countering the spread of coronavirus. The need for social distancing has made telemedicine a critical factor in the fight against the pandemic spread of COVID-19.

About the Author

F. T. Malykhin
Stavropol State Medical University
Russian Federation

Fedor T. Malykhin — PhD, Cand. Sci. Med., Associate Professor, Associate Professor of the Department of propaedeutics of internal diseases.

Stavropol



References

1. Rockwell KL, Gilroy AS. Incorporating telemedicine as part of COVID-19 outbreak response systems. Am J Manag Care. 2020 Apr;26(4):147-148. doi: 10.37765/ajmc.2020.42784.

2. Zhang N. How coronavirus accelerated the rise of telemedicine. Cnbc.com. [Internet]. Published May 18, 2020. Available from: https://www.cnbc.com/2020/05/18/coronavirus-how-covid-19-accelerated-the-rise-of-telemedicine.html.

3. Saksena R. Doctors discover telehealth’s silver lining in the Covid-19 crisis. Statnews.com. [Internet]. Published April 19, 2020. Available from: https://www.statnews.com/2020/04/19/telehealth-silver-lining-discovered-covid-19-crisis/.

4. Chauhan V, Galwankar S, Arquilla B, et al. Novel Coronavirus (COVID-19): Leveraging Telemedicine to Optimize Care While Minimizing Exposures and Viral Transmission. J Emerg Trauma Shock. 2020 Jan-Mar;13(1):20-24. doi: 10.4103/JETS.JETS_32_20.

5. WHO. A health telematics policy in support of WHO’s Health-For-All strategy for global health development: report of the WHO group consultation on health telematics, 11–16 December, Geneva, 1997. Geneva: World Health Organization; 1998.

6. Vladzimirskii AV, Lebedev GS. Telemeditsina: monografiya. Moscow: GEOTAR-Media; 2018. (In Russ.).

7. Pisaryeva IG. The use of telemedicine technologies in the provision of emergency advisory medical care. Zdravookhranenie Dal'nego Vostoka. 2019;79(1):40-43. (In Russ.). doi: 10.33454/1728-1261-2019-1-40-43.

8. Dou K, Yu P, Deng N, et al. Patients' Acceptance of Smartphone Health Technology for Chronic Disease Management: A Theoretical Model and Empirical Test. JMIR Mhealth Uhealth. 2017;06;5(12):e177 doi: 10.2196/mhealth.7886

9. Ministry of Health LaW, Japan. Guidance for defined the procedure and requirement for telemedicine (Japanese). [Internet]. Available from: https://www.mhlw.go.jp/file/05-Shingikai-10801000-Iseikyoku-Soumuka/0000201789.pdf2018

10. Sufianov AA, Iakimov IuA, Gizatullin MR, et al. Experience of comprehensive training of neurosurgeons. Virtual'nye tekhnologii v meditsine. 2020;4(26):18-20. (In Russ.). doi: 10.46594/2687-0037_2020_4_1274.

11. Medvedeva EI, Aleksandrova OA, Kroshilin SV. Telemedicine in modern conditions: the attitude of society and the vector of development. Ekonomicheskie i sotsial'nye peremeny: fakty, tendentsii, prognoz. 2022;15(3):200-222. (In Russ.). DOI: 10.15838/esc.2022.3.81.11.

12. Dyakova AO, Bessonov IS. Telemedicine technologies in patients undergoing percutaneous coronary interventions for acute myocardial infarction: a review of current trends. The Siberian Journal of Clinical and Experimental Medicine. 2023;38(3):37-48. (In Russ.). doi: 10.29001/2073-8552-2023-39-3-37-48.

13. Federal Law of November 21, 2011 N 323-FZ (as amended on July 24, 2023) “On the fundamentals of protecting the health of citizens in the Russian Federation” (as amended and supplemented, entered into force on September 1, 2023). (In Russ.).

14. Order of the Ministry of Health of the Russian Federation dated November 30, 2017 No. 965n “On approval of the procedure for organizing and providing medical care using telemedicine technologies.” (In Russ.). Доступно по: http://garant.ru ›Прайм › Документы ленты ПРАЙМ. Ссылка активна на 12.12.2023.

15. Dyachenko VG, Kirik YuV. Personalized medicine and the objectives of higher medical schools of the far east of russia on improvement of training of modern doctor (literature review). Dal'nevostochnyi meditsinskii zhurnal. 2020;2:79-87. (In Russ.). doi: 10.35177/1994-5191-2020-2-78-86.

16. Shestakova EA, Lazareva AA, Mazurina NV, et al. Telemedical technologies in the treatment of obesity as a way of interdisciplinary approach implementation. Terapiya. 2023;(7):142-151. (In Russ.). doi: 10.18565/therapy.2023.7.142-151.

17. Kutergina TI, Andreeva OV, Turovinina EF, Kleshchevnikova TM. Experience in the use of telerehabilitation after a COVID-19 infection at the polyclinic stage in Tyumen. Meditsinskaya nauka i obrazovanie Urala. 2021;22.2(106):84-88. (In Russ.). doi: 10.36361/1814-8999-2021-22-2-84-88.

18. Frederix I, Caiani EG, Dendale P, et al. ESC e-Cardiology Working Group Position Paper: Overcoming challenges in digital health implementation in cardiovascular medicine. Eur J Prev Cardiol. 2019 Jul;26(11):1166-1177. doi: 10.1177/2047487319832394.

19. Malykhin FT. Modern pedagogical technologies in the educational process of the Department of Propaedeutics of Internal Medicine: changes during the coronavirus pandemic. Meditsinskoe obrazovanie v situatsii chrezvychainykh sotsial'nykh uslovii: ot nauki k praktike (organizatsionno-pedagogicheskii aspekt). (Conference proceedigs) Sbornik materialov mezhdistsiplinarnoi ONLINE nauchno-prakticheskoi konferentsii. Stavropol: St. State Medical University Publishing House,2020:61-68. (In Russ.).

20. Petreeva A, Kazaryan I. Telemedicine — new opportunities in healthcare. «Aspirant». Prilozhenie k zhurnalu «Vestnik Zabaikal'skogo gosudarstvennogo universiteta». 2018;23(1):99-106. (In Russ.). https://elibrary.ru/download/elibrary_36526222_30932748.pdf

21. Sayganov SA, Mazurov VI, Goldobin VV, et al. Portable telemedical complex usage perspectives for medical care of elderly and senile patients with cerebrovascular pathology. Adv. geront. 2021;34(2):251-257. (In Russ.). doi: 10.34922/AE.2021.34.2.010.

22. Halpren-Ruder D, Chang AM, Hollander JE, Shah A. Quality Assurance in Telehealth: Adherence to Evidence-Based Indicators. Telemed J E Health. 2019 Jul;25(7):599-603. doi: 10.1089/tmj.2018.0149.

23. Klimis H, Marschner S, Von Huben A, et al. Predictors of Smoking Cessation in a Lifestyle-Focused Text-Message Support Programme Delivered to People with Coronary Heart Disease: An Analysis From the Tobacco Exercise and Diet Messages (TEXTME) Randomised Clinical Trial. Tob Use Insights. 2020 Jan 28;13:1179173X20901486. doi: 10.1177/1179173X20901486.

24. Lagutin MD, Chigrina VP, Samofalov DA, et al. The analysis of application of telemedicine technologies in the Russian Federation in 2019–2022. Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med. 2023;31(2):264-269. (In Russ.). doi: 10.32687/0869-866X-2023-31-2-264-269.

25. Demina NV, Sabanova LV, Sabanova VА. Videoconferencing and distance learning as the main types of telemedicine services. Nauchno-metodicheskii elektronnyi zhurnal «Kontsept». 2019;(V2):1-6. (In Russ.). Доступно по: http://e-koncept.ru/2019/196014.htm. Ссылка активна на 12.12.2023.

26. Vantyaeva AS. Artificial intelligence technologies in the field of medicine and domestic health: the sociological aspect. Society: Sociology, Psychology, Pedagogics. 2022;(6):70-75. (In Russ.). doi: 10.24158/spp.2022.6.8.

27. Mironova OIu, Isaev GO, Berdysheva MV, Fomin VV. Computed tomography in cardiology: history and perspectives. Terapevticheskii Arkhiv (Ter. Arkh.). 2023;95(9):818-821. (In Russ.). doi: 10.26442/00403660.2023.09.202377.

28. Elfimov DA, Elfimova IV, Dolgova IG, et al. Application of information technologies in practical health care. Medical science and education of Ural. 2019;20(1(97)):129-132. (In Russ.).

29. Decree of the President of the Russian Federation dated October 10, 2019. (In Russ.). Доступно по: http://kremlin.ru/acts/bank/44731. Ссылка активна на 12.12.2023.

30. Pogontseva E. The expert predicted the complication of accreditation when using AI to prepare tasks. (In Russ.). Доступно по: https://medvestnik.ru/content/news/Ekspert-sprognoziroval-uslojnenieakkreditacii-pri-ispolzovanii-II-dlya-podgotovki-zadanii.html. Ссылка активна на 12.12.2023.

31. Sechenov University is creating digital twins of cardiac and oncological diseases. (In Russ.). Доступно по: https://minobrnauki.gov.ru/press-center/news/novosti-podvedomstvennykh-uchrezhdeniy/50272/. Ссылка активна на 12.12.2023.

32. Malykhin FT. COVID-19 in medical students: acute phase clinical manifestations and post-COVID syndrome. International Heart and Vascular Disease Journal. 2022; 10(33.1):38-43. (In Russ.). doi: 10.24412/2311-1623-2022-33.1-38-43.

33. Morozov SP, Vladzymyrskyy AV, Simenyura SS. The quality of primary direct-to-consumer telemedicine consultations (by results of testing telemedicine services). Vrach i informatsionnye tekhnologii. 2020;(1):52-62. (In Russ.). doi: 10.37690/1811-0193-2020-1-52-62.

34. Zingerman BV, Shklovskii-Kordi NE, Vorob’ev AI. (2017). About telemedicine “Patient to Doctor”. Vrach i informatsionnye tekhnologii. 2017;(1):61-79. (In Russ.). Доступно по: file:///d:/Users/user/Downloads/o-telemeditsine-patsient-vrach-1.pdf. Ссылка активна на 12.12.2023.

35. Shi Z, Mehrotra A, Gidengil CA, et al. Quality Of Care For Acute Respiratory Infections During Direct-To-Consumer Telemedicine Visits For Adults. Health Aff (Millwood). 2018 Dec;37(12):2014-2023. doi: 10.1377/hlthaff.2018.05091.

36. Shaderkin IA. Telemedicine barriers and ways to overcome them. Russian Journal of Telemedicine and E-Health. 2022;8(2)59-76. (In Russ.). doi: 10.29188/2712-9217-2022-8-2-59-76.

37. World Health Organization. Regulatory considerations on artificial intelligence for health. World Health Organization. 2023. [Internet]. Available from: https://iris.who.int/handle/10665/373421.

38. Burke RM, Midgley CM, Dratch A, et al. Active Monitoring of Persons Exposed to Patients with Confirmed COVID-19 — United States, January-February 2020. MMWR Morb Mortal Wkly Rep. 2020 Mar 6;69(9):245-246. doi: 10.15585/mmwr.mm6909e1.

39. Malay DS. COVID-19, Pandemic, and Social Distancing. J Foot Ankle Surg. 2020 May-Jun;59(3):447-448. doi: 10.1053/j.jfas.2020.03.010.

40. World Federation of Occupational Therapists. WHO Academy’s COVID-19 mobile learning app is now available. Wfot.com. [Internet]. Published May 18, 2020. Available from: https://wfot.org/covid-19information-and-resources-for-occupational-therapists

41. World Health Organization. Launch of the WHO Academy and the WHO Info mobile applications. Who.int. Published May 13, 2020. [Internet]. Available from: https://www.who.int/news-room/detail/13-05-2020launch-of-the-who-academy-and-the-who-info-mobile-applications.

42. Scott V. Unacast. Social Distancing Scorecard. Unacast.com. [Internet]. Last updated December 13, 2022. Available from: https://www.unacast.com/covid19/social-distancing-scoreboard.

43. Morrison S. Like it or not, tech companies can use your phone location data to map social distancing: Is slowing the spread of coronavirus worth compromising your privacy? Vox.com. [Internet]. Published March 26, 2020. Available from: https://www.vox.com/recode/2020/3/26/21192653/coronavirus-privacy-social-distancing-data-collection-unacast.

44. Health Recovery Solutions. Health Recovery Solutions (HRS) launches COVID-Kit and COVID-Mobile to meet telehealth demand. Prnewswire. com. [Internet]. Published March 21, 2020. Available from: https://www.prnewswire.com/news-releases/health-recovery-solutions-hrs-launchescovid-kit-and-covid-mobile-to-meet-telehealth-demand-301027782. html.

45. Health Recovery Solutions. Comprehensive telehealth solutions for every patient. Healthrecoverysolutions.com. [Internet]. Published 2020. Available from: https://www.healthrecoverysolutions.com/solutions.

46. Peterson M. Apple Watch users can monitor their body's response to COVID-19, flu with Cardiogram app. Appleinsider.com. [Internet]. Published March 29, 2020. Available from: https://appleinsider.com/articles/20/03/19/apple-watch-users-can-monitor-their-bodys-responseto-covid-19-flu-with-cardiogram-app.

47. Burki T. Outbreak of coronavirus disease 2019. Lancet Infect Dis. 2020;20(3):292-293. doi: 10.1016/S1473-3099(20)30076-1.

48. Sivan M, Halpin S, Hollingworth L, et al. Development of an integrated rehabilitation pathway for individuals recovering from COVID-19 in the community. J Rehabil Med. 2020;52(8):jrm00089. doi: 10.2340/16501977-2727.

49. Kamynina NN, Medvedeva EI. Telemedicine services in Russia. City Healthсare. (In Russ.). doi: 10.47619/2713-2617.zm.2022.v.3i1;73–78.

50. Suslov K. The Ministry of Health has issued recommendations “on telemedicine”. How feasible are they? Analytical materials of the C-News Portal. (In Russ.). Доступно по: https://www.cnews.ru/articles/2021-05-12_minzdrav_vypustil_rekomendatsii_po. Ссылка активна на 12.12.2023.

51. Минздрав РФ отметил возросшую нагрузку на поликлиники РФ изза COVID-19. Интерфакс. [The Ministry of Health of the Russian Federation noted the increased load on clinics in the Russian Federation due to COVID-19. Interfax. (In Russ.)]. Доступно по: https://www.interfax.ru/russia/822481. Ссылка активна на 12.12.2023.

52. On the results of the work of the Ministry of Health of the Russian Federation in 2020 and tasks for 2021. Ministry of Health of the Russian Federation. (In Russ.). Доступно по: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/055/642/original/MZRF_2021_All_08-04-2021-Preview.pdf?1619014721. Ссылка активна на 12.12.2023.

53. Miyawaki A, Tabuchi T, Ong MK, Tsugawa Y. Age and social disparities in the use of telemedicine during the COVID-19 pandemic in Japan: cross-sectional study. J Med Internet Res. 2021;23(7):e27982. doi: 10.2196/27982.

54. Global Initiative for Chronic Obstructive Lung Disease. Global strategy for the diagnosis, management and prevention of chronic obstructive pulmonary disease (2022 report); 2022. [Internet]. Available from: https://goldcopd.org/.

55. Smith L. Telemedicine Improves Care Across. Johns Hopkins Medicine. 2021. 12. 15. [Internet]. Available from: https://www.hopkinsmedicine.org/news/articles/2021/12/telemedicine-improves-care-across-johns-hopkins-medicine

56. Endler M, Lavelanet A, Cleeve A, et al. Telemedicine for medical abortion: a systematic review. BJOG. 2019;126(9):1094-1102. doi: 10.1111/1471-0528.15684.

57. Gonzalez-Gerez JJ, Bernal-Utrera C, Anarte-Lazo E, et al. Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial Therapeutic pulmonary telerehabilitation protocol for patients affected by COVID-19, confined to their homes: study protocol for a randomized controlled trial. Trials. 2020;21(1):588. doi: 10.1186/s13063-020-04494-w.

58. Medical rehabilitation for new coronavirus infection (COVID-19). Temporary guidelines of the Ministry of Health of Russia. Version 3 (01.11.2022). [Internet]. (In Russ.). https://www.consultant.ru/document/cons_doc_LAW_358669/76f4d9e5aebc059b3c9a26fb6e57e2951afc8aca/ [доступ от 12.12.2023].

59. Sondaal SF, Browne JL, Amoakoh-Coleman M, et al. Assessing the Effect of mHealth Interventions in Improving Maternal and Neonatal Care in Lowand Middle-Income Countries: A Systematic Review. PLoS One. 2016 May 4;11(5):e0154664. doi: 10.1371/journal.pone.0154664.

60. UNFPA. Impact of the COVID-19 Pandemic on Family Planning and Ending Gender-Based Violence, Female Genital Mutilation and Child Marriage. 2020. [Internet]. Available from: https://www.unfpa.org/sites/default/files/resource-pdf/COVID-19_impact_brief_for_UNFPA_24_April_2020_1.pdf.

61. Gaebel W, Lukies R, Stricker J. COVID-19: сonsequences for mental health and the use of e-Mental health options. Consortium Psychiatricum. 2020;1(1): 3-7. (In Russ.). doi: 10.17650/2712-7672-2020-1-1-3-7.

62. Zhou X, Snoswell CL, Harding LE, et al. The Role of Telehealth in Reducing the Mental Health Burden from COVID-19. Telemed J E Health. 2020 Apr;26(4):377-379. doi: 10.1089/tmj.2020.0068.

63. Xiang YT, Yang Y, Li W, et al. Timely mental health care for the 2019 novel coronavirus outbreak is urgently needed. Lancet Psychiatry. 2020;7(3):228229. doi: 10.1016/S2215-0366(20)30046-8.

64. Liu S, Yang L, Zhang C, et al. Online mental health services in China during the COVID-19 outbreak. Lancet Psychiatry. 2020;7(4):e17-e18. doi: 10.1016/S2215-0366(20)30077-8.

65. Wind TR, Rijkeboer M, Andersson G, Riper H. The COVID-19 pandemic: The 'black swan' for mental health care and a turning point for e-health. Internet Interv. 2020 Apr;20:100317. doi: 10.1016/j.invent.2020.100317.

66. Xiao C. A Novel Approach of Consultation on 2019 Novel Coronavirus (COVID-19)-Related Psychological and Mental Problems: Structured Letter Therapy. Psychiatry Investig. 2020 Feb;17(2):175-176. doi: 10.30773/pi.2020.0047.

67. Kassenärztliche Bundesvereinigung (KBV) Coronavirus: Videosprechstunden unbegrenzt möglich [No limit to video consultation]. [Internet]. 2020. Available from: https://www.kbv.de/html/videosprech-stunde.php

68. Holmes EA, O'Connor RC, Perry VH, et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020 Jun;7(6):547-560. doi: 10.1016/S2215-0366(20)30168-1.

69. AHIP. Health insurance providers respond to coronavirus (COVID-19). Ahip.org. [Internet]. Published Aug 27, 2021. Available from: https://www.ahip.org/issues/coronavirus-covid-19

70. Galewitz P. Telemedicine surges, fueled by coronavirus fears and shift in payment rules. Physicanleaders.org. [Internet]. Published May 18, 2020. Available from: https://www.physicianleaders.org/news/telemedicinesurges-fueled-by-coronavirus-fears-and-shift-in-payment-rules.

71. Noizet A. COVID-19: The rise and rise of telemedicine. Mobilehealthnews.com. [Internet]. Published May 27, 2020. Available from: https://www.mobihealthnews.com/news/europe/covid-19-rise-and-risetelemedicine.

72. Harpaz J. 5 reasons why telehealth is here to stay (COVID-19 and beyond). Forbes.com. [Internet]. Published May 4, 2020. Available from: https://www.forbes.com/sites/joeharpaz/2020/05/04/5-reasons-why-telehealthhere-to-stay-covid19/#5b8d472353fb.

73. Webster P. Virtual health care in the era of COVID-19. Lancet. 2020 Apr 11;395(10231):1180-1181. doi: 10.1016/S0140-6736(20)30818-7.

74. Walgreens. Walgreens update on COVID-19 testing. Walgreens.com. [Internet]. Published March 22, 2020. Available from: https://news.walgreens.com/covid-19/walgreens-update-on-covid-19-testing.htm.

75. COVID-19 Crisis: What is the Role of Telehealth? [Internet]. Available from: https://www.researchgate.net/publication/353217162_COVID-19_Crisis_What_is_the_Role_of_Telehealth#fullTextFileContent

76. CVS Health. CVS Health Announces COVID-19 Resources for Aetna Members: Diagnostic testing and telemedicine visits available with no co-pay. Prnewswire.com. [Internet]. Published March 6, 2020. Available from: https://www.prnewswire.com/news-releases/cvs-health-announces-covid-19-resources-for-aetna-members-301018955.html.

77. COVID-19 Crisis: What is the Role of Telehealth? [Internet]. Available from: https://www.researchgate.net/publication/353217162_COVID-19_Crisis_What_is_the_Role_of_Telehealth#fullTextFileContent.

78. American Medical Association. Policy options for states to address COVID-19. Ama-assn.org. Published May 28, 2020. Available from: https://www.ama-assn.org/delivering-care/public-health/policyoptions-states-address-covid-19.

79. American College of Physicians. COVID-19 State and Private Payer Policies. Acponline.org. Updated May 29, 2020. [Internet]. Available from: https://www.acponline.org/practice-resources/covid-19-practicemanagement-resources/covid-19-state-and-private-payer-policies.

80. Primary Care Collaborative. Primary Care & COVID-19: Week 3 Survey. Primary care practices on their response to the COVID-19 crisis. Pcpcc. org. Published April 1, 2020. [Internet]. Available from: https://thepcc.org/2020/04/01/primary-care-covid-19-week-3-survey.

81. Primary Care Collaborative. Primary Care & COVID-19: Week 4 Survey. Primary care practices on their response to the COVID-19 crisis. Pcpcc. org. [Internet]. https://www.pcpcc.org/2020/04/08

82. Turner Lee N, Karsten J, Roberts J. Removing regulatory barriers to telehealth before and after COVID-19. Brookings.edu. Available from: https://www.brookings.edu/articles/removing-regulatory-barriers-to-telehealth-before-and-after-covid-19/. Published May 6, 2020.

83. Reid V, Hurst T. 3 ways to ramp up telehealth to deal with Covid-19. Advisory.com. [Internet]. Published March 20, 2020. Available from: https://www.advisory.com/blog/2020/03/telehealth-covid-19.].

84. Velasques D, Mehrotra A. Ensuring the growth of telehealth during COVID-19 does not exacerbate disparities in care. Healthaffairs.org. Published May 8, 2020. [Internet]. Available from: https://www.healthaffairs.org/do/10.1377/hblog20200505.591306/full/.


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Malykhin F.T. Opportunities for using telemedicine based on the COVID-19 pandemic. Kachestvennaya Klinicheskaya Praktika = Good Clinical Practice. 2024;(1):17-29. (In Russ.) https://doi.org/10.37489/2588-0519-2024-1-17-29. EDN: GUPNJW

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