Authors
Gelman V. Ya.
Doctor of Technical Sciences, Professor, Department for Medical Informatics and Physics1
1 - North-West State Medical University named after I.I. Mechnikov, 191015, St. Petersburg, Russian Federation
Corresponding Author
Gelman Viktor; e-mail: Viktor.Gelman@szgmu.ru
Conflict of interest
None declared.
Funding
The study had no sponsorship.
Abstract
The paper considers the possibilities of increasing the efficiency of detecting diseases by reducing the duration of the periods between observations of patients’ health. The methodological basis of the study was the analysis of scientific publications, generalized practical experience and process modelling. The paper proposes indicator – critical time of disease detection, that provides a given treatment efficiency. It is shown that the period of regular clinical examination, which is fixed for a large contingent of patients, does not allow for timely detection of a significant group of diseases. There is a problem of coverage with more frequent observations of patients with possible signs of diseases that have a short critical observation period. As a promising way to solve this problem, the use of home telemonitoring of health status in the delayed time mode is proposed. A method for selecting indicators for additional monitoring has been determined. It has been shown that home monitoring can significantly improve the quality of early diagnosis and the effectiveness of subsequent treatment.
Key words
diagnosis of diseases, observation period, clinical examination, treatment efficiency, home monitoring, delayed mode, mathematical modeling
DOI
References
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