Scientific Director of the Institute of Chemical Biology and Fundamental Medicine of the Siberian Branch of the Russian Academy of Sciences, Academician of the Russian Academy of Sciences Valentin Vlasov recalled that many problems, including monitoring the condition of patients and monitoring prescriptions from doctors, can be solved by telemedicine systems, including those aimed at elderly patients. He proposed including the telemedicine direction in the updated NTI roadmap "Healthy Longevity". Member of the legislative working group of the infrastructure center "Helsnet" of the National Technology Initiative and CEO of the association of developers and users of artificial intelligence in medicine "National Base of Medical Knowledge" Boris Zingerman also noted that the use of telemedicine technologies will solve the problem of lack of communication and socialization of elderly patients, many of whom are lonely.
Center for Therapy and tunisia whatsapp resource Preventive Medicine, noted that many elderly people do not have sufficient skills in using smart devices, be it computers or mobile devices, which is aggravated by the inconvenient interface of applications and complex formulations that can confuse a person of any age who is far from medicine. Therefore, he called education and training an important task, which could be handled by various regional programs, for example, "Moscow Longevity", which already includes the "Information Technologies" cycle, which includes a training program for the use of mobile devices. Dmitry Korsunsky also shared the observation that elderly people quite easily master various kinds of smart devices, in particular smart speakers, and suggested using them more actively in telemedicine practice.
Boris Zingerman informed that the "National Medical Knowledge Base" has developed a mobile application with fully voice control, aimed at elderly patients. In addition, he noted that many tasks, in particular control of medication intake and other appointments, are successfully solved by voice robots that can call landline phones or any mobile phones, and not just smartphones.
Boris Zingerman sees a more serious problem associated with the restrictions on the use of aggregated medical data imposed by legislation on the protection of personal data. This, in his opinion, further exacerbates the difficulties of collecting consent, especially from elderly patients.
NTI market expert "Helsnet", head of the council for the development of the healthcare system of the coordinating council of the non-state security sphere (CS NSS of Russia) Albina Makaeva made a proposal to include in the roadmap also the direction of cybersecurity of telemedicine devices and services. At a conference in Breakpoint (Australia) in 2012, medical device security researcher Jack Barnaby demonstrated a remote attack on a pacemaker, which allowed an 830-volt impulse to be delivered, which, with a high degree of probability, can lead to the death of the patient. In 2011, at a conference in Miami, the same researcher successfully attacked an insulin pump, increasing the dosage of the drug.
Dmitry Korsunsky, a research fellow at the National Medical Research
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