She became telemedicine?Maxim Volkov | 03.07.2020
Maxim Chernin
The Chairman of the Board of Directors of a medical company, a Doctor is near
Interview
Telemedicine – direction, the prospects of which anyone today probably don’t need to explain. And here’s why telemedicine projects not only appear and develop, but also disappear –
to explain worth. About IT News in detail and very lucidly explained the Maxim Chernin, Chairman of the Board of Directors of the medical company “Doctor is near” – one of the largest
to date, the Russian telemedicine projects.
To be honest, initially I wanted to refer to the founder of another company, which just last year within the framework of the international conference positioned as a major player on the Russian
the market of telemedicine. And with surprise I’m her in this very rapidly developing and promising market… not found. More precisely, the company moved from B2C to B2B and niche positioning itself not as a
provider of telehealth services and as a provider of specialized IT solutions for telemedicine, which intends to promote in our country and abroad.
Maxim Chernin explained to me that indeed, after the adoption in Russia in 2017, the law on specialized telemedicine projects started to grow just like mushrooms. And here is to make a small
clarification, since telemedicine can be of three kinds.
The first is when you come to the doctor, and he consults via video or other means of communication with his colleague – for diagnosis, treatment and so on. Second – when the patient
comes to the doctor personally, and then remotely consulted about the adjustment of treatment or rehabilitation. Third – when first meeting the patient’s physician remotely.
The first principle was the impetus primarily to the state, which thus legalized the activities of the regional medical facilities that require operational advice more
qualified colleagues. The second principle of the provision of services has become a useful existing clinics that have begun to sell additional services remote consultation to its traditional customers.
Third – appreciated by many investors and startups, who saw here a large new market niche.
The problem for the rapid and successful promotion of telemedicine services (especially the third kinds) proved that this scheme gives doctors less likely no
the final diagnosis nor a specific medication to prescribe. In many countries this is possible – the experts pose prior (and not only) diagnoses and have the right to appoint
preparations of approved telehealth list. We have – while this is not officially allowed.
But during a pandemic, when telemedicine became for many people the only way to obtain medical care, the case moved from the dead point. Began to discuss the bills
empowering doctors, initially advising patients remotely. And most likely, soon it will bring a set of amendments results.
How telemedicine is a real demand in Russia it is possible to understand the dynamics of the development of even one major project. The “doctor is near” in 2018 has provided a day not more than 10 telemedicine
consultations. In 2018 – about 100, at the end of 2019, the year – 250 to 300 and during the pandemic – 3000.
Huge demand, you say! But why, then, are bent on many other projects?
Maxim Chernin sure that it is in the strategy of promotion of telemedicine services. Many startups have relied on direct sales of telemedical consultations to patients. And lost. Attraction
a prospective patient is too expensive and often does not pay off an average bill. The fact that the market for telemedicine services in Russia, even though it was formally created, but mentally not yet
ripe. People initially looked at telemedicine, remembering chumaka and Kashpirovsky. That is, as a kind of attraction. Moreover, the hospital and the official diagnosis they were sent (and to
still send) to a regular hospital. And who wants to pay for advice? It and the forum can be obtained. It is true there are tips experienced patients are heard so often – most likely, you drank too
a lot of coffee, but it may well be that you have cancer.
“The next doctor” chose a method of promotion through partners. They were among the first insurance company to include in its service telemedicine. Then tightened, banks, travel agencies,
Telecom service providers and companies from other industries. Thus, in the three years prior to the beginning of the pandemic, “the next Doctor” scored a base of people somehow received a subscription to telemedicine
consultation, attention – 5.5 million people! For by the consultations is drawn for each. Otherwise 140 doctors involved in telemedicine project with it clearly would have failed.
But they found an investor – state Corporation VEB.Of the Russian Federation. And this was the catalyst for a breakthrough during a pandemic. During this period, people stopped going to hospitals where a high risk of becoming infected
coronavirus, and inevitably ripe for telehealth services. But to cash in on this at this time is not just immoral, it would be a clear blow to the image and reputation. Therefore, VEB
funded project on the free tele – paying for all remote consultations of physicians in 12 specialties.
For the Bank is to project more of an image. But for the venture capital Fund of the Bank, obviously, is the ability to shape the market and automatically occupy a very significant position.
Due to additional funding of the Bank, the number of doctors involved in the provision of telemedicine services in “the next Doctor” increased from 140 to 600, and the number of daily consultations, which became
at the time of the action (before the end of June) free – to 3000. After removing the isolation hard mode, that figure dropped to 1800-2000.
The most popular in the period of the pandemic were the services of internists, pediatricians, gynecologists, allergists-dermatologists and neurologists. While the Muscovites had 23% of the consultations. The rest on
regions.
For comparison, according to open sources used by analysts “the next Doctor”, in the United States during a pandemic 42% of medical services were remotely. In China, by the way, telemedicine
is the standard channel maintenance for several years.
Where will develop telemedicine in Russia depends on including from regulators. The adopted law about remote ordering of drugs gives the opportunity to expand in this direction. In addition
also affect trends. Craving for healthy eating, for example, can successfully sell the consultation of dieticians. But there must be cooperation with ofline. That is, telemedicine consultations are
in the package with the tests, which shall be in a standard way.
The use of gadgets another area. But here we must note that fitness trackers and so on – not medical devices. To the latter is rather established in Israel camera
nozzles specifically designed for consultations with a doctor. He says – as well as what to show: ear, nose, throat, skin, and the patient, using the nozzle of the device – all this successfully
shows.
If we talk about the regulation of data exchange processes, it is impossible not to recall that a telemedicine consultation is the traditional medical consultation, only provided through telemedicine
technologies. Therefore, all standard requirements relating to personal data and work with them in the health facilities are stored here. And imposed additional is the presence of a doctor
electronic signatures, which it needs to assure their actions. Storage, consultations during the year (or other period established in the legislation for this type of service). Institution
electronic medical record for each advise. Certificate of information security. And so on.
By the way, nothing prevents the inclusion of telemedicine services in the CHI policy. This, as explained by Maxim Chernin – a matter of agreement funds of health insurance (including territorial),
the local Ministry of health and specialized telemedicine organizations. In the Kaluga region, for example, local Fund agreed with the proposal of the “next Doctor” and telemedicine recently added
OMS. There are negotiations with five regions.
In Moscow, where telemedicine is developing rapidly, conduct a telemedicine statistics. According to the portal mosgorzdav March 23 patients with the coronavirus was provided to more than 170 thousand
telemedicine consultations for more than 45 thousand of patients.
If you compare investments in commercial telemedicine projects here and abroad, we can say that the European, according to research firm CB Insights put lately over
$2 billion In Russia, one of the largest on volumes of the attracted investments of the existing projects can be considered “the next Doctor”, which attracted for the development of one billion roubles.
Capitalization of the largest European startup in the field of digital health experts at CB Insights is referred to as the English manufacturer of DNA sequencer by Oxford Nanopore Technologies. Its total
the cost is estimated at $740 million In the three most well-funded startups are also French provider of telemedicine Doctolib ($267 million) and the application for telemedicine KRY in Sweden
($251 million).
Answering the question – whether in Russia we have telemedicine, we can say that she, fortunately, was much more like a real medicine than a very popular but not very effective
theseproposed telemedical the past. But to the similarity of the telemedicine and conventional medicine had increased and those two tracks really complement each other should, in my opinion,
to authorize doctors providing services remotely, not only duties but also rights. Including the diagnosis, prescription drugs and so on. How to do no harm and benefit
patients the issue, of course difficult. That is why they must be tackled urgently, given the international experience, which, with the support of industry experts is expected to release
a separate full material.
Telemedicine
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