The main ways of realization of the project
The program of realization of the project consists of six
main parts.
1.1.
Development of the technical project and feasibility report of the project.
1.2.
Search of the investors and Foundation provides grants for the project and
coordination with them of the working documentation and feasibility report.
1.3. Development and
coordination of the equipment designs of construction " Regional
information service of the social care", network of transfer of data,
service of providing Telemedicine. Examination the Project in Russian and
international independent organizations.
1.4. Creation
of noncommercial organization "Regional information service of the social
care", its registration and reception of the necessary licenses.
1.6
Certification of a system and input it in operation.
Three stages of the program
realization:
1 stage ( issue 3.1.1.)
– till 31 .10. 1999 .
2 stage ( issue 3.1.2., 3.1.3.) – till 20 . 02. 2000.
3 stage ( issue 3.1.4., 3.1.5.,3.1.6.) – till
30 . 11. 2000.
The first direction
is the creation of such kind of operative medical service on the territory of
Primorsky Krai, as a System of
telemedicine consultations of medical institutions of Primorsky Krai
("Telemedicine").
Depending on
the medical requirements it can be:
-
transfer
in a mode off-line the medical information to a doctor, for example, x-ray, CT,
endoscopic and other images, but also accompanying textual information on
telephone lines for the analysis;
-
telemedicine
consultation in a mode of videoconference;
-
telemedicine
consultation in a mode on-line with transfer and discussion by the experts of
the medical information prepared beforehand;
-
realization
in a mode on-line of the patient examination on the diagnostic equipment,
controlled on distance;
-
realization
in a mode on-line of operations.
The system should provide both
bilateral and multilateral consultations.
The second direction
connected to this program is creation of
the "Regional information center" (analogue of a Service 911
in USA) in Primorije as one of the divisions of "Regional
information service of the social care".
Any person
requiring for medical services is charge-free (including from other city) call
on the usual telephone on special number 211 (analogue of the number 911). The
call arrives under the multichannel telephone number to one of 16 especially
trained telephone operators who answer both on Russian and in English
languages. Simultaneously with the professional operators there is:
psychologist, professional medical specialist, and representative of
municipality in center. Each operator has the computer, connected to server
with databases. The operator
during conversation finds out whether the emergency help is necessary or the
medical information is required, simultaneously the operator records in a
database the information about calling and problems. In case of occurrence of
an emergency situation, the operator, not interrupting telephone
communications, operatively calls the Ambulance or Disaster Medicine or fire
command or other emergency service. If calling the medical information is
necessary, the operator using available databases in "Regional information
center" gives the information about:
-
medicine
(price, where it is possible to buy it and how much it costs);
-
available
places in medical institutions;
-
represented
sanatorium services;
-
funeral
services;
-
services
of the professional doctors in different medical institutions of the
Vladivostok and Primorije;
-
About
social privileges, pensions, allowances.
Regional information
center must provide:
-
round-the-clock
charge-free information about free places in hospitals and medicines in drugstores; to call the Ambulance or
Regional Center for Disaster Medicine, Emergency and Ambulance care and etc.;
-
all
possible and necessary for medicine of Primorije channels of communication;
-
service,
regular updating and access to every possible databases;
-
communication
with the medical insurance companies, including international.
Current problems of information center:
First
of all, it is the creation and guarantee of activity of an information
infrastructure enabling to use in practical medicine (either in usual
circumstances, or in extraordinary ones), modern computer and information
technologies, including videoconferences (telemedicine).
The
second problem is - organization of effective work of this information service
(absence of useless periods in work of the equipment, organization of
videoconferences in view of a difference in time, operative delivery of
patients from the far distances to monitors).
At the same time it is clear, that the construction of such complete system requires considerable sum of money, the payment of which is just impossible for Administration of Primorsky Krai is practically impossible. That’s why the realization of the project is supposed to be stage by stage at which each element of a system created at an appropriate stage can function independently. The element created at the following stage is connected to a functioning system expanding of its opportunity. Such scheme of the realization of the project will allow to construct a large system of independently functioning blocks with limited opportunities of financing.
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