«KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» TELEMEDICINE IN KAZAKHSTAN Prepared by: Mamirova Nargiz Course: 1st course Specialty: Dentistry Group: 108-B Submitted to: Nurgul K. Almaty, 2021 1 «KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» Introduction • the main goal: explain about Kazakhstan's telemedicine. • relevance: Preventive services for the population. Reducing the cost of medical services. Serving remote subjects, removing isolation. 2 «KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» Telemedicine in Kazakhstan Kazakhstan's telemedicine network was established to help deliver health services to rural communities across the country. It has gradually expanded and now comprises 209 health facilities at district, regional and national levels. With the inclusion of the Republican Coordination Centre for Sanitary Aviation, which provides air ambulance support, medical assistance transport, disaster care initiatives and a network of mobile pharmacies, the telemedicine network 3 «KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» Tleuberdy Kuandykov Tleuberdy Kuandykov is Head of the Intensive Care Unit at the Syzganov National Scientific Centre of Surgery Almaty. In addition to performing surgeries, the Centre provides teleconsultations and follow-up sessions to colleagues from across the country. It also broadcasts surgical procedures to students for educational purposes. Kuandykov remembers, "In the 1990s, when I worked in the district clinic in Turkestan in southern Kazakhstan, if I needed my supervisor s or other experienced colleagues advice, i would send a hospital car to the regional clinic and hoped that they would come to see my patient. Now we can contact any specialist in Kazakhstan any time - and save more lives. 4 «KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» Research Paediatrics and Child Surgery in Almaty A pulmonologist, a heart surgeon and a recovery specialist from the Research Paediatrics and Child Surgery in Almaty consult their colleagues from a state clinic in the Aktau region in West Kazakhstan about a young patient in intensive care. The patient in question had infectious pneumonia and also a form of heart disease. Specialists from the Centre adjusted the treatment plan, agreed on medications and planned a follow-up appointment the next day. The Centre has used telemedicine on a daily basis since Irina Vyatkina, Technical Specialist of the Telemedicine Unit, says that initially they expected up to 5 teleconsultations per month - but demand has grown fast. I cannot imagine our work without telemedicine now. It has proven to be effective and timely," she says. In 2016, specialists from the Centre provided telemedicine sessions for 123 children. By 2018, that number had grown to 320 children across Kazakhstan. Each week, the Centre organizes remote lectures on current topics for primary health-care practitioners, specialists from regional clinics and the clinics in the rural areas. 5 «KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» Trauma surgeons Trauma surgeons Bagdat Balbosynov and Gulzhanat Korganbekova Scientific Research Institute Traumatology and Orthopaedics in Astana were contacted for a teleconsultation about a patient in the remote Zhambyl region in southern Kazakhstan. They study the first X-rays of the patient, who suffered multiple injuries and head trauma from a road accident. Following the teleconsultation, the patient was delivered by air ambulance to the Institute. The Institute provides tertiary and specialized medical services to patients with injuries and diseases of the Institute. The Institute provides tertlary specialized services to patients with injurles and diseases of the musculoskeletal aystem. In 2018, traumatology, orthopaedics and other related specialists held 68 telemedicine sessions. Very often, the Institute deals with acute cases. Telemedicine sessions are usually organized within 24 hours of the recelpt of a request from a reglonal clilnic. 6 «KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» Damu Med Damu Med, Kazakhstan's official digital health application, has been introduced in 15 regions and had nearly 2 million registered users in The application helps people make an appointment to see a specialist, archive prescriptions, follow a treatment plan, receive laboratory tests and find medication. It will also help patients in risk groups, for example, those with arterial hypertension, cardiac insufficiency and diabetes, to self-manage their health and to take timely action when needed. More than patients in Kazakhstan have already enrolled in the self-management programme Kazakhstan's telemedicine network not only provides clinical support- specialists in medical universities, scientific research institutes and national centres also use the network to provide lectures and seminars on diseases for training health workers in regional and district hospitals. 7 «KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» The university network First-year students in the Faculty of Dentistry at Kazakh-Russian Medical University in Almaty engage with their tutor Nurgul K. via webinar. The University created a space for students to follow remote lectures and access university courses on a single secure leaning platform. The University's professors, residents, interns and researchers also use the network to connect with their colleagues in other parts of the country to develop skills, exchange data and share experience. 8 «KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» Conclusion Kazakhstan is the largest landlocked country in the world, spanning nearly 3 million square kilometres. Its geographic size means that much of the population lives in rural settings, far from the countrys main medical centres. In view of this, Kazakhstan is investing in new technologies to deliver health services to people in rural areas. A telemedicine network, launched in 2004, helps rural populations access specialized medical care, with general practitioners and specialists providing teleconsultation. As one intensive care doctor puts it, Now we can contact any specialist in Kazakhstan any time – and save more lives. The telemedicine network is part of the strategic plan of the Ministry of Health for 2017 to The Government intends to develop the network further, to introduce smart medical services such as mobile applications for disease management, prevention and treatment, and to generally scale up digital health. 9 «KAZAKH-RUSSIAN MEDICAL UNIVERSITY» NON-STATE EDUCATIONAL ORGANIZATION НУО «КАЗАХСТАНСКО-РОССИЙСКИЙ МЕДИЦИНСКИЙ УНИВЕРСИТЕТ» Bibliography 1.Emeli-Komolafe J. Telehealth, Telemedicine or Electronic Health Simplified. 2. Telemedicine in Kazakhstan: smart health services delivery 10
