Stomatologiia (Mosk). 2026;105(4):19-24. doi: 10.17116/stomat202610504119.
ABSTRACT
OBJECTIVE: Analysis of the implementation and use of telemedicine technologies in the field of maxillofacial surgery at the Federal Center of the National Medical Research Center “Central Research Institute of Maxillofacial Surgery” of the Ministry of Health of the Russian Federation in 2022-2024.
MATERIAL AND METHODS: The data of 3229 telemedicine consultations (TMC) in 88 constituent entities of the Russian Federation for the period 2022-2024 were ranked. The share of cases requiring patient routing to the federal center and additional examination was determined. The analysis of the availability and staffing of maxillofacial surgeons was carried out. The increase/decrease of indicators was calculated using the standard formula for relative change as a percentage. The relationship between indicators (population size, staffing, availability, number of CFLs and number of TMCs) was estimated using the Pearson correlation coefficient (r).
RESULTS: The total number of TMCs increased from 833 in 2022 to 1296 in 2024, an increase of 55.6%. The leader in absolute number of TMCs is the Volga Federal District. At the same time, a decrease in the number of consultations was noted in the North-Western District. The share of TMCs that required patient routing to the federal center was 26.6% in 2024. There was a steady increase in the share of cases that required additional examination: from 65% in 2022, 73.7% in 2023, and 69.5% in 2024. A moderate negative correlation was found between the number of doctors and the number of TMK (r≈-0.61…-0.64), and a weak positive correlation was found between the number of doctors and the volume of consultations (r≈0.37-0.38). Despite fluctuations in the number of doctors in 2023 and subsequent growth in 2024, the overall staffing increased by 5.8% over the three-year period.
CONCLUSION: The data obtained indicate that telemedicine technologies in maxillofacial surgery are an effective tool for increasing the availability of specialized and high-tech medical care, especially in regions with a severe shortage of personnel and a large territorial distance. TMC contributes to early diagnosis, clarification of treatment tactics, optimization of patient routing to federal centers, and strengthening the professional competencies of regional specialists.
PMID:42581521 | DOI:10.17116/stomat202610504119
