E-Health and Telemedicine: Current State and Future Steps (Miscellanea)


The article reviews the questions related to building the e-health systems. The key element of the system is electronic healthcare record to be formed according to the modular approach in the form of primary and satellite electronic medical records. Person-centred healthcare is proposed as a foundation for e-health. Such an approach provides a potential opportunity for all the medical doctors to obtain necessary information about their patients at any time via the teleconsultations in particular. Transition to e-health is associated with the creation of new opportunities for making diagnostic and therapeutic decisions based on the use of build-in decision support modules. The computer-assisted software design or hybrid systems are considered as the fourth generation medical information systems. It is reasonable to implement the entire information space of e-health, including the information systems of medical institutions and regional data repositories, based on cloud-optimized storage and computing solutions. This approach is expected to be implemented in Russia as a part of the unified state health information system. The authorized access to integrated databases for medical doctors of various specialties is required. In the framework of e-health, telemedicine is considered as an important component. Main elements comprise the real-time access of medical consultants to personified medical databases and remote follow-up of patients by the means of personal or home-based telemedicine. The use of personal portable devices for the control of vital signs of the organism is especially promising. Electronic stethoscopes and specialized video cameras for acquiring objective information should be increasingly used by remote consultants. Unfortunately, this trend is still underdeveloped in Russia. In perspective, e-health as unified medical space will provide a transition to the integrated analysis of population health by medical doctors of various specialties from different countries and will open new prospects for studying health based on the intelligent analysis of integrated data of patients.

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Kobrinskii, B. (2014) E-Health and Telemedicine: Current State and Future Steps. E-Health Telecommunication Systems and Networks, 3, 50-56. doi: 10.4236/etsn.2014.34007.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] Blobel, B. (2003) Interoperable Healthcare Information System Components for Continuity of Care. British Journal of Healthcare Computing & Information Management, 7, 22-24.
[2] Lloyd-Williams, D. (2004) E-Health: A Dilemma for Europe. British Journal of Healthcare Computing & Information Management, 10, 20-23.
[3] Mauro, A. (2008) Patient-Centered E-Health Design. In: Wilson, E.V., Ed., Patient-Centered E-Health, IGI Global, Hershey, 10-25. http://dx.doi.org/10.4018/978-1-60566-016-5.ch002
[4] Kobrinsky, B. (1995) Concept of the Continuum of Intermediate States of Development: Risk Factors in Child Health. Medical Audit News, 2, 21-22.
[5] Kobrinsky, B., Lupin, S. and Ponomareva, N. (2012) Integration of the Medical Information Systems for the Risk Groups of the Congenital Pathologies Formation. Bio-Algorithms and Med-Systems, 3, 315-326.
[6] Dean, A.G. (2000) Computerizing Public Health Surveillance Systems. In: Teutsch, S.M. and Churchill, S.M., Eds, Principles and Practice of Public Health Surveillance, 2nd Edition, Oxford University Press, Oxford, 229-252.
[7] Kobrinsky, B., Tester, I., Demikova, N., Sedov, Yu., Marjanchik, B., Taperova, L., Glukhovskaya, Yu. and Podolnaja, M. (1998) A Multifunctional System of the National Genetic Register. Medinfo’98: Proceedings of 9th International Congress on Medical Informatics, Seoul, 18-22 August 1998, 121-125.
[8] Foster, I., Kesselman, C. and Tuecke, S. (2004) The Open Grid Services Architecture. In: Foster, I. and Kesselman, C., Eds., The Grid 2: Blueprint for a New Computing Infrastructure: The Morgan Kaufmann Series in Computer Architecture and Design, Morgan Kaufmann Publishers, San Francisco, 215-257.
[9] Mack, D., Brantley, K.M. and Bell, K.G. (2007) Mitigating the Health Effects of Disasters for Medically Underserved Populations: Electronic Health Records, Telemedicine, Research, Screening, and Surveillance. Journal of Health Care for the Poor and Underserved, 2, 432-442. http://dx.doi.org/10.1353/hpu.2007.0040
[10] Jardine, l. (2000) Telemedicine and Telecare: Addressing the Real Healthcare Issues. British Journal of Healthcare Computing & Information Management, 5, 28-30.
[11] Johnson, P. (2004) Patients’ Use of Self Telemonitoring in 21st Century Clinical Care in the Community. British Journal of Healthcare Computing & Information Management, 1, 22-26.
[12] Silber, D. (2003) E-Health: The Case for E-Health. EIPA 2003/E/01. http://www.eipa.nl
[13] Lindén, F. (2009) EpSOS Local Data Providers. Acta Informatica Medica, 3, 142-145.

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