Clinical experience of examination of outpatients with diabetes using a formalized protocol

Abstract

Objectives - to improve the quality and efficiency of primary endocrinological care for patients with diabetes mellitus by formalizing outpatient admission and optimizing the professional time of an endocrinologist spent on documentation. Material and methods. A protocol of examination, developed according to the specifity of care of outpatients with diabetes mellitus, was introduced into practice of endocrinologists. To assess the usability of the protocol, the timing of outpatient admission and the quality control of outpatient medical care was carried out. Results. The trial of the formalized protocol in clinical settings have confirmed its convenience for doctor's daily work. It does not require extra time for patient registration, while significantly improves the quality of outpatient appointment records, ensures the complete primary medical data recording, eliminates inaccuracies in the formulation of the diagnosis, program of dispensary observation and treatment. Conclusion. The formalization of the outpatient endocrinologist appointment allows for development of an automated workplace of an endocrinologist with the prospect of its further implementation as a software module for collecting primary medical data in the regional integrated electronic medical record.

Information and legal background for remote outpatient care for patients with diabetes mellitus during COVID-19 pandemic

“…Вне зависимости от того, есть у пациента бумажная амбулаторная карта или нет, обратился он за очной консультацией в ЛПУ или за телемедицинской дистанционно, эндокринолог всегда имеет возможность оказать ему квалифицированную помощь. ФПр приема сохранен на цифровом носителе, его можно переслать по электронной почте или через мессенджер (при соблюдении протоколов конфиденциальности и защиты персональных данных), а также распечатать в любой момент времени по потребности (для пациента, для амбулаторной карты, а также для проверки в инстанциях) [31].…”