The task of organizing telemedicine consultations in emergency situations for hospitals remote from the clinics of the city center

The use of telemedicine consultations has become particularly popular and relevant in 2020 in the face of restrictive measures due to the COVID-19 pandemic. However, the use of means of communication for the transmission of medical indications began at the beginning of the XX century: the first transmission of electrocardiography signals by telephone was carried out in 1906. And in 1959, the first television consultation was held in the United States. To date, most telemedicine consultations are scheduled. Doctors submit applications and the necessary set of documents, after which the applications are considered, and the date of the consultation is set. For emergency situations, this procedure is not suitable, because the number of requests may not correspond to the system bandwidth. The paper considers the problem of using telemedicine consultations in emergency situations. Technological accidents, severe epidemics do not allow to send the victims to the city center and require. This problem is related to the solution of the following tasks: construction of a telemedicine consultation management system; development of a mathematical model for the distribution of telemedicine consultations between hospitals that significantly exceed the number of clinics; development of algorithms for optimal management (time criterion) of the execution of telemedicine consultation requests in real time; consideration of issues related to the information security of the system. As a result, an approach to the construction of a system for organizing telemedicine consultations with the use of dispatching and medical centers was proposed. The mathematical formulation of the problem is formulated. An algorithm for the distribution and operation of the system, including hospitals, dispatching and medical centers and clinics, has been developed. The algorithm uses a mathematical model that implements the problem under consideration. For the developed system, software and hardware support for information security is proposed.