Possibilities of telemedicine application in otorhinolaryngology. Expert interview

Abstract


Telemedicine in outpatient otorhinolaryngology is actively developing; however, its boundaries of application remain insufficiently defined. Criteria for patient selection, the safety of remote monitoring, and the role of telemedicine in initial consultations are still underexplored. The aim of this study was to examine the opinions of practicing otorhinolaryngologists regarding the use of telemedicine in their work and to compare these opinions with current literature data. Between January and March 2025, interviews were conducted with ten outpatient otorhinolaryngologists (experience 12—30 years; inclusion criteria — at least 10 years of professional practice and practical familiarity with telemedicine). The interview recordings were transcribed and subjected to thematic analysis. It was found that 8 out of 10 experts had used telemedicine during the COVID-19 pandemic, and five continue to use it today. All respondents considered remote consultations appropriate for follow-up visits and chronic patient monitoring; 7 out of 10 recognized its usefulness for early postoperative follow-up, whereas for initial diagnostics, 6 experts admitted only the format of tele-triage, while 4 insisted on the necessity of in-person examination. The main advantages identified were improved accessibility of care and time savings, while the key barriers included the impossibility of full physical examination, technical failures, and legal restrictions. The findings confirm that telemedicine is a valuable supplement to in-person consultations in outpatient ENT practice; however, its implementation requires regulatory adjustments, technical support, and participant training.

About the authors

Artem Vladislavovich Chernetsov

N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation

Email: tredqiwik@gmail.com

Denis Olegovich Roshchin

N. A. Semashko National Research Institute of Public Health, 105064, Moscow, Russian Federation

Email: droshchin2@gmail.com

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FSSBI «N.A. Semashko National Research Institute of Public Health»

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