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Original research
THE SYSTEM APPROACH TO THE SUSTAINABLE DEVELOPMENT OF THE HEALTHCARE ECONOMY BASED ON TELEMEDICINE: LEADING EXPERIENCE AND PERSPECTIVE OF RUSSIAPages 29-36 Abstract
This paper is devoted to identifying opportunities for improving the management of telemedicine and compiling recommendations for implementing these opportunities in support of the sustainable development of the Russian healthcare economy. For this, we study the statistical data on the level of the development of telemedicine and the sustainability of healthcare in Russia in 2015-2025. A case overview of the Russian market of telemedicine from the position of sustainability of the healthcare economy was performed. It demonstrated that Russia is behind global leaders in the share of patients treated by doctors through telemedicine. Second, an economic and mathematical model of the sustainable development of the healthcare economy in Russia based on telemedicine was compiled. It demonstrated the mutual dependence of the organisational & economic, financial & regulatory, and innovative & technological aspects during this development. This model revealed opportunities for improving the management of telemedicine in Russia, connected with an increase in the volume of investments in digital healthcare and optimisation of the organisational & technological scheme of using these investments. A conclusion is made that optimisation of government budget financing and more intense stimulation of the inflow of private investments in digital healthcare, including telemedicine, will allow expanding the use of cloud services, data processing centres, and RFID technology in telemedicine and, subsequently, raising the number and share of provided telemedicine services in the structure of medical services, increasing the efficiency of pricing of telemedicine services, and reducing their cost, as well as supporting ICT employment in the sphere of telemedicine. To improve the management of telemedicine in Russia, we offer a system approach to this management, which supports the sustainable development of the healthcare economy based on telemedicine and includes applied solutions for Russia. The advantage of the new approach is the improvement of coordination of the organisational & economic, financial & regulatory, and innovative & technological aspects during the development of telemedicine. Transitioning to the new approach will allow reaching the global leadership of Russia in the sphere of telemedicine.
Keywords: International integration, Financial and economic integration, Sustainable development, Kyrgyzstan, EAEU.
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Abdula M. Chililov 
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