The article presents results of comparative analysis of modern telemedicine technologies and organizational models of their implementation in health care system. On the basis of study of national and international experience, the rationale for perspective model of geriatric telemedicine contact center is presented. Its role and place in the structure of remote medical care support in the Russian Federation is determined. The article considers key directions application of areas of telemedicine: synchronous and asynchronous tele-consultation, remote methodological support, tele-training and tele-monitoring. The elderly patient usually has difficulty with moving on long distances. Therefore, special attention is paid to development of out-of-office and home tele-monitoring using wearable devices, expert systems, and soft hardware complexes permitting to automatize processes of diagnostic and correction and to apply remote interaction as well. The original model of geriatric telemedicine contact center includes front-office for primary reception and routing of requests, counseling module with involvement of accredited experts, methodological module for supporting various categories of users and monitoring module for dynamic control of indicators of life activity. The model is primarily directed toward elderly patients with limited mobility that is conditioned by high need of this category of citizens for accessible and continuous medical care. The economic efficiency of telemedicine solutions capable to decrease treatment costs, to reduce the number of hospitalizations and to unload hospital sector. In conclusion, expediency of organization of Federal profile center instead of multiple territorial divisions to optimize resources and to ensure uniform standards of remote geriatric care on national basis is substantiated.

telemedicine, tele-monitoring, telemedicine contact-center, information technology, out-of-office tele-monitoring, home tele-monitoring, expert systems, geriatrics.