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<article article-type="review-article" dtd-version="1.3" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xml:lang="ru"><front><journal-meta><journal-id journal-id-type="publisher-id">spbmedicalrecords</journal-id><journal-title-group><journal-title xml:lang="ru">Новые Санкт-Петербургские врачебные ведомости</journal-title><trans-title-group xml:lang="en"><trans-title>New St. Petersburg Medical Records</trans-title></trans-title-group></journal-title-group><issn pub-type="ppub">1609-2201</issn><publisher><publisher-name>Первый Санкт-Петербургский государственный медицинский университет имени академика И.П. Павлова</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="doi">10.24884/1609-2201-2026-105-1-110-114</article-id><article-id custom-type="elpub" pub-id-type="custom">spbmedicalrecords-140</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Article</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="ru"><subject>НОВЫЕ МЕТОДИЧЕСКИЕ ПОДХОДЫ В МЕДИЦИНЕ</subject></subj-group><subj-group subj-group-type="section-heading" xml:lang="en"><subject>NEW METHODOLOGICAL APPROACHES IN MEDICINE</subject></subj-group></article-categories><title-group><article-title>Врачебные телеконсультации пациентов пожилого возраста – проблемы становления методик</article-title><trans-title-group xml:lang="en"><trans-title>Sublingual Bupraxon tablets in cancer patients: initial results from real-world clinical practice</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9972-0304</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Катюхин</surname><given-names>В. Н.</given-names></name><name name-style="western" xml:lang="en"><surname>Katyukhin</surname><given-names>V. N.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Катюхин Валерий Николаевич, доктор медицинских наук, профессор, зав. кафедрой терапии</p><p>199098, Санкт-Петербург, ул. Калинина, д. 8 литер А</p></bio><bio xml:lang="en"><p>Valery N. Katyukhin, Dr. of Sci. (Med.), Professor, Head of the Department of Therapy</p><p>Saint Petersburg</p></bio><email xlink:type="simple">kvnspiuvek@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib><contrib contrib-type="author" corresp="yes"><contrib-id contrib-id-type="orcid">https://orcid.org/0009-0000-4547-0741</contrib-id><name-alternatives><name name-style="eastern" xml:lang="ru"><surname>Кавталюк</surname><given-names>Д. В.</given-names></name><name name-style="western" xml:lang="en"><surname>Kavtalyuk</surname><given-names>D. V.</given-names></name></name-alternatives><bio xml:lang="ru"><p>Кавталюк Дарья Владимировна, клинический ординатор, университет «Реавиз»; участковый врач-терапевт, медицинский центр «ОДОНТ»</p><p>Санкт-Петербург</p></bio><bio xml:lang="en"><p>Darya V. Kavtalyuk, clinical resident; district physician therapist, «ODONT» Medical Center </p><p>Saint Petersburg</p></bio><email xlink:type="simple">darya_kavtalyuk@mail.ru</email><xref ref-type="aff" rid="aff-1"/></contrib></contrib-group><aff-alternatives id="aff-1"><aff xml:lang="ru"><institution>Университет РЕАВИЗ</institution><country>Россия</country></aff><aff xml:lang="en"><institution>University «Reaviz»</institution><country>Russian Federation</country></aff></aff-alternatives><pub-date pub-type="collection"><year>2026</year></pub-date><pub-date pub-type="epub"><day>08</day><month>07</month><year>2026</year></pub-date><volume>0</volume><issue>1</issue><fpage>110</fpage><lpage>114</lpage><permissions><copyright-statement>Copyright &amp;#x00A9; Катюхин В.Н., Кавталюк Д.В., 2026</copyright-statement><copyright-year>2026</copyright-year><copyright-holder xml:lang="ru">Катюхин В.Н., Кавталюк Д.В.</copyright-holder><copyright-holder xml:lang="en">Katyukhin V.N., Kavtalyuk D.V.</copyright-holder><license xml:lang="ru" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>Данная работа распространяется под лицензией Creative Commons Attribution 4.0.</license-p></license><license xml:lang="en" license-type="creative-commons-attribution" xlink:href="https://creativecommons.org/licenses/by/4.0/" xlink:type="simple"><license-p>This work is licensed under a Creative Commons Attribution 4.0 License.</license-p></license></permissions><self-uri xlink:href="https://www.docved.ru/jour/article/view/140">https://www.docved.ru/jour/article/view/140</self-uri><abstract><p>Приведены указания литературы и собственные данные по методике проведения врачебных телемедицинских (дистанционных) консультаций пациентов старших возрастных групп, имеющих ментальные особенности и трудности освоения навыков цифрового взаимодействия.</p></abstract><trans-abstract xml:lang="en"><p>This article provides references and our own data on the methodology for conducting medical telemedicine (remote) consultations with elderly patients with mental disabilities and difficulties in mastering digital interaction skills.</p></trans-abstract><kwd-group xml:lang="ru"><kwd>дистанционное врачебное консультирование</kwd><kwd>визуальный контакт</kwd><kwd>невербальное взаимодействие</kwd><kwd>пациенты пожилого возраста</kwd><kwd>ментальные отклонения</kwd><kwd>цифровое взаимодействие</kwd><kwd>рекомендации по фармакотерапии</kwd><kwd>комбинированная модель взаимодействия врача и пациента</kwd></kwd-group><kwd-group xml:lang="en"><kwd>remote medical consultation</kwd><kwd>visual contact</kwd><kwd>non-verbal interaction</kwd><kwd>elderly patients</kwd><kwd>mental disabilities</kwd><kwd>digital interaction</kwd><kwd>drug therapy recommendations</kwd><kwd>combined model of doctor-patient interaction</kwd></kwd-group></article-meta></front><back><ref-list><title>References</title><ref id="cit1"><label>1</label><citation-alternatives><mixed-citation xml:lang="ru">Ryu S. 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