Data Sheet 6_Digital infrastructure and proxies of ambulatory care access in Russia, 2018–2024: a regional panel study with a national telemedicine signal analysis.xlsx

作者：Artem Bobkov, Tatiana Bobkova (24269043), Liuying Wang (2074483), Nikita Sokolov (24269046), Jinpeng Xu, Fangmin Deng, Valery Royuk, Zheng Kang (548593) · 发表于：Figshare · 年份：2026 · DOI：10.3389/fdgth.2026.1856577.s007 · 研究领域：Medicine、Medical emergency、Business、Emergency medicine、Operations management、Geography、Family medicine、Actuarial science

Background In the present study, telemedicine volume is considered in a bounded measurement sense: as an administratively registered count of remote care activity whose relationship to access expansion requires separate assessment. Its interpretation remains uncertain in a territorially uneven environment, where territorial digital readiness and the resource configuration of the ambulatory sector shape the infrastructural-resource context, while the reporting regime affects the composition of the registered flow. The study assessed regional proxies of ambulatory contact and structural capacity; the national Russian Federation–year series was examined separately as a measurement signal sensitive to the composition of the reported flow and its temporal stability. Methods An observational regional panel study used official data for 85 Russian territories in 2018–2024, comprising 595 region–year observations. Sources were Rosstat/EMISS and Form No. 30. Outcomes were physician visits per 1,000 population, treated as the realized contact intensity (RCI) proxy, and ambulatory care organization (ACO) capacity per 10,000 population, treated as the structural capacity of ambulatory care (SCA) proxy; both were aggregated regional proxies, without extrapolation to individually realized access. The digital environment was measured using the Digital Infrastructure Index (DII). Analyses included descriptive diagnostics, correlations, two-way fixed effects (TWFE) models, and first-difference...