OBJECTIVES: Due to high prevalence of socially significant chronic diseases among children the introduction of information technologies in the process of interaction between doctor and patient is important. The aim: to analyze the prospects of the development of remote monitoring systems, to identify their shortcomings and to propose solutions. METHODS: The review had included 36 publications, 1 meta-analysis concerning telemedicine from 2001 to 2014 y. In the evaluated studies the following questions were explored: • research of social and economic aspects of telemedicine (evaluation of usefulness); • the view of information systems or architectures. The following characteristics were taken: • purpose of the system; • interaction of patients and physicians; • training and impact on lifestyle - the formation of health-preserving behaviors (with the exception of smoking, adequate physical activity, etc.); • self-management. RESULTS: The following problems of implementation of telemedicine systems were identified: • high cost, the need to purchase special equipment and devices; • the need for training and motivation of both staff and patients; • lack of a unified architecture, protocol stack and hardware-software platform for the integration of systems at all stages of the process - from data collection to its processing, decision-making and patient feedback. Despite the fair amount of existing telemonitiring systems almost all of its provide only data collection, while the entire analytical part falls on the doctor. Almost all of studies were focused on the elderly and adults. CONCLUSIONS: A promising direction is the development of a prototype system for remote health monitoring in pediatric patients. The study was supported by the Russian Foundation for Basic Research, the project ¹ 13-04-12055.