2020 № S5 Healthcare information systems and organizational model of care: current situation and opportunities for progress
The paper discusses possible improvement of healthcare through extension of its organizational model and better utilization of medical information systems. A brief review of ‘classical’ healthcare informatization tools is given with their relation to the steps of healthcare workflow that they intend to optimize. All consumers of healthcare are divided in four target audiences based on their needs in care and health preservation. Concepts of ‘health continuum’ and ‘continuum of care’ are discussed, with special focus on the parts of care continuum where informatization is currently lacking. The underlying reasons for such gaps are limitations of the prevailing healthcare organizational model. The current biomedical diagnosis-centric model of care is compared with biopsychosocial person-centric model.
Further progress of healthcare through wider application of biopsychosocial model should expand opportunities for informatization.
2020 № S5 Patient-centered online platform as a service of digital healthcare ecosystem
Opportunities of healthcare informatization tools are closely related to and limited by requirements of the corresponding
model of care. The paper covers specific features of biopsychosocial patient-centered (BPC) model and their implications for informatization. Some approaches to automation of BPC model are discussed: ecosystem architecture and patient-centered online platform that provides communication infrastructure for consumers and providers of health services. Operation principles, functions and services of the platform are described that should help the platform meet the requirements of BPC model. The proposed online platform can supplement the existing healthcare informatization tools in addressing the challenge of chronic diseases epidemic.