2017 № 3 Functional requirements for healthcare quality information system
One of the main objectives of the adoption of the Law of the Russian Federation of 29.11.10, No. 326-FZ «About compulsory medical insurance in the Russian Federation» is a significant improvement of the quality of medical care for Russian citizens. In accordance with the norm of Article 4 of the Law, the main principle of compulsory health insurance is to «...create conditions for ensuring the accessibility and quality of medical care provided under compulsory health insurance programs». Healthcare quality assessment can be implemented using the following methods:
- medical standards compliance inspections;
- pharmacotherapy effectiveness inspections;
- medical and economical quality control;
- questioning the quality of medical care, medical institutions rating, and medical staff rating.
These methods allow to formulate the functional requirements for a healthcare quality information system. In practical implementation, such a system should contain a knowledge base on the basis of which it is possible to develop a formal scheme for the process of solving the tasks, as well as the implementation of the proposed knowledge representation model and the decision-making procedure
2020 № 2 Informatization in public health: from standards to expert systems
According to the updated requirements of the Ministry of Health of Russia, the main document regulating the treatment and diagnostic process are clinical recommendations. The guidelines for clinical recommendations, based on the results of randomized trials, determine the doctor’s actions when making a diagnosis, and choosing a rational treatment. However, the rudimentary format for the placement of information on paper significantly limits their operation. The capabilities of IT technologies allow integrating clinical recommendations into the structure of expert systems. On the example of the expert system “Treatment of chronic heart failure” the possibilities and prospects of informatization of the diagnostic process are presented.