All articles by Reshetnikova I. S.
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2023 № 12 Using MVP in the development of a software product for an infectious disease monitoring information system.
In world practice, the effectiveness of management decisions taken to organize medical care for the population in the context of the COVID‑19 pandemic is associated with the construction of mathematical models based on statistical data implemented in the software of medical information systems and the development of digital technologies that allow remote observation and interaction with the patient.
As information about COVID‑19 accumulates, the issue of automating the processes of collecting, accumulating, storing, analyzing and visualizing medical data has become relevant for executive authorities in the field of protecting the health of citizens in the Russian Federation.
Purpose of study. To develop and to implement a software module for monitoring infectious diseases to automate basic business processes related to the provision of medical care to patients with COVID‑19.
Methods. The basis for the development of MVP was the e-document flow system (EDF) «Bureaucrat». The main tool was the CUBA platform, and the following technologies were used: Spring, Groovy, YARG, HL7, SOAP, REST API, Tomcat, Vaadin, Activiti.
Results. At the first five stages of creating an MVP information system for monitoring infectious diseases, the “Questionnaire” and “Observation Sheet” forms were introduced, and also integration with the Federal Register of COVID‑19 Patients was carried out, functionality for creating emergency notifications about infectious diseases was introduced, and integration with the regional information system was partially implemented. The sixth and seventh stages provided for the separation of MVP based on the Bureaucrat EDF into an independent software product with expanded functionality.
Conclusions. As a result of the work, a software product was obtained, first as a module within the Bureaucrat EDF, and then as an independent information system “Infections.Net”, which was able to quickly act as an addition to RMIS in the Tyumen region and automate all necessary business processes at the regional level related to work on COVID‑19 patients in a short time frame. -
2023 № 4 Evaluation of the effectiveness of using remote monitoring of blood pressure in the dispensary observation of patients with arterial hypertension
Arterial hypertension (AH) is by far the most important risk factor for cardiovascular disease. An effective method of dealing with high blood pressure (BP) is dispensary observation. Of particular relevance is the search for new tools to improve the dispensary observation of patients with hypertension, one of which may be remote monitoring of blood pressure, as an option for providing medical care using telemedicine technologies.
Purpose of study – Analysis of the effectiveness of using remote monitoring of blood pressure in the dispensary observation of patients with hypertension.
Methods. A non-randomised, open-label, generalized, single-centre, retrospective, longitudinal, parallel, applied study included 78 patients who completed a remote blood pressure monitoring program who were subsequently divided into 2 groups depending on the degree of achievement of target values of blood pressure (<135/85 mm Hg).
Results. During the observation period, all patients (n=78) experienced a decrease in SBP by 8.2 mmHg, DBP at 3.8 mmHg. Group 1 consisted of 35 patients who reached target levels of blood pressure, group 2 included 43 patients who did not reach target levels of blood pressure. Initially, the groups did not differ in sex and age, while in the second group, the initial values of SBP and DBP were higher. The study found that the degree of achievement of target levels of blood pressure is influenced by the following factors: the level of SBP and DBP at the beginning of observation, the proportion of extraordinary measurements with blood pressure levels above 135/85 mmHg during the observation period, the proportion of missed blood pressure measurements during the observation period, as well as the duration of remote monitoring.
Conclusions. Remote monitoring of blood pressure is an effective tool for improving the dispensary observation of patients with arterial hypertension and can improve the availability and quality of medical care.