All articles by Voshev D. V.
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2023 № 11 Digital evolution in Healthcare: Trends and legal regulation of Digitalization of primary Health Care in the Russian Federation (analytical review).
Relevance. Digital evolution in the field of healthcare brings significant changes to the provision of primary health care in the Russian Federation. This process requires a comprehensive analysis and adequate legal regulation in order to ensure the effective implementation of innovative technologies, protection of the rights of patients and medical workers.
The purpose of the study: is to analyze the current trends in the digitalization of primary health care in the Russian Federation and the existing legal regulation of the digitalization process in the field of primary health care in the Russian Federation.
Materials and methods: the review is based on publications on the selected topic in the PubMed and eLibrary databases (n = 56), consideration of Russian regulatory legal acts related to digitalization in healthcare, including PHC, as well as the study of domestic and international experience in this field.
Results. The study revealed the main trends and prospects for the development of digitalization of primary health care in the Russian Federation. The analysis of publicly available publications made it possible to identify the main regulatory legal acts that regulate the process of digital transformation in the Russian Federation, including the PHC area. The technologies and services actively implemented in the state healthcare system were studied, and it was revealed that the active dissemination of information via the Internet creates the need to improve the mechanisms for protecting the confidentiality of patients’ medical data. It was also found that in the context of the rapid development of digital technologies in healthcare, various aspects of legal regulation need to be reviewed, including organization, liability
measures, guarantees and control. These conclusions emphasize the need for further analysis and improvement of legal regulation in this area to ensure effective and secure digital transformation in the field of primary health care in Russia.
Conclusion. Digital transformation of healthcare is an integral part of the modernization of the Russian healthcare system and requires a comprehensive and balanced approach, taking into account all possible risks and benefits. It is worth emphasizing the need to work out effective legal regulation mechanisms to minimize possible risks and ensure maximum safety and efficiency of the digital transformation process in the Russian healthcare sector.
The scope of the results. The results of the study can be used to improve legislation in the Russian Federation in the field of digitalization of healthcare, including primary health care, as well as to develop strategies and mechanisms for effective implementation of digital technologies in this area. -
2023 № 10 Chatgpt as one of the elements of digital health literacy: the transformation of healthcare and primary health care.
Artificial intelligence (AI) plays an important role in digital healthcare, including primary health care, and large language models make a significant contribution to this progress. ChatGPT, the newest language model, has aroused interest in the global community, including in the healthcare sector, and attracted attention to the study of large language models in terms of their usefulness and safety of practical use. This article explores the role of ChatGPT as a tool for improving digital health literacy, assessing its benefits and potential risks in the context of modern healthcare and primary health care.
Purpose of the study is to еvaluate the potential benefits and challenges of integrating ChatGPT into the healthcare system, including primary health care, as an element of digital health literacy.
Materials and methods. A systematic search was conducted in PubMed/MEDLINE and Google Scholar.
Results. In the course of this study, concerns were found about the use of ChatGPT. These concerns include ethical issues, transparency and legal aspects, the risk of bias, misquotes, and information security.
Findings. ChatGPT is a valuable tool for improving digital health literacy and its implementation can lead to drastic changes in medical education, research and practical healthcare, but its use should be carried out with caution: the cooperation of regulatory authorities of all countries of the world is required. This approach will make it possible to develop legal norms regulating the code of ethics, which will become the basis for the «responsible» use of ChatGPT and other AI-based models in the field of medical education, scientific research and practical healthcare.