2021 № 4 REMOTE EFFECT OF IMMUNOPROPHYLATICS OF INFECTIOUS DISEASES ON THE APPEALS OF CHILDREN TO THE POLYCLINIC
The structure of complaints about diseases of 28,432 children aged 0 to 14 years was studied, for the period from 2006 to 2019 to a medical organization against the background of vaccination. The data of the medical information system were used. To compare the distributions of values in vaccinated and unvaccinated children, the “copy-pairs” method and the nonparametric Mann-Whitney test were used. It was found that the analysis of data over a long period of time, allows you to identify special effects. Thus, the vaccinations given to children do not lead to a decrease in the number of visits for diseases, but lead to changes in the structure of visits by children in ICD‑10 classes. In unvaccinated children, the proportion of requests for diseases of the genitourinary system, infectious and parasitic diseases is significantly higher than in vaccinated children. Starting from the age of 4 years, the proportion of vaccinated children with diseases of the digestive system is higher than that of unvaccinated children.
2020 № 3 Modern approaches to the analysis of the formation of pathology in children
The mathematical method “oriented trees with estimates” is used to study the structure of 411,581 requests from 71,483 children to a medical organization for primary diseases. The data of the medical information system of the hospital for 2015–2018 were used. The regularities of the sequence of pathology formation in 35,288 children under 7 years old and 36,195 children from 7 to 17 years old and the average age of detection of diseases are established. So, the onset of the disease J06.9 (depending on age) is expected to be 1.9–4.6 times more likely if there was one of the diseases G93.8 or G94 before than after one of the diseases J20.9 or J20.8 according to ICD-10. The data obtained can be used for individual preventive work with children.
2018 № 6 The effectiveness of the model of the integrated information support of the process of providing medical care to patients of trauma and orthopedic surgery
In the article the questions of application of information technology in the practice of specialized medical institutions traumatologic and orthopedic surgery. The model integrated information support that solves specific business challenges: improving quality of health care, reducing costs and generally improving efficiency in general
2014 № 11 Personalized record-keeping of persons involved in the health care (Military medical academy of S.M. Kirov, Saint-Petersburg, Russia).
It was carried out an analysis of the current state of the procedure of personal record-keeping in the process of medical care conduction of persons involved in the health care and its impact on the public health system. There were substantiated and formulated some proposals to improve it as well as prospects of application in medical information systems.
2018 № 2 Financing of Informatization of Public Health in Russia in 2013–2016
The analysis of state purchases of software and services for the informatization of health care for the period 2013-2016 was carried out. As the study materials, public data from the public procurement portal on procurement of software and health information services, which were conducted under Federal Law No. 44-FZ of 5.04.2013, were used. Data on procurement of hardware, activities to ensure information security or provision of communication channels in this study have not been studied. The work analyzes the main statistical indicators of competitive procedures, data on the winners of tenders and auctions, data on the main areas of financing, the distribution of funding by region, types of costs and types of software. In general, for informatization of health care, at least in terms of software and related services, Russia spent about 4-5 billion rubles over the past 4 years. in year. In 2015, the volume of financing decreased significantly - by 44.4% to the level of 3.6 billion rubles, in 2016 showed an increase of 10%. Financing of health informatization is carried out mainly through regional budgets, extrabudgetary funds and MHI. Over the past time, the situation with developers and applied solutions has generally stabilized. The main funding is allocated to regional systems with a 61% share of costs, as well as medical information systems of an institutional level with a 27% share of costs
2014 № 1 Creation of regional fragments EGISZ/USISHC Unique State Information System in the Health Car: current results and analysis of programs on further development of information systems in the health care («Complex medical information systems» Company (K-MIS), Petrazavodsk, Russia)
There has been completed a review of results on creation of regional fragments of Unique State Information system in the health care (USISHC) within 2011–2012 years, as well as other planned events on informatization development in regions in 2013–2020 years. There have been presented main statistic indicators of reached goals, review of planned regional events and criteria of their efficiency.
2020 № 7 Preparedness of medical personnel to work
The analysis of administrative and medical personnel equipment of medical organizations in the Arkhangelsk region with computer equipment was presented. The level of computer competence and readiness of medical personnel to work with medical information systems on the basis of the state budget health organisation of Arkhangelsk region “Arkhangelsk city clinical hospital № 7” was studied. Management decisions taken to improve the quality and availability of medical services were shown.
2020 № 1 Application of distributed registry technology and smart contracts in medicine
Аuthors consider the technology of distributed registries and, in particular, blockchain as one of the potential technical solutions that can ensure the protection of patient data. According to the authors, the technology of distributed registers should be used to collect primary data, verify the interaction of various institutions, work with electronic medical records. The use of blockchain technology can lead to the creation of a comprehensive system of «health», within which it will be possible to make the transition to personalized medicine.