2022 № 7 Data-based management in imaging: evaluation of the performance of a unified radiological information service model
The development and availability of information technologies covers all spheres of society, providing ever newer and more advanced means of automating processes and structuring data, primarily in order to improve management efficiency.
Radiation diagnostics, due to its clinical significance, is one of the key areas of modern healthcare. At the same time, it is distinguished by an extremely high degree of digitalization, which creates extensive opportunities for the development and improvement of organizational and managerial aspects. An analytical study was carried out on the principles of a systematic approach, consisting of three stages.
First stage. The main phases and indicators of the development of a single digital circuit for radiodiagnosis in Moscow are characterized: the dynamics of the integration of diagnostic equipment, the structure of medical organizations, the rate of accumulation of the results of radiological examinations by modality.
Second phase. The analysis of the influence of a single digital circuit of radiodiagnosis on the level of informatization of medical organizations and informatization of the health care system of a constituent entity of the Russian Federation was carried out, its compliance with the requirements of the Ministry of Health of Russia was assessed.
Third stage. The analysis of the influence of a single digital circuit of radiodiagnosis on the level of digital maturity of the health care system of a constituent entity of the Russian Federation was carried out.
The practical implementation of the model of a single digital circuit for radiation diagnostics of an administrative-territorial unit was carried out in the period 2015–2020 in Moscow.
The Unified Radiological Information Service (UIS) of Moscow was created – an information system in the field of healthcare that combines the workplaces of radiologists, radiologists and diagnostic equipment, accumulates information about each study or a series of studies conducted on devices connected to it, is equipped with additional tools for solving analytical, managerial and organizational tasks.
The analysis of the significance of ERIS EMIAS as an implemented single digital circuit for radiodiagnosis of a subject of the Russian Federation was carried out.
The development of URIS EMIAS ensured a steady increase in the level of informatization coverage of medical organizations that have radiation diagnostics units in their composition.
2016 № 6 Improving the efficiency of operation of robotic systems for medical rehabilitation through the implementation of information and telecommunication technologies
s. Currently, the actual implementation is to study the possibilities of telemedicine and telecommunication technologies in the operation of high-tech medical equipment, such as robotic surgery and rehabilitation complexes. Increasingly in demand methods of personalized medicine, the computerization of administrative and business procedures. Widely implemented public health practice in technology automation jobs of medical specialists, registry staff, laboratories, diagnostic rooms, pharmacies, accountants and managers, electronic document management and electronic patient records. Promising is the use of information technology for telemedicine and remote of the medical-diagnostic and rehabilitation methods. The purpose of this article is to state data coverage problems in the actual practice of national health care and the analysis of the possible prospects of development of telemedicine in health care with the introduction of cluster systems.
2017 № 8 Telemedicine: dreams and realities
The adoption of the Federal law directly affecting telemedicine was expected for a long time. So the law has generated great interest in the medical community. However, a large number of evaluations of the new law is not accompanied by serious analysis. Meanwhile, despite the apparent «breakthrough» of the right regulation of telemedicine, the possibilities of practical use of telemedicine technologies remain very limited. This is due to the legal boundaries of the use of telemedicine technologies, and organizational and financial. This article discusses these and other issues related to the practical aspects of using telemedicine
2019 № 8 Reference center of radiology: justification and concept
The situation in radiology (intensive growth of infrastructure against the background of organizational, methodical
and managerial problems) requires a new system approach to organization and management. The concept of radiology
reference center as a structure in the health care system is supposed to provide remote assessment, interpretation, description and control of radiological studies performed in medical centers of all forms of ownership, with the use of telemedicine technologies. The reference center should simultaneously solve organizational, methodological, therapeutic, diagnostic, educational problems, information and coordination tasks and scientific issues. The concept is based on systematized results of publications and own successful experience of creation and effective functioning of the reference center on the basis of the State Funded Healthcare Institution of Moscow “Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies, Department of Health Care of Moscow”. Basing on the concept, it is necessary to keep developing the scientific and practical aspects of normative, legal and methodological support of the activities of radiology reference centers.
2016 № 8 Modern methods of vital signs monitoring in the era of telemedicine
Annotation. Over the past decade remote monitoring technologies have come into routine clinical practice to increase availability and quality of healthcare. Remote monitoring is transforming healthcare to an individual-centered healthcare model, that ensure early detection and prevention of chronic diseases and their complications. In this paper we will review modern aspects of telemedicine in patients with chronic diseases.
2020 № 10 Telemedicine in the EAEU countries: reality and prospects
This article is devoted to a comprehensive analysis of telemedicine in the countries of the Eurasian Economic Union:
its legal regulation, methods of implementation and development prospects. The authors pay attention not only to a comparative legal analysis of telemedicine regulation in the EAEU countries, but also to determining the possibility of creating a general agreement on telemedicine between the Russian Federation, the Republic of Belarus, the Republic of Armenia, the Republic of Kazakhstan and the Kyrgyz Republic. Identifying gaps in the national regulation of telemedicine in these countries, the authors point out the aspects in which it is necessary to harmonize the regulatory framework for telemedicine consulting, and also provide for those provisions that must be necessarily disclosed in the agreement on telemedicine within the EAEU.