PERSPECTIVES OF IMPLEMENTING MODERN INFORMATION AND COMMUNICATION SYSTEMS AT THE PRIMARY MEDICAL HEALTH CARE LEVEL
Keywords:
quality of health care, automated information and communication system, remote monitoringAbstract
The aim is to analyze the existing systems and develop new information and communication software tools that will enable to quickly identify, analyze and monitor human psycho-emotional and physical health conditions.
Materials and methods. The study applied the systematic approach, the meta-analysis, the information analytical systems` scheme design of the technical specifications and expositive modelling systems. A concept of module-based, automated, multifunctional information, and communication system with a service platform has been developed. The service platform is intended for monitoring and controlling basic physiologic metrics that determine human health conditions with an obligatory involvement of patients in the prevention and treatment process.
Results and discussions. The quality components of health care have been reviewed and strategies for improvement identified. Additionally, key issues of involving a patient in the process of long-term observation and control of basic body indicators have been analyzed. These issues deserve more consideration and study in order to improve the availability and quality of health care. The study substantiated the relevance of implementating information and communication technologies at the level of the primery health care institution for improving the medical services quality.
Conclusions. The issue of heals care quality assurance provided to the population is one of the regional health departments priorities. Electronic health care tools are considered as a means for providing the modern heals care level to a patient. A remote two-way medical information exchange between patients and doctors provides an important opportunity for communication, increased responsibility and participation of patients in their own health monitoring.
References
Абдулаев В.Г. Мобильные приложения для здороья / В.Г. Абдулаев, Т.К. Аскеров, И.В. Чуба // Радиоэлектроника и информатика. – 2014. – Т. 1, № 64. – С. 89-92.
Берсенева Е. А., Седов А. А. Автоматизированный лексический контроль как средство повышения качества медицинских документов. // Менеджер здравоохранения. – 2014. – № 2. – С. 49–53.
Гойда Н.Г., Горачук В.В. Медико-соціологічна інформація як інструменти управління якістю медичної допомоги / Тези доповідей конференції з міжнародною участю «Медична та біологічна інформатика та кібернетика: віхи розвитку». – Київ, 2011. – С. 27.
Здоровье–2020. Основы политики истратегии / Шестьдесят вторая сессия, Европейский региональный комитет EUR/RC62/8, Мальта, 10-13 сентября. Док. EUR/RC62/Conf.Doc./8. – EPK ВОЗ, 2012. – 192 с.
Здоровье 21 – здоровье для всех в 21-ом столетии // Европейская серия «Здоровье для всех». – ВОЗ, Копенгаген, 1999. – 314 с.
Мобільні технології для моніторингу показників стану здоров’я / Н. В. Дорош, К. І. Ільканич, О. І. Дорош, І. Р. Бойко // Вісник соціальної гігієни та організації охорони здоров’я України. – 2017. – № 3. – С. 47-50. – Режим доступу: http://nbuv.gov.ua/UJRN/VSG_2017_3_11.
МОЗ України та представники громадської ініціативи підписали меморандум щодо співпраці в розробці e-health. URL: http://moz.gov.ua/article/news/moz-ukraini-ta-predstavniki-gromadskoi-iniciativi-pidpisali-memorandum-schodo-spivpraci-v-rozrobci-e-health.
Організація контролю якості медичної допомоги в закладах охорони здоров’я / Ю. В. Вороненко, Н. Г. Гойда, О. З. Децик та ін., Методичні рекомендації. – Київ, 2013. – С. 24-25.
Предварительный обзор инстуциональных моделей выполнения основних оперативних функций общественного здравоохранения в Европе. – Копенгаген: ВОЗ, Европейское региональное бюро, 2012. – 45 с.
Про затвердження Концепції управління якістю медичної допомоги у галузі охорони здоров’я в Україні на період до 2020 року : Наказ МОЗ України від 01.08.2011 № 454 / [Електронний ресурс]. – Режим доступу: http://www.moz.gov.ua/ua/portal/dn_20110801_454.html.
Про порядок контролю якісті медичної допомоги : Наказ МОЗ України від 28.09.2012 № 752. / [Електронний ресурс]. – Режим доступу: https://zakon.rada.gov.ua/laws/show/z1996-12.
Рынок мобильных приложений для бизнеса. URL: http://zdrav.expert/index.php/.15.
Reisa A., Pedrosab A., Douradoc M., Reisd C. Information and Communication Technologies in Long-term and Palliative Care. Procedia Technology, 2013. Vol. 9, pp. 1303–1312.
Beaglehole R. & Yach, D. Globalisation and the prevention and control of non-communicable disease: the neglected chronic diseases of adults. The Lancet, 2003. 362(9387), 903-908.
Causes of death 2008: data sources and methods. Geneva, World Health Organization, 2011. Available from: https://www.who.int/healthinfo/global_burden_disease/cod_2008_sources_methods.pdf.
Cline R. J. & Haynes, K. M. Consumer health information seeking on the Internet: the state of the art. Health education research, 2001. 16(6), 671-692.
Clinical pharmacogenetics and potential application in personalized medicine / S. F. Zhou, Y. M. Di, E. Chan [et al.] // Curr. Drug Metab. – 2008. – Vol. 9, No. 8. – P. 738-784.
Das J, Chowdhury A, Hussam R, Banerjee A. The impact of training informal health care providers in India: a randomized controlled trial. Science. 2016; 354 (6308): aaf7384. doi: http://dx.doi.org/10.1126/science.aaf7384 PMID: 27846471.
DeGoma E. M. Personalized vascular medicine: individualizing drug therapy / E. M. DeGoma, G. Rivera, 5. M. Lilly // Vascular Med. – 2011. – Vol. 16, No. 5. – P. 391-404.
Demiris G., Afrin LB, Speedie S., Courtney K.L., Sondhi M., Vimarlund V., Lovis C., Goossen W., Lynch C. Patient-centered applications: use of information technology to promote disease management and wellness: a white paper by the AMIA Knowledge in Motion Working Group. J Am Med Inform Assoc. 2008;15:8–13. doi: 10.1197/jamia.M2492.
Ginsburg G. S. Prospects for personalized cardiovascular medicine: the impact of genomics / G. S. Ginsburg, M. P. Donahue, L. K. Newby // J. Am. Coll. Cardiol. – 2005. – Vol. 46, No. 9. – P. 1615-1627.
Global action plan for the prevention and control of noncommunicable diseases 2013-2020. World Health Organization. 2013; 2; 107.
Global digital population as of January 2019 (in millions) URL: https://www.statista.com/statistics/617136/digital-population-worldwide/.29.
Global report on diabetes, 2016. Geneva: World Health Organization; 2016, Availablе from: http://apps.who.int/iris/ bitstream/handle/10665/204871/9789241565257_eng.pdf.
Global status report on noncommunicable diseases 2010. Geneva: World Health Organization. 2013. Available from: https://apps.who.int/iris/bitstream/handle/10665/44579/9789244564226_rus.pdf.
Heiby J. The use of modern quality improvement approaches to strengthen African health systems: a 5-year agenda. Int J Qual Health Care. 2014 Apr;26(2):117–23. doi: http://dx.doi.org/10.1093/intqhc/mzt093 PMID: 24481053.
Implementing WSIS Outcomes: А Ten-Year Review / United Nations Conference on Trade and Development World Summit on the Information Society. Geneva, 2015.
Kidd, L.; Cayless, S.; Johnston, B. & Wengstrom, Y. Telehealth in palliative care in the UK: a review of the evidence. Journal of Telemedicine and Telecare, 2010. 16(7), 394-402.
Ling-Zhi Kong China’s Medium-to-Long Term Plan for the Prevention and Treatment of Chronic Diseases (2017–2025) under the Healthy China Initiative. Chronic Diseases and Translational Medicine. – 2017. – Vol. 3, Issue 3, 135-137, doi.org/10.1016/j.cdtm.2017.06.004.
Littlejohns, P.; Wyatt, J. C. & Garvican, L. Evaluating computerised health information systems: hard lessons still to be learnt. Bmj, 2003. 326(7394), 860-863.
Maternal and Child Undernutrition Study Group. What works? Interventions for maternal and child undernutrition and survival / Bhutta Z.A., Ahmed T., Black R.E., Cousens S., Dewey K., Giugliani E. [et al] // Lancet. – 2008 Feb 2; 371(9610):417–40. doi: http://dx.doi.org/10.1016/S0140-6736(07)61693-6 PMID: 18206226.
Nilsson, C.; Skɞr, L. & Sɰderberg, S. Swedish district nurses’ experiences on the use of information and communication technology for supporting people with serious chronic illness living at home–a case study. Scandinavian journal of caring sciences, 2010. 24(2), 259-265.
Number of smartphones sold to end users worldwide from2007 to 2018 (in million units). URL: https://www.statista.com/ statistics/263437/global-smartphone-sales-toend-users-since-2007.
Redekop W. K. The faces of personalized medicine: a framework for understanding its meaning and scope / W. K. Redekop, D. Mladsi //Value Health. – 2013. – Vol. 16, Suppl. 6. – P. 4-9.
Reis C. I.; Freire C. S.; Fernбndez J. & Monguet J. M. Patient Centered Design: Challenges and Lessons Learned from Working with Health Professionals and Schizophrenic Patients in e-Therapy Contexts’ ENTERprise Information Systems. Springer, 2011. pp. 1-10.
Ruiz, J. G.; Mintzer, M. J. & Leipzig, R. M. The impact of e-learning in medical education. Academic medicine, 2006. 81(3), 207-212.
Smeyanov V, Tarasenko S, Smeyanova O. Development and application of the informational and communication technologies in quality standards of health care management for patients with arterial hypertension. Georgian Medical News. 2014;7(232): 65–68.
Strandberg, E. L.; Ovhed, I.; Borgquist, L. & Wilhelmsson, S. The perceived meaning of a holistic view among general practitioners and district nurses in Swedish primary care: a qualitative study. BMC Family Practice, 2007. 8(1), 8.
The impact of electronic health records on workflow and financial measures in primary care practices / Fleming N., Becker E., Culler S. [et al.] // Health Services Research. 2014 Feb; 49(1 Pt 2):405–420. American Medical Association. Department of Health and Human Services – Centers for Medicare and Medicaid Services. Chronic care management services. 2016.
WHO global strategy on people-centred and integrated health services. Geneva: World Health Organization; 2015. Available from: http://apps.who.int/iris/bitstream/10665/155002/1/WHO_HIS_SDS_2015.6_eng.pdf.
