Articles

Background. Telemedicine is an important tool for ensuring the availability of medical care, contributing to the reduction of morbidity and mortality, primarily from chronic diseases. It is necessary to introduce organizational models into clinical practice for the development of telemedicine in our country.
Aim. To form new approaches for monitoring patients using telemedicine technologies in a federal institution.
Material and methods. The work on conducting telemedicine consultations (TMC) ...

Aim: To evaluate the experience of using software based on artificial intelligence technologies as part of the Moscow experiment on the use of innovative technologies in the field of computer vision for the analysis of medical images.
Material and methods: A retrospective study was conducted. The work includes the conclusion outputs of 3 AI services on 822 thousand fluorographic studies for the period from 05.01.2022 to 29.12.2022. Pathology was present in 28,341 studies (3.4%). The assessment ...

Aim. To study the possibilities of self-remote monitoring of blood pressure and heart rate in high-risk pregnant women.
Material and methods. Women from 18 to 45 years old with hypertension (chronic and gestational), a history of preeclampsia, a high level of preeclampsia risk (above 1:100), body mass index (BMI) > 30 kg/m2 were included in the study to test self-monitoring of blood pressure using the MedSenger platform. The patients used a home tonometer to measure blood pressure and heart rate...

The article covers methods and procedures for developing a neural network decision support system when choosing the tactics of surgical intervention on coronary heart vessels. The system is designed to advise a wide range of practicing cardiologists and cardiac surgeons when deciding on the tactics of surgical intervention in patients with conditions associated with compromised coronary vessels. Based on a mathematical model taking into account a number of factors and the outcomes of previously ...

This article discusses the experience of using data visualization tools in the preparation of territorial planning schemes for regional health systems. The article also covers trends in the development of visualization tools and the competencies necessary for decision makers to use these tools effectively in making managerial decisions.

One of the key tasks of healthcare is to preserve the health of the child population, which is achieved through comprehensive health assessment. Timely identification of negative changes in children health during periodic medical examinations is of great importance. This justifies the development of more accurate methods to extract useful information from the data obtained during a comprehensive examination of children.
Aim: to improve the procedure for preventive examinations of school-age children...

The introduction of information technology is currently the main direction of the healthcare progress. Existing data published by domestic and foreign authors demonstrating the clinical and economic benefits of telemedical and information technologies, doesn’t cover regional practices. This study focused on broadening the knowledge about telemedicine application in the regional health care. The aim is to assess the directions of development and practice of application of telemedicine and informa...

A fundamental increase in the effectiveness of measures aimed at overcoming the problem of chronic noncommunicable diseases (CNCDs) can only be achieved through the digital transformation of healthcare. An Integrative Digital Strategy to Combat NCDs has been developed, which not only solves the problems of developing the healthcare system, but also stimulates the development of the national economy in the field of high technologies in full accordance with the Ashgabat Declaration on the Preventi...

The article describes the landscape of innovations in the field of medicine in general and start-ups of digital solutions in particular, presents the experience of the Pirogov National Medical and Surgical Center in organization and performing of acceleration program for medical start-ups, proposals are formulated for creating effective translating mechanisms of innovative technologies and products into clinical practice.

Aim. To optimize the process of receiving and processing federal statistical observation forms.
Materials and methods. The MEDSTAT-WEB software, previously used by the Russian Research Institute of Health, was used as the basis. Innovative elements of third-party software were integrated into the process of providing primary statistical data.
Results. A functional has been developed that provides prompt online interaction between specialists of the Subjects of the Russian Federation and specialized...

Background. Assessment of medical services quality from the patient’s point of view is an integral part of the management process of medical organizations within the widely adapted concept of patient-oriented healthcare.
Aim. To evaluate the effectiveness of using an information and analytical system for collecting and analyzing the results of patient satisfaction surveys on medical care provided in a round-the-clock hospital
Methods. Patient questionnaires were the primary research instrument....

It is very important to balance the processes of creating the simplest and most effective predictive models in medicine. The predictors in the model determine its quality and practical relevance but selecting them is not always easy. The aim of the study is to compare different methods of prediction selection to create medical prognostic models.
Methods. We compare simple methods, such as correlation, predictor filtering based on basic statistics, and Hosmer-Lemeshow univariate analysis, with more...

The article proposes technique and results for pre-project research and design of automated information systems in relation to business process management systems of medical organizations on the example of monitoring the implementation of regulations at the departments of nephrology and hemodialysis. When developing the system, an original method of system analysis and modeling of business processes was used based on the experience of the divisions of a private network medical company working in...

Here we present the key aspects of the fully automated APACHE II scale calculation development. We reviewed implementation opportunities for modern technological solutions in intensive care units. Successful experience of utilizing the clinical decision support system „PHILIPS Digital Resuscitation” for analysis, prognosis and patient data management is described in details. The digital algorithm for automated calculation of the clinical scale used in anesthesiology and intensive care department...

In this study we evaluated operability of a multicomponent system consisting of ECG recorders (made by different manufacturers), signal conversion drivers (matching layers) provided by ECG equipment vendors according to a single technical task, an ECG signal processing and visualization program. Such system registers and processes ECG signal by means of the software unit integrated into the regional medical information system (RMIS). System performance evaluation was carr...

Here we describe the possibilities of joint use of agent-based modeling and location intelligence based on geoinformation technologies for solving epidemiological problems. This approach has an important advantage allowing close to real-life epidemic progression visualization (hepatitis A) in the “digital twin” of the city. The instrument we developed could be used for both research and practical purposes, as well as for managerial decision-making.