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 Prevention and Control of Noncommunicable Diseases. The key message of this paper is that prevention and control of NCDs can provide a platform for investment in research and development for health innovation as a means to generate knowledge and wealth, and to improve the performance of health systems. The integrative strategy aims at strengthening interaction between government agencies, public associations, civil society and the private sector to promote cooperation at all levels in order to intensify efforts to prevent non-communicable diseases, which is the direction of the state policy of Turkmenistan.
References
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2. Ladik EA, Shipilov IV, Voronin VN. Chronic noninfectious diseases and risk factors of their development. Voprosy dietologii. 2019; 4(9): 24-36. (In Russ.)
3. Aleebrahim-Dehkordi E, Deravi N, Reyhanian A, Saberianpour S, Mokhtari M, Hasanpour-Dehkordi A. Chronic non-communicable diseases in the epidemic (COVID-19): Investigation of risk factors, control and care. Przegl Epidemiol. 2020; 74(3): 449-456. doi: 10.32394/pe.74.38.
4. Palmer K, Monaco A, Kivipelto M, Onder G, Maggi S, Michel JP, Prieto R, Sykara G, Donde S. The potential long-term impact of the COVID-19 outbreak on patients with non-communicable diseases in Europe: consequences for healthy ageing. Aging Clin Exp Res. 2020; 32(7): 1189-1194. doi: 10.1007/ s40520-020-01601-4.
5. Southerland JH, Webster-Cyriaque J, Bednarsh H, Mouton CP. Interprofessional Collaborative Practice Models in Chronic Disease Management. Dent Clin North Am. 2016; 60(4): 789-809. doi: 10.1016/j. cden.2016.05.001.
6. Orlov GM, Levin MB. Methodological approaches to the reference models development of regional healthcare state information systems in the Russian Federation. Informacionnye resursy Rossii. 2021; 2(180): 20-27. (In Russ.)
7. Son DA, Turdalieva BS, Aimbetova GE. The use of modern information technology to protect public health and the prevention of chronic noncommunicable diseases. Nauka o zhizni i zdorov’e. 2019; 3: 82-87. (In Russ.)
8. Cresswell K, Sheikh A, Krasuska M, Heeney C, Franklin BD, Lane W, Mozaffar H, Mason K, Eason S, Hinder S, Potts HWW, Williams R. Reconceptualising the digital maturity of health systems. Lancet Digit Health. 2019; 1(5): e200-e201. doi: 10.1016/S2589-7500(19)30083-4.
9. Hoffer-Hawlik MA, Moran AE, Burka D, Kaur P, Cai J, Frieden TR, Gupta R. Leveraging Telemedicine for Chronic Disease Management in Low- and Middle-Income Countries During Covid-19. Glob Heart. 2020; 15(1): 63. doi: 10.5334/gh.852.
10. Gusev AV, Gavrilov DV, Novickij RJe, Kuznecova TJu, Bojcov SA. Improvement of cardiovascular risk assessment using machine learning methods. Rossijskij kardiologicheskij zhurnal. 2021; 12(26): 171-180. (In Russ.)
11. Anderson K, Burford O, Emmerton L. Mobile Health Apps to Facilitate Self-Care: A Qualitative Study of User Experiences. PLoS One. 2016; 11(5): e0156164. doi: 10.1371/journal.pone.0156164.
12. Indraratna P, Tardo D, Yu J, Delbaere K, Brodie M, Lovell N, Ooi SY. Mobile Phone Technologies in the Management of Ischemic Heart Disease, Heart Failure, and Hypertension: Systematic Review and Meta-Analysis. JMIR Mhealth Uhealth. 2020; 8(7): e16695. doi: 10.2196/16695.
13. Kouroubali A, Papastilianou A, Katehakis DG. Preliminary Assessment of the Interoperability Maturity of Healthcare Digital Services vs Public Services of Other Sectors. Stud Health Technol Inform. 2019; 264: 654-658. doi: 10.3233/SHTI190304.
14. Liaw ST, Zhou R, Ansari S, Gao J. A digital health profile & maturity assessment toolkit: cocreation and testing in the Pacific Islands. J Am Med Inform Assoc. 2021; 28(3): 494-503. doi: 10.1093/jamia/ ocaa255.
15. Stamenova V, Liang K, Yang R, Engel K, van Lieshout F, Lalingo E, Cheung A, Erwood A, Radina M, Greenwald A, Agarwal P, Sidhu A, Bhatia RS, Shaw J, Shafai R, Bhattacharyya O. Technology-Enabled Self-Management of Chronic Obstructive Pulmonary Disease With or Without Asynchronous Remote Monitoring: Randomized Controlled Trial. J Med Internet Res. 2020; 22(7): e18598. doi: 10.2196/18598.
16. NCD Countdown 2030 collaborators. NCD Countdown 2030: worldwide trends in non-communicable disease mortality and progress towards Sustainable Development Goal target 3.4. Lancet. 2018; 392(10152): 1072-1088. doi: 10.1016/S0140-6736(18)31992-5.
17. Williams J, Allen L, Wickramasinghe K, Mikkelsen B, Roberts N, Townsend N. A systematic review of associations between non-communicable diseases and socioeconomic status within low- and lower-middle-income countries. J Glob Health. 2018; 8(2): 020409. doi: 10.7189/jogh.08.020409.
18. Kobjakova OS, Starovojtova EA, Tolmachev IV, Brazovskij KS, et al. Contribution of combined risk factors into development of chronic non-communicable diseases. Social’nye aspekty zdorov’ja naselenija. 2020; 5(66): 1-17. (In Russ.)
For citation
Ergeshov M.B., Vladzymyrskyy A.V. Developing a strategy for the digital transformation of Turkmenistan healthcare: focus on overcoming chronic noncommunicable diseases. Medical doctor and information technology. 2023; 1: 40-49. doi: 10.25881/18110193_2023_1_40.
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