rfhealthЗдравоохранение Российской ФедерацииHealth care of the Russian Federation0044-197X2412-0723Federal Scientific Center of Hygiene named after F.F. Erisman10.47470/0044-197X-2023-67-5-417-422ltetucrfhealth-1388Research ArticleПРОФИЛАКТИКА НЕИНФЕКЦИОННЫХ ЗАБОЛЕВАНИЙPREVENTION OF NONINFECTIOUS DISEASESРоль информационных технологий в совершенствовании качества медицинской помощи пациентам с множеством хронических неинфекционных заболеваний (обзор литературы)Approaches to improve management of patients with multiple chronic non-communicable diseases (literature review)https://orcid.org/0000-0002-0925-5822КамынинаНаталья Н.KamyninaNatalya N.noemail@neicon.ruhttps://orcid.org/0000-0003-0745-9474АндреевДмитрий АнатольевичAndreevDmitry A.

Кандидат наук, вед. науч. сотр. ГБУ города Москвы «Научно-исследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города Москвы», 115088, Москва.

e-mail: andreevda@zdrav.mos.ru

MD, PhD, Leading researcher, Research Institute for Healthcare Organization and Medical Management of Moscow Health Department, Moscow, 115088, Russian Federation.

e-mail: andreevda@zdrav.mos.ru

andreevda@zdrav.mos.ruhttps://orcid.org/0009-0003-5913-3422ПахуридзеМариам Д.PakhuridzeMariam D.noemail@neicon.ruhttps://orcid.org/0009-0009-3897-7144СизовГригорий Г.SizovGrigory G.noemail@neicon.ruГБУ города Москвы «Научно-исследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города Москвы»РоссияResearch Institute for Healthcare Organization and Medical Management of Moscow Healthcare DepartmentRussian FederationГБУ «Центр медицинской профилактики Департамента здравоохранения города Москвы»РоссияCentre of Medical prevention Department of Healthcare of MoscowRussian FederationГБУ «Информационно-сервисное бюро Департамента здравоохранения города Москвы»РоссияInformation and Service Bureau of the Department of Healthcare of MoscowRussian Federation202309112023675417422Copyright © Камынина Н.Н., Андреев Д.А., Пахуридзе М.Д., Сизов Г.Г., 20232023Камынина Н.Н., Андреев Д.А., Пахуридзе М.Д., Сизов Г.Г.Kamynina N.N., Andreev D.A., Pakhuridze M.D., Sizov G.G.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rfhealth.ru/jour/article/view/1388

Каждый год от неинфекционных заболеваний в мире умирает более 40 млн человек. У значительной доли взрослых пациентов диагностированы два и более хронических заболеваний (множество хронических заболеваний, МЗ). Многие вопросы повышения качества и доступности медицинской помощи пациентам с хронической патологией могут быть улучшены путём применения информационных технологий (ИТ).

Целью данной работы стало изучение современных подходов к организации медицинской помощи пациентам с МЗ с использованием ИТ.

Научное исследование проведено путём поиска в Google и PubMed. Для пристального изучения отобрана 31 публикация.

Анализ литературы показал, что популяция пациентов с МЗ чрезвычайно гетерогенна. В потоке медицинской информации (электронные регистры пациентов, цифровые медицинские карты, инновационные научные знания и т. д.) на помощь врачам приходят технологии искусственного интеллекта. Определены не менее трёх основных направлений развития ИТ для оказания медицинской помощи пациентам с МЗ: разработка алгоритмов поддержки принятия клинических решений; координация оказания медицинской помощи; достижение самоконтроля над состоянием здоровья.

Представленные результаты подтверждают важную роль ИТ в оказании помощи пациентам с МЗ. Растёт число научных публикаций, посвящённых данному вопросу. Применение ИТ в медицине демонстрирует перспективность принципов автоматизированного анализа и предоставления дополнительной информации непосредственно на месте оказания медицинской помощи. Это может способствовать улучшению медицинских процессов и, в некоторой степени, клинических исходов, включая показатели качества жизни пациентов.

Заключение

Заключение. Необходимо проведение дополнительных исследований с использованием данных из реальной клинической практики для полной оценки направлений применимости ИТ.

Участие авторов

Участие авторов:Камынина Н.Н. — концепция и дизайн исследования, редактирование;Андреев Д.А. — сбор и обработка материала, составление списка литературы, написание текста;Пахуридзе М.Д. — сбор и обработка материала, написание текста;Сизов Г.Г. — сбор и обработка материала.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи.

Финансирование

Финансирование. Исследование не имело спонсорской поддержки.

Конфликт интересов

Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов в связи с публикацией данной статьи.

Поступила 22

Поступила 22.06.2023Принята в печать 23.08.2023Опубликована 03.11.2023

A large fraction of adult patients has two or more chronic diseases (multiple chronic diseases, MCD). There are often questions about the quality and availability of medical care for patients with MCD, which could drastically be improved using information technologies (IT).

The purpose of this work was to study medical care management for MCD patients abroad using IT.

This study was carried out by searching the Google system and PubMed.

MCD patients are characterized by a high heterogeneity. Effective processing of the flow of medical information (electronic patient registers, digital medical records, scientific knowledge, etc.) is usually feasible with the help of artificial intelligence technologies and supercomputers. To improve health care delivery to adult MCD patients there are described three dimensions for the IT development including 1) development the algorithms to support clinical decision making; 2) coordination of medical care delivery; and 3) attainment of patient self-management.

The presented results confirm the important role of IT in medical care. The number of scientific reports devoted to this issue is growing. The use of IT in medicine demonstrates the promise of the principles of automated analysis and the provision of additional information directly at the point of care delivery. This can improve medical processes and, to some extent, clinical outcomes, including indicators of patients’ quality of life.

Conclusion

Conclusion. Additional studies based on data from real-life clinical settings are required to make a comprehensive assessment of the areas of IT applicability.

Contribution of the authors:Kamynina N.N. — research concept and design, editing;Andreev D.A. — material collection and processing, collection of literature data, compilation of the list of literature, writing the text;Pakhuridze M.D. — material collection and processing, writing the text;Sizov G.G. — material collection and processing.All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: June 22, 2023Accepted: August 23, 2023Published: November 3, 2023

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The authors declare that there are no conflicts of interest present.