scholarly journals Formalization of Technological Processes for Accounting and Storage of Information in a Healthcare Institution

2020 ◽  
pp. 70-78
Author(s):  
O.S. Kovalenko ◽  
◽  
L.M. Kozak ◽  
O.O. Romanyuk ◽  
M. Najafian Tumanjani ◽  
...  
Keyword(s):  
Health Care ◽  
Data Exchange ◽  
Business Processes ◽  
Medical Information ◽  
Digital Health ◽  
General Structure ◽  
Effective Interaction ◽  
Information Flows ◽  
Mobile Medicine ◽  
Digital Medicine

Introduction. To ensure the effective delivery of health services, it is important to provide accessible mechanisms for interaction between different levels of health care and patients. mHealth, eHealth and other technological developments, such as telemedicine, constitute a new digital health paradigm. The purpose of the paper is to develop the formalized components of the digital medicine integrating environment to ensure effective interaction between patients, family physicians and health care workers at various levels. Results. The general structure of information flows of the integrative environment of digital medicine is described and the formalized representation of health care business processes are developed.An analysis of the characteristics of the main actors actively involved in medical care was provided, and the access level to medical information of each participant, which is an obligatory condition, in particular in the case of mobile medicine, was determined. To ensure the storage of this information, an infologicalmodel of the database was developed, indicating the internal links between the blocks of the database. Model elements are defined for each block: classes, attributes and operations (using UML). Conclusions. Formalized representation of eHealth business processes using mHealth reflects the interaction of participants in these processes (patient and different groups of health professionals) and information flows that arise in this interaction. To ensure reliable mechanisms for the digital medical data exchange, access levels were prescribed for each participant included in the eHealth system.

Prospects and role of digital technologies in Russian healthcare reforming

2020 ◽  
Vol 1 (1) ◽  
pp. 72-86
Author(s):  
V.I. Yudin ◽  
◽  
O.V. Shirokova ◽  
Keyword(s):  
Healthcare System ◽  
Data Exchange ◽  
New Technologies ◽  
Digital Health ◽  
Digital Technologies ◽  
Healthcare Sector ◽  
Laboratory Research ◽  
Short Term ◽  
Internet Resources ◽  
Digital Medicine

Background. Modern digital technologies use can solve many problems of Russian healthcare system. The digital medicine development should be accompanied by the informatization of all participants of the process of providing medical services. Analysis and assessment of the changes taking place in society and in the health care system itself in digitalization terms are necessary for making effective management decisions aimed at improving the population health. Purpose. The purpose of this study is to analyze the digital medicine state and prospects for the development. Materials and methods. The analysis of foreign and domestic literature on digital medicine was used to identify current trends in this area and the variety of technologies used. The data analysis from public opinion polls gave an idea of the main problems of Russian healthcare. The study of Internet resources, like information and discussion platforms for medical professionals, as well as survey data, made it possible to identify the main aspects of the informatization process in the healthcare system. Results and discussion. There were highlighted: the main advantages of information technologies use in the healthcare sector, the priority areas for the digital medicine short term development, the level of understanding of telemedicine among healthcare workers, the main areas of discussion regarding digital medical technologies, as well as important problems, risks and trends in this area. Conclusion. The authors identified eight promising areas for the digital medicine short term development. The study of Internet resources has shown that medical social networks are an important channel for healthcare informatization, including professional adaptation, especially of young specialists, to work with new technologies. The Internet also allows physicians to expand their professional capabilities with the help of software products for laboratory research, diagnosis and treatment. All participants of the medical and related industries are actively entering the digitalization process, striving to create a unified system for electronic data exchange. The main problem that slows down the development of digital medicine in Russia and which needs to be addressed at the state level is ensuring data security. A key measure to solve this problem is information about digital health opportunities through social media. At the content creation level there must be built trust to this channel.

scholarly journals Integration Environment Software Module for Accumulation and Exchange of Digital Medical Data

2021 ◽  
pp. 88-99
Author(s):  
O.S. Kovalenko ◽  
◽  
L.M. Kozak ◽  
E.V. Gorshkov ◽  
M. Najafian Tumajani ◽  
...  
Keyword(s):  
Medical Records ◽  
Data Exchange ◽  
Medical Information ◽  
Medical Data ◽  
Healthcare Sector ◽  
Module Structure ◽  
Software Module ◽  
Adaptive Architecture ◽  
Digital Medicine ◽  
Wide Range

Introduction. The development of effective digital medicine tools is an intensive and complex process that requires the interdisciplinary efforts of a wide range of experts, from scientists and engineers to ethics experts and lawyers. Digital medicine products have great potential for improving medical measurement, diagnosis and treatment. One of the main challenges for the healthcare sector is to address the issue of fast, convenient and secure exchange of information about patients’ health. Service-oriented architectures of such products may accomplish many of the challenges facing healthcare systems. The purpose of the paper is to develop an information and software module ExchangeDMD to ensure the accumulation, storage and exchange of diagnostic medical data in accordance with modern medical information standards to maintain the interoperability function as one of the leading principles of digital medicine. Results. A special adaptive architecture of digital medicine infrastructure has been developed, which enables an integrated solution of data exchange between participants of providing medical services, which is carried out with the help of web services. The specifics of different types of medical information are analyzed and taken into account in accordance with the access regime for its processing. The module structure has been developed and implemented in software, which has three main levels: central virtual storage (virtual data center to implement certain functions), remote administration segment (technical support and administration network) and user segment (mobile devices and user-patient applications). Conclusions. The ExchangeDMD information and software module is designed to ensure the accumulation of patient data, integration between the various units within the system, as well as to ensure the management of this data by health care personnel. The ExchangeDMD module is built using the international standard HL7 CDA, which enables formalizing electronic medical records using RIM (information model links) to attract the necessary directories and classifiers when creating medical records and documents.

scholarly journals Social and Managerial Aspects of Using Digital Health Technologies

2021 ◽  
Author(s):  
Valery Igorevich Yudin
Keyword(s):  
Health Care ◽  
Information Technologies ◽  
Administrative Support ◽  
Digital Health ◽  
Health Sector ◽  
Digital Technologies ◽  
Critical Conditions ◽  
Maximum Information ◽  
Health Technologies ◽  
Digital Medicine

The development of the health sector around the world is linked to digital technologies, because there is a need to optimize the processes of medical care for the population. Every year there is an increase in this market by a quarter. The use of digital technologies helps to improve health care. The management and organization system implements unified effective systems using the technological capabilities of digitalization in the health care sector. The relevance of the study is related to the need to change the outdated health management system with access to a modern level of technical and administrative support for medical services.The actual tool of digital medicine is cooperative forms of network interaction. We are exploring the further development of digital medicine in the short term, what opportunities can be presented and what results can be obtained by residents. Network communications play an important role in uniting professional medical communities. More than 65% of people between the ages of 21 and 35 have become participants in network technologies, and their number is constantly increasing. Administrative and management staffs are most active in discussions (43%) on the Internet and all respondents have an idea about telemedicine. Patients have the opportunity to get advice by contacting doctors online. The next stage in the development of information technologies is associated with increasing the speed and volume of transmitted data, which will help to predict critical conditions that threaten the patient’s health as quickly as possible. Now there is a discussion about the possibility of not just consulting, but also making diagnoses when patients contact the doctor, discussing in which cases a personal meeting with the doctor is necessary and under what conditions it is enough to provide maximum information about the state of health for diagnosis. Keywords: digital healthcare, digital technologies, adaptation, medical specialists

Digital Health, COVID-19 Pandemic, and Cybersecurity Issues

2021 ◽  
pp. 243-252
Author(s):  
Lev R. Klebanov ◽  
◽  
Svetlana V. Polubinskaya ◽  
Keyword(s):  
Health Care ◽  
Medical Information ◽  
Health Care Organizations ◽  
Digital Health ◽  
Digital Technologies ◽  
Expert Assessment ◽  
Legal Analysis ◽  
Healthcare Organizations ◽  
Wide Range ◽  
Public Health Challenges

The article focuses on a wide range of cybersecurity issues related to the use of digital technologies in healthcare. Many countries are increasingly adopting digital innovations into their national health systems and therefore raise their cybersecurity risks. The number of cyberattacks on health care organizations is steadily increasing; and the COVID-19 pandemic, which has required more frequent use of digital technologies to address public health challenges, has also influenced the proliferation of criminal cyberattacks. The aim of the study was to describe the main types of criminal, mostly digital, risks for digital health and identify the most important ways to counteract them. The article includes an analysis of international and national regulatory documents, foreign scientific literature, reports of organizations dealing with cybersecurity issues. In preparing it, the authors used general and specific scientific methods including analysis, synthesis, formal and legal analysis, historical method, interdisciplinary research, and expert assessment. The authors conclude that the increasing use of digital technologies in health care, especially in the context of the COVID-19 pandemic, expands the number of targets for cybercriminals. Three main types of digital health criminal risks are identified: attacks on health care organizations, attacks on devices used for medical purposes, including those associated with the Internet of Medical Things, and the theft and disclosure of digitally stored confidential medical information. The latter group of acts is committed by both outsiders and employees of healthcare organizations. The vast majority of registered cybercrimes are profit motivated ones, and the most common cybercrime is extortion with the use of malicious software (ransomware). To counter criminal risks for digital health, the authors propose a set of actions divided into three groups such as legal, technical, and educational. According to the authors, international and national criminal law should immediately respond to digital criminal threats to healthcare systems, in particular by making relevant international agreements and by including the manner in which such crimes are committed into criminal laws as an aggravating circumstance. In addition, the authors note the formation of a special direction in cybersecurity research and practice - healthcare cybersecurity - which requires the development of an appropriate industry, with respective hardware, software, informational and educational products that would be aimed at eliminating and reducing the risks for digital health.

scholarly journals Digital health projects financing: challenges and opportunities

2021 ◽  
Vol 2 (1) ◽  
pp. 100-107
Author(s):  
Nataliia Kotenko ◽  
Viktoriya Bohnhardt
Keyword(s):  
Digital Health ◽  
Public Funding ◽  
Practical Implementation ◽  
Governmental Organizations ◽  
Mobile Medicine ◽  
Non Governmental Organizations ◽  
Digital Medicine ◽  
Logical Sequence ◽  
Challenges And Opportunities ◽  
Research Goal

The article summarizes current trends in financial support for digital health in Ukraine, considering the requirements and recommendations of international institutions. The research goal is to identify problems and challenges in public funding in Ukraine and find effective ways to solve them based on world experience. The systematization of scientific sources and approaches to solving the problem of financing digital health projects has shown that most studies present the results on finding effective mechanisms for financing health care or technical aspects of digital health and its components. However, under the WHO report, the lack or insufficient level of sustainable funding is an insuperable obstacle for implementing digital health projects in most countries. Thus, the above confirmed the relevance of the investigated scientific problem. Methodical tools of this research were systematization, structural and comparative analyses, logical generalization. The practical implementation of the study was carried out using the tools of Excel 2016. In the study, the start point for gathering data was 2016, which is the beginning of the digital health transformation in Ukraine. For gaining the research goal, this study was conducted in the following logical sequence: analyzing the effectiveness and stability of budget funding for the electronic health record projects in Ukraine within the eHealth initiative; defining the current state of Telemedicine and Mobile Medicine financings; identifying the potential directions for solving the problem of lack of funding based on world experience; determining the innovative digital medicine projects implemented by startups; setting the relationship between the amount of venture financing, the maturity and number of employees of companies. Following the findings, the authors developed the recommendations to use AI, Big Data, blockchain technologies, the Internet of Things to establish cooperation between the private, public sectors, academia, and non-governmental organizations.

scholarly journals Digital medicine

JAHR ◽  
2019 ◽  
Vol 10 (1) ◽  
pp. 211-223 ◽  
Author(s):  
Elena Grebenshchikova
Keyword(s):  
Medical Information ◽  
Digital Health ◽  
Medical Documentation ◽  
Medical Care System ◽  
Health Technologies ◽  
Patient Interaction ◽  
Digital Medicine ◽  
Patient Relationships ◽  
The Impact

The digital health industry is developing rapidly: many new subjects are involved in the field of medicine; new opportunities for distant medical services, diagnostics, monitoring of patients’ health, and conducting medical research are emerging; electronic medical documentation is being developed, global medical information databases are being formed, etc. At the same time, the format of doctor-patient relationships is being transformed and new issues and challenges arise that require ethical evaluation. I identified three areas of digital medicine and analyzed issues of confidentiality, informed consent, autonomy and equity in each case. The impact of digital health technologies on the ethical contexts of medicine is uneven: telemedicine possesses the smallest revolutionary potential, which changes the mechanisms of doctor-patient interaction and actualizes issues of cultural differences. mHealth technologies significantly affect patient autonomy and change ways of sharing medical information. Artificial Intelligence (AI) is diverse in medicine, it can depersonalize relationships in medicine, radically change ideas about the role of the doctor and patient, lead to a radical restructuring of the medical care system in the center of which will be the new model of patient interaction with automated medical agents and systems.

Coordinating Medical Literature with Patient Care

1977 ◽  
Vol 16 (04) ◽  
pp. 234-240 ◽  
Author(s):  
Joann Gustafson ◽  
J. Nelson ◽  
Ann Buller
Keyword(s):  
Health Care ◽  
Medical Staff ◽  
Medical Information ◽  
Medical Literature ◽  
Medical Information System ◽  
Staff Members ◽  
Information Displays ◽  
Medical Displays ◽  
Computerized Medical Information ◽  
The Given

The contribution of a special library project to a computerized problem-oriented medical information system (PROMIS) is discussed. Medical information displays developed by the PROMIS medical staff are accessible to the health care provider via touch screen cathode terminals. Under PROMIS, members of the library project developed two information services, one concerned with the initial building of the medical displays and the other with the updating of this information. Information from 88 medical journals is disseminated to physicians involved in the building of the medical displays. Articles meeting predetermined selection criteria are abstracted and the abstracts are made available by direct selective dissemination or via a problem-oriented abstract file. The updating service involves comparing the information contained in the selected articles with the computerized medical displays on the given topic. Discrepancies are brought to the attention of PROMIS medical staff members who evaluate the information and make appropriate changes in the displays. Thus a feedback loop is maintained which assures the completeness, accuracy, and currency of the computerized medical information. The development of this library project and its interface with the computerized health care system thus attempts to deal with the problems in the generation, validation, dissemination, and application of medical literature.

Organizational and legal basis of formation of the electronic system of healthcare in the conditions of medical reform

2020 ◽  
pp. 67-73
Author(s):  
O.O. Punda ◽  
D.A. Arziantseva ◽  
N.P. Zakharkevych
Keyword(s):  
Health Care ◽  
Health Care System ◽  
Medical Information ◽  
Electronic System ◽  
Information Policy ◽  
Cloud Services ◽  
Free Access ◽  
Medical Reform ◽  
Electronic Health ◽  
Care System

The article is devoted to the issues of informatization of health care in the context of medical reform in Ukraine. It was emphasized that the service component of health care reform should open free access to information for patients, in connection with which the eHealth system (electronic health care system) is being introduced in Ukraine. eHealth provides the exchange of medical information and the implementation of the program of medical guarantees of the population. It is substantiated that in order to effectively implement the state information policy in the medical field it is necessary to develop and adopt a legal act at the level of law, for example, the Law of Ukraine “On the functioning of the electronic health care system in Ukraine”. The task of such an act should be to determine the subjects of information policy in this area, the powers of individual bodies and non-governmental organizations or economic entities involved in the development and operation of electronic health care system. An important element of regulation should be to address the issue of cybersecurity when using eHealth and to determine the responsibility of specific entities for possible violations or threats to the system. It is determined that eHealth should cover all areas of medical services, including “military” and “departmental medicine”. It is emphasized that an important element of the reliable functioning of eHealth should be the training of medical staff to work with databases. At the same time, the provision on the possibility of providing “cloud” services related to the functioning of the electronic health care system should be taken into account during the creation of the draft law “On cloud services”. The possibility of using “cloud” storage of medical data and requirements for the use of “cloud” information services provided from territories of a jurisdiction other than the national one requires is assessment.

Economic Mechanism for Managing the Communication Business Process of Industrial Enterprises in the Context of Globalization

2020 ◽  
pp. 63-73
Author(s):  
Konstyantyn Yu. Zavrazhnyi
Keyword(s):  
Economic Policy ◽  
Corporate Culture ◽  
Business Processes ◽  
Market Competition ◽  
Effective Interaction ◽  
Psychological Impact ◽  
Foreign Economic Policy ◽  
Economic Mechanism ◽  
Industrial Enterprises ◽  
Definition Of

The paper provides a definition of the economic mechanism for managing the communication business processes of industrial enterprises in the context of globalization as a set of a system of relations, authorities, forms and methods of organization and operation, which are regulated by legal and other norms of activity and provide effective interaction in internal and external environments. This allows to deepen the understanding of the essence in the context of globalization under the orientation towards communication (we mean interaction first of all). The composition of the comprehensive economic mechanism for managing the communication business processes of industrial enterprises is studied. This mechanism includes organizational, economic, legal, political, technical and technological, market, production, social, motivational, adaptive and communication submechanisms. This allows further formalization of the process of elemental improvement of the communication business processes of industrial enterprises. The components of mechanism are detailed. In particular, the economic submechanisms include the mechanisms of profits distribution, economic stimulus, financial, equity, investment and reinvestment in development and other mechanisms. The legal submechanisms include the mechanisms, which govern communication and professional legal relations. Organizational submechanisms include structural mechanisms, administrative and information mechanisms that ensure the development and modernization of communication activities at the enterprise, its information security. Political submechanisms include mechanisms of information policy, social and economic policy and foreign economic policy. Market submechanisms include the ones of market competition, demand and supply, etc. Social submechanisms include the ones of transparency of doing business, social responsibility, social and psychological impact, etc. Production submechanisms include the following ones: resource, implementation of new types of software and hardware and other. Technical and technological submechanisms include the ones of scientific and technological progress, technological updates. Motivational submechanisms include the mechanisms of material and non-material incentives of personnel. Adaptive submechanisms are the submechanisms of innovative development (including implementation of innovations in information field), managing the personnel potential, etc. Communication submechanisms include the ones of information-and-analytical activities (including research conducting); external communications (including the system of integrated communications tools, modern telecommunications and communications facilities); internal communications (including creating corporate culture). Key words: economic mechanism, submechanisms, management, communications, business processes, industrial enterprise.

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