PROBLEMS AND PROSPECTS OF THE ELECTRONIC PRESCRIBTION SYSTEM IN RUSSIA. SYSTEMATIC REVIEW

2020 ◽  
Vol 66 (5) ◽  
pp. 8-8
Author(s):  
S.E. Rauzina ◽  
◽  
V.A. Shelgunov ◽  
T.V. Zarubina ◽  
◽  
...  

Development and implementation of the electronic prescription system is one of the priority areas of eHealth which fulfils a number of functions from prescribing medicines to comprehensive analysis of information and support for medical and management decisions. The current Russian legal framework legitimizes a doctor's prescription in the form of an electronic document. However, there is no definition of the following concepts in the legal acts: “Electronic prescription” and “Electronic prescription system”. The subject of the study is information space in the field of electronic prescription. The purpose is to study the Russian and foreign experience in its implementation, problems and prospects for its introduction at the national and cross-border level on the basis of descriptive and analytical methods. Analysis of the situation in the developed countries shows that currently most of the countries have implemented the electronic prescription system which involves physicians, pharmacists, regulatory organizations, insurance companies, and patients. This system ensures rapid interaction between all parties, lower medical errors, monitoring of medicines’ use, information analysis, and enables the patient to see the prescribed and provided medicines. Large-scale European eHealth projects of the last decade have initiated the exchange of digital prescriptions at the cross-border level, when a patient can get medicines from a pharmacy in the country of temporal residence with a prescription issued in the country of permanent resistance. Information support for the processes of prescribing and dispensing medicines in different regions of the Russian Federation is uneven, from its almost complete absence to full-fledged information systems close to the best analogues in the developed countries by functionality. Specific features of implementing the electronic prescription system in Russia are related to the obligatory registration of information related to supply of medicines to benefit recipients, involvement into circulation of medicines of systems and subsystems of various organizations: registration, keeping the state register of medicines, monitoring of medicine movement, monitoring of procurement, prescription and write off in health care facilities, dispensing within the pharmacy network, circulation of medicines and medical devices of the Eurasian Economic Union countries. It is impossible to develop a full-fledged system of electronic prescription in the Russian Federation without consolidated efforts of all parties, legislative consolidation of basic concepts, a unified information space, and standard data management approaches. Keywords: eHealth; electronic prescription (e-prescription); electronic prescription system; system of electronic drug prescription; medical information system; information system of drug provision to benefit recipients; information support for prescription.

2021 ◽  
Vol 5 (12) ◽  
pp. 25-29
Author(s):  
K. D. Kovaleva ◽  
◽  
A. A. Sagdeeva ◽  

The article examines the role of digitalization in modern market relations. The key aspects of the development of the digital economy are reflected, as well as the role of IT companies in the global eco-nomic arena. The experience of digitalization in the Russian Federation, aspects of the development of information and communication technologies are considered. The structure of expenses of households and organizations of various sectors of the economy in terms of the use of information and communication technologies and digital technologies has been analyzed. The developed countries of the world are actively involved in the implementation of digital technologies, both at the enterprise level and at the level of all countries. The econ-omy of the Russian Federation, which is part of the global world economic system, is also trying to make the most of the benefits of digitalization. Households in the Russian Federation actively use information and com-munication technologies to improve their quality of life. In addition, the article presents data on various software tools that are currently used by Russian companies.


2021 ◽  
pp. 40-54
Author(s):  
Александр Васильевич Матюшин ◽  
Юрий Александрович Матюшин ◽  
Александр Георгиевич Фирсов ◽  
Валентина Сергеевна Гончаренко

Предложена математическая модель и рассчитаны значения риска причинения вреда (ущерба) в результате пожаров в субъекте Российской Федерации. Субъекты Российской Федерации распределены по категориям уровня обеспечения пожарной безопасности в зависимости от расчетного значения риска причинения вреда (ущерба) в результате пожаров в субъекте Российской Федерации. Предложены оценки результатов деятельности ГУ МЧС России в зависимости от риска причинения вреда (ущерба) и категории уровня обеспечения пожарной безопасности, к которому отнесены субъекты Российской Федерации. The regulatory legal acts of the Russian Federation establish that the criteria for assigning objects of control to the categories of damage risk should be formed based on the results of the damage risk assessment. In the developed countries of the world, as a rule, the distribution of objects of control by risk categories is used to justify the frequency of their inspections and is carried out depending either on the point risk assessment or on the number and seriousness of violations of mandatory fire safety requirements identified during the inspection of the object of control. In the literature sources there are no mathematical models for determining the damage risk as a result of a fire in buildings for evaluating the activity results of fire authorities (Main offices of EMERCOM of Russia). The purpose of this work was to develop and test a mathematical model for evaluating the activity and rating of the Main offices of EMERCOM of Russia for the subjects of the Russian Federation based on the category of fire safety level. As a criterion for assigning the subjects of the Russian Federation to different categories of fire safety level it is proposed to use the damage risk as a result of a fire in buildings located on the territory of the corresponding subject of the Russian Federation. The mathematical model has been developed to determine the damage risk of causing harm (damage) as a result of a fire in a building and there is given its assessment for buildings on the territory of each subject of the Russian Federation. There was carried out the distribution of the subjects of the Russian Federation according to the categories of fire safety based on the calculated value of damage risk. It is shown that such distribution significantly depends on the objectivity of statistical information on fires and the number of buildings on the territory of each subject of the Russian Federation. The assessment of the activity results for each of 86 EMERCOM of Russia Main offices was made and they were rated based on the category of fire safety level of the corresponding subject of the Russian Federation.


Author(s):  
Igor V. Bukhtiyarov ◽  
Evgeny V. Zhovnerchuk ◽  
Georgy S. Lebedev ◽  
Irina V. Panova

Introduction. The Russian Federation has certain socio-demographic and geographical features that make it difficult to provide qualified medical care to the population. The relevance of telemedicine in modern conditions is difficult to overestimate. Telecommunications technologies have significant potential to address the challenges of providing affordable, cost-effective and high-quality health services to the population. Telemedicine uses information and communication technologies to overcome geographical barriers and increase public access to health services. On May 9, 2017, the President of the Russian Federation approved the "Strategy for the development of the information society in the Russian Federation for 2017-2030" by decree № 203. Digital healthcare is an integral part of the digital economy. The aim of study is to analyze the regulatory framework for telemedicine support of occupational pathology activities. Materials and methods. The analysis of the development of telemedicine technologies in the Russian Federation is carried out. The legal framework regulating the work of a professional pathologist using telemedicine technologies has been studied. Results. Consultation of the patient or his legal representative by the medical officer are prevention, collection, analysis of the patient's complaints and data of anamnesis, evaluation of the efficiency of diagnostic and therapeutic activities, medical monitoring of patient's condition and decision on the need for face-to-face reception (examination, consultation). The implementation of these measures using telemedicine technologies is regulated by article 36.2 of Federal Law № 323-FZ, which states that remote monitoring of the patient's health and correction of previously prescribed treatment by the attending physician can be carried out after an in-person appointment (examination, consultation). Remote surveillance is carried out on the basis of data about the patient, was with the use of medical devices intended for monitoring human body, and/or on the basis of the data entered into the unified state information system in health care, or public information system in healthcare of the Russian Federation, or medical information system or information system referred to in part 5 of article 91 of the Federal Law № 323-FZ in compliance with, established by the legislation of the Russian Federation in the field of personal data, and compliance with medical confidentiality. Conclusions. It is necessary to implement telemedicine technologies for pre-hospital consultation of patients to clarify the preliminary diagnosis, methods of examination and treatment, and advice on patient management tactics in the long-term period of the disease. The question of using technologies for patient consultation in the "patient-doctor" system remains open due to the peculiarities of diagnostic and expert work of professional pathologists, which requires the analysis of a large number of documents provided by various departments (medical organizations of different forms of ownership, the office of Rospotrebnadzor, Medical and Social Expertise (MSE), employer, etc.).


2021 ◽  
Vol 13 (1) ◽  
pp. 115-134
Author(s):  
Nikolay V. Lukashov ◽  
◽  
Svetlana S. Lukashova ◽  
Yuri V. Latov ◽  
◽  
...  

The Russian Federation is in the process of forming an «information society», which includes information and computer technologies as its external attributes. The process of informatization is developing in three main areas-education, work, and interaction between government and civil society – based on national programs, primarily «Electronic Russia» and its continuation. However, their implementation in Russia is characterized by a number of contradictions between the real tasks of ensuring sustainable development of the Russian Federation and formal settings for the growth of formal indicators of Informatization. As a result, the Russian Federation may fall further behind the technologically developed countries of the world, both in terms of the level of information support for the economy and public relations, and in terms of the level of information technologies development themselves. To remedy the situation, it is proposed to take measures to change the practice of goal-setting, to serve the interests of production, public administration and social needs.


2014 ◽  
Vol 8 (9) ◽  
pp. 99-111
Author(s):  
Елена Поворина ◽  
Elena Povorina ◽  
Ирина Суслова ◽  
Irina Suslova

Tourism is one of the most profitable and rapidly developing sectors of the economy and it plays an important role in ensuring sustainable socio-economic development of many countries and regions. Tourism is recognized internationally as the most promising area of activity that is essential not only in terms of economic growth, foreign exchange earnings and employment, but also for environmental, cultural and social awareness, peace and recognition of international cooperation. Tourist activity in the developed countries is an important source of revenue for the state. In addition to the apparent profitability of tourism is also one of the most powerful factors in enhancing the prestige of the country, the growth of its value in the eyes of the international community and ordinary citizens. The article analyzes the international tourism market for the period from 1990 to 2013, the profits of international tourism and international travel expenses on the basis of data from the World Tourism Organization. The study is conducted for the market in general, as well as in the context of advanced economies and emerging economies, by regions, as well as major tourist destinations. The results of the analysis are presented for the global tourism market by international tourist arrivals and receipts from international tourism in the regions. The place of Russia in international tourist arrivals, international tourism revenues and expenditures of international tourism is analyzed. The dynamics of income from international tourism and international travel expenses of the Russian Federation are presented. The authors emphasize that the international travel expenses of the Russian Federation are far ahead of its earnings.


2020 ◽  
Vol 164 ◽  
pp. 07009
Author(s):  
Dmitry Gura ◽  
Nafset Khusht ◽  
Olga Popova ◽  
Ivan Markovsky ◽  
Saida Pshidatok

Nowadays, the problem of integrated and sustainable development of territories is especially acute in view of the fact that the process of urbanization is growing every year. A special role in implementing programs for improving the state of the urban environment and social spheres is played by investment projects, which are economic or social projects that are based on investments. At the same time, the implementation of most of these measures requires the assistance of state authorities or local self-government, which consists mainly in the provision of land for planned investment objects, for which a special order is used. This paper is devoted to issues related to the procedure for the provision of land plots for the implementation of investment projects in the territory of the constituent entity of the Russian Federation - Krasnodar Territory. The legal and regulatory framework governing the implementation of this procedure is analyzed, the existing information support offered to potential investors is considered. Conclusions are made about the main shortcomings of information support, a solution to the identified problem is proposed by creating an investment-oriented information system.


2020 ◽  
Author(s):  
Marina Lifshits ◽  
Natalia Neklyudova

COVID-19 is an extremely dangerous disease that not only spreads quickly, but is also characterized by a high mortality rate. Therefore, predicting the number of deaths from the new coronavirus is an urgent task. The aim of the study is to analyze the factors affecting COVID-19 mortality rate in various countries, to predict direct and indirect victims of the pandemic in the Russian Federation, and to estimate additional mortality during the pandemic based on the demographic data. The main research method is econometric modeling. Comparison of various data was also applied. The authors' calculations were based on data from the RSSS, the World Bank, as well as specialized sites with coronavirus statistics in Russia and in the world. A predictive estimation of the deceased number of people due to the pandemic in Russia was made. It is confirmed that the deaths proportion of the completed cases of the disease depends on the level of testing. It is shown that the revealed mortality of the disease depends on the proportion of completed cases, on the population age structure, and on how early the pandemic entered the country compared to the other countries. It is determined that the number of additional deaths due to the coronavirus is approximately 31 thousand people. The analysis revealed that the relatively low proportion of COVID in Russia is the result of a special approach to the cause of death determination. The mortality rate in Russia in April 2020 was about 3% higher than in April 2019. The share of the deceased health workers in the total coronavirus mortality in the Russian Federation is higher than in the developed countries, which indicates an underestimation of the data on COVID- 19 deaths in the Russian Federation, and the unsatisfactory quality of the Russian healthcare system. The number of direct and indirect victims of the pandemic in the Russian Federation at the end of July was approximately 43 thousand people.


Author(s):  
N.A. Mironov ◽  
E.A. Maryshev ◽  
N.A. Divueva

The article discusses the issues of improving the examination system of competitive applications for state support in the form of grants of the President of the Russian Federation on the basis of an integrated information system that includes the information support system of the Grants Council of the President of the Russian Federation and the information system of the Federal Roster of Scientific and Technological Experts and containing information about experts, applications and expert examination results. In order to improve the principles of transparency and openness of support programs and competition winners, to ensure the objectivity of the competitive selection of projects, a number of organizational and technical solutions are proposed in the application examination system based on an integrated information system. The new and proposed new approaches to the organizational and technical support of the examination of competitive applications for state support in the form of grants of the President of the Russian Federation to young Russian scientists made it possible, by attracting a wide range of scientific and technological communities, to conduct examination of more than five thousand applications with high quality and deadlines set by the Ministry of Education and Science of Russia.


2020 ◽  
Vol 93 (4) ◽  
pp. 101-108
Author(s):  
I. S. Khvan ◽  

Development institutions are an important modern instrument of government regulation of the economy in all developed countries. The system of development institutions of the Russian Federation includes the federal and regional development institutions. Key federal development institutions include such well-known state corporations as the investment fund of the Russian Federation; the State Corporation "Bank for Development and Foreign Economic Activity (Vnesheconombank)"; the state corporation "Russian Corporation of Nanotechnologies," etc. According to experts of the Ministry of Economic Development of the Russian Federation, about 200 regional development institutions operate on the territory of the constituent entities of the Russian Federation. The objectives of this extensive system of development institutions so far have been to overcome the so-called "market failures," which cannot be optimally realized by the market mechanisms, and to promote the sustained economic growth of a country or an individual region. In November 2020, the Government of the Russian Federation announced the reform of the system of development institutions in the country. The article analyzes the goals and main directions of the announced reform. On the example of the system of development institutions of the Far East, an attempt was made to assess its possible consequences.


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