Клінічна та профілактична медицина (Nov 2023)
DEVELOPMENT OF METHODOLOGY AND TOOLS FOR REGULAR MONITORING, ASSESSMENT OF THE QUALITY OF WORK OF THE ELECTRONIC HEALTHCARE SYSTEM AND IMPROVEMENT OF THE WORK OF EXISTING SERVICES
Abstract
Introduction. Medical information systems have become an important tool in the complex of providing medical care. They allow storing the patient's medical data, analyzing information at many levels, and using modern electronic and telemedicine technologies. The glossary of the concept of health care informatization defines a medical information system as a type of system characterized by a complex of methodological principles, technical means, management algorithms designed for the collection, storage, analysis, forecasting and transmission of medical information in health care institutions. The aim: To analyze the level of satisfaction of medical workers regarding the functioning of the electronic health care system and medical information systems in all areas of medical activity, by evaluating the data of the electronic questionnaire. Materials and methods: A group of 213 user experts from 11 regions of Ukraine and the city of Kyiv was formed to assess the overall quality of the electronic health care system. Informational, analytical-statistical, graphic, and system analysis methods were applied. Results. The information entered into the medical information systems is subsequently widely used by doctors, other medical personnel, patients, and the administration of the health care facility. However, numerous functional deficiencies, and user wishes were identified. Assessing them will contribute to the improvement of e-Health. Conclusions: Medical information systems (MIS) have become an integral attribute of the practical activity of all doctors. The development of MIS in Ukraine continues in intensive and extensive ways. The first MIS were autonomous and responded to local clinical and administrative needs. The problems of the country's health care management can be corrected through the wide and rational use of MIS, their integration into a single electronic system. This will make it possible to analyze medical data at the level of the country, region, institution and thus be able to apply the correct management decisions. Informatization of health care is a global trend, and in Ukraine it is developing at an unusually fast pace. Therefore, the assessment of convenience, efficiency, and interoperability of MIS should become a permanent tool for monitoring and prompt response by both doctors and health care managers. Medical workers are quite satisfied with the functioning of medical information systems in Ukraine, but the issues between technical solutions and practical use of the application remain unresolved.
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