专家评估制定初级保健数字化成熟度模型的指标和指数

D. V. Voshev, I. M. Son, A. P. Stolbov
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摘要

该研究致力于开发俄罗斯联邦初级卫生保健数字化成熟度模型。通过专家评估,确定了数字化成熟度的关键指标和指数,从而有可能建立一个评估医疗机构数字化发展的综合模型。主要关注医疗信息系统和信息通信技术的功能能力,以确保医疗服务的高质量和可及性。目的:对指标和指标进行专家评估,以建立基层医疗机构数字化成熟度模型。这包括对现有指标进行分析,确定关键指标,对其进行分类,并评估其对形成评估医疗机构数字化成熟度的客观模型的意义。材料和方法。为系统评估基层医疗机构的数字化成熟度,编制了一份调查问卷,其中包含 6 个指标和 52 个反映俄罗斯联邦主体数字化成熟度各个方面的指标。研究了医学和信息技术领域的监管文件、方法指南和专家建议。专家们对每项指标的重要性进行了 0-10 分的评估,并将评估结果进行分类,形成了最终模型。结果。专家评估结果显示,对医疗信息系统功能的评价高于对信息和通信技术设备的评价。获取研究成果和远程医疗咨询等关键指标获得了高分,这表明它们对医疗机构的数字化成熟度非常重要。建议包括更新数字化基础设施、开发医疗信息系统的功能和提高医务人员的培训水平。结论:研究表明,为了使初级保健中心的数字化成熟度达到较高水平,有必要同时关注 技术设备和开发 IIA 功能。采取综合方法,包括更新基础设施和提高医务人员的数字素养,将大大提高医疗服务的质量和可及性。提出的建议可作为进一步规划措施的基础,以提高俄罗斯联邦初级卫生保健的数字化成熟度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Expert assessment of indicators and indicators for the development of a model of digital maturity of primary health care
The research is devoted to the development of a model of digital maturity of primary health care in the Russian Federation. Through expert evaluation, key indicators and indicators of digital maturity were identified, which made it possible to create a comprehensive model for assessing the digital development of medical organizations. The main attention is paid to the functional capabilities of medical information systems and information and communication technologies that ensure high quality and accessibility of medical care. Aim: to conduct an expert assessment of indicators and indicators for the development of a model of digital maturity of primary health care. This includes an analysis of existing indicators, identification of key indicators, their classification and assessment of significance for the formation of an objective model for assessing the digital maturity of medical organizations. Materials and methods. For a systematic assessment of the digital maturity of primary health care, a questionnaire was developed containing 6 indicators and 52 indicators reflecting various aspects of the digital maturity of the subjects of the Russian Federation. Regulatory documents, methodological guidelines and recommendations from experts in the field of medicine and information technology were studied. Experts assessed the importance of each indicator on a scale from 0 to 10 points, and the results of the assessments were classified to form the final model. Results. The expert assessment showed that the functionality of the medical information system is evaluated higher than the equipment of information and communication technologies. Key indicators, such as access to research results and telemedicine consultations, received high marks, indicating their importance for the digital maturity of medical organizations. The recommendations include updating the digital infrastructure, developing the functionality of the medical information system and improving the level of training of medical personnel. Conclusions: the study showed that in order to achieve a high level of digital maturity of PHC, it is necessary to pay attention to both the technical equipment and the development of the IIA functionality. An integrated approach, including updating the infrastructure and improving the digital literacy of medical personnel, will significantly improve the quality and accessibility of medical care. The proposed recommendations can serve as a basis for further planning of measures to increase the digital maturity of primary health care in the Russian Federation.
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