Approaches to management and assessment of the health of military services using information technologies
- Authors: Borisov D.N.1, Sevryukov V.V.1, Eremin G.B.2, Petryakhin D.N.1
-
Affiliations:
- S.M. Kirov Military Medical Academy
- North-West Public Health Research Center
- Issue: Vol 100, No 8 (2021)
- Pages: 812-817
- Section: OCCUPATIONAL HEALTH
- Published: 31.08.2021
- URL: https://rjpbr.com/0016-9900/article/view/639071
- DOI: https://doi.org/10.47470/0016-9900-2021-100-8-812-817
- ID: 639071
Cite item
Full Text
Abstract
Introduction. At the present stage of developing domestic health care, active processes of informatization of the clinical diagnostic process are taking place. In most regions of the Russian Federation, various medical information systems are actively exploited in medical organizations, digital medical devices and devices are being introduced, which determines the relevance of the formation of a methodology for the use of information technologies in the health care system of military personnel.
Materials and methods. The materials of literary sources, bibliographic databases, regulatory documents, research and development work data, materials of military-scientific support of military-medical information systems have been studied. The historical, literary and structural-logical approach, system analysis methods, comparison, composition, and decomposition were used.
Results. This study proposes approaches to managing the health of servicemen and a system of its assessment using information technologies. Within the framework of the entire system of medical support for troops at the sectoral level, the ultimate goal of informatization is to construct a single information space for the medical service of the RF Armed Forces. It should be based on the use of unified personal electronic cards of military personnel, a single protected intradepartmental telecommunication network, and medical information systems for various purposes, depending on the level of a medical organization, unit or subdivision. In the informatization of the medical service, it is necessary to distinguish three primary levels, each of which develops its technologies and means of automation: personal (the level of an individual soldier); the level of medical organizations; the systemic level that determines the activities of the entire medical service. A personal electronic card of a serviceman should be used as an individual carrier of passport and medical information in military medical information systems. To decide on the medical and evacuation purpose of a particular patient at the admission and triage department of a medical company, it is necessary to ensure the formation of a protocol of medical and evacuation measures, which includes information from the electronic medical archive, vital activity sensors and medical care accounting systems.
Conclusion. The capabilities of information technologies, vital activity sensors, electronic medical archives and communication channels should ensure the collection of relevant information about an individual patient for the needs of the treatment and diagnostic process, even when military medical organizations are deployed at the stages of medical evacuation. The integration of all information systems in the health care system of servicemen into a single information space must be carried out, taking into account the requirements of regional medical information systems and a unified state information system in the field of health.
Contribution:
Borisov D.N. — the concept and design of the study, the collection and processing of the material, writing a text; responsibility for the integrity of all parts of the article;
Sevryukov V.V. — the concept and design of the study, responsibility for the integrity of all parts of the article;
Eremin G.B. — the collection and processing of the material, editing, approval of the final version of the article;
Petryakhin D.N. — the collection and processing of the material, writing a text.
Conflict of interest. The authors declare no conflict of interest.
Acknowledgment. The study had no sponsorship.
About the authors
Dmitry N. Borisov
S.M. Kirov Military Medical Academy
Author for correspondence.
Email: vmeda@ya.ru
ORCID iD: 0000-0002-6213-5117
MD, PhD, Lecturer, Associate Professor, Department of Organization and Tactics of Medical Service, S.М. Kirov Military Medical Academy, St. Petersburg, 194044, Russian Federation.
e-mail: vmeda@ya.ru
Russian FederationVladimir V. Sevryukov
S.M. Kirov Military Medical Academy
Email: noemail@neicon.ru
ORCID iD: 0000-0002-1294-9067
Russian Federation
Gennady B. Eremin
North-West Public Health Research Center
Email: noemail@neicon.ru
ORCID iD: 0000-0002-1629-5435
Russian Federation
Denis N. Petryakhin
S.M. Kirov Military Medical Academy
Email: noemail@neicon.ru
ORCID iD: 0000-0003-0391-4951
Russian Federation
References
- Abramova I.A., Mikhaylik V.N., Samokhvalova O.M. Informatics: a Guide to the Study of the Discipline (Correspondence Course) [Informatika: rukovodstvo po izucheniyu distsipliny (zaochnaya forma obucheniya)]. Omsk; 2010. (in Russian)
- Abramova I.A. Workshop on the Discipline «Data Analysis on a Computer»: a Tutorial [Praktikum po distsipline «Analiz dannykh na EVM»: uchebnoe posobie]. Omsk; 2006. (in Russian)
- Eloev M.S., Klipak V.M., Zherebko O.A., Belyshev D.V., Borisov D.N. The experience of medical information system implementation into multi-field outpatient facility. Voenno-meditsinskiy zhurnal. 2014; 335(9): 4–13. (in Russian)
- Ivanov V.V., Korneenkov A.A., Bogomolov V.D., Borisov D.N., Rezvantsev M.V. Current problems of information technologies application for forces medical service. Voenno-meditsinskiy zhurnal. 2013; 334(6): 8–13. (in Russian)
- Ivanov V.V. Advanced information technologies for medical support of the Armed Forces of the Russian Federation. In: Materials of the All-Russian scientific and practical conference «Promising technologies of medical support of the Armed Forces of the Russian Federation» [Materialy Vserossiyskoy nauchno-prakticheskoy konferentsii «Perspektivnye tekhnologii meditsinskogo obespecheniya VS RF»]. St. Petersburg: VMedA; 2013: 53-5. (in Russian)
- Kalachev O.V., Pershin I.V., Borisov D.N., Korneenkov A.A. Problematic issues and prospects of development of information and telecommunication technologies in the medical service of the Armed Forces. Voenno-meditsinskiy zhurnal. 2014; 335(12): 4–10. (in Russian)
- Kuvshinov K.E., Trishkin D.V., Goncharenko A.Yu., Shamrey V.K., Borisov D.N., Lobachev A.V. Prospects of it usage in the field of military psychiatry. Voenno-meditsinskiy zhurnal. 2015; 336(3): 4–14. (in Russian)
- Lemeshkin R.N., Gumenyuk V.I., Gumenyuk O.V., Akimov A.G., Blinov V.A., Bobrov Yu.M., et al. Problematic issues of organization of interaction of medical forces and means of various ministries and departments in uniform state system of the prevention and elimination of emergency situations. Vestnik Rossiyskoy Voenno-meditsinskoy akademii. 2016; (1): 176–83. (in Russian)
- Karelin A.O., Eremin G.B., Lomtev A.Yu. Peculiarities of regulation of legal relations in the field of environmental and hygiene safety of the population in the Russian Federation at the present stage. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2012; 91(5): 12–5. (in Russian)
- Sivashchenko P.P., Ivanov V.V., Borisov D.N., Baranovskiy A.M. Basic indices of service women disease incidence in 2008–2013. Vestnik Rossiyskoy Voenno-meditsinskoy akademii. 2015; (3): 166–72. (in Russian)
- Kopytenkova O.I., Shilova E.A., Sazonova A.M., Slyusareva O.V. Comprehensive approach to the problem of biological factor. Gigiena i Sanitaria (Hygiene and Sanitation, Russian journal). 2017; 96(7): 610–4. https://doi.org/10.18821/0016-9900-2017-96-7-610-614 (in Russian)
- Borisov D.N., Korneenkov A.A., Korovin R.N., Tsypurdeev D.R. The basic directions and experience of use of telemedical technologies in military-medical service. Voenno-meditsinskiy zhurnal. 2014; 335(11): 16–21. (in Russian)
- Computer-inform. Application of telemedicine technologies in the medical service of the Armed Forces of the Russian Federation; 2005. Available at: http://old.ci.ru/inform03_06/p_12.htm (in Russian)
- Sokhranov M.V., Samokhvalov I.M., Yudin A.B., Soldatov E.A., Borisov D.N. Set of the soldier of the future «Warrior» a medical component. In: Materials of the Conference «Actual Problems of Development of Technical Means of Medical Service» [Materialy konferentsii «Aktual’nye problemy razvitiya tekhnicheskikh sredstv meditsinskoy sluzhby»]. St. Petersburg; 2015: 109–11. (in Russian)
- Shelepov A.M., Samokhvalov I.M., Mironov V.G., Tsymbalenko A.V., Severin V.V., Lemeshkin R.N., et al. Definition of indicators of the medical and evacuation characteristic and assessment of their influence on the organization of delivery of health care by wounded (patient) of surgical profile in military field medical organization. Vestnik Rossiyskoy Voenno-meditsinskoy akademii. 2015; (1): 173–7. (in Russian)
- Rusev I.T., Lemeshkin R.N., Kozlov A.V., Kul’nev S.V., Prokin I.G., Shelepov A.M., et al. Organization and carrying out occupations in educational organizations of the ministry of defense of the Russian Federation on fundamentals of health and safety in emergency situations. Vestnik Rossiyskoy Voenno-meditsinskoy akademii. 2016; (2): 247–53. (in Russian)
Supplementary files
