Monitoring the performance of the digital health ecosystem

Digital health was interpreted as a digital ecosystem of public health. It improves public health accelerating medical diagnostics, disseminating evidence-based medicine, conducting online consultations, and supporting clinical trials. The purpose was to assess, using official statistical information and data from open sources, the elements of the ecosystem, specifically regional conditions and characteristics of the basic infrastructure, the development of domestic software, digital platforms, services, and mobile applications. A significant differentiation of regions was revealed in terms of the basic infrastructure to be used for the digital ecosystem of public health. That reduces the potential of the digital health for the population of Russia. The analysis of data on the registration of domestic software for the health care system showed that preferences for domestic software manufacturers in the purchase of goods and services for state and municipal needs are effective. The popularity of large Russian aggregators of medical services was assessed based on the data on queries by keywords and data from mobile application stores. The current level of development of Russian digital platforms, services and mobile applications is a significant groundwork for the development of telemedicine. The factor holding back the development of telemedicine is the state of the regulatory framework. Legislation aimed at allowing the use of telemedicine services for diagnosis and treatment is under consideration in the government and the parliament. A promising direction for further research is the improvement of the methodological and methodological foundations for monitoring the performance of the digital ecosystem of public health. It is necessary to analyze not only the indicators of the development of digital and e-health resources, which are specified in strategic program documents, but also to additionally develop indicators of benefits for the subjects of the digital ecosystem

Keywords: digital health, medical software, medical mobile applications, eHealth monitoring, telemedicine

References

  1. Gomaleev A. O. Creation of mechanisms for interaction of medical organizations on the basis of a unified state information system in the field of health care (Unified State Health Information System)//Journal of Economy and Business, 2017, vol. 5–1. S. 79–84. DOI: 10.24411/2411–0450–2019–10824.
  2. Dyatlov S. A., Kudryavtseva K. V. Digital goods in the service-digital economy//Innovations. 2020. No. 3. URL: https://maginnov.ru/ru/zhurnal/arhiv/2020/innovacii-n-3–2020/cifrovye-blaga-v-servisno-cifrovoj-ekonomike. 
  3. Draft Law No. 930215–7 On Amendments to the Federal Law "On the Fundamentals of Health Protection of Citizens in the Russian Federation" (in terms of the specifics of providing medical assistance in emergency situations). URL: https://sozd.duma.gov.ru/bill/930215–7. 
  4. Request to change the passport of the priority project "Electronic Health" N 1 (approved by the Presidium of the Council under the President of the Russian Federation for Strategic Development and Priority Projects, minutes of 20.10.2017 N 11). Approved by the Presidium of the Council under the President of the Russian Federation for Strategic Development and Priority Projects (Minutes of October 20, 2017 N 11). URL: http://www.consultant.ru/document/cons_doc_LAW_295595/.
  5. Indicators of the digital economy: 2021: statistical collection/G. I. Abdrakhmanova, K. O. Vishnevsky, L. M. Gokhberg and others; Nat. issled. University Higher School of Economics. — M.: NRU HSE, 2021. — 380 p. URL: https://issek.hse.ru/mirror/pubs/share/484533334.pdf. 
  6. Karpov OE, Subbotin SA, Shishkanov DV, Zamyatin MN Digital health care. Necessity and prerequisites//Doctor and information technologies. 2017. No. 3. S.5–22.
  7. Lipatov V. A., Kaitsev I. G., Severinov D. A. On the problems of introducing IT systems into practical healthcare. Bulletin of Siberian Medicine. 2018; 17 (1): 177–190. DOI: 10.20538/1682–0363–2018–1-177–190.
  8. Methodology for calculating the index "Digital Russia" of constituent entities of the Russian Federation Moscow, Moscow School of Management SKOLKOVO. Center for Financial Innovation and Cashless Economy. 2018. URL: https://finance.skolkovo.ru/downloads/documents/FinChair/Research_Reports/SKOLKOVO_Digital_Russia_Methodology_2019–04_ru.pdf.
  9. On the establishment of an experimental legal regime in the field of digital innovation and the approval of a program for an experimental legal regime in the field of digital innovation on the use of telemedicine technologies. URL: https://regulation.gov.ru/projects#npa=121390&utm_campaign=med&utm_source=consultant&utm_medium=email&utm_content=old.
  10. The official website of the operator of the unified register of Russian programs for electronic computers and databases in the information and telecommunications network "Internet". URL: https://reestr.minsvyaz.ru/reestr
  11. Passport of the national project "Health" (approved by the Presidium of the Council under the President of the Russian Federation for Strategic Development and National Projects, minutes of 24.12.2018 N 16). URL: http://www.consultant.ru/document/cons_doc_LAW_319209/.
  12. Passport of the national program "Digital Economy of the Russian Federation" (approved by the Presidium of the Council under the President of the Russian Federation for Strategic Development and National Projects on December 24, 2018 N 16). URL: https://base.garant.ru/72190282/
  13. Passport of the priority project "Improving the processes of organizing medical care through the introduction of information technology" (annex to the protocol of the Presidium of the Council under the President of the Russian Federation for strategic development and priority projects of 25.10.2016 N 9). URL: http://www.consultant.ru/document/cons_doc_LAW_284317/.
  14. Passport of the federal project "Creation of a unified digital circuit in health care on the basis of a unified state information system in health care (EGISZ)". URL: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/046/712/original/FP_Cifrovoj_kontur_zdravooxraneniya.pdf?1565344851.
  15. Stefanova N. A., Andronova I. V. Problems of digitalization of the healthcare sector: Russian and foreign experience//Bulletin of the Samara University. Economics and Management. 2018. No. 3. Volume 9. P.31–35.
  16. Decree of the President of the Russian Federation of May 9, 2017 N 203 "On the Strategy for the Development of the Information Society in the Russian Federation for 2017–2030". URL: https://base.garant.ru/71670570/
  17. Federal Law of 21.11.2011 N 323-FZ "On the Fundamentals of Health Protection of Citizens in the Russian Federation" (last edition). URL: http://www.consultant.ru/document/cons_doc_LAW_121895/.
  18. Federal Law N 250-FZ of July 29, 2018 "On Amendments to the Law of the Russian Federation" On Protection of Consumer Rights "" of July 29, 2018 N 250-FZ (last edition). URL: http://www.consultant. ru/document/cons_doc_LAW_303537/3d0cac60971a511280cbba229d9b6329c07731f7/.
  19. Digital implementation investment guide: integrating digital interventions into health programmes. Geneva: World Health Organization; 2020. Licence: CC BY-NC-SA 3.0 IGO. URL: https://www.who.int/publications/i/item/9789240010567.
  20. Global strategy on digital health 2020–2025. Geneva: World Health Organization; 2021. Licence: CC BY-NC-SA 3.0 IGO. 60 p. URL: https://www.who.int/docs/default-source/documents/gs4dhdaa2a9f352b0445bafbc79ca799dce4d.pdf.
  21. Global Telemedicine Market Outlook 2022. 2020. 120 Pages. E-Services Private Limited. URL: https://www.researchandmarkets.com/reports/3766749/global-telemedicine-marketoutlook-2022?w=4&utm_source=BW&utm_medium=PressRelease&utm_code=xlf7kg.
  22. Monitoring and evaluating digital health interventions: a practical guide to conducting research and assessment. Geneva: World Health Organization; 2016. Licence: CC BY-NC-SA3.0 IGO. URL: https://www.who.int/reproductivehealth/publications/mhealth/digital-health-interventions/en/.
  23. National eHealth strategy toolkit. World Health Organization and International Telecommunication Union; 2012. URL: https://www.itu.int/dms_pub/itu-d/opb/str/D-STR-E_HEALTH.05–2012-PDF-E.pdf.
  24. Report on the WHO Symposium on the Future of Digital Health Systems in the European Region, Copenhagen, Denmark, 6–8 February 2019. Copenhagen: WHO Regional O ce for Europe; 2019. License: CC BY-NC-SA 3.0 IGO. URL: https://apps.who.int/iris/bitstream/handle/10665/329032/9789289059992-eng.pdf.
  25. Verzilin, D., Maximova, T., Antokhin, Y., Sokolova, I. Integration of heterogeneous data in monitoring environmental assets. Advances in Intelligent Systems and Computing, 2019, 765, стр. 176–185. URL: https://www.springerprofessional.de/en/integration-of-heterogeneous-data-in-monitoring-environmental-as/15770190.
  26. WHO Global Observatory for eHealth. ( 2011) . mHealth: new horizons for health through mobile technologies: second global survey on eHealth. World Health Organization. URL: https://apps.who.int/iris/handle/10665/44607.
  27. WHO guideline: recommendations on digital interventions for health system strengthening. Geneva: World Health Organization; 2019. Licence: CC BY-NC-SA 3.0 IGO. URL: https://apps.who.int/iris/bitstream/handle/10665/311941/9789241550505-eng.pdf?ua=1.
  28. World Health Organization Fifty-Eighth World Health Assembly. A58/21. Provisional agenda item 13.17. eHealth Report by the Secretariat. World Health Organization; 7 April 2005. URL: https://apps.who.int/gb/archive/pdf_files/WHA58/A58_21-en.pdf.
  29. World Health Organization Fifty-Eighth World Health Assembly. Resolutions and decisions, Annex — document WHA58/2005/REC/1. World Health Organization; GENEVA, 16–25 May 2005 2005. URL: https://apps.who.int/gb/ebwha/pdf_files/WHA58-REC1/english/A58_2005_REC1-en.pdf.

Authors