РЕМЕДИУМРЕМЕДИУМ1561-59362658-3534Joint-Stock Company Chicot169810.32687/1561-5936-2024-28-2-161-164Original ArticleВнедрение электронных медицинских карт в систему здравоохранения: барьеры, перспективыБарановаТамара Вахтангиевнаbartoma007@gmail.comНаучно-исследовательский институт организации здравоохранения и медицинского менеджмента Департамента здравоохранения города Москвы, Москва, Россия15122024216116415102025Copyright © 2024, АО "Шико"2024В статье рассмотрены особенности внедрения информационно-коммуникационных технологий в системы здравоохранения на примере электронных медицинских карт (ЭМК). Проведён обзор зарубежной литературы, отражающей барьеры внедрения ЭМК по данным исследований, представлена статистика использования медицинскими работниками электронной документации в разных странах, отражены перспективы цифровизации электронного документооборота.healthcare systeminformation technologydigitalizationelectronic medical recordsimplementationbarriersсистема здравоохраненияинформационные технологиицифровизацияэлектронные медицинские картывнедрениебарьеры1.WHO. Fact sheet: quality health services. Geneva; 2020.2.WHO. WHO Third Global Forum on Human Resources for Health. Geneva; 2013.3.Pakenham-Walsh N., Bukachi F. Information needs of health care workers in developing countries: a literature review with a focus on Africa. Human Resources for Health. 2009;7:30.4.Oliveira M., Novaes M., Vasconcelos A. Using ISO 25040 standard for evaluating electronic health record systems. Studies in Health Technology and Informatics. 2013;192:1137–1159.5.Canada Health Infoway and Health Council of Canada. Beyond good intentions: accelerating the electronic health record in Canada. Policy Conference. Montebello; 2006.6.Muhaise H., Kareyo D. M., Muwanga-Zake P. Factors influencing the adoption of electronic health record systems in developing countries: a case of Uganda. ASRJETS. 2019;61:160–166.7.Erstad T. L. Analyzing computer based patient records: a review of literature. Journal of Healthcare Information Management. 2003;17:51–57.8.Dutta B., Hwang Hsin-Ginn. The adoption of electronic medical record by physicians: a PRISMA-compliant systematic review. Medicine (Baltimore). 2020;99(8):e19290.9.Tegegne M. D., Melaku M. S., Shimie A. W. et al. Health professionals' knowledge and attitude towards patient confidentiality and associated factors in a resource-limited setting: a cross-sectional study. BMC Med Ethics. 2022;23(1):26.10.Gatiti P., Ndirangu E., Mwangi J. et al. Enhancing Healthcare quality in hospitals through electronic health records: a systematic review. Journal of health informatics in developing countries. 2021;15(2).11.Waithera L., Muhia J., Songole R. Impact of electronic medical records on healthcare delivery in Kisii Teaching and Referral Hospital. Medical & Clinical Reviews. 2017;3(4):21–34.12.Hennemann S., Beutel M. E., Zwerenz R. Ready for eHealth? Health professionals’ acceptance and adoption of eHealth interventions in inpatient routine care. Journal of Health Communication. 2017;22(3):274–284.13.WHO. Electronic health record system implementation in healthcare system. Geneva; 2020.14.Jawhari B., Keenan L., Zakus D. et al. Barriers and facilitators to electronic medical record (EMR) use in an urban slum. International Journal of Medical Informatics. 2016;94:246–254.15.Sines C., Griffin G. R. Potential effects of the electronic health record on the small physician practice: a Delphi study. Perspectives in Health Information Management. 2017;14:1f.16.Muinga N., Magare S., Monda J. et al. Digital health systems in Kenyan public hospitals: a mixed-methods survey. BMC Medical Informatics and Decision Making. 2020;20:2.17.Chakraborty S., Bhatt V., Chakravorty T. Impact of digital technology adoption on care service orchestration, agility, and responsiveness. International Journal of Scientific and Technology Research. 2020;9:4581–4586.18.Woldemariam M. T., Jimma W. Adoption of electronic health record systems to enhance the quality of healthcare in low-income countries: a systematic review. BMJ Health Care Information. 2023;30(1):e100704.19.DeWane M., Waldman R., Waldman S. Cell phone etiquette in the clinical arena: A professionalism imperative for Healthcare. Current problems in pediatric and adolescent health care. 2019;49:79–83.20.Gagnon M. P., Ngangue P., Payne-Gagnon J. et al. M-health adoption by Healthcare professionals: a systematic review. Journal of the American Medical Informatics Association. 2016;23:212–220.