REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot176310.32687/1561-5936-2024-28-3-310-318Original ArticleAnalysis and evaluation of the digital transformation of the healthcare system, problems of implementation (scientific review)DavronovIgor V.igorbukhara@yandex.ruSuslonovaNina V.ckprz@mail.ruGaraninaIrina A.i.garanina2012@yandex.ruDubna Hospital, Dubna, RussiaAdministration of the Governor of the Moscow region, Krasnogorsk, RussiaMoscow Regional Research Clinical Institute named after M. F. Vladimirsky, Moscow, Russia15122024331031816102025Copyright © 2024,2024The process of digital transformation today determines the directions of development of all spheres of society, therefore, its analysis, assessment of development prospects and difficulties of implementation are necessary. Since 2011, a number of federal healthcare digitalization projects have been implemented in the Russian Federation, which have made it possible to provide state and municipal medical organizations with equipment, communication channels and software, and create a unified information network. The article presents an analysis of the digital transformation of the industry based on the introduction of medical information systems, a unified state health information system, a single digital circuit providing data exchange between all participants in the system and the development of innovative methods of healthcare management. Electronic services for the development of telemedicine consultations, electronic medical records, electronic prescriptions, provision of medicines, etc. allow you to effectively organize the provision of medical care and solve problems to increase the availability and quality of care and patient satisfaction.healthcare informatizationdigital transformationhealthcare managementunified state healthcare information systemelectronic medical recordtelemedicineинформатизация здравоохраненияцифровая трансформацияуправление здравоохранениемединая государственная информационная система здравоохраненияэлектронная медицинская картателемедицина[Spartak A. N., Voronova T. A. Medium- and long-term trends in the development of the world economy. International trade and trade policy. 2019;(4):1-27. DOI: 10.21686/2410-7395-2019-4-5-30][Afyan A. I., Polozova D. V., Gordeeva A. A. Digital transformation of the Russian public health system: opportunities and contradictions. Digital law. 2021;(2):20–39. DOI: 10.38044/2686-9136-2021-2-4-20-39][Tsirenshchikov V. S. Digitalization of the European economy. Modern Europe. 2019;(3):104–113.][Sklyar M. A., Kudryavtseva K. V. Digitalization: main directions, advantages and risks. EVR. 2019;(3):102–114.][Krampit A. G., Krampit N. Yu. Methodology of scientific research. Tomsk; 2008. 164 p.][Kakorina E. P., Ten G. U. Approaches to the creation of the Russian healthcare information system. Problems of social hygiene, healthcare and the history of medicine. 2003;(2):18–20.][Kurakova N. A. Informatization of healthcare as a tool for creating a «self-regulating system of organization of medical care». Doctor and information technologies. 2009;(2):4–27.][Putintsev A. N., Alekseev T. V., Shmeleva N. N. Modern technologies for information support of doctors and professional development. Doctor and information technologies. 2015;(2):36–44.][Konovalov A. A., Pozdnyakova M. A. Organization of information support for healthcare management. Problems of social hygiene, healthcare and the history of medicine. 2016;24(2):101–105. DOI: 10.1016/0869-866X-2016-24-2-101-105][Karpov O. E., Subbotina S. A., Shishkanova D. V., Zamyatina M. N. Digital healthcare in a digital society. Doctors and information technologies. 2017;(3):6–22.][Nazarov V. S., Avksentiev N. A., Sisigina N. N. The main directions of development of the Russian healthcare system: trends, forks, scenarios. Moscow; 2019; 100 p.][Vyalykh N. A. Digital technologies as a catalyst for the development of healthcare in modern Russia. In the collection: Materials of the Fourth International Scientific Conference «Interdisciplinarity in modern socio-humanitarian knowledge-2019» (June 20–22, 2019; Rostov-on-Don). Taganrog; 2019:46–54.][Stefanova N. A., Andronova I. V. Problems of digitalization of the healthcare sector: Russian and foreign experience. Bulletin of Samara University. Economics and management. 2018;9(3):31–35.][Gusev A. V., Pliss M. A., Levin M. B., Novitsky R. E. Trends and forecasts of the development of medical information systems in Russia. Doctor and information technology. 2019;(2):38–49.][Yudin V. I., Shirokova O. V. Prospects and the role of digital technologies in reforming Russian healthcare. Megalopolis Health 2020; 1 (1): 72-86.][Digital transformation: expectations and reality: dokl. to the XXIII Yasinskaya (April) International Scientific Conference on problems of economic and social development, (Moscow, 2022). Moscow; 2022. 221 p.][Sрandora N. Digitalization of the healthcare system: experience and prospects // Science and innovation. 2020;(2):38–43. DOI: 10.29235/1818-9857-2020-2-38-43][Gusev A. V. Public procurement of software and services for healthcare informatization in 2013–2017. Doctor and information technology. 2018;(1):28–47.][Zarubina T. V., Kobrinsky B. A. (eds.) Medical informatics: textbook. Moscow; 2016. 512 p.][Otstavnova E. A. Constitutional and legal foundations of digitalization of healthcare in the Russian Federation. Bulletin of the Saratov State Law Academy. 2023;(3):64–72. DOI: 10.24412/2227-7315-2023-3-64-72][Gusev A. V., Vladzimirsky A. V., Golubev N. A., Zarubina T. V. Informatization of healthcare in the Russian Federation: history and development results. National health care. 2021;2(3):5–17. doi: 10.47093/2713-069X.2021.2.3.5-17][Pavlov V. N., Khanov A. N., Tyurganov A. G. Digital medicine: expectations and prospects. Public health. 2022;(2):73–76.][Osadchaya S. M., Osadchaya A. N. Digital technologies in the management of a medical institution. Business. Education. Law. 2022;(1):132–136.][Gusev A. V., Zarubina T. V. Support for medical decision-making in medical information systems of a medical organization. Doctor and Information Technology. 2017;(2):60–72.][Mikhailov I. A., Omelyanovsky V. V., Samsonova E. S. et al. Methodological approaches to the formation of a rating of subjects of the Russian Federation reflecting the effectiveness and quality of medical care in the profile. Problems of social hygiene, healthcare and the history of medicine. 2022;30(5):727–733.][Zabolotnaya N. V., Gatilova I. N., Zabolotny A. T. Digitalization of healthcare: achievements and development prospects. Economy. Computer science. 2020;(2):380–389.][Golodova O. A., Mamutov N. R. Trends in the development of digital healthcare in the Russian Federation. Topical issues of modern economics. 2019;(4):401–407.][Manakina Е.S., Medvedeva O. V., Kazaeva O. V., Tazina T. V. Digital transformation of private healthcare: integration features. Modern problems of healthcare and medical statistics. 2022;(5):632–644. DOI: 10.24412/2312-2935-2022-5-632-644][Davidovich E. I., Kugach V. V. Informatization of medicine and education in the Asian and Australian regions. Bulletin of Pharmacy. 2018;(1):77–87.][Belyshev D. V., Guliyev Ya. I., Mikheev A. E. The place of MIS of a medical organization in the methodology of health informatization. Doctor and information technology. 2017;(4):26–39.][Soboleva S. Yu., Golikov V. V., Tazhibov A. A. Information technologies in healthcare: features of industry application. E-Management. 2021;4(2):37–43.][Pugachev P. S., Gusev A. V., Kobyakova O. S. et al. Global trends in the digital transformation of the healthcare industry. National Health Care. 2021;2(2):5–12.][Bhavnani S., Narula J., Sengupta P. Mobile technology and the digitization of healthcare. Eur. Heart J. 2016;37(18):1428–1438. DOI: https://doi.org/10.1093/eurheartj/ehv770][Belchik T. A., Kolesnikova E. V., Khvorova E. S. Digitalization of the activities of medical organizations as a factor in improving the quality of services provided. BENEFICIUM. 2021;(2):5–11. DOI: 10.34680/BENEFICIUM.2021.2(39).5-11][Voskanyan Yu. E., Shikina I. B. Modern trends and scenarios of modern healthcare development. Modern problems of healthcare and medical statistics. 2021(3):628–652. DOI: 10.24412/2312-2935-2021-3-628-652][Mishon E. V., Kanapukhin V. A. Interim results of digitalization of the healthcare system: directions of development and main threats. Bulletin of the Voronezh State University. Series: Economics and Management. 2022;(3):100–112. DOI: https://doi.org/10.17308/econ.2022.3/9987][Kirilenko V. V. Healthcare, digitalization of the economy and updating of educational programs at the university. FORCIPE. 2022;(52):257–258.][Mokhnacheva Т.Е., Monogarova Yu. Yu., Varakina Z. L. Involvement of healthcare administrators in the process of healthcare digitalization. Social'nye aspekty zdorov'a naselenia. 2023;69(1):11. DOI: 10.21045/2071-5021-2023-69-1-11][Shamshurina N. G. Social aspects of digitalization of healthcare: a medical and sociological aspect. Sociology of medicine. 2019;(1):50–54.]