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1 . 2023

Assessment of the impact of new technologies and changes in patient characteristics on the healthcare system: review of publications and results of doctors surveys

Abstract

It is important to understand trends in the development of new technologies and changes in the characteristics of patients for the medical education programs actualization, the formation of new approaches of medical care and for the communication with patients.

The aim of this study is to provide a brief overview of trends in the transformation of healthcare systems in response to new medical and information technologies introduction, as well as changes in patient characteristics.

The analysis is made by reviewing international publications and the results of surveys of foreign and Russian healthcare professionals. The introduction of new medical technologies (based on the achievements of molecular and regenerative medicine, medical engineering, etc.) will allow to select treatment more precisely, restore organs and tissues, and help patients with limited mobility using exoskeletons. Information technologies (big data management, the use of artificial intelligence, mobile applications) will allow remote monitoring of patients, transfer in-patient treatment to home, predict the development of diseases before they appear and make doctors' decisions more accurate. In the next decade, the characteristics of the patients will also change: chronic non-communicable diseases will be more common, and patiens will be more knowledgeable. As a consequence, patients may question the doctor's opinion. According to surveys' results, about 40% of foreign and Russian doctors agree with it. The majority of Russian doctors (60%) believe that the widespread introduction of clinical decision support systems may lead to the decline of their ability of clinical reasoning. It is noteworthy that 20% of doctors at this stage do not believe that the EHR is able to facilitate their work, which indicate the inconvenience of the user properties of the EHR. Taking into account these trends, programs of medical and pharmaceutical education should include training courses in new medical technologies, bioinformatics and communication skills. The leaders of medical organizations should also know the basics of bioinformatics in order to properly introduce digital innovations.

Keywords:new medical technologies; digital technologies; fully informed patient; clinical decision support systems; electronic medical records; healthcare workers education

Funding. The study had no sponsor support.

Conflict of interest. The authors declare no conflict of interest.

For citation: Ulumbekova G.E., Khudova I.Yu. Assessment of the impact of new technologies and changes in patient characteristics on the healthcare system: review of publications and results of doctors surveys. ORGZDRAV: novosti, mneniya, obuchenie. Vestnik VSHOUZ [HEALTHCARE MANAGEMENT: News, Views, Education. Bulletin of VSHOUZ]. 2023; 9 (1): 41-56. DOI: https://doi.org/10.33029/2411-8621-2023-9-1-41-56 (in Russian)

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CHIEF EDITOR
CHIEF EDITOR
Guzel E. Ulumbekova
MD, MBA from Harvard University (Boston, USA), Head of the Graduate School of Healthcare Organization and Management (VSHOUZ)

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