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Текущее состояние и потенциал применения информационно-аналитических технологий при решении задач управления в здравоохранении: мнение врачей и экспертов сферы здравоохранения
In recent years in Russia, information and analytical technologies have been increasingly used in healthcare. Therefore, analyzing the opinion of doctors and healthcare experts on the current practice and the potential of the use of information and analytical technologies in solving management issues becomes highly urgent. Objective. To study the opinion of doctors and health care experts regarding the development of digital technologies that provide the most effective solution for managerial tasks, as well as focused planning for the introduction of promising innovations and improvement of currently used medical and information-analytical systems. Material and methods. From February to May 2022, a sociological survey of doctors and healthcare experts in Moscow and the Moscow region (101 respondents in total) was conducted using an electronic questionnaire. The main groups of specialists participating in the study were doctors — 23 (22.8%), heads of medical organizations and their deputies — 7 (6.9%), health authorities professionals — 21 (20.8%), researchers and teachers of medical universities and research institutes — 41 (40.6%), employees of pharmacological companies — 9 (8.9%). The authors also systematized the milestones of information technology development. Results and discussion. The study showed that most doctors and experts of the healthcare system of Moscow and the Moscow region were informed about the implementation of federal projects aimed at developing information technologies both in solving the problems of managing the healthcare sector and directly in the provision of medical services. However, so far, only 59.4% of respondents reported using information technologies to solve the problems of organizing medical care and providing medical services to the population. In total, 38.6% of respondents reported interaction with the subsystems of the Uniform State Health Information System (USHIS), and 65.3% reported using electronic document management when interacting with stakeholders. When asked about using telemedicine technologies in everyday practice, 44.6% of respondents answered positively. In comparison, only 18.8% of respondents noted a high and highest level of actual use of these technologies to solve management problems in healthcare. Factors impeding the implementation of information technologies in healthcare were low computer skills of health care professionals (reported 71.3% of respondents), lack of training of healthcare professionals (52.5%), uneven development of digital technologies in the regions (70.3%) and lack of appropriate resources (66.3%), slow integration of territorial information systems in the USHIS (54.5%). Conclusion. The novelty of the study is that the authors not only studied the opinion of healthcare practitioners on the daily practice of using information technologies in professional activities but also identified the most common problems that hinder the implementation of information technologies to solve management problems in healthcare. The obtained data can help develop specific recommendations for overcoming low computer skills and using information and analytical technologies more actively in healthcare management.