Оценка организации системы информирования в районной больнице в рамках внедрения новой модели оказания первичной медико-санитарной помощи

Abstract

BACKGROUND: In accordance with the draft order of Ministry of Health of Russian Federation, it is supposed to create three levels of compliance with the new model in which the criterion of the information system is obligatory for achievement of the first level. In this regard, of interest for health officials is theoretical and clinical validation of the methods of evaluation of the system of visualization in medical organizations in different territories, described in methodical recommendations of the Healthcare Ministry of RF. AIM: To study the features of visualization of a medical information system in a structural unit of a central regional hospital providing primary medical care. MATERIALS AND METHODS: The object of the study was the information system of an adult polyclinic of the central district hospital, where the information system was evaluated, with the subsequent filling out of a checklist of achievement of the target value of the criterion “Implementation of an information system in a medical organization”. The subject of the study was the basic characteristics of the information system: the amount, method of placement, reasonability, relevance and availability of individual elements. RESULTS: In accordance with the checklist for evaluating the information system in a medical organization, the percentage of the presence of information was 33%, which led to non-compliance with the criterion “Implementation of an information system in a medical organization”. In addition, during the audit, 17 elements of the information system were identified not related to any of 18 points of the analyzed criterion. These elements were combined in the block “Information aimed at ensuring a safe stay in a medical organization”, which is proposed to supplement the existing sections of the criterion “Implementation of an information system in a medical organization”. CONCLUSION: To achieve the first level of compliance with the new model of a medical organization providing primary health care, it is necessary to meet the requirements of the criterion “Implementation of an information system in a medical organization”. It is advisable to consider the possibility of including elements of an information system aimed at ensuring the safety of visitors and staff staying in a medical organization, in the criterion “Implementation of an information system in a medical organization”.