Medical Organizations Research Articles

Triple-loop learning as a framework for advancing health systems science in medical education: a transformational change approach

Purpose The American Medical Association has recently adopted health systems science (HSS) as the third pillar of medical education to provide comprehensive and holistic patient care. The purpose of this paper is to propose a novel organizational learning perspective in considering how medical schools can facilitate a transformational HSS curriculum change. Design/methodology/approach This is a conceptual paper seeking to present triple-loop learning as a potential approach to HSS curriculum change. Findings Due to its potential for structural accountability and sustainability stemming from the inclusion of diverse voices, the authors argue that HSS curriculum change, guided by the principles of triple-loop learning, is likely to lead to the development of medical curricula that are more adaptive and responsive to the constantly changing health-care landscape. The authors advocate for the deliberate inclusion of stakeholders who have historically been excluded or marginalized in the HSS curriculum change process, such as patients and those in sentinel roles (e.g. nurses, social workers). The authors also suggest an integrated, multilevel transformation that involves collaboration among medical schools, accreditation organizations, licensing boards and health-care systems. Originality/value To the best of the authors’ knowledge, this paper represents the first attempt to apply the theory of triple-loop learning in the context of HSS curriculum change. It highlights how this critical systemic learning approach uniquely contributes to HSS curriculum change, and subsequently to the necessary, larger cultural changes demanded in medical education as a whole.

YouTube as a source of education on tunneled catheter insertion: content and quality analysis.

Tunneled catheters can be inserted for many reasons, and in most centers, and in most centers it is not clear who should insert these catheters. Some anesthesiologists may not have seen first-hand the insertion of a tunneled catheter during their residency, depending on the policies of the institution. YouTube is one of the most commonly used online platforms for accessing medical information. The aim of this study was to investigate the reliability of YouTube videos, for tunneled central venous catheter (Hickman and tunneled hemodialysis catheters) insertion for education. The keywords "Tunneled catheter insertion" and "Tunneled central venous catheter insertion" were searched for on YouTube. The first 100 videos ranked by the YouTube algorithm were analysed. Animation and theoretical content videos, as well as videos that included only a part of the catheter insertion, were excluded. The sources of the videos were categorized as medical doctors or professional organizations. medical device advertisement and hospital. Two authors evaluated all videos via the Journal of the American Medical Association (JAMA) benchmark criteria, modified DISCERN scores and the Global Quality Scale (GQS). Twenty-three videos were analysed in the study. The video quality scores were similar across the video sources. The number of views and the number of likes were significantly positively correlated. Furthermore, a significant correlation was found between the JAMA, Modified DISCERN, and GQS scores. Notably, none of the analysed videos achieved full points in all three scoring systems. Relying on a single criterion, such as the video source or number of likes, is not sufficient to determine a video's quality. Therefore, what is learned from videos needs to be double-checked. These platforms should be used as an additional tool, not as the primary source of education.

The influence of internet sources on the patient's trust in the doctor (based on a survey of doctors and patients in the Nizhny Novgorod region)

BACKGROUND: Modern society is characterized by a tendency of a sharp increase in the influence of Internet sources on the interaction of subjects of the social institute of medicine. AIM: to assess the degree of influence of Internet sources on the patient's trust in the doctor. METHODS: The study was conducted in medical organizations of the Nizhny Novgorod region by means of a questionnaire survey of patients and doctors using author's questionnaires. The study involved 521 patients and 240 doctors. RESULTS: 32.3±2.1% of respondents almost never search for and recheck a diagnosis and doctor's appointments in Internet sources, and 32.5±2.1% do this rarely, 25.9±1.9% search for a diagnosis on Internet sites and recheck doctor's appointments from time to time, and only 9.2±1.2% do it all the time. At the same time, 82.8 ± 1.6% of patients declared priority trust in the doctor, rather than recommendations received on Internet sites. 61.5±3.1% of doctors from time to time face the fact that patients have a clear opinion about their diagnosis obtained from Internet sources, 15.0±2.3% of doctors face this constantly, 17.5±2.5% of doctors rarely, and only 6.0±1.5% of doctors never face it. 51.7±3.2% of the surveyed doctors do not feel well about the fact that patients double-check the criteria for diagnosis and doctor's appointment on Internet sites, 24.9±2.3% support the activity of patients and the study of information about their disease, and 23.4±2.7% are indifferent to such a phenomenon. According to 87.8±2.1% of doctors, patients trust information received from a doctor more than online sources. CONCLUSION: According to the results of the study, 67.6±2.1% of patients access Internet sites in order to verify the correctness of medical opinions, but at the same time, according to 82.8± 1.6% of patients and 87.8±2.1% of doctors, information received from a doctor is of priority importance for patients, compared with the Internet sources.

International medical graduates' experiences of clinical competency assessment in postgraduate and licensing examinations: A scoping review protocol.

An international medical graduate (IMG) is a doctor who has received their basic medical qualification from a medical school located in a different country from that in which they practice or intend to practice. IMGs are known to face difficulties in their working lives, including differential attainment in assessment. The objective of this review is to map key concepts and types of evidence in academic and gray literature relating to international medical graduates' experiences of clinical competency assessment and to identify knowledge gaps on this topic by systematically searching, selecting, and synthesizing existing knowledge. All studies will relate to IMGs. The concept of interest will be IMGs' experiences of assessment. The context will be postgraduate, licensing or credentialing medical assessments of clinical competence. This review will be conducted in accordance with the Joanna Briggs Institute (JBI) methodology for scoping reviews. Seven electronic databases will be searched for literature published between 2009 and 2024: the Australian Education Index, British Education Index, ERIC, PubMed, PsycINFO, Scopus, and SocINDEX. Gray literature will be searched using Google, Google Scholar, and published reports from postgraduate training bodies and medical licensing organizations. Documents will be independently screened, selected, and extracted by two researchers using a piloted data-extraction tool. Data will be analyzed and presented in tables and in a narrative format. Trial resgistration: Scoping review registration: Open Science Framework: https://osf.io/8gdm7.

Use of Prenatal Exome Sequencing: Opinion Statement of the French Federation of Human Genetics Working Group.

Prenatal whole exome sequencing (pES) is increasingly prescribed for fetuses with ultrasound anomalies. Starting from the local French prenatal medicine practice, healthcare system and legal landscape, we aimed to address the broad medical and ethical issues raised by the use of pES for women and couples as well as for prenatal care providers. The French Federation of Human Genetics established a working group composed of clinicians and biologists from all over France to discuss pES challenges. A literature review was also performed. We emphasize the importance of non-directive information that helps couples make a decision that is consistent with their personal values and ideas. We address the difficulty of obtaining informed consent that respects the couple's autonomy, despite the complexity of the information and regardless of their level of education and cultural background. We address whether variants of uncertain significance and unsolicited results should be reported. We emphasize the need for national harmonization of access to pES and the need for multidisciplinary meetings in complex situations. We point out that the specific French context of healthcare financing and the French law have a major influence on medical care organization and support for couples. The outcome of the working group is the development of 12 proposals. This opinion statement, dedicated to prenatal care providers worldwide although linked to the French context, will provide food for thought and assist them in understanding the complexity and implications of pES.

DEVELOPMENT OF HIGHER MEDICAL EDUCATION ABROAD IN THE STUDIES OF UKRAINIAN COMPARATIVISTS

The article presents a synthesized historiographical analysis of Ukrainian pedagogical comparativistsʼ works on the development of higher medical education in foreign countries, identifying trends, achievements, bottlenecks, and prospects for studying this problem. The presented sample of dissertations, monographs, and textbooks demonstrated their narrow country-specific vector and similarity in formulating the subject of research. Historiographical and comparative analysis revealed similar approaches of scientists to determining trends in the development and functioning of national systems of professional training for doctors. These concern the preservation and expansion of decentralization in higher medical education management; strengthening the interaction of its various links; shifting emphasis in determining the prerequisites for the development of national higher medical education systems from “traditional” factors (political, socio-economic, cultural situation of the country, etc.) to clarifying the influences of international medical organizations and documents in the field of healthcare that substantiate general strategies for training doctors in higher medical education institutions, etc. Scientists also propose original approaches to studying the functioning of national systems of higher medical education. These are manifested in the development of authors periodizations and classifications of the specified process; thorough characteristics of university environments for training future doctors in different countries; comprehensive understanding of the determinants of their formation and development, which, in addition to social, economic, and cultural factors of the country's development, relate to the level of education of the population, its multiculturalism, the specifics of educational systems, etc. In these perspectives, the analyzed studies mark two main country-specific vectors of research in higher medical education: “overseas” (USA and Canada) and “European” (mainly Great Britain, Poland, and German-speaking countries).

YouTube as a source of information in cardiopulmonary resuscitation for 2020 AHA Resuscitation Guidelines.

The Internet has transformed global information access, particularly through platforms like YouTube, which launched in 1995 and has since become the second largest search engine worldwide with over two billion monthly users. While YouTube offers extensive educational content, including health topics like cardiopulmonary resuscitation (CPR) and basic life support (BLS), it also poses risks due to potential misinformation. Our study focuses on evaluating the accuracy of CPR and BLS videos on YouTube according to the latest 2020 American Heart Association (AHA) guidelines. This research aims to highlight inconsistencies and provide insights into improving YouTube as a reliable educational resource for both lay rescuers and healthcare professionals. In this cross-sectional observational study, English YouTube videos uploaded between October 21, 2020, and May 1, 2023, were searched using keywords related to CPR and basic life support. Videos were assessed for their source, duration, views, use of human or mannequin models, and mean assessment scores by two emergency medicine physicians. A third physician's opinion was sought in cases of disagreement. The first assessment evaluated video validity based on specified information criteria, while the second assessed their ability to convey advanced medical information aligned with the 2020 AHA guidelines. In this study, 201 English YouTube videos uploaded between October 21, 2020, and May 1, 2023, were evaluated based on search terms related to CPR and BLS, resulting in 95 videos meeting inclusion criteria after excluding 106 due to various reasons. Most included videos were from healthcare professionals (49.5%), followed by anonymous sources (29.5%) and official medical organizations (21.1%). Video durations ranged widely from 43 to 6,019 seconds, with an average of 692 seconds. Videos featuring mannequins predominated (91.6%), followed by those using human subjects (5.3%) or both (3.2%). Healthcare professional and official medical organization videos scoring significantly higher than those of unknown origin (p=0.001). Video length did not correlate significantly with view counts, although shorter videos under 5 minutes tended to have higher average views. The results presented in this study demonstrated that English-language videos on YouTube related to BLS and CPR, throughout the study period, did not conform to the 2020 AHA guidelines in terms of providing basic information for lay rescuers. Furthermore, healthcare professionals cannot obtain advanced medical knowledge through these videos. We recommend a professional oversight mechanism in health-related videos that does not tolerate such misinformation.

Problems of qualification in receiving a bribe on the example of medical workers

Subject of research: norms of the criminal legislation of the Russian Federation devoted to bribery and the concept of an official, as well as clarifications of the Plenum of the Supreme Court of the Russian Federation on the qualification of certain crimes of corruption. Purpose of research: to give scientifically based proposals to eliminate the problem of qualifying the actions of a medical worker, including one who is the head of a structural unit of a medical organization, as receiving a bribe. Object of research: social relations arising in connection with the performance by a medical worker of his professional and official duties, which were studied using comparative legal, dialectical and analytical methods. Main results of research: a justification is proposed for the need to include in the Criminal Code of the Russian Federation a rule on liability for illegal remuneration of officials of healthcare institutions.

Quality of medical care for patients with arterial hypertension and type 2 diabetes mellitus in outpatient medical organizations

BACKGROUND: The course of arterial hypertension and diabetes mellitus depends on the medical care quality since its poor provision increases the risk of unfavorable outcomes. Identifying and analysing defects in the management of such patients is an urgent task. AIM: To assess the medical care quality provided to patients with hypertension and type 2 diabetes mellitus on an outpatient medical organizations. MATERIALS AND METHODS: The assessment of the medical care for patients with hypertension and type 2 diabetes mellitus in outpatient medical organizations in St. Petersburg and the Leningrad region was carried out by analyzing primary medical records for 175 cases. RESULTS: The quality of medical care is recognized as appropriate only in 25% of the cases. The errors in collecting information were the most common (95% of the cases of poor quality medical care): in cases of hypertension and type 2 diabetes mellitus no information about the course of the disease, previous treatment, risk factors, anthropometry, ophthalmoscopy or referral to an ophthalmologist; neurological examination and assessing cognitive functions - in the patients with hypertension; foot examination – in the patients with diabetes. The most common defects of the examination included the absence of lipidogram, uric measurement and electrolyte levels in hypertension, determination of albuminuria in diabetes mellitus, electrocardiography and echocardiography. Diagnosis errors were detected in 7–15% of the cases, treatment defects — in 33–53%. The information collection error is the most common defect in case of the patients with hypertension and type 2 diabetes mellitus, which is comparable with the previously published data. Treatment errors mainly consisted in the absence of lifestyle modification recommendations necessary for the treatment of hypertension and type 2 diabetes mellitus since these measures reduce the risk of complications and improve the prognosis.The revealed defects in medication therapy were comparable to the previous data and consisted in the appointment of insufficient doses of medications and in the use of monotherapy in the presence of indications for combination therapy. CONCLUSIONS: The assessment of the medical care revealed an insufficiently high level of outpatient medical care for the patients with hypertension and type 2 diabetes mellitus, which requires a detailed analysis of the causes for future prevention.

Paul I. Terasaki, Ph.D: a pioneer in transplant medicine and a dedicated philanthropist

In the last five decades, remarkable surgical and medical advances ensued within the field of organ transplantation. These strides were marked by significant breakthroughs in transplant immunology, with Dr. Paul I. Terasaki standing as a true pillar of the field. This article highlights major milestones in Dr. Terasaki's life, his groundbreaking accomplishments in the field of transplant medicine, and his enduring philanthropic contributions to numerous medical and community organizations.

Values in the doctor-patient interaction: understanding and cooperation

Introduction. Cooperation between a medical professional and a patient is the main value in the work of a medical institution rganization and the key to improving the quality of specialists. The purpose of the study. Development and testing of the “secret patient” method, which allows assessing the quality of medical care in accordance with the Moscow clinics’ values from the patient’s point of view; identifying factors influencing patients’ opinions regarding the quality of medical care. Materials and methods. The study was conducted in 2024 at two medical centers in Moscow. The following methods are: focus group, content analysis, “secret patient”, participant observation. Results. The assessment tools include the possibility and convenience of making an appointment with a doctor on the website of a medical institution; features of communication with medical workers; characteristics of the medical institution; information about the medical institution and communications in the medical institution; additional information. All medical care’ elements correlate with the values: patient-centeredness, friendliness, teamwork, trust and mutual respect. Research limitations. The study is limited by the absence of disease in the investigators conducting the participant observation. Conclusion. The developed methodology for receiving feedback from the head of a medical organization from patients corresponds to the core values of Moscow clinics and can be taken into the operational activities of medical organizations. Doctors provide consultations in accordance with the clinic’ values. Mutual respect and trust must be reinforced by the adoption of appropriate values by patients. The main shortcomings present in isolated cases are associated with unequal treatment of patients and incorrect communication by nursing staff.

Analysis of the provision of medical care using telemedicine technologies at the endocrinology research centre

In the first months after the pandemic of the COVID-19, the provision of medical care through telemedicine technologies took a leading position, in particular regarding endocrine nosologies. Meanwhile, at present, comprehensive information on telecommunications interaction between doctors of various medical organizations of the regions of the Russian Federation and employees of federal centers is insufficient, which determines the relevance of studying this topic. Analysis of the provision of medical care in remote interaction of medical workers using telemedicine technologies («doctor-doctor») between the Endocrinology Research Centre and the regions of the Russian Federation in 2019-2023. A single-center, observational, single-sample study was conducted, including completed planned and urgent telemedicine consultations in the format of «doctor-doctor « in the fields of «endocrinology» and «pedia-tric endocrinology», conducted through a telemedicine system for remote consultations at federal and regional levels between 2019 and 2023. Data on the referral rate of medical personnel from the regions of the Russian Federation to the Endocrinology Research Centre for telemedicine consultations were analyzed, including annual dynamics of treatment, frequency of referrals from each region, nosological structure of referrals, and number of patients admitted to the center based on the results of these consultations. Analysis of interdepartmental cooperation between the Endocrinology Research Centre and other federal centers was also performed. In the period from 2019-2023, 14,475 telemedicine consultations «doctor-doctor» were conducted. In 2019, medical workers from 78 regions of the Russian Federation applied to the Endocrinology Research Centre. By 2023, this figure has increased to 88 (including newly annexed territories). The Yamalo-Nenets Autonomous Okrug, Tambov Region and Astrakhan Region were the leading regions in terms of the circulation of medicines at the Endocrinology Research Centre. In the nosological structure, the largest number of consultations in adult patients were conducted for acromegaly and primary hyperparathyroidism, in children for stunting and type 1 diabetes mellitus. In the period from 2019-2023, the Endocrinology Research Centre sent a total of 300 «outgoing» requests to 17 medical organizations. Consulting with the use of telemedicine technologies has become a convenient and multifunctional way of providing medical care. Further analysis of the place of telemedicine in practical healthcare will expand its capabilities, including considering the introduction of financing by the territorial fund of compulsory medical insurance for this area of medical activity.

Indicator dynamics of the “Combating Cardiovascular Diseases” regional program aimed at reducing mortality from acute coronary syndrome

Aim. To analyze the dynamics of the application of medical and organizational technologies for achieving the target reduction of mortality from acute coronary syndrome (ACS) in the region. Materials and methods. In 2018, the research covered 1 regional vascular center (RVC), 8 primary vascular departments (PVD), and 41 medical organizations (MO). In 2022, the structure of medical organizations changed to include 3 RSCs, 9 PSOs, and 39 MOs. The indicators characterizing the provision of medical care to ACS patients in the Irkutsk region were calculated and analyzed. The presence, direction, and strength of correlation between the number of deaths from ACS and the number of medical and organizational activities was studied using linear correlation analysis by the Pearson method. Results. Over time, the share of hospitalization of patients with ACS in the early stages up to 12 hours increased from 42.1% to 46.5%. The mortality rate from ACS decreased by 20.4%, primarily due to a decrease in mortality in the first 24 hours (by 28.7%). The key medical and organizational technologies that have the greatest impact on mortality rates were identified. A strong relationship (r = -0.729) was established between the number of deaths from ACS and the number of patients transferred to the regional vascular center for emergency coronoplasty; two medium-level relationships (r = -0.343) were found between the number of deaths from ACS and the number of hospitalized patients with ACS in the first 12 hours; a correlation (r = -0.415) was determined between the number of deaths from ACS and the number of hospitalized patients who underwent thrombolytic therapy. The linear regression method showed that the availability of such procedures as emergency coronoplasty and thrombolytic therapy has prognostic significance for further reduction of the expected number of deaths from ACS in the region. Conclusion. The creation of the RVC and PVD infrastructure in the region allowed the major indicators of the “Combating Cardiovascular Diseases” regional program to be achieved.

Main epidemiological indicators of type 1 diabetes mellitus in children in the Russian Federation for 2014-2023

Type 1 diabetes mellitus (T1DM) is the most common form of diabetes mellitus in childhood, where, unlike in adults, it accounts for more than 90% of all cases of diabetes. The constant change in the epidemiology of T1DM with significant differences in populations and regions requires systematic data collection and analysis for timely monitoring of T1DM trends. Analysis of the main epidemiological indicators of T1DM in children in the Russian Federation over the past 10 years - from 2014 to 2023. The object of the study was the data obtained from the federal statistical observation form No. 12 «Information on the number of diseases registered in patients living in the service area of a medical organization» for the period from 2014 to 2023. The prevalence (total number of registered cases) and incidence (cases with a diagnosis established for the first time) of T1DM (ICD-10 code: E10) were analyzed in children in three age groups: from 0 to 14 years, from 15 to 17 years, and combined from 0 to 17 years (inclusive). Over the analyzed period, the prevalence of T1DM increased steadily from 238.6 in 2014 to 374.2 cases per 100,000 children in 2023. The prevalence of T1DM in adolescents from 15 to 17 years was higher than in children and amounted to 120.3-203.2 cases per 100,000 adolescents, while in children under 14 years of age, the prevalence was 100.1-172.2 cases per 100,000 children. The annual increase in the prevalence of T1DM averaged 6.3% (95% CI 4.9-7.8). The incidence of T1DM during the analyzed period was 19.1-27.2 cases per 100,000 children and also had a general tendency toward an annual increase in new cases. At the same time, over the past three years, there has been a relative stabilization of incidence rates at 26.5-27.2 per 100,000 children. The annual increase in incidence averaged 4.9% (95% CI 0.9-8.9). The greatest increase in the incidence of T1DM was observed in regions with low incidence. The epidemiology of T1DM in the Russian Federation is characterized by significant regional and dynamic changes. Over the period 2014-2023, the incidence of type 1 diabetes in children has increased significantly, increasing annually by an average of 5%, while there has been a relative stabilization of incidence rates over the past three years.

Marseille, au cœur des Jeux Olympiques : organisation médicale autour de la voile

During the summer of 2024, France had the honour of hosting the Olympic Games. Although these Olympics were mainly held in Paris, Marseille was also lucky enough to be a playground for the sailing events and football matches. The sailing races in the Marina de Marseille required rigorous medical organisation between the various Paris 2024 stakeholders and the state services. Thanks to the professionalism of everyone involved, the events went off without a hitch, allowing all spectators and participants in the games to enjoy a safe and sporting atmosphere.

Results of a survey of anesthesiologists and resuscitation specialists: possible prediction and diagnosis of cardiac complications after non-cardiac surgery

Relevance. A critical task of modern anesthesiology and resuscitation is the prediction and diagnosis of cardiac complications after non-cardiac surgeries. There are clinical guidelines for reducing the incidence of such complications; however, in practice, routine implementation of the full-risk stratification algorithm is not always performed. Objective. To assess the possibility of predicting and diagnosing cardiac complications after non-cardiac surgeries in medical organizations of constituent entities of the Russian Federation with a population of less than 1 million people. Materials and methods. An anonymous online survey of anesthesiologists and resuscitators of one of the constituent entities of the Russian Federation was developed using Yandex Forms.Results. We processed 62 completed questionnaires. Cardiac complications during the postoperative period are registered by 33 (53.2 %) respondents. Cardiac risk indices were used by 10 (16.1 %) physicians and load tests (treadmill, bicycle ergometry) by 9 (14.5 %). Routine ECG monitoring after surgery was performed by 27 (43.5 %) respondents. Cardiac-specific troponin determination is available to 60 (96.8 %) physicians; however, only 6 (9.7 %) respondents measured it routinely before surgery and 4 (6.5 %) respondents measured it after surgery. Natriuretic peptide or its prohormone determination is available to 19 (30.6 %) physicians; however, only 3 (4.8 %) prescribe it before surgery and 0 after surgery. The possibility of performing echocardiography before and after surgery was noted by 54 (87.1 %) respondents. Only 9 (14.5 %) respondents reported that their hospital could perform coronary angiography.Conclusions. The results of this survey revealed that many cardiac complications could have been missed because of insufficient preoperative prognosis and postoperative diagnostic data.

What Makes Up Your Organization’s Genome?

Today’s healthcare providers benefit from knowing the genetic makeup of their patients — understanding their genomes. With that information, they can better review care needs and develop care plans for each individual. What if the genome model were applied to a medical organization? Physician leaders can adapt the elements of culture (genome), DNA (leadership and management), genes (staff), and RNA (communication) to better lead their organizations. The culture would be such that each staff member’s skills would be adapted and applied to achieving the mission, improving the patient experience, and leading to a healthy outcome.

Modulating the organization of medical care and early diagnosis of prostate cancer

Aim. To analyze the existing system of medical care organization and timely diagnostics for prostate cancer (PC).Materials and Methods. The study utilized data from official statistics to analyze the system of medical care organization and the diagnostic methods applied for prostate cancer at different stages.Results. In the country, medical care for patients with prostate cancer is organized into three levels. The first level involves family physicians, urologists, and oncologists in oncology clinics, where access to modern diagnostic facilities is limited. The second level provides advanced diagnostic services through regional oncology centers and major urology departments. The third level offers specialized care at the National Cancer Research Center (NCRC) and select urology clinics. Based on the experience of other countries, it is recommended to improve the system of medical care for prostate cancer by establishing four stages of care. The proposed model takes into account the real situation, emphasizing the need for prevention, timely diagnosis, and effective treatment in accordance with clinical protocols, as well as the coordinated use of human and technological resources from oncology, urology, and morphological services at all stages.Conclusions. The proposed model for organizing medical care, based on evidence-based practices, aims to improve early detection of prostate cancer, enhance the clinical effectiveness of treatment, and optimize the use of resources.

Evolving Healthcare 4.0 with Deep Secure Patient Data Accessibility Medical Organization with Artificial Intelligence Computing

Evolving Healthcare 4.0 with Deep Secure Patient Data Accessibility Medical Organization with Artificial Intelligence Computing

Assessment of the research potential of healthcare specialists in the Republic of Kazakhstan in the implementation of clinical research: results of online questionnaires and self-assessments. Global crisis of clinical researcher shortage

The study aimed to identify and analyze the potential of practical healthcare professionals in terms of skills and knowledge for conducting clinical research in Kazakhstan, as well as to identify obstacles that may arise and cause the low involvement of specialists in research activities.Materials and methods. A specially developed questionnaire was conducted online. Various healthcare professionals (doctors, nurses, teachers of medical educational organizations) from all regions of Kazakhstan participated. By random sampling, 337 respondents answered the questions. Data was collected anonymously through Google Forms.Results and discussion. 29,7% respondents had participated in clinical research. Most respondents do not have sufficient knowledge in conducting clinical research; on average, 35% of respondents answered correctly. On average, respondents' self-assessment of knowledge and skills in choosing a study design, forming groups of study objects, collecting, analyzing, and interpreting data obtained during clinical trials, and performing statistical processing of results was 3 points (max = 5 points). A majority expressed a need for further training in clinical research. The main barriers to conducting clinical research were identified as lack of working time (44%), insufficient knowledge in conducting clinical research (34%), inaccessibility of educational programs (28%), lack of personal interest (27%), non-compliance of clinical base infrastructure (23%), difficulties in patient recruitment (20%), and the risk of losing professional autonomy (13%).Conclusions: The survey results show an unsatisfactory level of existing research potential of healthcare professionals in the organization and conduct of clinical research. the findings reveal a significant gap in the research potential of healthcare professionals in Kazakhstan. There is a lack of understanding of clinical research concepts, international standards, and local legislative requirements. The main obstacles are inadequate time for research, insufficient knowledge and experience, limited access to training, and low interest among professionals.