The development of digital technologies in the Russian healthcare system implies communication processes, e.g. interaction of management structures and performers, doctor-patient communications, standards of medical care, and many others. This requires solving a number of managerial, organizational, and ethical problems. The Russian government has defined the main goals of healthcare digitalization: providing the population with medical services at a qualitatively different modern level, satisfying the modern demands of society, allowing the use of modern achievements of world and domestic medicine in the widest possible range. The authors consider the problems of digitalization of medicine, the solution of which is proposed through the optimization of communications of the professional community. The proposals have been developed based on the generalization of the results of sociological surveys of patients of Moscow dental clinics “Use of electronic medical records” (March 2022) conducted by the authors, a survey of residents of Tomsk (N = 107) and Moscow (N = 157) waiting for an appointment at city clinics (March 2022), as well as a substantive analysis of the websites of professional online communities “Analysis of the content of discussions in online communities of medical workers” (August 2018 – February 2019). A secondary analysis of data is based on the sociological studies by the Russian Public Opinion Research Center (VCIOM). Based on the results of the study, it was established that a number of problems are associated with the legal uncertainty of procedures and methods for applying digital technologies, the issue of developing communicative competencies in the professional environment remains relevant, the need for an exchange of experience in the implementation of digital technologies in the practice of doctors and administrators, professional development of personnel, and the involvement of the most active employees in the processes of designing and implementing digital technologies.