MIL OSI Translation. Region: Russian Federation –
Patients can make an appointment online and submit complaints via a chatbot, and doctors can receive AI recommendations when making a diagnosis and choosing diagnostic procedures. Read the mos.ru article to find out what other services optimize doctors’ work.
Moscow polyclinics are becoming more and more digital. Artificial intelligence helps doctors at an appointment and during diagnostics, and patients can look at their medical records at any time and see the results of examinations. The success of the capital’s healthcare has been repeatedly noted by international experts, the latest achievement was exit of the Unified Medical Information and Analytical System (UMIAS) to the final the international WSIS Prizes 2021.
Read about what the chatbot can tell the chatbot and how artificial intelligence helps doctors and patients in this mos.ru article.
Online appointment and chatbot
Digital technologies are used already at the stage of making an appointment with a doctor. Muscovites attached to one of the city’s polyclinics can schedule visits to a therapist, general practitioner, surgeon, ophthalmologist and other specialists. Specialist visits require a referral from a general practitioner or general practitioner.
“You can not only make an appointment, but also change the appointment time or refuse to register. Another patient can sign up for this vacant seat. As a result, the influx of patients who used to come to the polyclinic only to make an appointment has significantly reduced, ”said Olga Kolesnikova, deputy chief physician for the medical department of polyclinic No. 218.
Already 72 percent of patients enjoy online appointment channels. This saves time for Muscovites and allows medical organizations to manage resources and schedule specialists. You can make an appointment with a doctor in the mobile applications EMIAS.INFO, Moscow State Services, My Moscow, on mos.ru and “EMIAS.INFO”, as well as by calling the call center at: +7 (495) 539-30-00.
At the very beginning of the appointment, even before talking with the patient, the doctor finds out with what complaints he came. A chatbot created on the basis of artificial intelligence helps doctors in this. Before visiting the clinic, the patient receives an SMS and a push notification with a link to the survey form. You can describe complaints in free form, and then answer the questions of the algorithm. The collected complaints are automatically transferred to the UMIAS, their doctor will see them in the examination protocol and can, if necessary, correct them at the appointment. Thanks to the preliminary interview, the doctor has more time to examine the patient.
“At the reception, the doctor sees two windows in the system. In one – the complaints collected by the chatbot, the second is for the doctor’s notes. During a conversation with a patient, the doctor either confirms or corrects the information, – said Olga Kolesnikova. – Correctly collecting anamnesis is a rather laborious process; in case of serious diagnoses, it can take up to half of the admission time. Chatbot questions encourage the patient to think, remember and analyze the symptoms, which can then be reported to the doctor. “
Help in making decisions
The reception itself is not complete without new technologies. Doctors are assisted by a decision support system. Based on patient complaints, the AI-powered tool selects the three most likely diagnoses. The doctor can either agree with this or prescribe a different one. Then the system offers a set of studies and additional consultations of specialized specialists that are necessary to confirm the diagnosis. Appointments are formed in packages, which significantly saves time on reception.
“If a patient comes for the first time or has not been at an appointment for a long time, it is convenient to schedule all examinations with just one click for a complete diagnosis. This eliminates the influence of the human factor, because the system tells you what research needs to be done. For example, a number of examinations for certain diagnoses must be carried out annually, ”explained Natalya Shindryaeva, chief physician of polyclinic No. 2.
It is only the doctor who decides whether to agree with the proposed diagnosis options or not. For six months of using the medical service put already more than a million preliminary diagnoses.
“Technologies are being used to free up the doctor’s time to work with the patient as much as possible. It is communication with the patient that is the key factor in the correct diagnosis and treatment, added Natalya Shindryaeva. – In general, we have made such progress in the use of information technologies that we practically cannot see ourselves without UMIAS. Such services minimize errors in diagnostics and help young doctors. “
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The Unified Radiological Information Service (ERIS), a city cloud storage of medical images, daily uploads images from 1,300 digital diagnostic devices in medical institutions in Moscow.
Radiologists can describe the images obtained remotely, and if you need the help of an experienced specialist, you can contact the experts of the Moscow Reference Center for Radiation Diagnostics. This is the first city teleradiology center, which includes leading radiologists, candidates and doctors of medical sciences, members of international associations.
In the analysis of images, doctors are assisted by computer vision technologies based on artificial intelligence. The algorithms mark the areas of possible pathologies with color cues and sort the images. Radiologists are the first to study patients who need medical attention faster. Every day, the services process thousands of mammograms, CT and LDCT studies, and X-rays. Technology improves the accuracy of research and speeds up the work of doctors. The percentage of diagnoses of diseases in the early stages is also growing. But no matter how smart the technology is, the doctor still has the last word.
“AI services using computer vision technologies have sufficient sensitivity and are able to detect pathology at a stage when it is not yet available to the human eye. The service is useful when there is a large flow of patients, for example, during medical examinations or screening programs, as well as in a pandemic. With this use, the number of early detection of the disease increases, which in turn affects the effectiveness and positive result of treatment. Nevertheless, today the technology serves only as the first opinion, the second and most important thing remains with the doctor, “said Olga Omelyanskaya, head of the department for coordinating scientific activities of the Center for Diagnostics and Telemedicine.
Physicians can describe images and enter data into the system using speech recognition technology. All you need is a traditional headset (a set of headphones and a microphone) or special microphones-remotes. The voice input system recognizes common speech and medical terms, adapts to the pronunciation of each doctor, and can expand the vocabulary. This method of describing images is 20 percent faster than manual description. Immediately after completing the protocol, the patient and the attending physician receive a conclusion on the study in an electronic medical record.
Medical history at hand
The entire medical history can be seen in the electronic medical record on the portal mos.ru and in the mobile application “EMIAS.INFO”. Almost two million people have already obtained access to the service. From any device, you can view the protocols of doctors’ examinations, the results of laboratory and instrumental studies, written out epicrisis from the hospital, sick leaves, written prescriptions, data on vaccinations and ambulance calls. Previously, for this it was necessary to contact medical institutions. During the year of work, the citizens have applied to the electronic medical card more than 24 million times.
In addition, Muscovites can upload documents to their medical records, enter information about their personal and family history, or keep a health diary. This information is available to the attending physician, which improves the quality of medical care. Also, the electronic card can be used if the patient decides to contact medical institutions that are not subject to Department of Health of the city of Moscow.
Now in polyclinics go over to maintain medical documents only in electronic form without duplication on paper. In April, the experiment will be carried out in two children’s polyclinics, and since October – in others. Based on the results, a decision will be made on the implementation of the project in adult polyclinics.
“For now, doctors keep documents in parallel, both on paper and in electronic form. Polyclinics continue to print electronic versions and paste them into outpatient cards. There are also journals that need to be kept in paper form. But Moscow is purposefully moving towards relieving a doctor from a large amount of paperwork that could be done automatically, ”said Pavel Gulyaev, chief physician of Diagnostic Center No. 5, Doctor of Medical Sciences.
In addition, from February in the capital you can buy medicines without paper form – by electronic prescription. To do this, it is enough to show the pharmacist an electronic prescription with a QR code on the screen of a mobile device or an MHI policy if the prescription is concessional. An electronic prescription cannot be lost, counterfeited or reused.
Electronic recipes with QR code serve in all pharmacies subordinated to the Department of Health of the capital, as well as in a number of commercial pharmacy chains. At the same time, the list of valid and serviced electronic prescriptions, as well as their QR codes, are available to citizens in the electronic medical record on the mos.ru portal and in the EMIAS.INFO mobile application.
Moscow doctors have been issuing electronic prescriptions since 2014. At the same time, until February of this year, each recipe was created in UMIAS and printed in paper form. Now a paper form is not required, the pharmacist can get detailed information about the prescribed drugs from the UMIAS database after reading the QR code of the electronic prescription from the phone screen. This can be done much faster than writing out a prescription by hand, and re-appointments are made in one click. The recipe can also be obtained on paper. This is important for those who are not yet ready to use electronic prescriptions and want to buy medicines from a pharmacy that is not connected to the system.
“There is a certain caution in relation to everything new, but this is logical. Some patients prefer a paper prescription in their hands, but people are already beginning to understand the benefits, so they are trying to switch to the electronic version. We need to trust more in e-health, because this is the future, ”says Pavel Gulyaev.
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EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.