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Photo by V. Novikov. Press Service of the Mayor and the Moscow Government

In two polyclinics, an experiment is already underway to maintain medical records exclusively in electronic form.

From January 1, 2022, all children’s polyclinics of the city can completely switch to electronic medical records. This was announced at the session “Digital Healthcare: Transparency, Efficiency and Quality” of the St. Petersburg International Economic Forum Anastasia Rakova, Deputy Mayor of Moscow for Social Development.

“Now we have digital products, but there are still paper maps and paper referrals in hospitals and clinics. Since this year, an experiment is being conducted in two Moscow clinics to maintain medical records exclusively in electronic form. We have plans that from January 1 next year, all children’s polyclinics will work only with an electronic medical card, ”she said.

Anastasia Rakova spoke about the changes and difficulties that digitalization brings in the healthcare sector.

“We understood all the powerful potential of the figure 10 years ago. Therefore, during this time, Moscow has invested in the digitalization of all areas of the urban economy, including healthcare. During this time, we have accumulated a lot of experience. Everyone mistakenly believes that digitalization is when documents were previously filled in with a pen, but now their analogs are being formed in electronic form. And then it all adds up to a bank that is beautifully called big data. Of course, these are important and obligatory conditions, but not sufficient for the figure to make it possible to switch to a new way of life. An attempt to translate analog processes in medicine into digital not only will not lead to an increase in the efficiency of the industry, on the contrary, it will reduce labor productivity. The doctor writes much faster than he types on the computer. Only simultaneously with the rethinking and restructuring of all processes, with the understanding that it is the patient who should be in the center, and not the service, with the transition to client paths, the effectiveness of digitalization is possible. A full figure should completely change the whole structure, and this entails serious organizational changes. Without them, there will be no true effect, ”the deputy mayor explained.

Separately, Anastasia Rakova noted the importance of a unified information system and structured data.

“In addition to sockets, Wi-Fi and computers, we also need to ensure the transfer of equipment from analog to digital. The second condition is to create flexible adaptive information systems. Data for digitalization is not scanned copies of papers, but information structured according to unified reference books. And here we are faced with the fragmentation of sectoral methodological regulation. Moscow already has groundwork in this area, and we are ready to exchange experience with the regions, ”she said.

Anastasia Rakova also stressed that one of the barriers to digital health is the lack of finished products on the market. According to her, this is due to limited or no access to big data.

EDITOR’S NOTE: This article is a translation. Apologies should the grammar and or sentence structure not be perfect.

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