spracticeХирургическая практикаSurgical practice (Russia)2223-2427АНО "Консорциум "Медицинская техника"10.38181/2223-2427-2023-1-2spractice-384Research ArticleХИРУРГИЯSURGERYГерниорегистр как первая ступень формирования «обучающейся системы здравоохранения»Hernia registry as the first stage of the development of a ‘learning healthcare system'https://orcid.org/0000-0002-5050-7446КравченкоА. Ю.KravchenkoA. Yu.

Кравченко Александр Юрьевич - кандидат медицинских наук, заведующий кафедрой организации общественного здоровья и здравоохранения Высшей школы медицины.

236041, Калининград, ул. А. Невского, 14

Aleksandr Yu. Kravchenko - Head of the Department of Public Health and Healthcare, Higher School of Medicine, Immanuel Kant Baltic Federal University.

A. Nevskogo St. 14, Kaliningrad, 236041

a.u.kravchenko@gmail.comhttps://orcid.org/0000-0003-0352-2317КакоткинВ. В.KakotkinV. V.

Какоткин Виктор Викторович - ассистент кафедры хирургических дисциплин высшей школы медицины.

236041, Калининград, ул. А. Невского, 14

Viktor V. Kakotkin - Assistant Professor, Department of Surgical Disciplines, Higher School of Medicine, Immanuel Kant Baltic Federal University.

A. Nevskogo St. 14, Kaliningrad, 236041

Vkakotkin@kantiana.ruhttps://orcid.org/0000-0002-6569-7078АгаповМ. А.AgapovM. A.

Агапов Михаил Андреевич - доктор медицинских наук, руководитель образовательно-научного кластера МЕДБИО.

236041, Калининград, ул. А. Невского, 14

Mikhail A. Agapov - Head of the Scientific and Educational Cluster MEDBIO, Immanuel Kant Baltic Federal University.

A. Nevskogo St. 14, Kaliningrad, 236041

getinfo911@mail.ruБалтийский федеральный университет им. И. КантаРоссияImmanuel Kant Baltic Federal UniversityRussian Federation202302052023011529Copyright © Кравченко А.Ю., Какоткин В.В., Агапов М.А., 20232023Кравченко А.Ю., Какоткин В.В., Агапов М.А.Kravchenko A.Y., Kakotkin V.V., Agapov M.A.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.spractice.ru/jour/article/view/384

Цель данной работы — оценка эффективности существующих подходов к обмену информацией между основными участниками системы здравоохранения при оказании медицинской помощи. Произведено сравнение имеющихся методик сбора больших объемов медицинских данных в герниологии и рассмотрена возможность их использования в концепции «обучающихся систем здравоохранения». Существующие в настоящее время нозологические регистры не способны удовлетворить потребности обучающихся систем здравоохранения. Одним из способов формирования нозологических регистров нового типа является модификация медицинских информационных систем, позволяющая этим системам служить источником медицинских данных надлежащего качества, которые в дальнейшем будут пополнять озера медицинских данных. Такие преобразования требуют направленного взаимодействия врачей-клиницистов, врачей-исследователей, инженеров-разработчиков медицинских информационных систем (МИС), а также специалистов по работе с данными. Для реализации подобного типа регистров и использования их потенциала для развития науки и медицины необходимо правовое регулирование процессов передачи медицинских данных научно-образовательным организациям.

This paper aims to assess the effectiveness of current approaches to information exchange among key actors in the healthcare system and their impact on healthcare delivery. Specifically, it compares existing approaches to collecting medical data in herniology and explores their potential use in ‘learning healthcare systems'. However, current nosological registries do not fully meet the needs of these systems. One solution is to modify medical information systems to serve as a source of medical data of sufficient quality to supplement existing medical data lakes. Achieving this requires collaboration among clinicians, researchers, medical information system engineers, and data scientists. Establishing legal regulations for the transfer of medical data to scientific and educational organizations is necessary to fully realize the potential of this new type of nosological registry for advancing science and medicine.

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The authors declare that there are no conflicts of interest present.