The impact of electronic medical records in the modern primary health care system on the interaction between doctor and patient in Moscow

Author:

Veselkova Aleksandra Yu.1ORCID,Zvonareva Elena S.1ORCID,Kornilov Maksim N.1ORCID,Ushenin Vasilii V.1ORCID,Kornilova Ekaterina B.2ORCID,Hołownia-Voloskova Malvina Eva3ORCID

Affiliation:

1. National Research University “High School of Economics”

2. Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department

3. Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department; Department of Experimental and Clinical Pharmacology, Medical University of Warsaw

Abstract

Introduction. Digital technologies are an essential condition for the development of modern health care. New forms of interaction between the supplier and the consumer of medical services determine the need to understand the attitude of the doctor and the patient to this employment operation. Purpose. Assess the change in the quality of communications between the doctor and the patient with the widespread introduction of electronic medical records. Material and methods. Within the framework of the project, a content analysis of media materials was held. Mass (questionnaire) survey of doctors and patients in November-December 2020 was executed. The comprehensive survey had 482 respondents, including 168 doctors and 314 patients. Results. Most (61.5%) of medical professionals indicate a decrease in time costs during the patient’s reception, an increase in time to work with patients is noted in 47.4% of respondents. 55% of doctors report that the service helps better focus on the provision of medical care, and 47.6% of respondents believe that the conduct of medical documentation in electronic form allows reducing the frequency of passing a significant pathology. Among patients, 52.2% believe that introducing electronic medical records will enable you to increase the time that the doctor pays to the patient during the reception. 68.9% of patients indicate an improvement in the interaction between doctors and patients. Conclusion. High-quality results can be achieved only if there is a medical staff with the skills of using modern digital technologies and new communication skills with a patient when using electronic medical records.

Publisher

Federal Scientific Center for Hygiene F.F.Erisman

Subject

Public Health, Environmental and Occupational Health,Health Policy

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