{"id":7933,"date":"2021-08-31T18:56:26","date_gmt":"2021-08-31T15:56:26","guid":{"rendered":"http:\/\/journals.khnu.km.ua\/vestnik\/?p=7933"},"modified":"2021-09-29T15:04:18","modified_gmt":"2021-09-29T12:04:18","slug":"vyznachennya-kryteriyiv-efektyvnosti-pry-rozrobczi-medychnyh-informaczijnyh-system","status":"publish","type":"post","link":"https:\/\/journals.khnu.km.ua\/vestnik\/?p=7933","title":{"rendered":"\u0412\u0438\u0437\u043d\u0430\u0447\u0435\u043d\u043d\u044f \u043a\u0440\u0438\u0442\u0435\u0440\u0456\u0457\u0432 \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u043e\u0441\u0442\u0456 \u043f\u0440\u0438 \u0440\u043e\u0437\u0440\u043e\u0431\u0446\u0456 \u043c\u0435\u0434\u0438\u0447\u043d\u0438\u0445 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u0439\u043d\u0438\u0445 \u0441\u0438\u0441\u0442\u0435\u043c"},"content":{"rendered":"

<\/p>\n

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DETERMINATION OF EFFICIENCY CRITERIA IN THE DEVELOPMENT OF MEDICAL INFORMATION SYSTEMS<\/p>\n

\u0421\u0442\u043e\u0440\u0456\u043d\u043a\u0438: 116-123. \u041d\u043e\u043c\u0435\u0440: \u21163, 2021 (297)<\/strong> \"\"<\/a>
\n\u0410\u0432\u0442\u043e\u0440\u0438:<\/strong>
\n\u0412.\u0412. \u041f\u0430\u043b\u0430\u0433\u0456\u043d, \u041e.\u0410. \u041f\u0430\u043b\u0430\u0433\u0456\u043d\u0430, \u0412.\u0410. \u0413\u0430\u0433\u0435\u043d
\n\u0427\u0435\u0440\u043a\u0430\u0441\u044c\u043a\u0438\u0439 \u0434\u0435\u0440\u0436\u0430\u0432\u043d\u0438\u0439 \u0442\u0435\u0445\u043d\u043e\u043b\u043e\u0433\u0456\u0447\u043d\u0438\u0439 \u0443\u043d\u0456\u0432\u0435\u0440\u0441\u0438\u0442\u0435\u0442
\nVolodymyr V. Palahin, Olena A. Palahina, Valentyn A. Hahen
\nCherkassy State Technological University
\nDOI:<\/strong>\u00a0https:\/\/www.doi.org\/10.31891\/2307-5732-2021-297-3-116-123<\/a>
\n\u041d\u0430\u0434\u0456\u0439\u0448\u043b\u0430 \/ Paper received :\u00a0 06.05.2021 \u0440<\/strong>
\n\u041d\u0430\u0434\u0440\u0443\u043a\u043e\u0432\u0430\u043d\u0430 \/ Paper Printed :<\/strong> 30.06.2021 \u0440<\/p>\n

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\n\u041a\u043b\u044e\u0447\u043e\u0432\u0456 \u0441\u043b\u043e\u0432\u0430: <\/strong>\u043c\u0435\u0434\u0438\u0447\u043d\u0430 \u0456\u043d\u0444\u043e\u0440\u043c\u0430\u0446\u0456\u0439\u043d\u0430 \u0441\u0438\u0441\u0442\u0435\u043c\u0430, \u0446\u0438\u0444\u0440\u043e\u0432\u0456 \u043c\u0435\u0434\u0438\u0447\u043d\u0456 \u0437\u0430\u043f\u0438\u0441\u0438, \u0435\u0444\u0435\u043a\u0442\u0438\u0432\u043d\u0456\u0441\u0442\u044c \u043c\u0435\u0434\u0438\u0447\u043d\u0438\u0445 \u0441\u0438\u0441\u0442\u0435\u043c.<\/p>\n

\u0420\u043e\u0437\u0448\u0438\u0440\u0435\u043d\u0430 \u0430\u043d\u043e\u0442\u0430\u0446\u0456\u044f \u0430\u043d\u0433\u043b\u0456\u0439\u0441\u044c\u043a\u043e\u044e \u043c\u043e\u0432\u043e\u044e<\/strong><\/p>\n

EHR play an important role in the health care system, so the issue of data efficiency is key in the development of the EHR system. One of the key benefits of EHR is an access to medical information anywhere, anytime. While testing this advantage, it was found that it is performed only privately and does not take into account the dynamics of patients. Therefore, a model for calculating the efficiency of EHR on the basis of full coverage was developed. The study presents a model of the “Element” system, which provides for maximization of the coverage ratio of EHR to provide providers with access to medical records in the form required. The Element system is based on medical information packaging methods such as the dictionary method, the direct matching method and the combined method, and also allows healthcare professionals to be available to users’ medical information in this regard when EHR with customer data arises from EHR medical fund. In this case, if the presented system can be reduced both the time of work with medical documents and the time required for the appointment of drugs, which, accordingly, reduces the time to receive medical care. A set-theoretical model of the information system for improving the quality of medical services is proposed. The study of this model showed the need to measure the effectiveness of medical systems, taking into account their coverage. Medstar, Medkit and Helsi systems, which are part of the eHealth system, were used for the analysis. During the study, such concepts as full and partial coverage of systems were identified, the disadvantages of partial coverage were indicated. It has been found that for maximum efficiency it is necessary to minimize the time required to access medical information, which is achieved through full coverage.
\nKeywords<\/strong>: medical information system, EHR, EHR efficiency.<\/p>\n

References<\/strong><\/p>\n

    \n
  1. Beckers Healthcare. A history of EHRs: 10 things to know [Elektronnyi resurs] \/ Beckers Healthcare \/\/ Beckers Healthcare. \u2013 1602. \u2013 Rezhym dostupu do resursu: https:\/\/www.beckershospitalreview.com\/healthcare-information-technology\/a-history-of-ehrs-10-things-to-know.html.<\/li>\n
  2. Medication errors in emergency departments: is electronic medical record an effective barrier? [Elektronnyi resurs] \/ [M. Vaidotas, P. Onaga Yokota, N. Marques Negrini ta in.] \/\/ Einstein. \u2013 2019. \u2013 Rezhym dostupu do resursu: https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC6611086.<\/li>\n
  3. Poissant L. The impact of electronic health records on time efficiency of physicians and nurses: a systematic review \/ Poissant L, Pereira J., Tamblyn R. \/\/ Am Med Inform Assoc. \u2013 2005. \u2013 \u211612. \u2013 S. 16\u201325.<\/li>\n
  4. 4 Schreiber R. Data Migration: A Thorny Issue in Electronic Health Record Transitions\u2014Case Studies and Review of the Literature \/ R. Schreiber, L. Garber. \/\/ ACI Open. \u2013 2020. \u2013 \u21164. \u2013 S. 48\u201358.<\/li>\n
  5. Pidkliucheni do eHealth Medychni Informatsiini Systemy [Elektronnyi resurs] \/\/ Ehealth. \u2013 2021. \u2013 Rezhym dostupu do resursu: https:\/\/ehealth.gov.ua\/pidklyucheni-do-ehealth-mis\/.<\/li>\n
  6. Pro zatverdzhennia klasyfikatsii krain svitu [Elektronnyi resurs] \/\/ Derzhavna sluzhba statystyky Ukrainy \u2013 Rezhym dostupu do resursu: https:\/\/zakon.rada.gov.ua\/rada\/show\/v0426832-13#Text.<\/li>\n
  7. Do nas vzhe pryiednalysia [Elektronnyi resurs] \/\/ Ehealth. \u2013 2020. \u2013 Rezhym dostupu do resursu: https:\/\/ehealth.gov.ua\/.<\/li>\n
  8. Naselennia Ukrainy [Elektronnyi resurs] \/\/ Derzhavna sluzhba statystyky Ukrainy.. \u2013 2017. \u2013 Rezhym dostupu do resursu: http:\/\/database.ukrcensus.gov.ua\/PXWEB2007\/ukr\/news\/op_popul.asp.<\/li>\n
  9. Samaan Z.M., Klein M.D., Mansour M.E., The impact of the electronic health record on an academic pediatric primary care center. \/\/ J Ambul Care Manage. \u2013 2009. \u2013 \u211632. \u2013 S. 180\u201318.<\/li>\n
  10. Ancker J.S., Kern L.M., Edwards A., How is the electronic health record being used? Use of EHR data to assess physician-level variability in technology use. \/\/ J Am Med Inform Assoc. \u2013 2014. \u2013 \u2116 21. \u2013 1001-1008.<\/li>\n
  11. Schiff G.D., Bates D.W., Can electronic clinical documentation help prevent diagnostic errors? \/\/ N Engl J Med. \u2013 \u2013 \u2116362. \u2013 S. 1066\u20131069.<\/li>\n<\/ol>\n

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