RU2622498C1 - Method for medical care quality increase related to electronic information system - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: remote electronic testing of the patient is performed by th e patientindependently entering the "patient block" of the system. Adults perform testing independently, and parents perform it with children. The incidence rate is calculated for each patient. A database is created including a set of information from the patient's history, with a possibility for the physician to select the data and enter additional data using the "doctor's block" of the system associated with the "scientific experts block" and the "clinic block" respectively, having a possibility to enter data on new diagnostic/treatment technologies in the areas of clinic activities and with a possibility to enter data on clinics in accordance with the patient's pathology. In accordance with the leading pathology of the patient, the clinic direction is selected. The choice of clinics matches the selected techniques and doctors in possession of technologies, and when the data are retrieved, each leading pathology direction corresponds to certain technologies and doctors from various clinics worldwide, based on which recommendations are formed on the selection of country, clinic, treatment techniques, physician familiar with the technique, optimum cost of treatment with the possibility to tracking the effectiveness of treatment according to the results of electronic testing. A conclusion of calculation of the relative travel and treatment cost and a quantitative opinion on expenses minimization for insurance companies, state and the patient are obtained.

EFFECT: method allows to improve health indicators determined by the index of patient's incidence in dynamics and minimize medical errors due to the qualified choice of treatment techniques and doctors; reduction of treatment costs, quantitative calculation of price-lists for services.

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Description

The invention relates to the field of medicine, medical diagnostics, electronic medical information systems and Internet services that provide for the collection, processing of medical data.

Currently, computer programs are actively used, which greatly facilitate the work in various industries and improve the quality of services. Through the Internet, various services are provided, most often aimed at involving the population in various games, watching advertisements, and expanding paid services on the Internet.

In the field of healthcare, despite the introduction of information technology, there are problems in improving the quality of medical services. In many countries, systemic information about clinics, doctors, new treatment technologies in accordance with the existing classification of diseases is not available in full not only to patients, but also to the doctors themselves. Patients' choice of doctors and access to them is also limited and before a personal visit to a doctor of a "narrow" specialty, the patient must use the referral system from a general doctor to a specialist doctor. There are price barriers restricting visits to doctors, as visiting can be very expensive.

Due to the increase in the cost of health care services and an increase in morbidity, not only the correct diagnosis of diseases is relevant, but also the qualified choice of clinics, doctors, diagnostic / treatment technologies selected by expert groups of scientists in different countries in accordance with the identified pathology and using the cost optimization calculation system for treatment, which is relevant for patients, insurance companies and the state.

The inventors make separate attempts to provide medical services for doctors and the public on the Internet; creation of electronic case histories and their improvement; development of clinical decision making options based on existing standard recommendations; processing patient health data through process automation; development of a video communication system that improves the relationship between the patient and the doctor.

Known methods that are not related to the field of medicine, but associated with the provision of services to the public on the Internet. So, “The way to provide paid services related to the use of software via the Internet” (Donskoy MV; Repin NN, RU 2155984 C1, G06F 17/60, H04J 15/00), consists in software modules are installed on the computers of the user and provider, the initiation of the service by the user is carried out by launching the corresponding software, with a positive response from the database of payment of services corresponding to the availability of payment for the service, access to the use of the service is opened.

Also known is the “Method of conducting an online auction of goods using stock indices and a recording medium” (Yoon Keun Coo, RU 2477890, G06Q 30/08, 03/20/2013), relating to the method of conducting an online auction of goods using stock indices, the technical result is to increase the reliability of the conduct and increase the reliability of the results of an online auction.

Known invention related to the field of medicine: “A system for the automated collection, processing and transmission of medical data (Onemus Peter (CH), Nef Andre (CH), Jacobs Laurenze (CH), David Leeson (US), RU 2520404, G06Q 50/22 , June 27, 2014), the result of which is the possibility of publishing a numerical assessment of data on the state of human health, which collect information related to some internal and external indicators of the user's physical activity. It is processed by the processor executing code that configures the processor to apply weights to internal medical indicators and external indicators of physical activity, and is converted into a masked composite numerical value published through the portal, while maintaining the confidentiality of the information collected. The system also contains a bi-directional communication channel with the training equipment, configured to transmit processed data or a masked composite numerical value to the training equipment for automatic installation of the exercise program.

The disadvantage of the invention is the narrow focus, which consists in receiving into the storage device digital data about the "internal medical indicators and external indicators of the user's physical activity", actually representing only "weighting factors" and age. Another drawback is the lack of consideration of indicators characterizing health in order to call it “a way of calculating the assessment of the state of health”, since the presence of leading / concomitant pathology among users is not taken into account, and this can introduce significant restrictions when they perform exercises on simulators. In fact, the system is intended only for conditionally healthy people who have exclusively weight problems and are divided into groups depending on age. The disadvantage of this method is that the medical examination of the "users" should not be carried out in the process, but before the exercises are started in the form of a doctor’s consultation, identification of the leading / concomitant pathology and, if necessary, additional examination in order to avoid adverse effects during the exercise.

The invention “Medical systems and methods of video communication” is known (Ryan John S. (US), Uzzaman Ashik (US), patent application RU 2009132967/08, 03/10/2011), which goes beyond the collection, processing of medical information or improvement of electronic medical records . The medical communication system includes audio / video recording, playback devices for end users, recipients of medical care and a medical server. The server includes an audio / video recording and reproducing apparatus adapted to reproduce received audio / video messages and recording audio / video responses, and audio / video recording and reproducing devices for end users are capable of reproducing audio / video responses received from the server. In some embodiments, each user’s audio / video device includes: a video recording lens; microphone; an automatic lens cap, configured to physically lock the video recording lens, with the exception of the recording time of audio / video content. In some embodiments, each end-user audio / video device includes a user entertainment device. Maintaining a video connection between medical specialists and sick patients is a significant factor in improving the quality of medical care, since a good connection correlates with more positive treatment results, and a bad one negatively affects the patient in many ways, and maintaining a video connection can indirectly reduce the cost of healthcare services.

The disadvantage of the invention is that video communication is convenient for use only in the specified specific, often emergency situation, and such a system is not applicable to solving common long-term communication problems between the doctor and the patient. This is just one of the elements in a complex system of interaction between a doctor and a patient.

The invention is known: “Autonomous linking of patient information records stored in various objects” (Bucur Anka Joana Daniela (NL), Widoward Richard (NL) RU 2565506 (13) C2 (51) IPC G06Q 50/22 (2012.01) A61B 5 / 00 (2006.01) G06F 19/00 (2011.01), which solves the problem of retrieving patient data stored in geographically dispersed multiple locations, as patients can use the services of many health care providers, and each patient is given their own patient identifier. single patient data such as medical images Patients and other relevant medical information are distributed across multiple locations and labeled with different local patient identifiers.The invention solves the problem of combining patient identifiers and the corresponding patient records are linked together.This relationship provides a link between locally assigned identifiers of the same patient in different objects, which, undoubtedly, helps to improve the quality of medical care, as they quickly "collect" all the data about the patient x from different geographical locations.

The disadvantage of this invention is the limited improvement in the electronic patient history: in fact, it is aimed only at identifying the patient when using the services of many providers of medical services, geographically dispersed in multiple locations. A disadvantage of the invention is that it does not contain other information or recommendations for patients that improve the interaction between the patient and the doctor. The information system itself is intended exclusively for doctors and does not involve the participation of the patient.

Closest to the technical nature of the proposed method is the invention of "Systems and methods for supporting clinical decisions" related to medicine, medical diagnostics, administration of case histories, expert systems and related fields (Borotsky Lilla (US), Xu Ε (NL), Dryzdel Jeremy (NL), Lee Michael Chun-chieh (NL), Meinel Lina Arbash (NL), Bulow Thomas (NL) RU 2543563 C2, G06Q 50/22 (2012.01) G06F 19/00 (2011.01), 03/10/2015).

According to the first aspect disclosed in the invention, the clinical decision support system comprises: a subsystem for grouping case histories, including a graphical user interface capable of simultaneously displaying a set of patient histories — a database of histories and further configured to allow the user to group selected case histories into clinically related groups; a subsystem for the determination of evidence, capable of determining evidence that correlates with clinically related groups; CDS user interface capable of receiving current patient data related to the medical history and displaying clinical decision support information based on evidence-based values determined from the received data of the current patient.

According to a second aspect disclosed, the invention provides a clinical decision support (CDS) method implemented by the CDS system, the method comprising the steps of: using a graphical user interface, grouping patient histories into clinically related groups, the graphical user interface presenting patient histories with pictograms medical records containing patient images or pictographic images generated from patient images; identify evidence-based evidence of medical histories of significance that correlate with clinically related groups; and automatically provide clinical decision support information based on the received data of the current patient related to the medical history of the current patient, based on the values of evidence found from the received data of the current patient. According to another aspect disclosed, a storage medium is provided, and it stores instructions executed by a digital processor to implement the method for supporting clinical decisions for doctors described earlier.

The disadvantage of the invention, despite the fact that the inventors already "go beyond" exclusively improving medical histories, and create databases from them and make attempts to "support clinical decision-making" for doctors using an electronic system, is that these clinical decisions " issued "to the doctor only from the" internal information "regarding the patient data accepted into the system. For example, a case-based system can provide support for diagnosing the pathology found in a patient’s breast cancer research by extracting test results and other relevant information from case histories of previous patients. The disadvantage of the system is that it is intended exclusively for doctors, contains only a database of case histories, the system does not have other information that can help in choosing clinics / doctors / new diagnostic and treatment technologies, which could also be a way to support clinical decisions and improve the quality of medical care. In addition, the adoption of clinical decisions on the basis of extracting the results of treatment of previous patients is incorrect in relations with treated persons, it is also necessary to constantly update, expand the base of clinical decisions by experts with new technologies, clinics, doctors owning technologies, which is not in the invention.

Given the existing shortcomings, a method has been developed to improve the quality of medical care associated with an electronic medical information system in which an online and real (during a doctor’s appointment) interaction between a doctor and a patient is carried out and the information entered by an expert group of medical scientists, private (or state-owned), is used ) medical organizations.

The technical result of the proposed method is to improve health indicators, determined using the patient’s morbidity index in dynamics; minimization of medical errors due to the qualified choice of new treatment technologies and doctors who own them; reduction in the cost of treating patients by insurance companies / state, quantified by comparative calculations of price lists of services.

The specified technical result is achieved due to the interaction in the electronic system of a combination of signs and parameters: a patient, a doctor, an expert group of scientists, private (state) medical organizations, consisting in optimizing the choice of country / clinic / treatment technology / doctor, taking into account the leading and associated pathology and sequentially implemented in the form of stages performed by the patient, doctor and electronic information system using the program for calculating morbidity indices in dynamics and compare the total cost of treatment in different clinics.

DESCRIPTION OF THE METHOD

The proposed method is characterized in that at the first stage the patient accesses the electronic system through a mechanism for verifying the authenticity of identification data and a module that ensures the operation of the system unit “for the patient”. Identity verification uses a suitable authentication tool, for example, password-based authentication, a fingerprint reader, an eye retina scanner, and the like.

After registering the patient in the system, in the block-personal account “for patients”, he gets access to the electronic questionnaire for the purpose of filling it out by the patient (or the parents of a sick child) before consulting a doctor.

Similarly, the doctor provides access to the block-personal account of the “for the doctor” system and can fill out a special registration card for doctors. After registering a doctor, the “for doctors” block stores a database of medical reports available only to doctors.

The stage of providing a patient with access to an electronic questionnaire to collect a biological, genealogical, social, medical history is different in that for the first time the patient is given access to a system that can be accessed via the Internet, and the patient becomes, firstly, an active participant in the process of interacting with the doctor before the “start of diagnosis”, secondly, an electronic calculation of the patient’s morbidity index is carried out, defined as the ratio of the number of diseases or cases of exacerbation of chronic diseases her to the previous examination period:

Storing the completed questionnaire in the database allows the doctor to extract a set of necessary information from the patient’s medical history, saves time when conducting a doctor’s internal consultation and allows him to pay more attention not to collecting the medical history, but to examining the patient and identifying the leading / concomitant pathology.

The implementation of the described stage from a technical point of view is characterized in that the system having a processor, a display and a memory receives history data input from the patient in an electronic questionnaire accessible to him, calculates the incidence index, extracts it from the memory (data carrier) for the doctor, displays the display to the doctor information. The system comprises a request mechanism for electronic patient questionnaires, configured to receive a request from the patient questionnaire navigation tool, apply the received request to the questionnaire database to retrieve the query results and transfer them to the patient tool navigation tool; with the possibility of choosing a questionnaire for a doctor.

The second stage of the system’s operation, associated with the patient’s first visit to the doctor, after filling out an electronic questionnaire, differs in that it may not always be known what the patient’s condition is and in which of the body systems there are diseases and the doctor conducts additional diagnostics to determine the leading / concomitant pathology. The method is characterized in that the doctor does not transfer data from a paper medium (medical history) to electronic, but, taking into account the data of an electronic questionnaire, after identifying a leading pathology in a patient, he enters data into the system to select the appropriate direction of the clinics according to the nomenclature of medical specialties.

Each clinic has areas of activity, a list of which is stored locally (in the system’s memory), they can be retrieved internally or can be stored and maintained remotely (via the Internet). The system receives from the doctor the choice of the direction of the clinic using the user interface (for example, by clicking with the mouse, touching the touch screen device, etc.), one.

The third stage is an automated assessment by the physician of the choice of the identified pathology by the doctor, and on its basis, the optimal offer to the user doctor of the country / city / clinic in which further diagnosis / treatment is possible in accordance with the patient’s pathology. If there are many “paths” to a given parameter, the system will indicate everything. Upon request, a list of clinics that meet the specified criteria is opened from the database before the doctor (the direction of the clinics in accordance with the leading pathology, country, city), FIG. 2.

The method at this stage of the work is different in that the system contains a database of clinics from different countries, selected and updated by an expert group of scientists, which significantly helps in the difficult work of optimizing the choice of the clinic, improving the quality of service, minimizing medical errors. The differences of the method are that at this stage in the system not only information is obtained, but developed, based on the expert assessment of medical scientists and current Orders of the Ministry of Health of Russia, the correspondence of the existing directions of the clinics (according to the nomenclature of specialties) and the leading pathology of the patient (according to the current international classification of diseases) - such a systemic correspondence is absent at all or is fragmentary.

To carry out this stage, the system contains: a database of clinical areas of activity; a direction request mechanism configured to receive a request and apply the received request to the database to retrieve the results of the request; a tool for navigating in directions, made with the ability to select the desired and display the results of the query as a statistical representation.

The fourth stage of the system’s work is the “disclosure” of any of the selected clinics and the provision, firstly, of general information about it according to the relevant criteria: “the main activities of the selected clinic”, “new treatment technologies”; “Remote photo and video tour”, “reviews about the clinic”, “price list for medical services”, as well as information about a particular chosen direction (for example, dermatovenerology) and the corresponding diagnostic / treatment technologies, as well as information about doctors in the chosen direction (doctors Dermatovenerologists), FIG. 3.

At the same time, it is provided that the doctor, even when searching for one direction, could receive data on other directions of the clinic if the patient has a concomitant pathology (for example, there was a request in the direction of “allergology”, but the doctor also sees “ophthalmology” in the list of directions of the clinic, which is necessary the patient also “moves” to this direction of the clinic).

The differences of the method are that at this stage in the system not only information is obtained, but developed, based on the expert evaluation of medical scientists (based on evidence-based medicine and the availability of permits for the use of technologies), the compliance of new diagnostic / treatment technologies used in the clinic - the leading pathology of the patient, determined by the current international classification of diseases.

Technically, for the selection of new diagnostic / treatment technologies, the doctor at the fifth stage selects: “new treatment technologies” from the technology database corresponding to the identified leading pathology; at the same time, the presentation is technically displayed - an overview view, which includes the presentation of the patient-specific treatment technology, and includes alternative treatment directions that were not passed in the treatment of the selected patient due to decisions made at earlier points.

A doctor can request information from a computer database about “doctors in this area” —that is, who provide services in a selected area and obtain information about the level of their qualifications and knowledge of new technologies — the sixth stage.

The differences of the method are that when searching for doctors in the system, it is not just obtaining search information, but developed, based on filling out the registration form by doctors (by the presence of diplomas, certificates, work experience, etc.), the correspondence between the selected new technology for diagnosing / treating the disease the patient in the clinic and the qualification level of the doctor who owns this technology.

Additionally, for this stage in the system, you can request a remote photo and video tour for the patient in order to assess the comfort of the clinic for the patient and listen to patient reviews about doctors and the clinic.

Technically, patient reviews of clinics and doctors ”are formed by the availability of audio / video recording and playback devices for users. A medical server configured to receive audio / video messages generated by audio / video devices of end users and transmit them to target audio / video devices of end users includes an audio / video recording and reproducing device.

The final stage - the provision of financial accounting services in quantitative terms - is characterized in that, in accordance with the selected country / city / clinic / treatment technology / doctor, the preliminary costs of travel and treatment are calculated according to the existing price list of clinics in comparative terms between other identical the main parameters of the clinics (if any). Using the recommendations received for insurance companies is a reduction in unreasonable expenses for paying for the treatment of the insured patient, since the developed system with its optimization of choice helps prevent medical errors, complications that require additional financial costs from insurance companies.

All completed steps within the system can have the “cancel” option to return the user to the point before they are completed.

In general, a system including a user's computer connected to the Internet and the computer of the Internet access provider (provider server) provides normal Internet access to the portal proposed by the developer (with the specified domain name), which hosts the created system with a computer program in open access for users of the block "for patients". The computer of the Internet access provider is equipped with filled databases of information necessary for the functioning of the system (Fig. 4). The control server of the system contains, firstly, an input tool (5) for entering information filled in by the patient in the electronic questionnaire in the block for the patient system (1) with the calculation of the incidence index; secondly, to enter information (recommendations) by a doctor (2), filled in by a doctor in the “for doctors” block after consulting / additional examination of a patient, recorded in the appropriate files in the databases; thirdly, for entering information by private clinics in the “for private clinics” block, selected by experts (3); fourthly, for entering information by expert scientists on diagnostic and treatment technologies, in the block “for expert scientists” (4), an accumulation tool (6) - for accumulating information: databases of private / state clinics around the world, databases data of doctors, a database of new technologies for diagnosis / treatment; databases of photo and video files of clinics; patient reviews of clinics and doctors; price lists of medical services. For the purpose of presenting electronic medical information, the system can ensure the functioning of the computer as a storage medium (7) - for storing files / documents converted to the electronic document format or accurately reproducing the original image; reading means (8) - for reading the necessary information during a search query; display means (9) - for displaying information / photos / videos that have been read for viewing; means of calculation (10) - for calculating quantitative indicators in relation to the cost of travel / treatment to the clinic of the selected country, means for generating quantitative indicators and a list by which time-dependent information in the database of the system can be viewed (Fig. 4, 5).

EXAMPLE OF SYSTEM FUNCTIONING:

Baby D., 12 months. Diagnosis: Consequences of perinatal damage to the nervous system (class: “Diseases of the nervous system”, G80.9 - Cerebral palsy, unspecified).

AT THE FIRST STAGE, parents completed an electronic questionnaire to collect biological, genealogical and sociological history and complaints. The electronic medical system calculated the incidence index: 0.5 - high incidence.

AT THE SECOND STAGE, the pediatrician, turning to the information system, extracted from the database an electronic questionnaire of the child, filled out by the parents, received the necessary information and prepared for the appointment.

At the pediatrician’s appointment, an examination was performed and an examination was scheduled: an ultrasound of the brain (for an assessment in dynamics), an ultrasound of the internal organs of the abdominal cavity and kidneys, a clinical blood test (for an assessment in dynamics), feces and urine, EEG in a dream, specialist advice: a neurologist; orthopedist; ophthalmologist.

AT THE THIRD STAGE, the doctor chose the direction of the Pediatrics clinic in the electronic information system - Neurology in it. The choice was opened: country, city, metro. The choice is made: Russia - Moscow - Domodedovskaya metro station.

AT THE FOURTH STAGE, the doctor opens from the database in accordance with the criteria: area of activity (neurology) - country (Russia) - city (Moscow) - metro (Domodedovo) list of clinics, in the form of page turning, selected by the expert group and entered into the database data. The doctor chose the clinic: Rehabilitation center "Childhood". After the disclosure of the page of the rehabilitation center, the doctor was provided with information about the clinic according to the criteria: “the main areas of activity of the selected clinic”, “new treatment technologies”; “Doctors providing services in this area”, “remote photo and video tour”, “reviews of the clinic”, “price list for medical services”, as well as other activities of this clinic for the treatment of concomitant pathology:

- gastroenterology, dermatology, immunology, cardiology, laboratory diagnostics, neurology, otolaryngology, pediatrics, psychiatry, psychotherapy, rehabilitation, radiology, dentistry, ultrasound diagnostics, urology, physiotherapy, functional diagnostics.

AT THE FIFTH STAGE, the doctor made a request in accordance with the leading pathology - neurology (cerebral palsy) and received information about new technologies that are relevant to this pathology, selected by an expert group of scientists and entered into the database.

Thus, the doctor receives from the system at this stage:

- general recommendations that can be implemented on an outpatient basis, before the child enters the rehabilitation center, based on the developed standards for the treatment of cerebral palsy;

- a description of the new technologies that are used in the selected rehabilitation center and a video display of some technologies;

SIXTH STAGE - the doctor received data from the system about doctors who own the proposed technologies in this clinic. The list of specialists is presented in the form of a photo, full name and qualifications / knowledge of new treatment technologies. The choice is made.

ADDITIONAL INFORMATION: photo and video tour passed: parents saw the mother and child sharing ward and chose it. Reviews of the parents of the patients about the clinic are heard.

At the next FINAL STAGE, a program for calculating the optimization of transportation costs and payment for treatment is a special quantitative calculation, and the child’s parents receive recommendations:

Electronic / printed recommendations for parents of the child on the basis of work in the system according to the selection criteria:

Country: Russia - Moscow city - Domodedovskaya metro station - Clinic Childhood rehabilitation center.

General recommendations:

Diagnosis: cerebral palsy.

- posture treatment (orthopedic pillow for sleeping);

- general massage and physiotherapy exercises (all measures should be aimed at reducing general excitability, normalizing muscle tone);

- general relaxing massage in the morning hours, 40-60 minutes after feeding on the changing table, the number of sessions is 10; wiggle in the embryo or on the ball - for a long time, possibly by the parents themselves at home;

- acupressure for relaxing hypertonic muscles at conventional points No. 10;

- to correct the vicious position of the feet due to a violation of tonus - local massage to bring the limbs to the correct position and fixation in this position for 2 hours (“boot”, “sponges”) - for a long time;

Information about new technologies that correspond to the pathology of the child and the selected rehabilitation center:

- gymnastics according to the Vojta method;

- biological feedback method (using simulators);

- physiotherapy: electromagnetic therapy (new technology "Structural resonance therapy); medicinal electrophoresis on the collar zone with drugs that improve cerebral blood flow (cavinton, cinnarizine);

- special exercises in water for relaxing hypertonic muscles with an instructor;

- video technologies for assessing the child’s neuropsychic development using the video program “Child Development”, located in a system that clearly shows how to check the child’s unconditioned reflexes and evaluate its development in each month of life on the scales: visual reactions, auditory reactions, general movements, hand movements, emotions, social behavior (author, professor O.V. Goncharova, Roscino rental certificate, 2002);

- Montessori therapy.

Doctors who make up / carry out the rehabilitation program: pediatrician A.N. Krasavina, neurologist A.V. Sharapov, physiotherapist A.A. Solovyov.

The program for calculating the optimization of transportation costs and payment for treatment carried out a special quantitative calculation, compared with other clinics:

the cost of a rehabilitation course with a stay in the mother and child ward (10 days): transportation costs (mother and child): 12500 rubles; price of a rehabilitation course when staying in a joint mother-and-child ward: 68,000 rubles.

If the child is insured, the information is transmitted to the insurance company.

To clarify the details of admission to the clinic, it is possible to ask a question to an expert in the system in the "Ask a question to an expert" section.

The positive effect of the proposed method for improving the quality of medical care associated with the use of an electronic medical information system is that, firstly, its “functioning” provides for the participation not only of doctors, but also of patients creating a database of electronic questionnaires with a history of the calculation of the incidence index; secondly, the participation of expert scientists who select new diagnostic / treatment technologies and create a technology database is ensured; thirdly, the participation of private clinics is envisaged, creating a database of the directions of activity of clinics and doctors, photo and video tours, price lists; fourthly, the system provides for the calculation of the quantitative index of patient health based on the analysis of electronic questionnaires.

The positive effect of the method is to solve the urgent problem of optimizing the choice of the country / clinic / doctor / diagnostic and treatment technology in accordance with the leading pathology of the patient and receiving by the patient, based on the results of the system’s work, the doctor’s recommendations and a quantitative opinion on minimizing travel / treatment costs, which is relevant for insurance companies, the patient himself and the state.

Claims (1)

A way to improve the quality of medical care associated with an electronic information system, including conducting electronic testing of a patient with automatic processing of results for a doctor, identifying the leading pathology, entering the results into the system and extracting optimal treatment technologies from databases filled with clinics and scientists, characterized in that electronic testing of the patient is carried out remotely by independently entering the patient into the "patient block" of the system, while adults conduct testing of their own, but with its children carried parents; for each patient, an incidence index of the patient is calculated, defined as the ratio of the number of diseases or cases of exacerbation of chronic diseases over the period of time preceding the examination to the previous examination period, in months; create a database that includes a set of information from the patient’s history, with the ability for the doctor to select data and enter additional data using the “doctor’s block” of the system associated with the “block of expert scientists” and the “clinic block”, respectively, configured to enter data on new diagnostic / treatment technologies for the lines of activity of the clinics and with the possibility of entering data on the clinics in accordance with the pathology of the patient; in accordance with the leading pathology of the patient, the directions of the clinics are selected according to the nomenclature of medical specialties, while the choice of clinics corresponds to the selected technologies and doctors who own the technologies, and when extracting data, each direction according to the leading pathology corresponds to certain technologies and doctors from different clinics in the world who own them on the basis of which recommendations are made about choosing a country, clinic, treatment technology, a doctor owning the technology, the optimal cost of treatment with the possibility of monitoring Ivan the effectiveness of treatment as a result of electronic testing; receive an opinion in the form of calculating the comparative cost of travel and treatment from the list of clinics issued by the system from countries with price lists updated in the database, choosing the best option and obtaining a quantitative opinion on minimizing costs for insurance companies, the state and the patient.

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