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Implementation of innovative medical projects: Russian experience for Ukraine

Everybody is talking about the urgent necessity of healthcare reforms today – patients, doctors, the country authorities. A full-scale reform of the healthcare system is planned to be carried out in Ukraine starting from 2013, Irina Akimova, First Deputy Head of the Ukrainian President’s administration, said. Before that, experiments in pilot projects will begin in regions in 2011. For this purpose two draft bills are to be submitted to the parliament by the end of January for discussion and further approval. One of the bills concerns reforming the healthcare system, the other one focuses on conducting the experiment.

Definitely, the Ukrainian medicine has some problems. It’s not likely that the quality of medicine will be improved in a relatively short time. But it’s quite possible to use the available resources wisely. However, there is a possibility of obtaining successful experience which proves that the reform of medicine is not just mere verbiage, but actual results and achievements.

One doesn’t have to go far away to assure oneself of it. An innovative healthcare project – so called informational-analytical system «Dispatch Center» was realized in the neighboring Russia. At present it is actively used at medical facilities of several Russian regions already.

This complex computer based mechanism provided means of uniting all district hospitals of a region, keeping a patient’s information in electronic format, and calculating a patient’s treatment itinerary and budget. Due to these qualities the Dispatch Center was recognized as the country’s best medicine information system by a certificate of the Russian Healthcare Ministry.

The innovative project started in the Republic of Tatarstan – the pilot region in implementing the system. The result surpassed all expectations. The Dispatch Center was highly appreciated by patients who didn’t have to make extra visits to hospitals and wait in lines. For doctors the system has become a daily work tool – thanks to the functions of monitoring and immediate reporting.

The system was developed by ATRIA Group holding which is headed by Rustam Sungatov, PhD in Economics, author of books on healthcare economics. The Dispatch Center is his main scientific brainchild. According to him, it is more a management project, rather than an informational-analytical project, as its purpose is to make «information, not the patient run», control work of all chains in the medical care chain, and provide real analytical information for efficient decision making.

According to information of Tatarstan Healthcare Ministry, the number of people who received high-tech medical care in the region increased manyfold in 2009, thanks to such approach. Meanwhile, budget expenditures on patient maintenance reduced.

Delegations from other Russian regions visited Tatarstan as part of networking. A month ago doctors from Ukraine also paid a visit to see how the Dispatch Center operates.

At present the Dispatch Center is being implemented in Orenburg and Astrakhansk regions of Russia.

Comments:

Ivan Mironyuk, Chief Medical Officer of Zakarpatsk Oblast Center for Preventing and fighting AIDS:

- Problems of our and Russian healthcare systems are alike in many respects. I’m sure that implementation of such a project in Ukraine would be only beneficial. I have heard of this company’s IT management projects before. In November of this year our delegation visited a conference in Kazan where we had an opportunity to get acquainted with the Dispatch Center project in details. I can say that the trip was very fruitful. We saw the Dispatch Center in action and heard a lot of positive feedbacks on implementation of the system in other regions.

Rostislav Tuishev, Advisor to the Republic of Tatarstan Healthcare Minister:

- Thanks to the project, a multiple-stage medical care system, which maintains rational distribution of available resources and provides patients with necessary treatment course, was created in the republic. Efficiency, on the one hand, and complex business processes, on the other hand, impose the necessity of updating the technological chain with a regulating tool, which would simplify contacts between specialists and patients. The «one window» principle is used in providing industrial volumes of medical care, the main part of applications can and must be processed without patients’ presence. Execution of regulations is based on virtual contacts of specialists and received standard high-tech medical care forms. The main purpose of the system is to change negative demographic tendencies, build an economically efficient model and an comprehensible system of medical care.

Rustam Sungatov, CEO of Atria Group, PhD in Economics:

- Doctors need to be released from inefficient work, patients need to be provided with comprehensive information for making a conscious choice… In the first place, it is simple things – where is what, how to get there, and how to receive necessary information. Let’s talk about information standards! About the standards that are not a dogma, not an unnecessary plummet, but a platform for cooperation and creative work.

Today our tool is centralization. It could be harmful, or it could facilitate enormous shoot forward, which was realized in the industry after implementation of industrial principles — division of operations, unification, integration of manufactures, technological discipline, integrated service.

In our case only by uniting facilities into clusters for joint «production process» and joint resource maintenance, by creating central storages of patients’ data, creating an integrated space, by making healthcare open for people we can receive new healthcare.

January 20, 2011

Published in: UNIAN.NET