Bereznoy A V, Saygitov R T
Vestn Ross Akad Med Nauk. 2016;71(3):200-13.
Digital revolution is one of the major global trends resulting in the unprecedented scale and depth of penetration of information and communication technologies into all sectors of national economy, including healthcare. The development of this trend brought about high expectations related to the improvement of quality of medical assistance, accessibility and economic efficiency of healthcare services. However, euphoria of the first steps of digital revolution is passing now, opening doors to more realistic analysis of opportunities and conditions of realization of the true potential hidden in the digital transformation of healthcare. More balanced perception of the peculiarities of innovation processes in the sector is coming together with understanding of the serious barriers, hampering implementation of the new ideas and practices due to complicated interweaving of social, economic, ethical and psychological factors. When taking into account the industry specifics it becomes evident that digital revolution cannot be a quick turnaround but rather would pass a number of phases and is likely to last more than one decade. In this context the article focuses on the prospects of the new business models, capable of making significant changes in today’s economic landscape of the sector (including uber-medicine, retail clinics, retainer medicine, network models of medical services). The authors also provide assessment of the current situation and perspectives of digital healthcare development in Russia.
数字革命是主要的全球趋势之一，它使信息通信技术以前所未有的规模和深度渗透到包括医疗保健在内的国民经济各部门。这一趋势的发展引发了人们对提高医疗救助质量、医疗服务可及性和经济效率的高度期望。然而，数字革命初期的兴奋情绪如今正在消退，为更现实地分析医疗保健数字转型中潜藏的真正潜力的实现机遇和条件打开了大门。随着人们认识到由于社会、经济、伦理和心理因素的复杂交织而阻碍新思想和新实践实施的严重障碍，对该领域创新过程特点的认识也更加平衡。考虑到行业特性，很明显数字革命不会一蹴而就，而是会经历多个阶段，可能持续十多年。在此背景下，本文重点探讨了能够给当今该领域经济格局带来重大变化的新商业模式（包括超级医疗、零售诊所、预付费医疗、医疗服务网络模式）的前景。作者还对俄罗斯数字医疗保健的发展现状和前景进行了评估。
