Sarkanich Оleksandr, Shevtsova Оlena, Mintser Ozar
Shupyk National Medical Academy of Postgraduate Education, Kyiv, Ukraine.
Wiad Lek. 2019;72(2):275-278.
The problems of ensuring continuity of medical care are considered. Information and cybernetic issues of continuity, in particular information standards, resource management systems of a medical institution, are analyzed. It emphasizes the need to develop standards for the continuity of care. It is concluded that long-term continuity of medical measures in rehabilitation is one of the main components of the effectiveness of medical care. Further qualitative research is needed, including some types of rehabilitation services (e. g. specialized medical care). At the same time the most important factors for ensuring continuity at the current stage of medicine development are the use of ontologies, representing the most general conceptual concepts of the modeled field of medicine, completely abstracted from specific models of knowledge representation and practical implementation. It is also shown that the specification of the patient management model in the rehabilitation period of treatment is provided by a wide application of telemedicine consultations. The index of continuity of medical aid is also proposed. It represents a simple additive function that reflects the change in the probability of an unfavorable outcome.
本文探讨了确保医疗服务连续性的问题。分析了连续性方面的信息和控制论问题，特别是信息标准、医疗机构的资源管理系统。强调了制定医疗服务连续性标准的必要性。得出结论，康复中医疗措施的长期连续性是医疗服务有效性的主要组成部分之一。需要进一步开展定性研究，包括某些类型的康复服务（如专科医疗护理）。同时，在医学发展的现阶段，确保连续性的最重要因素是使用本体，本体代表了医学建模领域最一般的概念性概念，完全脱离了具体的知识表示模型和实际实现。还表明，远程医疗咨询的广泛应用为治疗康复期的患者管理模型提供了规范。还提出了医疗救助连续性指数。它是一个简单的加法函数，反映了不良结果概率的变化。
