The medical informative systems in pediatric practice - problems and prospects
Abstract
Data on the use of modern medical information systems (MIS) in Russian medicine, including in pediatrics are presented. Advances and problems in creating a single unified MIS, diagnostic information systems are highlighted. Information about existing questionnaires in the area of life quality assessment of healthy and patients suffering from pulmonological profile are provided. The problems of diagnostics of chronic diseases of small bronchial tubes at children are observed. It is important to determine the probability of the diseases formation for the usage of financially-based and informative methods of research, aimed at timely identification of the disease are considered. Data of the studies of the prevalence of chronic diseases of the small bronchi of children with the help of specialized questionnaires which were hold in two regions of the Russian Federation are included. The results confirmed the high sensitivity of the methods used and showed a significant excess of the actual prevalence of bronchopulmonary diseases in children compared with statistical data on the uptake. These methods of diagnostics screening have no analogues in pediatrics. MIS with analysis possibility and decision support diagnostic decisions are rather rare, and absent in pulmonary practice. Thus, there is a need for the establishment of unified information systems for diagnostic use in medicine. In particular, in the field of pediatric pulmonology the introduction of an MIS developed on the basis of a proven questionnaire will help to solve the problem of timely detection of chronic allergic and non-allergic respiratory diseases in children in primary care.



