medinfoАктуальные проблемы теоретической и клинической медициныActual Problems of Theoretical and Clinical Medicine2790-12892790-1297Казахстанско-Российский медицинский университет10.24412/2790-1289-2023-4-73-80medinfo-381Research ArticleОБЗОР ЛИТЕРАТУРЫREVEWSРаскрытие проблем и возможностей: анализ воздействия COVID-19 на исследовательские инициативы в области цифрового здравоохранения в Южной АзииUnveiling Challenges and Opportunities: Examining COVID-19's Effects on Digital Health Research Initiatives in South Asiahttps://orcid.org/0000-0003-2696-5241ПолубоярцевИ. О.PoluboiartsevI. O.

Полубоярцев Игорь Олегович, заместитель декана, 

Алматы.

Poluboyartsev Igor Olegovich, Deputy Dean, 

Almaty.

deymonp@gmail.comДжайнакбаевН. Т.DzhaynakbayevN. T.

Джайнакбаев Нурлан Темирбекович, д. м. н., профессор, ректор, 

Алматы.

Dzhainakbaev Nurlan Temirbekovich, Doctor of Medical Sciences, Professor, Rector,

Almaty

РахальскаяН. Н.RakhalskayaN. N.

Рахальская Наталья Николаевна, начальник отдела клинической практики, 

Алматы.

Rakhalskaya Natalya Nikolaevna, Head of the Clinical Practice Department, 

Almaty.

НОУ «Казахстанско-Российский медицинский университет»КазахстанNIE «Kazakh-Russian Medical University»Kazakhstan202329122023047481Copyright © Полубоярцев И.О., Джайнакбаев Н.Т., Рахальская Н.Н., 20232023Полубоярцев И.О., Джайнакбаев Н.Т., Рахальская Н.Н.Poluboiartsev I.O., Dzhaynakbayev N.T., Rakhalskaya N.N.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://kazrosmedjournal.krmu.edu.kz/jour/article/view/381

Целью данного исследования было оценить объем и жизнеспособность инициатив в области цифрового здравоохранения в регионе Южной Азии как до начала пандемии COVID-19, так и в ходе ее развития. Для достижения этой цели была использована двухэтапная методология. Во-первых, был проведен описательный анализ научных статей по цифровому здравоохранению, опубликованных в Южной Азии с 2016 по 2021 год. Этот анализ включал стратификацию научных статей по заболеваниям и состояниям, которые они рассматривали, географическим областям фокуса и задачам, для которых применялись инициативы. Во-вторых, в рамках исследования был представлен простой и повторяемый инструмент, разработанный авторами, для оценки устойчивости инициатив в области цифрового здравоохранения. Данный инструмент использовал экспериментальные или наблюдательные методы оценки.

Результаты

Результаты. Результаты описательного анализа выявили значительные инсайты, включая увеличение на 40% числа исследований в 2020 году по сравнению с 2019 годом. Заметные области фокуса включали укрепление систем здравоохранения, офтальмологические расстройства и COVID-19.

Кроме того, выявлены три наиболее часто разрабатываемых инструмента: удаленная консультация, доставка здравоохранительной информации и системы поддержки клинических решений. Межоценочная операбельность инструмента оценки устойчивости была тщательно разработана и оценена, что привело к значению Каппа 0,806 (± 0,088).

Заключение

Заключение. Наше исследование указывает на положительное воздействие пандемии COVID-19 на исследования в области цифрового здравоохранения. Это подтверждается ростом числа инициатив в области цифрового здравоохранения и улучшением показателей устойчивости исследований, опубликованных в период COVID-19.

                The aim of this study was to assess and contrast the volume and viability of digital health initiatives in the South Asia region both before the onset of the COVID-19 pandemic and during its course.

                To achieve this objective, a two-fold methodology was employed. Firstly, a descriptive analysis was conducted on digital health research articles published from 2016 to 2021 in South Asia [1,2]. This analysis involved stratifying research articles based on the diseases and conditions they addressed, the geographical areas of focus, and the tasks for which the initiatives were applied. Secondly, the study introduced a straightforward and replicable tool, developed by the authors, to evaluate the sustainability of digital health initiatives. This tool utilized experimental or observational study designs for assessment [4].

                The findings from the descriptive analysis revealed significant insights, including a 40% increase in the number of studies reported in 2020 compared to 2019. Noteworthy areas of focus included Health Systems Strengthening, Ophthalmic Disorders, and COVID-19. Additionally, the top three commonly developed tools were identified as Remote Consultation, Health Information Delivery, and Clinical Decision Support Systems [5,6].

                The inter-rater operability of the sustainability assessment tool was meticulously developed and estimated, resulting in a Kappa value of 0.806 (± 0.088).

                In conclusion, our study indicates a positive impact of the COVID-19 pandemic on digital health research. This is evidenced by an upswing in the number of digital health initiatives and an enhancement in the sustainability score of studies published during the COVID-19 period.

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The authors declare that there are no conflicts of interest present.