medinfoАктуальные проблемы теоретической и клинической медициныActual Problems of Theoretical and Clinical Medicine2790-12892790-1297Казахстанско-Российский медицинский университет10.24412/2790-1289-2025-2-109-124medinfo-528Research ArticleОБЗОР ЛИТЕРАТУРЫREVEWSВЛИЯНИЕ ЭЛЕКТРОННЫХ СИСТЕМ МЕДИЦИНСКОЙ ДОКУМЕНТАЦИИ НА КАЧЕ- СТВО МЕДИЦИНСКОЙ ПОМОЩИ В РАМКАХ ОБЕСПЕЧЕНИЯ ОПЕРАТИВНОЙ ФУНК- ЦИИ ОБЩЕСТВЕННОГО ЗДРАВООХРАНЕНИЯ НА УРОВНЕ ПМСПIMPACT OF ELECTRONIC HEALTH RECORD SYSTEMS ON QUALITY OF PRIMARY CARE WITHIN ESSENTIALhttps://orcid.org/0000-0003-1857-2800ЮсуповаН. С.YussupovaN. S.

Юсупова Наргиза Сайдахметовна – магистр медицинских наук, менеджер по международному сотрудничеству; выпускник программы докторантуры по специальности «Общественное здравоохранение»

Алматы

Yussupova Nargiza Saidakhmetovna – master of Medical sciences, Manager of international cooperation; graduate of the doctoral program in the specialty «Public Health»

Almaty

ns.yussupova@gmail.comhttps://orcid.org/0000-0001-9884-0777ТурдалиеваБ. С.TurdaliyevaB. S.

Турдалиева Ботагоз Саитовна – доктор медицинских наук, профессор, заместитель директора по научной деятельности и стратегическому развитию

Алматы

Turdaliyeva Botagoz Saitovna – doctor of Medical Sciences, Professor, Deputy Director of Science and Strategic Development

Almaty

botturd@gmail.comhttps://orcid.org/0000-0001-7668-5614КойковВ. В.KoikovV. V.

Койков Виталий Викторович – доктор медицинских наук, проректор

Астана

Koikov Vitaliy Viktorovich – doctor of Medical Sciences, Vice-Rector

Astana

koykov@inbox.ruhttps://orcid.org/0000-0001-9309-2853СонИ. М.SonI. M.

Сон Ирина Михайловна – доктор медицинских наук, профессор, заместитель директора по науке и образованию

Москва

Son Irina Mikhailovna – Doctor of Medical Sciences, Professor, Deputy Director of Science and Education

Moscow

son@mednet.ruhttps://orcid.org/0000-0003-0025-7116АталыковаЖ. Е.АtalykovaZ. Y.

Аталыкова Жупар Ермековна – магистр гуманитарных знаний, главный специалист отдела публикационной активности

Алматы

Аtalykova Zhupar Yermekovna – master of Humanitarian Knowledge, Chief Specialist of the Department of Publication Activity

Almaty

e.zhupar@mail.ruРГП на ПХВ «Казахский научный центр дерматологии и инфекционных заболеваний» Министерства здравоохранения Республики Казахстан; НАО «Казахский Национальный Медицинский Университет имени С. Д. Асфендиярова»КазахстанKazakh scientific center of dermatology and infectious diseases of the Ministry of Health of the Republic of Kazakhstan; NpJSC «Kazakh National Medical University named after S. D. Asfendiyarov»KazakhstanРГП на ПХВ «Казахский научный центр дерматологии и инфекционных заболеваний» Министерства здравоохранения Республики КазахстанКазахстанKazakh scientific center of dermatology and infectious diseases of the Ministry of Health of the Republic of KazakhstanKazakhstanНАО «Медицинский университет Астана»КазахстанNpJSC «Astana Medical University»KazakhstanФедеральное государственное бюджетное учреждение «Центральный научно-исследовательский институт организации и информатизации здравоохранения» Министерства здравоохранения Российской ФедерацииРоссияFederal Research Institute for Health Organization and Informatics of the Ministry of Health of the Russian FederationRussian FederationНАО «Казахский Национальный Медицинский Университет имени С. Д. Асфендиярова»КазахстанNpJSC «Kazakh National Medical University named after S. D. Asfendiyarov»Kazakhstan20250607202502109124Copyright © Юсупова Н.С., Турдалиева Б.С., Койков В.В., Сон И.М., Аталыкова Ж.Е., 20252025Юсупова Н.С., Турдалиева Б.С., Койков В.В., Сон И.М., Аталыкова Ж.Е.Yussupova N.S., Turdaliyeva B.S., Koikov V.V., Son I.M., Аtalykova Z.Y.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/528

Оказание качественной медицинской помощи – основополагающая цель любой системы здравоохранения. Одним из ключевых инструментов для достижения цели является эффективная система медицинской документации. Ее задачи – повышение качества медицинской помощи за счет автоматизации работы врачей и медицинского персонала по всем направлениям деятельности.

Цель

Цель. Изучить влияние электронных систем медицинской документации в учреждениях первичной медико-санитарной помощи на повышение качества медицинской помощи в целях обеспечения устойчивой организационной структуры, как оперативной функции общественного здравоохранения.

Материалы и методы

Материалы и методы. Поиск осуществлялся в базах данных MEDLINE, EMBASE, CINAHL и в Кокрановском центральном регистре контролируемых испытаний. Стратегия поиска базировалась на PICO Framework. Исследования, отобранные для мета-анализа, были опубликованы в период с 01.01.2010 г. по 01.05.2023 г. Два автора независимо друг от друга изучали заголовки и резюме статей на соответствие критериям. Информация из поиска была дедублицирована с помощью EndNote X9, импортирована в Covidence Systematic Review для проверки. Статистическую обработку выполняли в RStudio 2023.03.1 Build 446 (Posit Software, PBC). Мета-анализ проводили с использованием модели случайных эффектов для каждого показателя, гетерогенность оценивали через Q-критерий Кохрена.

Результаты

Результаты. Поиск литературы выявил 640 публикаций, 11 статей были включены в обзор. Мета-анализ показал, что использование электронных медицинских карт (ЭМК) помогает сократить время на заполнение медицинской документации на 33,4 % (95 % ДИ = 0,8 % до 1,2 %; p < 0,007), способствует соблюдению клинических рекомендаций (ОР 1,30; 95 % ДИ = 1,04 до 1,79; p = 0,05) и позволяет снизить ошибки при назначении препаратов (ОР 0,44; 95 % ДИ = 0,34 до 0,53; p < 0,001), что несомненно повышает качество медицинской помощи.

Заключение

Заключение. Данное исследование подтверждает положительное влияние электронных систем медицинской документации на повышение качества медицинской помощи в учреждениях первичной медико-санитарной помощи, главным образом за счет оптимизации времени заполнения документации, снижения количества ошибок персонала и организации работы в соответствии с клиническими рекомендациями. Результаты исследования будут полезными для специалистов по организации здравоохранения, специалистов общественного здравоохранения при принятии обоснованных решений о внедрении электронных систем медицинской документации.

Quality healthcare is the primary objective of any healthcare system. An effective electronic health record system is a crucial tool for achieving this goal. Its objectives are to improve the quality of medical care by automating the work of doctors and medical personnel in all areas of activity.

The purpose of this study. To explore the impact of electronic health records systems in primary health care facilities on improving the quality of care to ensure a sustainable organizational structure as an essential public healthcare function.

Materials and methods

Materials and methods. The search was conducted in the MEDLINE, EMBASE, CINAHL, and Cochrane Central Register of Controlled Trials databases. The search strategy was based on the PICO Framework. The studies selected for the meta-analysis were published between January 1, 2010, and May 1, 2023. Two authors independently reviewed article titles and abstracts for eligibility. Information from the search was deduplicated using EndNote X9 and imported into the Covidence Systematic Review for review. Statistical processing was performed in RStudio 2023.03.1 Build 446 (Posit Software, PBC).

Results

Results. A literature search identified 640 publications; 11 of them were included in the review. Meta-analysis showed that the use of electronic health records (EHRs) helps to reduce the time to complete medical records by 33.4 % (95% CI = 0.8 % to 1.2 %; p < 0.007), promotes adherence to clinical recommendations (RR 1.30; 95 % CI = 1.04 to 1.79; p = 0.05) and reduces prescribing errors (RR 0.44; 95 % CI = 0.34 to 0.53; p < 0.001), which undoubtedly improves the quality of medical care.

Conclusion

Conclusion. This study validates the positive influence of EHRSs on enhancing care quality in PHC settings, primarily by streamlining documentation, reducing prescription errors, and aligning workflow with clinical guidelines. These findings can help healthcare and public health professionals make informed decisions about EHRS adoption.

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