“The president has now announced new directions, new investments in infrastructure, in technology, in digitalization. Why is this important? First, some of the facilities need to be completed. Second, some facilities that have already been modernized and transformed 10-12 years ago, “now require repeated investments, the introduction of new treatment methods. Therefore, technologies in medicine are periodically updated when this requires scientific knowledge and scientific processes,” the minister explained.
Resources allocated to health care today rank third among all types of investments in the country, and the new goals will increase the number of investments.
“Every day, on average, at least three reconstructed facilities open across the country. This is a colossal speed of transformation of healthcare,” Murashko noted.
He identified several priority trends.
Availability and quality of medical care.
The number of requests for medical care in primary care alone exceeds one billion a year, including more than 45 million ambulance calls, the Ministry of Health estimated.
“When we talk about quality, it always consists of several components. No matter where the operating room is located, in Magadan, Kaliningrad or Chukotka, this operating room must be equipped according to the same requirements, it must have the same devices so that the doctor, when providing medical care, have everything you need and be guaranteed not to create difficulties for patient safety. The next point is a certain standardization of the provision of medicines for clinical protocols, the use of information systems. The result of treatment must be predictable,” said Mikhail Murashko.
Computerization and training of doctors.
“The information systems used in medical institutions generate a large amount of data that is analyzed, aggregated and allows programs to be implemented with artificial intelligence. Clinical recommendations are the basis on which patient treatment is based. In addition, digitalization allows “The use of data matrices generated from basic treatment becomes analysis and allows us to solve more and more new problems,” explained the minister.
At the same time, standards, therapeutic procedures and clinical recommendations are only an important aid in the work of doctors, but not a dogma; in no way do they deny the art of medicine.
“Medical art, the art of healing, is what always accompanies our specialty, this is the talent of the doctor. Furthermore, several possibilities converge here: both intellectual abilities and what the doctor does with his hands: manipulation, skills surgical and diagnostic, working with a team”, – clarified Mikhail Murashko.
That is why great attention is paid to the training and continuing education of doctors.
High-tech healthcare
In recent years, high-tech medicine has developed rapidly: complex and revolutionary treatment methods.
“The evolution of cancer treatment, open, laparoscopic and robotic operations, minimally invasive, high-tech care throughout the country grows every year. We fulfill all planned volumes, and the material and technical base, and the qualifications of specialists , and the patient referral system allows us to do it very quickly,” said the minister.
Taking care of reproductive health
The volume of patient assistance in the field of reproductive health is constantly growing, including the development of technologies related to the treatment of infertility.
Additional reproductive health screenings are included in screening and preventive screening programs. “This is a necessary area of preventive measures, because children are the happiness of the family,” said Mikhail Murashko.
Development of medical science.
The Minister of Health of the Russian Federation noted that science for medicine and the health system is a key driver of development.
“Regenerative medicine, tissue engineering and additive technologies through the individual production of medical devices for traumatology and orthopedics are not all the key areas. Today products are manufactured for implantation in the human body, joints and bones to close defects. Neurorehabilitation Equipment is being introduced – Thus, the “exo-hand” complex has made it possible to rehabilitate patients with strokes, when the patient begins to control the hand almost with the power of thought, restoring nerve conduction and functions mechanical and motor, a reality that is already working today,” said the minister.
There are many promising advances in both pharmacology and biomedicine. Platforms have been developed from which it is possible to produce vaccines against various infections and, with some adaptation, drugs to combat cancer.
“A drug for immunocorrection has been developed: this is a new drug that today has no analogues in the world. It allows you to practically cure a patient with ankylosing spondylitis. This drug is completing its third phase of clinical trials. The management of creation Personalized medicines are being formed for the treatment of orphan diseases. We have designed a new experimental industrial production on the basis of our Pirogov Russian National Research Medical University of the Ministry of Health of Russia and, rapidly introducing scientific developments in the part of production, We are moving along the path that even complex and hitherto incurable diseases associated with hereditary congenital pathologies become curable,” noted Mikhail Murashko.
Nuclear medicine also belongs to the same category: in this area, Russian doctors have some of the highest competencies in the world.
“Contact and external beam radiation therapy is used in all oncology clinics in Russia. The new block is radiopharmaceuticals, which make it possible to diagnose the disease in the early stages and understand the prevalence, localization of the process and combine diagnosis with “It is a new and very promising method, when isotopes are combined with certain proteins that precisely penetrate the tumor and destroy it,” said Murashko.
Digitalization of healthcare
Digital transformation of healthcare helps increase the speed and quality of healthcare at all stages and provide a personalized approach. And one of the immediate tasks is to identify (that is, individually) prevent risk factors in each patient; This will help achieve maximum life expectancy and maintain health. Digital technologies are already used in all regions.
“Our task in 2024 is to bring them to the general rules to implement even more programs with artificial intelligence, analytics and a decision support system. Programs with AI are being introduced, they are being purchased, somewhere else, somewhere less, but this already exists in all regions,” stated the minister.
Today, artificial intelligence helps analyze medical images and video streams (this provides better diagnoses) and analyze electronic medical records.
“We are creating a digital profile of the patient, his disease, predisposition, etc., introducing monitoring systems and preventive measures. That is, this is, in essence, a personal monitoring of each person, what needs to be done to have the maximum life expectancy,” stated the minister.
Digitalization also helps organize care, from making an appointment with a specialist to choosing a specific doctor. “Services with voice interfaces, all kinds of robots, dialers, chatbots, etc. are actively being introduced. Everything that already exists in medicine today was difficult to imagine. By the way, the pandemic contributed to such rapid development” . the minister pointed out.
He also stressed that medical support for a person, also with the help of digitalization, is built throughout his or her entire life.
Managing your health
Awareness and a certain level of medical knowledge influence the healthy behavior of citizens and, consequently, public health.
“Today it is possible to control even non-medical factors, since knowledge has been acquired on how to prevent them and new directions, including nutrition, make it possible to compensate for certain deficiencies of essential vitamins and nutrients. One of the most common One of the influencing factors in the development of non-communicable diseases is alcohol. “According to the traffic police, 75% of traffic accidents that cause damage to health occur while intoxicated,” said Mikhail Murashko. He stressed that today gives a key role to the development of a responsible attitude of people towards their health.
