Expert assessment of indicators and indicators for the development of a model of digital maturity of primary health care
Authors: Voshev D. V. ,   FSBI National Medical Research Centre for Therapy and Preventive Medicine of the Ministry of Health of the Russian Federation, Son I. M. , Stolbov A. P. ,   FSBEI FPE «Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare of the Russian Federation,   Penza Institute for Further Training of Physicians Branch Campus of the FSBEI FPE «Russian Medical Academy of Continuous Professional Education» of the Ministry of Healthcare of the Russian Federation,   Institute of Leadership and Health Management of the Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Published: July 2024

The research is devoted to the development of a model of digital maturity of primary health care in the Russian Federation. Through expert evaluation, key indicators and indicators of digital maturity were identified, which made it possible to create a comprehensive model for assessing the digital development of medical organizations. The main attention is paid to the functional capabilities of medical information systems and information and communication technologies that ensure high quality and accessibility of medical care. Aim: to conduct an expert assessment of indicators and indicators for the development of a model of digital maturity of primary health care. This includes an analysis of existing indicators, identification of key indicators, their classification and assessment of significance for the formation of an objective model for assessing the digital maturity of medical organizations. Materials and methods. For a systematic assessment of the digital maturity of primary health care, a questionnaire was developed containing 6 indicators and 52 indicators reflecting various aspects of the digital maturity of the subjects of the Russian Federation. Regulatory documents, methodological guidelines and recommendations from experts in the field of medicine and information technology were studied. Experts assessed the importance of each indicator on a scale from 0 to 10 points, and the results of the assessments were classified to form the final model. Results. The expert assessment showed that the functionality of the medical information system is evaluated higher than the equipment of information and communication technologies. Key indicators, such as access to research results and telemedicine consultations, received high marks, indicating their importance for the digital maturity of medical organizations. The recommendations include updating the digital infrastructure, developing the functionality of the medical information system and improving the level of training of medical personnel. Conclusions: the study showed that in order to achieve a high level of digital maturity of PHC, it is necessary to pay attention to both the technical equipment and the development of the IIA functionality. An integrated approach, including updating the infrastructure and improving the digital literacy of medical personnel, will significantly improve the quality and accessibility of medical care. The proposed recommendations can serve as a basis for further planning of measures to increase the digital maturity of primary health care in the Russian Federation.