Kharyk N. Scientific rationale for the use of information technology while ensuring continuity of care

The thesis is devoted to the principles of continuity of care and individualized treatment with the use of information technology (for example, treatment of pneumonia). Grounded fundamentally new definition of continuity of medical actions as a sequence of diagnostic and therapeutic procedures, in which at each step of treatment and diagnostic process likelihood of complications or adverse outcomes at least not increasing. To ensure continuity of medical action proposed to use methods of planning and project management to ensure integration of all procedures performed in the offices of health care settings and aimed at treating a patient in a single system processes. Proposed to ensure continuity of treatment based on three concepts: the structuring of medical facilities at the main and auxiliary, individualized treatment strategy and, finally, monitoring the risks of complications of the disease. A breakdown of medical services into two clusters: basic, which corresponds to a minimal set of therapeutic and diagnostic activities and services provided to the patient regardless of the features of the disease and, in principle, meet existing standards and protocols; utility that contains a list of activities and services provided for features of the disease, which characterizes the individualized approach to patient management and is aimed at reducing the risk weights. This approach provided an opportunity to significantly reduce the number of uncoordinated actions in treating patients from 23,5 ±4, 3% to 12,1 ±2,4% (p<0,05). Offered to train physicians in the continuing professional development to illustrate the continuity of medical activities using advanced information technologies, including the use of workplace learning, telemedicine technology. This shows that the structuring of educational content that describes medical processes ensures continuity than processes of diagnosis and treatment effective knowledge transfer. The quality of teaching in terms of scoring exams increased by 9,3 ±3, 2%.