Plot National projects
Since January 1, 2022, in Russia, in all regions, the issuance of disability certificates is carried out electronically.
Thanks to the national project “Healthcare” a single digital circuit continues to be created in hospitals and polyclinics. Computer equipment is being updated in healthcare institutions, and the possibilities of telemedicine consultations are being developed.
In 2021, 29.52 million citizens (with a planned value of 18.0 million people for 2021) used the services in the patient’s Personal Account “My Health” on the Unified Portal of Public Services and Functions.
974,968 (with a plan of 966 thousand for 2021) automated workplaces of medical workers are connected to medical information systems in the subjects of the Russian Federation.
The electronic form of the disability certificate appeared in Russia back in 2017. All this time, both paper and electronic forms of sick leave were available to citizens. Since January 2022, sick leave has been issued only in electronic form. Medical organizations issue electronic disability sheets and upload them to the information system of the Social Insurance Fund. Automatically to the citizen in the personal account on the portal«Public Services» receive notification of the opening (then closing) of the sick leave. At the same time, it is not necessary to inform the employer about temporary disability, because the information received from the medical institution to the Social Insurance Fund system reaches the place of work itself. The employer, using information from the FSS database, fills in the necessary part of the form to calculate the amount of social benefits, after which the payment is calculated.
Thus, in the Republic of Chuvashia, the republican medical information system is integrated with the information system of the Social Insurance Fund. To date, electronic sick leave is issued by almost all medical organizations subordinate to the Ministry of Health of Chuvashia. In 2021, 98% of sick leaves for residents of the republic have already been issued in electronic form.
In the Samara region in 2021, more than 800 thousand residents used the services in the patient’s Personal Account “My Health” on the Unified portal of Public Services. In addition, all residents of the region have access to a remote appointment with a doctor through a Single contact center. More than 800 thousand residents of the province also used this resource during the year. More than 4.5 million records for doctor’s appointments and emergency medical care were made in 2021 by phone registries of medical institutions. For this purpose, self-recording terminals for citizens to see a doctor were also used.
In the Tyumen region, we are fully ready to switch to electronic sick leave. This was recalled by the information center of the Government of the Tyumen region. According to the Regional Department of Health, the region gradually switched to an electronic system of registration of sick leave. For this purpose, a unified medical information system was successfully implemented. She reduced the time spent on the registration of the disability certificate. In 2021, medical organizations issued 700 thousand documents on temporary disability, of which 646 thousand were electronic. 131 clinics have licenses to issue sick leave.
In the Vologda region, the connection of paramedic and obstetric stations to the high-speed Internet continues. In 2021, it was possible to expand telecommunications capabilities for 173 FAPs in all 26 districts. In total, since the implementation of the national project, 364 medical institutions in small settlements have been connected to the Internet, which contributes to the improvement ofaccessibility and quality of medical care. FAPs are equipped with automated workstations, which are united by a single integrated information system. This significantly expands the capabilities of medical workers in the field. In the information system, an entry is made to specialists and information about the health status of patients is entered.
The creation of a single digital circuit in healthcare based on a unified state information system in the field of healthcare is one of the main directions of the national project “Healthcare”. It is aimed at improving the efficiency of the functioning of the healthcare system by creating mechanisms for interaction of medical organizations based on a unified state system in the field of healthcare and the introduction of digital technologies and platform solutions that form a single digital health contour.