Digital transformation of healthcare through the formation of a unified medical information system

The digital transformation of healthcare is an urgent necessity, the key instrument of which is the creation of a unified medical information and analytical system. The relevance of the study is due to the fragmentation of existing IT-solutions in the industry, which reduces the effectiveness of interaction between institutions and the quality of medical care. Purpose: The study of the current state of the implementation of information systems in public medical organizations and the analysis of the regulatory framework for the digital transformation of healthcare in St. Petersburg. Materials and methods: The research material was data on the implementation of medical information systems in 241 medical organizations in St. Petersburg of federal and municipal ownership. Descriptive statistics, comparative analysis, and visualization methods were used to process the data, with an emphasis on the structure and prevalence of various systems. Results and discussion: The study revealed the use of 15 major information systems with a high degree of heterogeneity. The most common systems are Ariadna (31.5 % of institutions), WEB-polyclinic (16.2 %) and SP Samson (14.1 %). At the same time, a significant number of systems are used by individual institutions (0.4 % each), which indicates a pronounced fragmentation of the IT infrastructure. Conclusion: The analysis confirms the need to consolidate disparate information systems into a single digital platform as part of the implementation of national projects ("National Digital Platform "Health"). Successful digital transformation of the region's healthcare requires an in-depth analysis of the economic indicators and clinical effectiveness of the systems being implemented, improving the digital literacy of medical professionals, and ensuring the integration of existing information systems. This will create an integrated digital platform for improving the effectiveness of medical care.