THE POTENTIAL OF DIGITAL TRANSFORMATION IN PRIMARY HEALTH CARE: A COMPARATIVE ANALYSIS OF POPULAR ELECTRONIC MEDICAL SYSTEMS FOR FAMILY PHYSICIANS IN THE USA AND UKRAINE
DOI:
https://doi.org/10.32782/pub.health.2025.1.23Keywords:
primary healthcare, electronic health records, information systems, artificial intelligence, clinical decision support, healthcare digitalizationAbstract
Actuality: Primary healthcare plays a crucial role in maintaining population health. With the advancementof digital technologies and artificial intelligence, the medical field is undergoing significant transformation, particularly in the United States. The implementation of information systems in New York and New Jersey demonstrates high efficiency in improving the quality of medical services. Meanwhile, Ukraine has substantial potential for modernizing its primaryhealthcare sector by adapting advanced digital solutions.Purpose: To study the organization of primary healthcare in New York and New Jersey compared to Ukraine, focusing on the use of modern information systems, including artificial intelligence elements, and to propose recommendations forintegrating similar practices into the Ukrainian healthcare system.Materials and Methods. The study utilizes statistical data on the number of primary care physicians, physicianworkload, average patient visit frequency, and an analysis of leading electronic medical systems in the U.S. (Epic Systems, Cerner, Allscripts) and Ukraine (Helsi, Doctor Eleks). The study was conducted using comparative analysis, a systematicapproach, and structural-logical analysis methods. Research Results. The analysis revealed that electronic health records (EHR) are widely implemented in the U.S., integrating with laboratory tests, insurance companies, and clinical decision support tools. A key advantage is the use of artificial intelligence for risk prediction, automated diagnostics, and personalized treatment. In Ukraine, informationsystems primarily focus on administrative processes and do not provide clinical decision support at the same level as their American counterparts. Conclusions. The introduction of artificial intelligence and the enhancement of information systems can significantly improve the quality of medical services in Ukraine. Specifically, it is necessary to develop medical platforms that include symptom analysis, risk prediction, and clinical decision support. Additionally, critical directions include increasingphysicians’ digital literacy and ensuring funding for healthcare innovation development.
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