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<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:ali="http://www.niso.org/schemas/ali/1.0/" article-type="research-article" dtd-version="1.2" xml:lang="en"><front><journal-meta><journal-id journal-id-type="publisher-id">Annals of the Russian academy of medical sciences</journal-id><journal-title-group><journal-title xml:lang="en">Annals of the Russian academy of medical sciences</journal-title><trans-title-group xml:lang="ru"><trans-title>Вестник Российской академии медицинских наук</trans-title></trans-title-group></journal-title-group><issn publication-format="print">0869-6047</issn><issn publication-format="electronic">2414-3545</issn><publisher><publisher-name xml:lang="en">"Paediatrician" Publishers LLC</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="publisher-id">1717</article-id><article-id pub-id-type="doi">10.15690/vramn1717</article-id><article-categories><subj-group subj-group-type="toc-heading" xml:lang="en"><subject>HEALTH CARE MANAGEMENT: CURRENT ISSUES</subject></subj-group><subj-group subj-group-type="toc-heading" xml:lang="ru"><subject>АКТУАЛЬНЫЕ ВОПРОСЫ ОРГАНИЗАЦИИ ЗДРАВООХРАНЕНИЯ</subject></subj-group><subj-group subj-group-type="article-type"><subject>Research Article</subject></subj-group></article-categories><title-group><article-title xml:lang="en">Digital Twins in Healthcare: an Assessment of Technological and Practical Prospects</article-title><trans-title-group xml:lang="ru"><trans-title>Цифровые двойники в здравоохранении: оценка технологических и практических перспектив</trans-title></trans-title-group></title-group><contrib-group><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-0098-1403</contrib-id><contrib-id contrib-id-type="spin">1373-0903</contrib-id><name-alternatives><name xml:lang="en"><surname>Kobyakova</surname><given-names>Olga  S.</given-names></name><name xml:lang="ru"><surname>Кобякова</surname><given-names>Ольга Сергеевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor</p></bio><bio xml:lang="ru"><p>д.м.н., профессор</p></bio><email>kobyakovaos@mednet.ru</email><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0002-3625-4278</contrib-id><contrib-id contrib-id-type="spin">7223-9834</contrib-id><name-alternatives><name xml:lang="en"><surname>Starodubov</surname><given-names>Vladimir  I.</given-names></name><name xml:lang="ru"><surname>Стародубов</surname><given-names>Владимир Иванович</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>MD, PhD, Professor, Academician of the RAS</p></bio><bio xml:lang="ru"><p>д.м.н., профессор, академик РАН</p>
<p> </p></bio><email>starodubov@mednet.ru</email><uri>http://www.mednet.ru</uri><xref ref-type="aff" rid="aff1"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0003-1896-6420</contrib-id><contrib-id contrib-id-type="spin">5741-6679</contrib-id><name-alternatives><name xml:lang="en"><surname>Kurakova</surname><given-names>Natalia  G.</given-names></name><name xml:lang="ru"><surname>Куракова</surname><given-names>Наталия Глебовна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD in Biology</p></bio><bio xml:lang="ru"><p>д.б.н.</p></bio><email>kurakova-ng@ranepa.ru</email><xref ref-type="aff" rid="aff2"/></contrib><contrib contrib-type="author"><contrib-id contrib-id-type="orcid">https://orcid.org/0000-0001-9381-4078</contrib-id><contrib-id contrib-id-type="spin">8668-9347</contrib-id><name-alternatives><name xml:lang="en"><surname>Tsvetkova</surname><given-names>Liliya A.</given-names></name><name xml:lang="ru"><surname>Цветкова</surname><given-names>Лилия Анатольевна</given-names></name></name-alternatives><address><country country="RU">Russian Federation</country></address><bio xml:lang="en"><p>PhD in Biology</p></bio><bio xml:lang="ru"><p>к.б.н.</p></bio><email>tsvetkova-la@ranepa.ru</email><xref ref-type="aff" rid="aff2"/></contrib></contrib-group><aff-alternatives id="aff1"><aff><institution xml:lang="en">Federal Research Institute for Health Organization and Informatics</institution></aff><aff><institution xml:lang="ru">Центральный научно-исследовательский институт организации и информатизации</institution></aff></aff-alternatives><aff-alternatives id="aff2"><aff><institution xml:lang="en">The Russian Presidential Academy of National Economy and Public Administration</institution></aff><aff><institution xml:lang="ru">Российская академия народного хозяйства и госслужбы при Президенте РФ</institution></aff></aff-alternatives><pub-date date-type="pub" iso-8601-date="2021-11-30" publication-format="electronic"><day>30</day><month>11</month><year>2021</year></pub-date><volume>76</volume><issue>5</issue><issue-title xml:lang="en"/><issue-title xml:lang="ru"/><fpage>476</fpage><lpage>487</lpage><history><date date-type="received" iso-8601-date="2021-10-06"><day>06</day><month>10</month><year>2021</year></date><date date-type="accepted" iso-8601-date="2021-10-19"><day>19</day><month>10</month><year>2021</year></date></history><permissions><copyright-statement xml:lang="en">Copyright ©; 2021, "Paediatrician" Publishers LLC</copyright-statement><copyright-statement xml:lang="ru">Copyright ©; 2021, Издательство "Педиатръ"</copyright-statement><copyright-year>2021</copyright-year><copyright-holder xml:lang="en">"Paediatrician" Publishers LLC</copyright-holder><copyright-holder xml:lang="ru">Издательство "Педиатръ"</copyright-holder><ali:free_to_read xmlns:ali="http://www.niso.org/schemas/ali/1.0/" start_date="2022-11-30"/></permissions><self-uri xlink:href="https://vestnikramn.spr-journal.ru/jour/article/view/1717">https://vestnikramn.spr-journal.ru/jour/article/view/1717</self-uri><abstract xml:lang="en"><p><bold>Background.</bold> The technological direction digital Twins is included in the list of the main strategic technological trends of 2019–2021. At the end of 2021, an initiative was announced in the Russian Federation aimed at creating a digital twin in the domestic healthcare system as part of the primary care modernization project. <bold>Aims</bold> — the purpose of the study is to review possible ways of using digital twins technology in the global healthcare system and in its Russian segment, as well as to build patent and publication landscapes to identify technological and academic leaders of the frontier. <bold>Methods.</bold> Scientometric and patent analysis. <bold>Results.</bold> The key stages of the development of the frontier “digital twins in healthcare” are traced. According to the data of the scientometric and patent analyses carried out in the priority direction “digital twins in healthcare and medicine”, the Russian Federation at the end of 2021 ranks 35th in the world in terms of specific weight in the total number of articles in publications indexed in WoS, and 20th in the world in terms of specific weight in the total number of patent applications for an invention, i.e. it is not among the 10 leading countries. The citation of domestic publications in the internationalized segment is significantly lower than the average (normalized) indicator, which does not give grounds to talk about the achievement of research excellence and even world-class domestic competence centers. <bold>Conclusion.</bold> The creation of the Digital Healthcare Consortium in 2018, the world-class Scientific Center “Digital Biodesign and Personalized Healthcare” in 2020 and the initiative of the regulator (Ministry of Health of Russia) in 2021 should be noted as key events in the development of the frontier in the Russian Federation. At the same time, it is important to note that the main global actors in the transformation of the digital twins frontier into high-tech equipment and services are not research centers, but companies acting simultaneously as qualified customers and beneficiaries of ongoing projects of a full innovation cycle. Having huge R&amp;D budgets and having a clear goal setting, it is these participants in the process that become the main drivers of the technological development of the healthcare sector associated with the introduction of digital twins. In this regard, the absence of the direction of Russian companies on the patent landscape cannot but cause concern, which creates risks of using innovative solutions created in the domestic sector of interdisciplinary research in the interests of foreign corporations identified as technology leaders in this review.</p></abstract><trans-abstract xml:lang="ru"><p><bold>Обоснование.</bold> Технологическое направление «цифровые двойники» (Digital Twins) входит в перечень главных стратегических технологических трендов 2019–2021 гг. В конце 2021 г. в Российской Федерации анонсирована инициатива, направленная на создание цифрового двойника в отечественной системе здравоохранения в рамках проекта по модернизации первичного звена. <bold>Цель исследования </bold>— обзор возможных способов применения технологии цифровых двойников в глобальной системе здравоохранения и в ее российском сегменте, а также построение патентного и публикационного ландшафтов для идентификации технологических и академических лидеров направления. <bold>Методы.</bold> Наукометрический и патентный анализ. <bold>Результаты.</bold> Прослежены ключевые этапы развития тренда «цифровые двойники в здравоохранении». Согласно данным выполненного наукометрического и патентного анализа по приоритетному направлению «цифровые двойники в здравоохранении и медицине», Российская Федерация на конец 2021 г. занимает 35-е место в мире по удельному весу в общем числе статей в изданиях, индексируемых в WoS, и 20-е — в общем числе патентных заявок на изобретение, т.е. не входит в число 10 лидирующих стран. Цитируемость отечественных публикаций в интернационализированном сегменте существенно ниже среднего (нормированного) показателя, что не дает основания говорить о достижении отечественными центрами компетенций исследовательского превосходства и даже мирового уровня. <bold>Заключение. </bold>В качестве ключевых событий развития тренда в Российской Федерации следует отметить создание консорциума «Цифровое здравоохранение» в 2018 г., Научного центра мирового уровня «Цифровой биодизайн и персонализированное здравоохранение» в 2020 г. и инициативу Минздрава России в 2021 г. Представляется важным отметить, что главными мировыми акторами трансформации направления «цифровые двойники» в высокотехнологичное оборудование и услуги являются не научно-исследовательские центры, а компании, выступающие одновременно в роли квалифицированных заказчиков и бенефициаров реализуемых проектов полного инновационного цикла. Располагая огромными бюджетами на НИОКР и имея четкое целеполагание, именно эти участники процесса становятся главными драйверами технологического развития сектора здравоохранения, связанного с внедрением цифровых двойников. В связи с этим не может не вызывать обеспокоенность низкая активность российских компаний в закреплении полученных результатов патентами, что создает риски использования инновационных решений, созданных в отечественном секторе междисциплинарных исследований, в интересах зарубежных корпораций, идентифицированных в настоящем обзоре в качестве технологических лидеров.</p></trans-abstract><kwd-group xml:lang="en"><kwd>digital twins</kwd><kwd>concept of use</kwd><kwd>healthcare</kwd><kwd>medicine</kwd><kwd>technology leaders</kwd><kwd>platforms</kwd><kwd>patent landscape</kwd><kwd>publication landscape</kwd></kwd-group><kwd-group xml:lang="ru"><kwd>цифровые двойники</kwd><kwd>концепция использования</kwd><kwd>здравоохранение</kwd><kwd>медицина</kwd><kwd>технологические лидеры</kwd><kwd>платформы</kwd><kwd>патентный ландшафт</kwd><kwd>публикационный ландшафт</kwd></kwd-group><funding-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">ФГБУ "ЦНИИОИЗ" Минздрава России</institution></institution-wrap><institution-wrap><institution xml:lang="en">Federal Research Institute for Health Organization and Informatics of Ministry of Health of the Russian Federation</institution></institution-wrap></funding-source></award-group><award-group><funding-source><institution-wrap><institution xml:lang="ru">РАНХиГС при Президенте РФ</institution></institution-wrap><institution-wrap><institution xml:lang="en">The Russian Presidential Academy of National Economy and Public Administration</institution></institution-wrap></funding-source></award-group></funding-group></article-meta></front><body></body><back><ref-list><ref id="B1"><label>1.</label><mixed-citation>Указ Президента РФ от 9 мая 2017 г. № 203 «О Стратегии развития информационного общества в Российской Федерации на 2017–2030 годы». 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