Annals of the Russian academy of medical sciencesAnnals of the Russian academy of medical sciencesВестник Российской академии медицинских наук0869-60472414-3545"Paediatrician" Publishers LLC68210.15690/vramn682HEALTH CARE MANAGEMENT: CURRENT ISSUESАКТУАЛЬНЫЕ ВОПРОСЫ ОРГАНИЗАЦИИ ЗДРАВООХРАНЕНИЯDigital Revolution and Innovative Business Models in Healthcare: Global Trends and Russian Realities«Цифровая революция» и инновационные бизнес-модели в здравоохранении: глобальные тренды и российские реалииBereznoyA. V.БерезнойАлексей Васильевич
Russian Federation

Доктор экономических наук, директор Центра исследований отраслевых рынков и бизнес-стратегий ИСИЭЗ НИУ «Высшая школа экономики»

Адрес: 101000, Москва, ул. Мясницкая, д. 1

abereznoy@hse.ruSaygitovR. T.СайгитовРуслан Темирсултанович
Russian Federation

Доктор медицинских наук, главный научный сотрудник ИСИЭЗ Адрес: 101000, Москва, ул. Мясницкая, д. 11

saygitov@hse.ruNational Research University Higher School of Economics, MoscowНациональный исследовательский университет Высшая школа экономики, Москва120720167130306201611062016Copyright ©; 2016, "Paediatrician" Publishers LLCCopyright ©; 2016, Издательство "Педиатръ"2016"Paediatrician" Publishers LLCИздательство "Педиатръ"https://vestnikramn.spr-journal.ru/jour/article/view/682

Digital revolution is one of the major global trends resulting in the unprecedented scale and depth of penetration of information and communication technologies into all sectors of national economy, including healthcare. The development of this trend brought about high expectations related to the improvement of quality of medical assistance, accessibility and economic efficiency of healthcare services. However, euphoria of the first steps of digital revolution is passing now, opening doors to more realistic analysis of opportunities and conditions of realization of the true potential hidden in the digital transformation of healthcare. More balanced perception of the peculiarities of innovation processes in the sector is coming together with understanding of the serious barriers, hampering implementation of the new ideas and practices due to complicated interweaving of social, economic, ethical and psychological factors. When taking into account the industry specifics it becomes evident that digital revolution cannot be a quick turnaround but rather would pass a number of phases and is likely to last more than one decade. In this context the article focuses on the prospects of the new business models, capable of making significant changes in today’s economic landscape of the sector (including uber-medicine, retail clinics, retainer medicine, network models of medical services). The authors also provide assessment of the current situation and perspectives of digital healthcare development in Russia.

«Цифровая революция» – один из мощных глобальных трендов, вызвавший небывалое по масштабам и глубине проникновение информационно-коммуникационных технологий во все сектора экономики, включая здравоохранение. С развитием этого тренда связаны ожидания повышения качества медицинской помощи, ее доступности и экономической эффективности. Однако эйфория первых шагов «цифровой революции» в настоящее время сменяется реалистичным анализом возможностей и условий реализации того действительно колоссального потенциала, который заложен в информационной трансформации здравоохранения. Приходит более сбалансированное понимание особенностей инновационных процессов в отрасли, и, главное, существенных барьеров, затрудняющих внедрение новых идей и практик из-за сложного переплетения социальных, экономических, этических, психологических факторов. С учетом этой отраслевой специфики становится очевидным, что «цифровая революция» в здравоохранении не может быть быстрым переворотом, а будет проходить несколько этапов и займет скорее всего не один десяток лет. В этой связи в статье рассматриваются возможности новых бизнес-моделей, способных существенно изменить экономический ландшафт отрасли (uber-медицина, розничные клиники, абонементная медицинская помощь, сетевые модели медицинского обслуживания). Дана оценка текущего состояния и перспектив развития «цифрового» здравоохранения в России.

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