{"id":41086,"date":"2020-02-05T21:30:21","date_gmt":"2020-02-05T18:30:21","guid":{"rendered":"https:\/\/prohoster.info\/blog\/blog_prohoster\/globalnaya-informatika-v-zdravoohranenii-oblachnye-tehnologii"},"modified":"2020-02-05T21:30:21","modified_gmt":"2020-02-05T18:30:21","slug":"globalnaya-informatika-v-zdravoohranenii-oblachnye-tehnologii","status":"publish","type":"post","link":"https:\/\/prohoster.info\/sk\/blog\/globalnaya-informatika-v-zdravoohranenii-oblachnye-tehnologii","title":{"rendered":"Glob\u00e1lna informatika v oblasti zdravotnej starostlivosti: cloudov\u00e9 technol\u00f3gie","gt_translate_keys":[{"key":"rendered","format":"text"}]},"content":{"rendered":"<p>Sektor zdravotn\u00edckych slu\u017eieb sa postupne, ale pomerne r\u00fdchlo prisp\u00f4sobuje technol\u00f3gi\u00e1m cloudov\u00e9ho po\u010d\u00edtania vo svojej oblasti. D\u00f4vodom je to, \u017ee modern\u00e1 svetov\u00e1 medicina, dodr\u017eiavaj\u00fac svoju hlavn\u00fa z\u00e1sadu \u2014 zameranie na pacienta \u2014 formuluje k\u013e\u00fa\u010dov\u00fa po\u017eiadavku na zlep\u0161enie kvality zdravotnej starostlivosti a klinick\u00fdch v\u00fdsledkov (a teda aj na zlep\u0161enie kvality \u017eivota konkr\u00e9tneho \u010dloveka a jej pred\u013a\u017eenie): r\u00fdchly pr\u00edstup k inform\u00e1ci\u00e1m o pacientovi bez oh\u013eadu na miesto jeho a lek\u00e1ra. Dnes maj\u00fa na splnenie tejto po\u017eiadavky len cloudov\u00e9 technol\u00f3gie zna\u010dn\u00fd potenci\u00e1l. <\/p>\n<p>Napr\u00edklad, adekv\u00e1tne reagova\u0165 na aktu\u00e1lny koronav\u00edrus <noindex><a rel=\"nofollow\" href=\"https:\/\/ru.wikipedia.org\/wiki\/2019-nCoV\">2019-nCoV<\/a><\/noindex> pom\u00e1ha r\u00fdchlos\u0165 poskytovan\u00fdch inform\u00e1ci\u00ed o pr\u00edpadoch ochoren\u00ed a v\u00fdsledkoch v\u00fdskumov zo strany \u010c\u00edny, ktor\u00e1 sa, mimochodom, stala mo\u017en\u00e1 aj v\u010faka modern\u00fdm informa\u010dn\u00fdm technol\u00f3gi\u00e1m, vr\u00e1tane cloudov\u00fdch. Porovnajte: na potvrdenie epid\u00e9mie (a teda z\u00edskanie a anal\u00fdzu \u00fadajov o zdravotnom stave \u013eud\u00ed, sk\u00famanie v\u00edrusu po\u010das ur\u010dit\u00e9ho \u010dasov\u00e9ho obdobia) <noindex><a rel=\"nofollow\" href=\"https:\/\/ru.wikipedia.org\/wiki\/%D0%A2%D1%8F%D0%B6%D1%91%D0%BB%D1%8B%D0%B9_%D0%BE%D1%81%D1%82%D1%80%D1%8B%D0%B9_%D1%80%D0%B5%D1%81%D0%BF%D0%B8%D1%80%D0%B0%D1%82%D0%BE%D1%80%D0%BD%D1%8B%D0%B9_%D1%81%D0%B8%D0%BD%D0%B4%D1%80%D0%BE%D0%BC\">atypickej pneum\u00f3nie<\/a><\/noindex>, vyvolanej koronav\u00edrusom SARS, potreboval \u010c\u00ednou v roku 2002 <noindex><a rel=\"nofollow\" href=\"https:\/\/www.information-age.com\/technology-help-fight-the-coronavirus-123487520\/\">to bolo potrebn\u00e9<\/a><\/noindex> asi osem mesiacov! Tentokr\u00e1t z\u00edskala ofici\u00e1lne inform\u00e1cie Svetov\u00e1 zdravotn\u00edcka organiz\u00e1cia okam\u017eite \u2013 za sedem dn\u00ed. \u201eS pote\u0161en\u00edm poznamen\u00e1vame v\u00e1\u017ene zaobch\u00e1dzanie \u010c\u00edny s t\u00fdmto prepuknut\u00edm\u2026 vr\u00e1tane poskytovania \u00fadajov a v\u00fdsledkov genetick\u00e9ho sekvenovania v\u00edrusu\u201c \u2013 <noindex><a rel=\"nofollow\" href=\"https:\/\/www.who.int\/ru\/news-room\/detail\/28-01-2020-who-china-leaders-discuss-next-steps-in-battle-against-coronavirus-outbreak\">vyhl\u00e1sil<\/a><\/noindex> gener\u00e1lny riadite\u013e WHO Tedros Adhanom Ghebreyesus na stretnut\u00ed s predsedom K\u013dR Si \u0164in-pchingom. Pozrime sa, ak\u00fd potenci\u00e1l maj\u00fa \u201emraky\u201c v medic\u00edne a pre\u010do.<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/company\/ruvds\/blog\/486804\/\"><img decoding=\"async\" alt=\"Glob\u00e1lna informatika v oblasti zdravotnej starostlivosti: cloudov\u00e9 technol\u00f3gie\" src=\"\/wp-content\/uploads\/2020\/02\/a7ef2b60b46408fecd0ac851babd591c.png\" style=\"display:block;margin: 0 auto;\" \/><\/a><\/noindex><noindex><a rel=\"nofollow\" name=\"habracut\"><\/a><\/noindex><\/p>\n<h2>Probl\u00e9my s medic\u00ednskymi \u00fadajmi<\/h2>\n<p><\/p>\n<h3>\u258dObjemy<\/h3>\n<p>\nVe\u013ek\u00e9 objemy \u00fadajov, s ktor\u00fdmi medic\u00edna v\u017edy nar\u00e1bala, sa dnes st\u00e1vaj\u00fa doslova obrovsk\u00fdmi. Tieto zachyt\u00e1vaj\u00fa nielen zdravotn\u00e9 z\u00e1znamy, ale aj s\u00fahrn v\u0161eobecn\u00fdch klinick\u00fdch a v\u00fdskumn\u00fdch \u00fadajov v r\u00f4znych oblastiach medic\u00edny, a nov\u00e9 medic\u00ednske poznatky, ktor\u00e9 sa roz\u0161iruj\u00fa geometrickou postupnos\u0165ou: doba ich zdvojenia bola pribli\u017ene pred 50 rokmi v roku 1950; zr\u00fdchlila sa na 7 rokov v roku 1980; 3,5 roka bola v roku 2010 a v roku 2020 sa predpoklad\u00e1 zdvojenie v priebehu 73 dn\u00ed (pod\u013ea <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3116346\">sk\u00famaniu z roku 2011 o oper\u00e1ci\u00e1ch Klinickej a klimatologickej asoci\u00e1cie Ameriky<\/a><\/noindex>).\u00a0<\/p>\n<p>Tu s\u00fa len niektor\u00e9 d\u00f4vody glob\u00e1lneho n\u00e1rastu d\u00e1t:<\/p>\n<ul>\n<li>Rozvoj vedy a, ako d\u00f4sledok, zvy\u0161ovanie objemov a zjednodu\u0161enie sp\u00f4sobov publikovania nov\u00fdch vedeck\u00fdch materi\u00e1lov.<\/li>\n<li>Mobilita pacientov a nov\u00e9 mobiln\u00e9 sp\u00f4soby zberu d\u00e1t (mobiln\u00e9 zariadenia na diagnostiku a monitorovanie ako nov\u00e9 zdroje \u0161tatistick\u00fdch \u00fadajov).<\/li>\n<li>Zvy\u0161ovanie d\u013a\u017eky \u017eivota a, ako d\u00f4sledok, zvy\u0161ovanie po\u010dtu \u201estarn\u00facich pacientov\u201c.<\/li>\n<li>Zvy\u0161ovanie po\u010dtu mlad\u00fdch pacientov, ktor\u00fdch pri\u0165ahuje modern\u00e1 svetov\u00e1 propag\u00e1cia zdrav\u00e9ho \u017eivotn\u00e9ho \u0161t\u00fdlu a prevent\u00edvna medic\u00edna (predt\u00fdm mlad\u00ed chodili k lek\u00e1rom len vtedy, ke\u010f skuto\u010dne ochoreli).<\/li>\n<\/ul>\n<p><\/p>\n<h3>\u258dDostupnos\u0165<\/h3>\n<p>\nPredt\u00fdm lek\u00e1ri vyu\u017e\u00edvali viacer\u00e9 zdroje inform\u00e1ci\u00ed \u2014 od \u0161tandardn\u00fdch vyh\u013ead\u00e1vac\u00edch syst\u00e9mov, kde m\u00f4\u017ee by\u0165 obsah nespo\u013eahliv\u00fd, po tla\u010den\u00e9 \u010dasopisy a knihy v lek\u00e1rskej kni\u017enici, na h\u013eadanie a \u010d\u00edtanie ktor\u00fdch bol potrebn\u00fd \u010das. \u010co sa t\u00fdka pr\u00edpadov\u00fdch \u0161t\u00fadi\u00ed a v\u00fdsledkov anal\u00fdz pacientov vo verejn\u00fdch a s\u00fakromn\u00fdch klinik\u00e1ch a nemocniciach, v\u0161etci vieme, \u017ee doteraz v ka\u017edom takom zdravotn\u00edckom zariaden\u00ed sa vedie vlastn\u00e1 fyzick\u00e1 karta pacienta, do ktorej lek\u00e1ri ru\u010dne zaznamen\u00e1vaj\u00fa inform\u00e1cie a nalepuj\u00fa l\u00edstky s v\u00fdsledkami vy\u0161etren\u00ed. Papierov\u00e9 arch\u00edvy e\u0161te nevy\u0161li z m\u00f3dy. A t\u00e1 \u010das\u0165 inform\u00e1ci\u00ed o pacientovi, ktor\u00e1 je zaznamenan\u00e1 v digit\u00e1lnej forme, sa uchov\u00e1va na lok\u00e1lnych serveroch v r\u00e1mci zdravotn\u00edckeho zariadenia. V d\u00f4sledku toho je pr\u00edstup k t\u00fdmto inform\u00e1ci\u00e1m mo\u017en\u00fd iba lok\u00e1lne (plus vysok\u00e9 n\u00e1klady na zavedenie, podporu a \u00fadr\u017ebu tak\u00e9ho 'boxov\u00e9ho' syst\u00e9mu).<\/p>\n<h2>Ako aplik\u00e1cia cloudov\u00fdch technol\u00f3gi\u00ed men\u00ed zdravotn\u00edctvo k lep\u0161iemu<\/h2>\n<p>\nV\u00fdmena inform\u00e1ci\u00ed medzi zdravotn\u00edckymi odborn\u00edkmi o pacientovi sa st\u00e1va r\u00fdchlej\u0161ou. V\u0161etky \u00fadaje o pacientovi s\u00fa zap\u00edsan\u00e9 do jeho <noindex><a rel=\"nofollow\" href=\"https:\/\/www.sciencedirect.com\/topics\/medicine-and-dentistry\/electronic-health-record\">elektronickej zdravotnej karty<\/a><\/noindex>, ktor\u00e1 sa uchov\u00e1va na vzdialenom serveri v cloude: hist\u00f3ria chor\u00f4b; presn\u00e9 d\u00e1tumy a charakter zranen\u00ed, prejavov ochoren\u00ed a o\u010dkovan\u00ed (a nie zm\u00e4tok v slov\u00e1ch pacienta, ktor\u00fd sa objavuje s \u010dasom, \u2014 \u010do je mimoriadne d\u00f4le\u017eit\u00e9 pre diagnostiku, progn\u00f3zy lie\u010dby, predpovedanie riz\u00edk ochoren\u00ed pre potomkov); r\u00f4zne sn\u00edmky (rtg, CT, MRI, fotografie at\u010f.); v\u00fdsledky anal\u00fdz; kardiogramy; inform\u00e1cie o liekoch; videonahr\u00e1vky opera\u010dn\u00fdch z\u00e1krokov a ak\u00e9ko\u013evek in\u00e9 klinick\u00e9 a administrat\u00edvne inform\u00e1cie. Pr\u00edstup k t\u00fdmto osobn\u00fdm, chr\u00e1nen\u00fdm d\u00e1tam z\u00edskavaj\u00fa autorizovan\u00ed lek\u00e1ri v r\u00f4znych klinik\u00e1ch. To umo\u017e\u0148uje optimalizova\u0165 pracovn\u00fd proces klinick\u00fdch pracovn\u00edkov, stanovi\u0165 presnej\u0161ie a r\u00fdchlej\u0161ie diagn\u00f3zy, pl\u00e1nova\u0165 presnej\u0161iu a, \u010do je d\u00f4le\u017eit\u00e9, v\u010dasn\u00fa lie\u010dbu.<\/p>\n<p><img decoding=\"async\" alt=\"Glob\u00e1lna informatika v oblasti zdravotnej starostlivosti: cloudov\u00e9 technol\u00f3gie\" src=\"\/wp-content\/uploads\/2020\/02\/f3f38fb4d71f63956acdb6baac3db6c7.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<i>Elektronick\u00e1 zdravotn\u00e1 karta<\/i><\/p>\n<p>St\u00e1va sa mo\u017en\u00fdm okam\u017eit\u00fd v\u00fdmenn\u00fd proces inform\u00e1ci\u00ed medzi r\u00f4znymi zdravotn\u00edckymi organiz\u00e1ciami. Toto prepojenie a v\u00fdskumn\u00e9 laborat\u00f3ria, a farmaceutick\u00e9 spolo\u010dnosti s r\u00f4znymi zdravotn\u00edckymi zariadeniami (pr\u00edtomnos\u0165 prepar\u00e1tov), a stacion\u00e1re s poliklinikami.\u00a0<\/p>\n<p>Objavuje sa cielen\u00e1 (personalizovan\u00e1) prevent\u00edvna medic\u00edna. Predov\u0161etk\u00fdm pomocou technol\u00f3gi\u00ed umelej inteligencie, ktor\u00e9 nie je mo\u017en\u00e9 vyu\u017ei\u0165 vo v\u00e4\u010d\u0161ine zdravotn\u00edckych zariaden\u00ed kv\u00f4li n\u00e1ro\u010dnosti ich v\u00fdpo\u010dtov\u00fdch po\u017eiadaviek, zatia\u013e \u010do v cloude \u2014 <noindex><a rel=\"nofollow\" href=\"https:\/\/www.osp.ru\/medit\/2019\/02\/13054738.html\">mo\u017eno<\/a><\/noindex>.\u00a0<\/p>\n<p>Automatiz\u00e1cia lie\u010debn\u00e9ho procesu skracuje \u010dasov\u00e9 n\u00e1klady na\u0148. Elektronick\u00e9 zdravotn\u00e9 karty a <noindex><a rel=\"nofollow\" href=\"https:\/\/fss.ru\/ru\/fund\/disabilitylist\/index.shtml\">nemocni\u010dn\u00e9<\/a><\/noindex>, elektronick\u00e1 \u010dakacia doba a vzdialen\u00e9 z\u00edskavanie v\u00fdsledkov anal\u00fdz, elektronick\u00fd syst\u00e9m soci\u00e1lneho zabezpe\u010denia a zdravotn\u00fd arch\u00edv, <noindex><a rel=\"nofollow\" href=\"https:\/\/www.dirklinik.ru\/article\/379-tsifrovaya-stomatologiya-vozmojnosti-novyh-tehnologiy\">elektronick\u00e1 stomatol\u00f3gia<\/a><\/noindex> a <noindex><a rel=\"nofollow\" href=\"http:\/\/xn----7sbbpccwamipjahf5a7a6fxf1b.xn--p1ai\/solutions\/laboratoriya\">laborat\u00f3rium<\/a><\/noindex> \u2014 toto v\u0161etko umo\u017e\u0148uje zbavi\u0165 zdravotn\u00edckych pracovn\u00edkov papierovej a inej rutiny, aby mohli venova\u0165 maximum pracovn\u00e9ho \u010dasu priamo probl\u00e9mu pacienta.\u00a0<\/p>\n<p>Existuje mo\u017enos\u0165 v\u00fdrazne \u0161etri\u0165 na infra\u0161trukt\u00fare, a to a\u017e po \u00fapln\u00fa absenciu invest\u00edci\u00ed do nej. Modely \"infrastrukt\u00fara ako slu\u017eba\" (IaaS) a \"softv\u00e9r ako slu\u017eba\" (SaaS), ktor\u00e9 poskytuj\u00fa dod\u00e1vatelia cloudov\u00fdch slu\u017eieb, umo\u017e\u0148uj\u00fa nahradi\u0165 n\u00e1kladn\u00fd n\u00e1kup softv\u00e9ru a obrovsk\u00e9 invest\u00edcie do infra\u0161trukt\u00fary zdravotn\u00edckych zariaden\u00ed pren\u00e1jmom t\u00fdchto modelov a pr\u00edstupom k nim cez internet. Navy\u0161e sa plat\u00ed len za tie serverov\u00e9 zdroje, ktor\u00e9 organiz\u00e1cia skuto\u010dne pou\u017e\u00edva, a v pr\u00edpade potreby m\u00f4\u017ee zv\u00fd\u0161i\u0165 v\u00fdkonnos\u0165 alebo objemy \u00falo\u017eiska. Pou\u017e\u00edvanie cloudov\u00fdch technol\u00f3gi\u00ed spolu s technickou podporou dod\u00e1vate\u013ea cloudov\u00fdch slu\u017eieb umo\u017e\u0148uje zdravotn\u00edckym zariadeniam v\u00fdrazne \u0161etri\u0165 na n\u00e1kladoch na IT person\u00e1l, preto\u017ee nie je potrebn\u00e1 \u00fadr\u017eba vlastnej infra\u0161trukt\u00fary na uchov\u00e1vanie d\u00e1t.<\/p>\n<p>Bezpe\u010dnos\u0165 sa pos\u00fava na nov\u00fa \u00farove\u0148. Odolnos\u0165 vo\u010di poruch\u00e1m, obnova d\u00e1t, d\u00f4vernos\u0165 sa stali mo\u017en\u00fdmi v\u010faka r\u00f4znym technol\u00f3gi\u00e1m (z\u00e1lohovanie, end-to-end \u0161ifrovanie, havarijn\u00e1 obnova a \u010fal\u0161ie), ktor\u00e9 pri tradi\u010dnom pr\u00edstupe vy\u017eaduj\u00fa obrovsk\u00e9 n\u00e1klady (vr\u00e1tane n\u00e1kladov na opravu ch\u00fdb nekompetentn\u00fdch pracovn\u00edkov v danej IT oblasti) alebo s\u00fa \u00faplne nemo\u017en\u00e9, a pri <noindex><a rel=\"nofollow\" href=\"https:\/\/ruvds.com\/ru-rub#order\">pren\u00e1jme cloudov\u00fdch zdrojov<\/a><\/noindex> s\u00fa zahrnut\u00e9 v bal\u00edku slu\u017eieb od poskytovate\u013ea (kde o ot\u00e1zky bezpe\u010dnosti sa staraj\u00fa profesion\u00e1li, ktor\u00ed zaru\u010duj\u00fa ur\u010dit\u00fa, dos\u0165 vysok\u00fa \u00farove\u0148 bezpe\u010dnosti).\u00a0<\/p>\n<p>Z\u00edskanie kvalitn\u00fdch lek\u00e1rskych konzult\u00e1ci\u00ed bez opustenia domova sa st\u00e1va realitou: telemedic\u00edna. Dia\u013ekov\u00e9 konzult\u00e1cie zalo\u017een\u00e9 na \u00fadajoch pacienta uchov\u00e1van\u00fdch v cloudovom prostred\u00ed u\u017e existuj\u00fa. O\u010dak\u00e1va sa, \u017ee s rozvojom implement\u00e1cie cloudov\u00fdch technol\u00f3gi\u00ed v zdravotnej starostlivosti sa telekonzult\u00e1cie stan\u00fa bud\u00facnos\u0165ou medic\u00ednskeho sektora. Trh telemedic\u00edny v\u00fdrazne vzr\u00e1stol za posledn\u00e9 roky. K roku 2015 bol glob\u00e1lny trh telemedic\u00edny odhadovan\u00fd na 18 mili\u00e1rd $, o\u010dak\u00e1va sa, \u017ee do roku 2021 jeho hodnota presiahne 41 mili\u00e1rd $. Mno\u017estvo faktorov prispelo k rastu trhu, vr\u00e1tane zvy\u0161uj\u00facich sa n\u00e1kladov na tradi\u010dn\u00e9 lek\u00e1rske slu\u017eby, financovania telemedic\u00edny a rast\u00faceho po\u010dtu pou\u017e\u00edvate\u013eov digit\u00e1lneho zdravia. Telemedic\u00edna je obzvl\u00e1\u0161\u0165 d\u00f4le\u017eit\u00e1 pre \u013eud\u00ed so zdravotn\u00fdm postihnut\u00edm a z\u00e1rove\u0148 v\u00fdrazne zni\u017euje z\u00e1\u0165a\u017e na zdravotn\u00e9 stredisk\u00e1 a polikliniky. Napriek tomu, \u201e\u017eiv\u00e9ho\u201c lek\u00e1ra nikto nezru\u0161il: aplik\u00e1cie ako britsk\u00e1 cloudov\u00e1 slu\u017eba <noindex><a rel=\"nofollow\" href=\"https:\/\/ada.com\/\">Ada<\/a><\/noindex>, ktor\u00e1 funguje na b\u00e1ze AI (o ktorej budem hovori\u0165 ni\u017e\u0161ie), dok\u00e1\u017ee sa op\u00fdta\u0165 pacienta na jeho \u0165a\u017ekosti, analyzova\u0165 v\u00fdsledky vy\u0161etren\u00ed a poskytn\u00fa\u0165 odpor\u00fa\u010dania (vr\u00e1tane toho, ktor\u00e9ho \u0161pecialistu, kedy a s ak\u00fdmi ot\u00e1zkami by mal nav\u0161t\u00edvi\u0165).\u00a0<\/p>\n<p><img decoding=\"async\" alt=\"Glob\u00e1lna informatika v oblasti zdravotnej starostlivosti: cloudov\u00e9 technol\u00f3gie\" src=\"\/wp-content\/uploads\/2020\/02\/6ec44b28ce0e2df1a05644bfc920d53d.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<i>Objem glob\u00e1lneho trhu telemedic\u00edny od roku 2015 do 2021 (v miliard\u00e1ch $)<\/i><\/p>\n<p>Urgentn\u00e9 spolo\u010dn\u00e9 lek\u00e1rske rie\u0161enia sa st\u00e1vaj\u00fa realitou. Ve\u013ek\u00fdm prielomom v opera\u010dnej chirurgii sa stala video konferencia v re\u00e1lnom \u010dase s vyu\u017eit\u00edm mobiln\u00fdch aplik\u00e1ci\u00ed. \u0164a\u017eko sa prece\u0148uje mo\u017enos\u0165 konz\u00edlia siln\u00fdch lek\u00e1rov v n\u00fadzov\u00fdch situ\u00e1ci\u00e1ch po\u010das oper\u00e1cie, nach\u00e1dzaj\u00facich sa na r\u00f4znych koncoch sveta. Rovnako \u0165a\u017eko si predstavi\u0165 nepretr\u017eit\u00e9 konz\u00edlium bez zdrojov cloudov\u00fdch technol\u00f3gi\u00ed.\u00a0<\/p>\n<p>Anal\u00fdza sa st\u00e1va presnej\u0161ou. Mo\u017enos\u0165 kombinova\u0165 elektronick\u00e9 z\u00e1znamy a arch\u00edvy s \u00fadajmi o pacientoch so cloudov\u00fdmi analytick\u00fdmi syst\u00e9mami umo\u017e\u0148uje zv\u00fd\u0161i\u0165 mno\u017estvo a zlep\u0161i\u0165 kvalitu vykonan\u00fdch \u0161t\u00fadi\u00ed. To je obzvl\u00e1\u0161\u0165 aktu\u00e1lne v r\u00f4znych oblasti medic\u00ednsko-biologick\u00e9ho v\u00fdskumu, najm\u00e4 v oblasti genetick\u00e9ho v\u00fdskumu, ktor\u00fd bol v\u017edy n\u00e1ro\u010dn\u00fd na realiz\u00e1ciu pr\u00e1ve kv\u00f4li nemo\u017enosti zhroma\u017edi\u0165 \u00fapln\u00fd a presn\u00fd preh\u013ead o \u017eivotnej anamn\u00e9ze pacienta a jeho pr\u00edbuzn\u00fdch.\u00a0<\/p>\n<p>Objavuj\u00fa sa nov\u00e9 pr\u00edstupy k diagnostike. Rozv\u00edjaj\u00face sa technol\u00f3gie umelej inteligencie dok\u00e1\u017eu diagnostikova\u0165 ochorenia, zhroma\u017e\u010fuj\u00fac a systematizuj\u00fac nielen rozpt\u00fdlen\u00e9 \u00fadaje z hist\u00f3rie choroby pacienta, ale aj porovnan\u00edm t\u00fdchto inform\u00e1ci\u00ed s obrovsk\u00fdmi objemami vedeck\u00fdch pr\u00e1c, pri\u010dom robia z\u00e1very za ve\u013emi kr\u00e1tky \u010das. Tak, syst\u00e9m <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/watson-health\">IBM Watson Health<\/a><\/noindex> analyzoval \u00fadaje o pacientovi a pribli\u017ene 20 mili\u00f3nov vedeck\u00fdch pr\u00e1c z r\u00f4znych zdrojov o onkol\u00f3gii a ur\u010dil presn\u00fa diagn\u00f3zu pacientovi za 10 min\u00fat, pri\u010dom navrhol mo\u017en\u00e9 mo\u017enosti lie\u010dby, usporiadan\u00e9 pod\u013ea \u00farovne d\u00f4veryhodnosti a potvrden\u00e9 klinick\u00fdmi \u00fadajmi. Pre\u010d\u00edta\u0165 si o syst\u00e9me m\u00f4\u017eete <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/blogs\/watson-health\/examining-the-variation-in-cancer-care\/\">tu<\/a><\/noindex>, <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/blogs\/watson-health\/oncology-professionals-tap-into-ai\/\">tu <\/a><\/noindex>a <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/watson-health\/oncology-and-genomics\">tu<\/a><\/noindex>. Podobne funguje <noindex><a rel=\"nofollow\" href=\"https:\/\/deepmind.com\/\">DeepMind Health<\/a><\/noindex> od Googlu. <noindex><a rel=\"nofollow\" href=\"https:\/\/www.ibm.com\/blogs\/watson-health\/hardin-memorial-health-debuts-new-ai-solution-for-radiologists\/\">Tu<\/a><\/noindex> \u010d\u00edtajte o tom, ako umel\u00e1 inteligencia pom\u00e1ha klinick\u00fdm lek\u00e1rom, najm\u00e4 r\u00e1diol\u00f3gom, ktor\u00ed \u010del\u00ed probl\u00e9mu spr\u00e1vneho \u010d\u00edtania r\u00f6ntgenov\u00fdch sn\u00edmok, \u010do vedie k nespr\u00e1vnym diagn\u00f3zam a n\u00e1sledne k oneskorenej lie\u010dbe alebo jej absencii. A <noindex><a rel=\"nofollow\" href=\"https:\/\/www.zebra-med.com\/\">to<\/a><\/noindex> \u2014 umelej inteligencii, ktor\u00e1 vykon\u00e1va vizualiz\u00e1ciu sn\u00edmok pre pulmonol\u00f3gov. Sem patr\u00ed aj monitorovanie pacientov: napr\u00edklad americk\u00fd syst\u00e9m zalo\u017een\u00fd na umelej inteligencii <noindex><a rel=\"nofollow\" href=\"http:\/\/www.sensely.com\/\">Sense.ly<\/a><\/noindex> sledova\u0165 stav pacientov zotavuj\u00facich sa po \u0165a\u017ekej lie\u010dbe (alebo chronicky chor\u00fdch), zhroma\u017e\u010fuje inform\u00e1cie, ktor\u00e9 potom pred\u00e1va o\u0161etruj\u00facemu lek\u00e1rovi, poskytuje niektor\u00e9 odpor\u00fa\u010dania, pripom\u00edna u\u017e\u00edvanie liekov a potrebu vykonania potrebnej proced\u00fary. Pou\u017e\u00edva\u0165 umel\u00fa inteligenciu na takej \u00farovni diagnostiky a monitorovania ochoren\u00ed sa stalo mo\u017en\u00e9 na z\u00e1klade v\u00fdkonov cloudov\u00e9ho spracovania.<\/p>\n<p><img decoding=\"async\" alt=\"Glob\u00e1lna informatika v oblasti zdravotnej starostlivosti: cloudov\u00e9 technol\u00f3gie\" src=\"\/wp-content\/uploads\/2020\/02\/17ab3550d282312d24b9a24e39a38a24.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<noindex><a rel=\"nofollow\" href=\"https:\/\/www.zebra-med.com\/\">Zebra<\/a><\/noindex><\/p>\n<p>Rozv\u00edja sa internet vec\u00ed, objavuj\u00fa sa inteligentn\u00e9 medic\u00ednske zariadenia. Tieto pou\u017e\u00edvaj\u00fa nielen samotn\u00ed pou\u017e\u00edvatelia (pre seba), ale aj lek\u00e1ri, ktor\u00ed z\u00edskavaj\u00fa inform\u00e1cie o zdravotnom stave svojich pacientov z mobiln\u00fdch zariaden\u00ed pomocou cloudov\u00fdch technol\u00f3gi\u00ed.\u00a0<\/p>\n<h2>Mo\u017enosti medic\u00ednskych online platforiem<\/h2>\n<p><\/p>\n<h3>\u258dZahrani\u010dn\u00e1 sk\u00fasenos\u0165<\/h3>\n<p>\nJedna z prv\u00fdch platforiem klinick\u00fdch \u00fadajov zdravotn\u00edckych zariaden\u00ed USA bola platforma podnikov\u00e9ho zdravotn\u00edctva, ur\u010den\u00e1 na extrakciu a zobrazenie inform\u00e1ci\u00ed o pacientoch z mnoh\u00fdch zdrojov, vr\u00e1tane naskenovan\u00fdch dokumentov (ekg, CT a pod.) a r\u00f4znych postupov medic\u00ednskeho zobrazovania, v\u00fdsledkov laborat\u00f3rnych vy\u0161etren\u00ed, operat\u00edvnych spr\u00e1v a tie\u017e demografie pacienta a kontaktn\u00fdch inform\u00e1ci\u00ed. To bola vyvinut\u00e1 spolo\u010dnos\u0165ou Microsoft pod n\u00e1zvom Microsoft Amalga Unified Intelligence System. P\u00f4vodne bola platforma vyvinut\u00e1 ako Azyxxi lek\u00e1rmi a v\u00fdskumn\u00edkmi na oddelen\u00ed urgentnej starostlivosti vo Washingtone v nemocnici v roku 1996. K febru\u00e1ru 2013 bola Microsoft Amalga s\u00fa\u010das\u0165ou s\u00e9rie produktov s\u00favisiacich so zdrav\u00edm, ktor\u00e9 boli zl\u00fa\u010den\u00e9 do spolo\u010dn\u00e9ho podniku s <noindex><a rel=\"nofollow\" href=\"https:\/\/wikivisually.com\/wiki\/GE_Healthcare\">GE Healthcare<\/a><\/noindex> s n\u00e1zvom Caradigm. Na za\u010diatku roku 2016 Microsoft predal svoj podiel v Caradigm GE.<\/p>\n<p>Amalga sa pou\u017e\u00edvala na prepojenie mnoh\u00fdch nes\u00favisiacich zdravotn\u00edckych syst\u00e9mov, ktor\u00e9 vyu\u017e\u00edvaj\u00fa \u0161irok\u00e9 spektrum typov \u00fadajov, aby poskytla okam\u017eit\u00fd, aktualizovan\u00fd zlo\u017een\u00fd portr\u00e9t hist\u00f3rie choroby pacienta. V\u0161etky komponenty Amalga boli integrovan\u00e9 s pou\u017eit\u00edm softv\u00e9ru, ktor\u00fd umo\u017e\u0148uje vytv\u00e1ra\u0165 \u0161tandardn\u00e9 pr\u00edstupy a n\u00e1stroje na interakciu s mnoh\u00fdmi softv\u00e9rov\u00fdmi a hardv\u00e9rov\u00fdmi syst\u00e9mami, ktor\u00e9 s\u00fa nain\u0161talovan\u00e9 v nemocniciach. Lek\u00e1r pou\u017e\u00edvaj\u00faci Amalgu mohol v priebehu nieko\u013ek\u00fdch sek\u00fand z\u00edska\u0165 minul\u00e9 a s\u00fa\u010dasn\u00e9 \u00fadaje o stave hospitaliz\u00e1ci\u00ed, zoznamy liekov a alergi\u00ed, laborat\u00f3rne vy\u0161etrenia a preh\u013ead relevantn\u00fdch r\u00f6ntgenov\u00fdch sn\u00edmok, CT skenov a in\u00fdch obrazov, usporiadan\u00fdch v jednom prisp\u00f4sobite\u013enom form\u00e1te, aby sa zv\u00fdraznila najd\u00f4le\u017eitej\u0161ia inform\u00e1cia pre tohto pacienta.<\/p>\n<p><img decoding=\"async\" alt=\"Glob\u00e1lna informatika v oblasti zdravotnej starostlivosti: cloudov\u00e9 technol\u00f3gie\" src=\"\/wp-content\/uploads\/2020\/02\/1778df9d7f7fbf66a8e3ae5165f6b3a1.png\" style=\"display:block;margin: 0 auto;\" \/><br \/>\n<i>Microsoft Amalga Unified Intelligence System<\/i><\/p>\n<p>Dnes sa spolo\u010dnos\u0165 Caradigm USA LLC zaober\u00e1 anal\u00fdzou zdravia popul\u00e1cie: pon\u00faka riadenie zdravia popul\u00e1cie vr\u00e1tane kontroly \u00fadajov, koordin\u00e1cie a riadenia starostlivosti o pacientov, wellness slu\u017eieb a slu\u017eieb na zapojenie pacientov na celom svete. Spolo\u010dnos\u0165 vyu\u017e\u00edva platformu klinick\u00fdch \u00fadajov <noindex><a rel=\"nofollow\" href=\"https:\/\/www.inspirata.com\/solutions\/research-insights-and-analytics\/\">Inspirata<\/a><\/noindex>, ktor\u00e1 je novou gener\u00e1ciou Caradigm Intelligence Platform (predt\u00fdm zn\u00e1ma ako Microsoft Amalga Health Information System). Platforma klinick\u00fdch \u00fadajov dop\u013a\u0148a existuj\u00face akt\u00edva \u00fadajov, vr\u00e1tane klinick\u00fdch arch\u00edvov a syst\u00e9mov elektronick\u00fdch zdravotn\u00fdch z\u00e1znamov. Do syst\u00e9mu bola implementovan\u00e1 komplexn\u00e1 prostredie na pr\u00edjem a spracovanie nestrukt\u00farovan\u00fdch \u00fadajov a klinick\u00fdch dokumentov, obr\u00e1zkov a \u00fadajov o genomike.<\/p>\n<h3>\u258dRusk\u00e1 prax<\/h3>\n<p>\nNa trhu Ruska sa st\u00e1le viac objavuj\u00fa cloudov\u00e9 zdravotn\u00edcke syst\u00e9my a online slu\u017eby. Niektor\u00e9 predstavuj\u00fa platformy, ktor\u00e9 preberaj\u00fa v\u0161etky administrat\u00edvne funkcie s\u00fakromn\u00fdch klin\u00edk, in\u00e9 automatizuj\u00fa pr\u00e1cu v zdravotn\u00edckych laborat\u00f3ri\u00e1ch, tretie zabezpe\u010duj\u00fa elektronick\u00fa informa\u010dn\u00fa interakciu zdravotn\u00edckych zariaden\u00ed s vl\u00e1dnymi \u0161trukt\u00farami a pois\u0165ovac\u00edmi spolo\u010dnos\u0165ami. Uve\u010fme nieko\u013eko pr\u00edkladov.\u00a0<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/www.medesk.net\/ru\/\">Medesk<\/a><\/noindex> \u2014 platforma na automatiz\u00e1ciu kliniky: online rezerv\u00e1cie k lek\u00e1rom, automatiz\u00e1cia recepcie a pracovn\u00e9ho miesta lek\u00e1ra, elektronick\u00e9 karty, dia\u013ekov\u00e1 diagnostika, mana\u017e\u00e9rske reporty, poklad\u0148a a financie, skladov\u00e9 hospod\u00e1rstvo.<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/www.cmd-online.ru\/patsientam\/onlayn-servisy\/sistema-cmd-ekspress\/\">CMD Ekspres<\/a><\/noindex> \u2014 syst\u00e9m <noindex><a rel=\"nofollow\" href=\"https:\/\/www.cmd-online.ru\/\">Centra molekul\u00e1rnej diagnostiky<\/a><\/noindex>, ktor\u00fd umo\u017e\u0148uje pacientom v dvoch kliknutiach skontrolova\u0165 pripravenos\u0165 anal\u00fdz a z\u00edska\u0165 v\u00fdsledky laborat\u00f3rnych vy\u0161etren\u00ed kedyko\u013evek a z akejko\u013evek \u010dasti sveta.<\/p>\n<p>Elektronick\u00e1 medic\u00edna \u2014 spolo\u010dnos\u0165 vyv\u00edjaj\u00faca softv\u00e9r pre zdravotn\u00edcke organiz\u00e1cie, lek\u00e1rne, TFO\u041c\u0421, S\u041c\u041e: Ekonomicko-statistick\u00fd \u00fa\u010det polyklin\u00edk, stacion\u00e1rov, integr\u00e1cia r\u00e1diologick\u00fdch a laborat\u00f3rnych syst\u00e9mov s feder\u00e1lnymi slu\u017ebami, elektronick\u00e1 registr\u00e1cia, evidencia liekov, laborat\u00f3rium, elektronick\u00e9 zdravotn\u00e9 karty (<noindex><a rel=\"nofollow\" href=\"http:\/\/xn----7sbbpccwamipjahf5a7a6fxf1b.xn--p1ai\/solutions\">http:\/\/elektronicka-medicina.sk\/solutions<\/a><\/noindex>).<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/smartmedicina.ru\/smart_medicina\/\">Smart Medic\u00edna<\/a><\/noindex> \u2014 syst\u00e9m automatiz\u00e1cie komer\u010dn\u00fdch zdravotn\u00edckych zariaden\u00ed ak\u00e9hoko\u013evek profilu okrem stacion\u00e1rov: kliniky v\u0161eobecn\u00e9ho profilu; zubn\u00e9 ambulancie, pre ktor\u00e9 s\u00fa k dispoz\u00edcii \u0161pecializovan\u00e9 rozhrania a samostatn\u00e9 ARMy; oddelenia r\u00fdchlej zdravotnej pomoci s evidenciou volan\u00ed a registr\u00e1ciou r\u00f4znych parametrov a veden\u00edm grafov.<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"http:\/\/www.oblteh.ru\/\">Cloudov\u00e9 technol\u00f3gie<\/a><\/noindex> \u2014 spolo\u010dnos\u0165, ktor\u00e1 sa \u0161pecializuje na v\u00fdvoj a in\u0161tal\u00e1ciu komplexn\u00fdch informa\u010dn\u00fdch syst\u00e9mov pre zdravotn\u00edcke zariadenia. Pon\u00fakaj\u00fa technologick\u00fa platformu <noindex><a rel=\"nofollow\" href=\"http:\/\/oblteh.ru\/it_resheniya.html\">IBIS<\/a><\/noindex> pre r\u00fdchly v\u00fdvoj aplik\u00e1ci\u00ed v medic\u00edne.\u00a0<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/klinikon.ru\/\">Online klinika<\/a><\/noindex> \u2014 program na riadenie s\u00fakromnej kliniky zalo\u017een\u00fd na cloudov\u00fdch technol\u00f3gi\u00e1ch: online registr\u00e1cia, IP telef\u00f3nia, datab\u00e1za klientov, evidencia materi\u00e1lov, kontrola financi\u00ed, denn\u00edky prijatia, pl\u00e1novanie lie\u010dby, kontrola zamestnancov.<\/p>\n<h2>Z\u00e1ver<\/h2>\n<p>\nDigit\u00e1lne zdravotn\u00edctvo vyu\u017e\u00edva najnov\u0161ie informa\u010dn\u00e9 a komunika\u010dn\u00e9 technol\u00f3gie na v\u00fdvoj a podporu r\u00fdchlej\u0161ej, efekt\u00edvnej\u0161ej a hospod\u00e1rnej\u0161ej zdravotnej praxe. T\u00e1to technologick\u00e1 transform\u00e1cia zdravotnej starostlivosti sa stala glob\u00e1lnym trendom. Hlavn\u00e9 \u00falohy s\u00fa: zvy\u0161ovanie dostupnosti, pohodlia a kvality zdravotnej starostlivosti pre \u013eud\u00ed na celom svete; v\u010dasn\u00e1 a presn\u00e1 diagnostika; hlbok\u00e1 medic\u00ednska analytika; zbavenie zdravotn\u00edkov rutiny. Rie\u0161i\u0165 tieto \u00falohy pomocou vysok\u00fdch technol\u00f3gi\u00ed je teraz mo\u017en\u00e9 iba s vyu\u017eit\u00edm seri\u00f3znych v\u00fdpo\u010dtov\u00fdch schopnost\u00ed a technickej podpory IT odborn\u00edkov, ktor\u00ed s\u00fa teraz k dispoz\u00edcii organiz\u00e1ci\u00e1m ak\u00e9hoko\u013evek rozsahu a zamerania medic\u00edny iba v\u010faka <noindex><a rel=\"nofollow\" href=\"https:\/\/ruvds.com\/ru-rub#advantages\">cloudov\u00fdm slu\u017eb\u00e1m<\/a><\/noindex>.<\/p>\n<p>Budeme radi, ak sa \u010dl\u00e1nok uk\u00e1zal ako u\u017eito\u010dn\u00fd. Ak m\u00e1te pozit\u00edvnu sk\u00fasenos\u0165 s vyu\u017e\u00edvan\u00edm digit\u00e1lneho zdravotn\u00edctva \u2014 pode\u013ete sa o \u0148u v koment\u00e1roch. O negat\u00edvnych sk\u00fasenostiach sa tie\u017e pode\u013ete, preto\u017ee je d\u00f4le\u017eit\u00e9 hovori\u0165 o tom, \u010do treba zlep\u0161i\u0165 v tejto oblasti.<\/p>\n<p><noindex><a rel=\"nofollow\" href=\"https:\/\/ruvds.com\/ru-rub\/#order\"><img decoding=\"async\" alt=\"Glob\u00e1lna informatika v oblasti zdravotnej starostlivosti: cloudov\u00e9 technol\u00f3gie\" src=\"\/wp-content\/uploads\/2020\/02\/c0700cc2c8e1133543d9bd1f8a9dc4b3.png\" style=\"display:block;margin: 0 auto;\" \/><\/a><\/noindex><br \/>\n<br \/>Zdroj: <a content=\"nofollow\" rel=\"nofollow\" href=\"https:\/\/habr.com\/ru\/company\/ruvds\/blog\/486804\/\">habr.com<\/a> <\/p>","protected":false,"gt_translate_keys":[{"key":"rendered","format":"html"}]},"excerpt":{"rendered":"<p>\u0421\u0435\u043a\u0442\u043e\u0440 \u043c\u0435\u0434\u0438\u0446\u0438\u043d\u0441\u043a\u0438\u0445 \u0443\u0441\u043b\u0443\u0433 \u043f\u043e\u0441\u0442\u0435\u043f\u0435\u043d\u043d\u043e, \u043d\u043e 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