Digital technologies in the monitoring system for preventive examination of persons at risk of tuberculosis

Abstract

The aim of the study. To evaluate the effectiveness of monitoring the preventive examination of risk groups to be screened for tuberculosis using medical information systems.

Materials and methods. A retrospective study was conducted on the effectiveness of occupational examinations from 2021 to 2024 among risk groups to be screened for tuberculosis. The forms of state statistical observation No. 30 and No. 33, as well as the functional features of the Moscow Region MIS (in particular, Medinfo and Barclay) have been studied.

Results. Over four years of observation, despite uneven population dynamics among risk groups, their structure remained unchanged. A trend toward an increase in the number of routine medical examinations overall and among medical risk groups, as well as the proportion of tuberculosis patients newly identified during routine medical examinations, was observed. Tuberculosis detection rates in risk groups ranged from 0.1–0.2 per 1,000 examinations for oncopathology and diabetes to 3.1 per 1,000 examinations for patients with HIV infection. The proportion of patients with destructive forms of pulmonary tuberculosis among individuals who had not been examined for two or more years reached 44%.

Conclusion. Medical information systems designed for the rapid collection and analysis of data have proven themselves to be a convenient and objective tool for preventive medical examinations of the population in real time.