Practical implementation of artificial intelligence technologies during preventive medical examination
P. Seliverstov, Е. V. Kryukov, В. Б. Гриневич
Abstract
Introduction. Preventive medicine in Russia is a priority area, the key task of which is to combat the spread of chronic noncommunicable diseases (CKD). The latter are the cause of the premature death of hundreds of people. In this regard, the issues of developing and implementing early screening of NCDs, combined with advanced digital technologies based on artificial intelligence (AI), in clinical practice, are extremely relevant. Aim. To develop a medical methodology for remote questionnaire screening (DAS) of CNID in young people. Materi als and methods. The study involved 3.155 people aged 19.6 ± 1.5 years (46.9% were men and 53.1% were women). Preventive medical examination of all participants was carried out using DAS. Results. A high degree of NCD risk was found in 11.7%, an average in 30.9%, and a low in 57.4% of the subjects. The most frequent complaints were from the endocrine (28.9%), digestive (21.8%), respiratory (21.1%), cardiovascular (20.1%) and oncological alertness (8.1%). In 75.7% of cases, the presence of risk factors (RFS) was determined by two or more pathology profiles. Satisfaction with DAS use among the surveyed was 96.6%, and among medical workers 91.7%. Conclusions . 1. The use of DAS FR HNIZ increases the compliance of patients to undergo a preventive medical examination. 2. The use of statistical methods confirms the effectiveness of the integrated assessment of health and the effectiveness of the detection of NID according to the main socially significant profiles of pathology. 3. The system identifies the most common NIDF, the degree of their severity, and also identifies people with critical FD who need priority care. This option allows you to optimize patient routing, reducing the one-time burden on the medical institution as a whole and on a specific specialist. 4. Depending on the identified NHS disorders and their severity, a set of recommendations has been developed, which implements a personalized approach. 5. The use of DAS FR HNIZ in young people has shown significant social and economic effectiveness.