ABSTRACT
The deterioration of the demographic situation and the public health problem in Russia in the late twentieth and early twenty-first centuries has assumed menacing proportions. In this regard, the need to improve the health care system, the formation of a culture of health, and the responsibility of citizens for the preservation of health and high performance has become apparent. OBJECTIVE: Design and development of a system for remote monitoring and improvement of health reserves and performance of an individual and the whole population based on the prenosological examination, the numerical assessment of body systems reserves, and implementation of adequate individual health improvement programs. MATERIAL AND METHODS: Targeted population survey 2000-2020 with measurement of 18 morphofunctional indices allowed to form a database (760 thousand subjects) and develop the Health Navigator technology with the numerical assessment of health and performance reserves of individuals of different ages. This technology formed the basis for the design of the system of remote monitoring and improvement of population health reserves with results processing, storage, and analysis on local and remote servers. RESULTS AND DISCUSSION: Monitoring of health and performance reserves of the population was developed as a browser-based telemedicine technology consisting of a number of sequential actions (operations) performed by healthcare providers and patients: 1) targeted examination of the patient; 2) computer processing of the results using a software and information complex; 3) presentation to the patient and discussion of a formalized «Health Reserve Profile¼ and a draft personal wellness program; 4) implementation of 100-150 days health improvement program based on the means of natural therapy. CONCLUSION: Appraisal of the remote monitoring system in several country regions confirmed its efficiency and the considerable interest of specialists and the population in its use. The developed system allows to accelerate and standardize the work of health care providers, establish continuous cooperation with patients, increasing their health culture and protection from early diseases.
