[Development of digital competencies of medical staff in the context of the overall digitalization of the Russian healthcare].

The relevance of the study is due to the fact that the Russian healthcare in terms of the pace and quality of digitalization lags behind the healthcare systems of other developed and developing countries. The low level of digital literacy of medical staff does not allow them to develop the proper level of competencies for working with high-tech equipment, software applications and various telemedicine services. This, in turn, reduces both the quality and efficiency of medical care for the population. The purpose of the article is to develop a profile of digital competence of medical staff. The methodology of the article is based on the use of methods of statistical analysis of public data and sociological research. The sample of the sociological study was formed from medical staff in the regions of Moscow, Tula, Bryansk and Sverdlovsk. The pace and level of digitalization of the Russian healthcare is several orders of magnitude lower than the healthcare systems of the United States, South Korea, Japan and some other OECD countries. The development of digital competencies and a high level of digital literacy are observed among those medical workers who, firstly, operate in high-tech medical organizations, and, secondly, among those medical workers whose organizations are located close to regional economic centers. Russian healthcare needs additional investments, which can be directed both to digitalization and to the development of digital literacy of medical staff. To assess digital literacy, a special digital competence profile of middle and senior medical personnel was developed.

The development of organization of population medical care in conditions of digitization of public health.

The article discusses two main problems of organizing medical care in national health care of Russia: medical and social monitoring of morbidity and mortality; key performance indices of public health in the Russian Federation. Methodologically, the article is based on interdisciplinary scientific approach that allows to study medical, social and economic components of public health, considering observed trends: digitalization of health care and epidemic of new coronavirus infection. Based on statistical analysis of open data on morbidity and mortality of population in the Russian Federation over past few years, results were obtained indicating that collection of medical statistics is not built consistently that medical care in health care is not organized sequentially as cycle or process, but is presented in fragments. This leads to the fact that rural population has very limited access to multidisciplinary and high-tech medical services, and in structure of mortality there is high gender bias (males die more often than females in same classes of causes). Based on identified problems, two organizing solutions are proposed. The first solution is to create, on the basis of the Ministry of Health Care of Russia, special portal for complete, reliable and up-to-date medical statistics, which will be generated and processed using Big Data technologies. The second solution consists in transition from fragmentation to systematic organization of medical care in the "education and prevention-treatment-rehabilitation" continuum, while for each stage special set of key performance indices is established that allows to solve the tasks of improving public health, but also to develop harmonized social and economic public policy.