Import substitution of digital assistants in Moscow hospitals: transformation of nursing practice in the digital era

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription or Fee Access

Abstract

The article examines the process of import substitution of digital technologies in Moscow healthcare and their impact on nursing practice. The implementation of the "Digital Clinic" program in 32 metropolitan hospitals, the transition to electronic document management based on EMIAS, the use of mobile workplaces and AI assistants are analyzed. Special attention is paid to the role of nurses in the digital transformation of healthcare, the need to master new technological competencies and prospects for the development of nursing in the context of active implementation of artificial intelligence. Specific cases of using digital assistants in clinical practice are presented, advantages of domestic IT solutions over foreign analogues are shown. The importance of preparing nurses to work in a digital environment is substantiated and forecasts for the development of nursing technologies for the next 5-10 years are formulated.

Full Text

Restricted Access

About the authors

D. P. Seliverstov

Federal State Budgetary Educational Institution of Higher Education “I.P.Pavlov First St. Petersburg State Medical University” of the Ministry of Healthcare of the Russian Federation

Email: daniilseliverstov766@mail.ru
ORCID iD: 0009-0007-9828-9453

2nd-year student of the Faculty of Dentistry

Russian Federation, St. Petersburg

P. V. Seliverstov

Federal State Budgetary Military Educational Institution of Higher Education "S.M. Kirov Military Medical Academy" of the Ministry of Defense of the Russian Federation

Author for correspondence.
Email: seliverstov-pv@yandex.ru
ORCID iD: 0000-0001-5623-4226
SPIN-code: 6166-7005

Candidate of Medical Sciences, Associate Professor, Associate Professor of the second department (therapy for advanced training of doctors), Deputy Head of the Department for Science

Russian Federation, St. Petersburg

References

  1. Digital Clinic program in Moscow hospitals. Abnews.ru. 2025. [Electronic resource]. URL: abnews.ru (accessed: 30.07.2025). (in Russian).
  2. Implementation of EMIAS and mobile devices in Moscow hospitals. Medvestnik.ru. 2025. [Electronic resource]. URL: medvestnik.ru (accessed: 30.07.2025). (in Russ.).
  3. Reducing the workload on medical workers after the introduction of digital technologies. Medvestnik.ru. 2025. [Electronic resource]. URL: medvestnik.ru (accessed: 30.07.2025). (in Russ.).
  4. Seliverstov P.V. Nanotechnology in medicine: prospects for integration with telemedicine, digital technologies and artificial intelligence. Nurse, 2024; (7): 33–43 https://doi.org/10.29296/25879979-2024-07-05.
  5. Seliverstov P.V. Artificial intelligence in nursing practice. Legal aspects and transformation of the professional role of a nurse. Nurse, 2024; (8): 11–19 https://doi.org/10.29296/25879979-2024-08-02.
  6. The role of technology in healthcare. Trends.rbc.ru. 2025. [Electronic resource]. URL: trends.rbc.ru (accessed: 30.07.2025). (in Russ.).
  7. Seliverstov D.P. Nanorevolution in medicine: synergy of nanotechnology, artificial intelligence and digital innovations. A nurse. 2024; 26 (7): 44–48. DOI: https://doi.org/10.29296/25879979-2024-07-06.
  8. Artificial intelligence in medicine: practical applications. Flexitech.ai. 2025. [Electronic resource]. URL: flexitech.ai (accessed: 30.07.2025). (in Russ.).
  9. Experience of implementing digital technologies in Veresaev City Clinical Hospital. Icl-techno.ru. 2025. [Electronic resource]. URL: icl-techno.ru (accessed: 30.07.2025). (in Russ.).
  10. Mobile workplaces for nurses. Icl-techno.ru. 2025. [Electronic resource]. URL: icl-techno.ru (accessed: 30.07.2025). (in Russ.).
  11. Remote monitoring of patients in St. Petersburg. Telesputnik.ru. 2025. [Electronic resource]. URL: telesputnik.ru (accessed: 30.07.2025). (in Russ.).
  12. Voice technologies in medical documentation. Telesputnik.ru. 2025. [Electronic resource]. URL: telesputnik.ru (accessed: 30.07.2025). (in Russ.).
  13. Remote monitoring systems in Moscow polyclinics. Congress.orgzdrav.com. 2025. [Electronic resource]. URL: congress.orgzdrav.com (accessed: 30.07.2025). (in Russ.).
  14. Electronic curators for patients with chronic diseases. Congress.orgzdrav.com. 2025. [Electronic resource]. URL: congress.orgzdrav.com (accessed: 30.07.2025). (in Russ.).
  15. Seliverstov P.V., Shapovalov V.V., Aleshko O.V. Introduction of telemedicine technologies based on artificial intelligence into practice of providing outpatient care for medical examination. Medical alphabet. 2023; (28): 44–49. (In Russ.) https://doi.org/10.33667/2078-5631-2023-28-44-49.
  16. Presentation of multimodal medical assistant GigaDoc at AI Journey 2024. Cnews.ru. 2025. [Electronic resource]. URL: cnews.ru (accessed: 30.07.2025). (in Russ.).

Supplementary files

Supplementary Files
Action
1. JATS XML
2. Fig. 1

Download (189KB)
3. Fig. 2

Download (274KB)

Copyright (c) 2025 Russkiy Vrach Publishing House