Symptomcheckers for patients in the russianspeaking segment of the internet: comparative analysis
https://doi.org/10.25881/18110193_2023_2_28
Abstract
Background. The revolutionary leap in Internet accessibility and the introduction of information technologies in all spheres of modern society have become significant reasons for the growing popularity of web applications providing personalized health information.
Aim. To conduct a comparative analysis of the online means of checking symptoms present in the Russian-speaking segment of the Internet.
Research methods. To achieve this goal on the basis of the information submitted in the review of the publications and results of queries to the search engines Google and Yandex a list of symptom checkers included in the study has compiled. As scenarios for comparative analysis, based on approved clinical recommendations, 3 situational tasks were formed with a description of the symptoms (reference clinical descriptions) of nosologies related to the pathology of the cardiovascular system, respiratory system and digestive organs.
Results. In the course of the work, the studied online means of checking symptoms were compared according to the following characteristics:
- the ability to enter information about the patient and the necessary symptoms;
- the results of the formation of a diagnostic conclusion;
- usability of navigation and overall impression of the interface;
- availability of additional features.
Conclusion. A comparative analysis of ten web-based applications for checking symptoms present in the Russian-speaking segment of the Internet using «reference» descriptions of nosological forms indicates a sufficiently high quality of software products for this purpose. However, in order to obtain more reliable conclusions, we consider it appropriate to conduct a similar study using scenarios created based on the description of complaints from real patients of different age and gender groups.
About the Authors
E. N. NikolaidiRussian Federation
NIKOLAIDI E.N., PhD, Associate Professor
Moscow
A. P. Miliutina
Russian Federation
MILIUTINA A.P.
Moscow
A. V. Usova
Russian Federation
USOVA A.V.
Moscow
T. V. Zarubina
Russian Federation
ZARUBINA T.V., Corr. Member of the RAS, DSc, Professor
Moscow
References
1. Rakova KV. Rasprostranenie praktiki samostoyatel’noj onlajndiagnostiki zdorov’ya: novye vyzovy dlya kommunikacii vracha i pacienta. Kommunikologiya. 2021; 9(1): 53-65. (In Russ.). doi: 10.21453/2311-3065-2021-9-1-53-65.
2. Millenson ML, Baldwin JL, Zipperer L, Singh H. Beyond Dr. Google: the evidence on consumer-facing digital tools for diagnosis. Diagnosis (Berl). 2018; 5(3): 95-105. doi: 10.1515/dx-2018-0009.
3. Arellano CK, Chittamuru D, Kravitz RL, Ramondt S, Ramírez AS. Health Information Seeking From an Intelligent Web-Based Symptom Checker: Cross-sectional Questionnaire Study. J Med Internet Res. 2022; 24(8): e36322. doi: 10.2196/36322.
4. O servise «Simptomcheker». Available from: https://webiomed.ru/blog/o-servise-simptomcheker/. Аccessed Feb 17, 2023. (In Russ.)
5. 7 luchshih simptom-chekerov: kakoj servis pomozhet vrachu i pacientu? Available from: https://medaboutme.ru/articles/7_luchshikh_simptom_chekerov_kakoy_servis_pomozhet_vrachu_i_patsientu/. Аccessed Mar 23, 2023. (In Russ.)
6. Simptomcheker: chto eto i dlya kogo? Available from: https://linkemed.ru/articles?news_id=1262&per_page=0. Аccessed Mar 23, 2023. (In Russ.)
7. Simptomchekery: vidy, princip raboty, preimushchestva ispol’zovaniya Available from: https://celsus.ai/blog/symptomcheckers. Аccessed: Feb 25, 2023. (In Russ.)
8. Sirotina AS, Sozonov AS, Kobyakova OS, et al. Cifrovye tekhnologii v bor’be s COVID-19. Social’nye aspekty zdorov’ya naseleniya. 2022; 68(3). (In Russ.) doi: 10.21045/2071-5021-2022-68-3-13.
9. Gusev AV, Dobridnyuk SL. Iskusstvennyj intellekt v medicine i zdravoohranenii. Informacionnoe obshchestvo. 2017; 4-5: 78-93. (In Russ.)
10. Bursov AI. Primenenie iskusstvennogo intellekta dlya analiza medicinskih dannyh. Al’manah klinicheskoj mediciny. 2019; 47(7): 630-633. (In Russ.). doi: 10.18786/2072-0505-2019-47-071.
11. Gusev AV, Astapenko EM, Ivanov IV, Zarubina TV, Kobrinskij BA. Principy formirovanija doverija k sistemam iskusstvennogo intellekta dlja zdravoohranenija. Vestnik Roszdravnadzora. 2022; 2: 25-33. (In Russ.)
12. Karpov OE, Andrikov DA, Maksimenko VA, Hramov AE. Prozrachnyj iskusstvennyj intellekt dlya mediciny. Vrach i informacionnye tekhnologii. 2022; 2: 4-11. (In Russ.). doi: 10.25881/18110193_2022_2_4.
13. Kannan A, Fries JA, Kramer E, Chen JJ, Shah N, Amatriain X. The accuracy vs. coverage trade-off in patient-facing diagnosis models. AMIA Jt Summits Transl Sci Proc. 2020; 2020: 298-307.
14. Rebrova OYU. ZHiznennyj cikl sistem podderzhki prinyatiya vrachebnyh reshenij kak medicinskih tekhnologij. Vrach i informacionnye tekhnologii. 2020; 1: 27-37. (In Russ.) doi: 10.37690/1811-0193-2020-1-27-37.
15. Servis Ada. Available from: https://ada.com/app/. Аccessed 15.05.2023.
16. Servis Babylon Health. Available from: https://www.babylonhealth.com/developer/symptomchecker. Аccessed 15.05.2023.
17. Servis Buoy Health. Available from: https://www.buoyhealth.com/symptom-checker/. Аccessed 15.05.2023.
18. Servis Isabel. Available from: https://symptomchecker.isabelhealthcare.com/. Аccessed 15.05.2023.
19. Knitza J, Muehlensiepen F, Ignatyev Y, Fuchs F, Mohn J, Simon D, et al. Patient’s Perception of Digital Symptom Assessment Technologies in Rheumatology: Results From a Multicentre Study. Front Public Health. 2022; 10: 844669. doi: 10.3389/fpubh.2022.844669.
20. Berry AC, Cash BD, Wang B, Mulekar MS, Van Haneghan AB, Yuquimpo K, et al. Online symptom checker diagnostic and triage accuracy for HIV and hepatitis C. Epidemiol Infect. 2019; 147: e104. doi: 10.1017/S0950268819000268.
21. Obshcherossijskaya obshchestvennaya organizaciya «Rossijskoe kardiologicheskoe obshchestvo». Klinicheskie rekomendacii «Stabil’naya ishemicheskaya bolezn’ serdca», 2020. Available from: https://cr.minzdrav.gov.ru/recomend/155_1. Аccessed Feb 2, 2023. (In Russ.)
22. Rossijskoe respiratornoe obshchestvo. Klinicheskie rekomendacii «Hronicheskij bronhit», 2021. Available from: https://cr.minzdrav.gov.ru/recomend/655_1. Аccessed: Feb 2, 2023. (In Russ.)
23. Rossijskaya Gastroenterologicheskaya Associaciya. Klinicheskie rekomendacii «YAzvennaya bolezn’», 2020. Available from: https://cr.minzdrav.gov.ru/recomend/277_1. Аccessed: Feb 2, 2023. (In Russ.)
24. Tarlovskaya EI. Komorbidnost’ i polimorbidnost’ — sovremennaya traktovka i nasushchnye zadachi, stoyashchie pered terapevticheskim soobshchestvom. Kardiologiya. 2018; 58(S9): 29-38. (In Russ.) doi: 10.18087/cardio.2562.
Review
For citations:
Nikolaidi E.N., Miliutina A.P., Usova A.V., Zarubina T.V. Symptomcheckers for patients in the russianspeaking segment of the internet: comparative analysis. Medical Doctor and Information Technologies. 2023;(2):28-41. (In Russ.) https://doi.org/10.25881/18110193_2023_2_28