Medical Informatics

Research Article

An ecosystem approach to organizing professional communications in the information system of a medical organization

Dmitriy Vladimirovich Belyshev¹, Aleksandr Eugen'yevich Mikheyev²

1,2	Ailamazyan Program Systems Institute of RAS, Ves'kovo, Russia
1	belyshev@interin.ru

Abstract. Effective professional communications are a critical factor in patient safety, operational efficiency, and sustainable development of healthcare organizations (MOs). However, the widespread use of public messaging apps creates serious risks, the most serious of which are related to data confidentiality and the lack of integration into workflows (context of discussions), necessitating a transition to specialized solutions.

Study Objective. To substantiate the need for and explore the benefits of an ecosystem approach to organizing communications in a healthcare organization based on the development of internal communications tools and the integration of secure messaging systems into healthcare information systems (HIS).

Materials and Methods. An analysis of existing practices, challenges, and risks associated with the use of communication tools in MOs was conducted, along with a review of specialized platforms. The functionality and architectural principles of communication modules integrated into HISs are discussed.

Results. It has been shown that communication systems integrated into the healthcare information system, in addition to information exchange, ensure security, context for interaction (linking to the patient's EHR), legal validity, and auditability. A key advantage is the ability to implement "social integration" — the implementation of social networking principles into medical organization workflows to overcome organizational silos and improve team effectiveness.

Conclusions. The transition from public messaging apps to specialized communication tools integrated into the healthcare information system is essential for improving the quality of medical care. An ecosystem-based approach to organizing communication enables the creation of a holistic communication environment uniting medical staff, patients, and partners. Prospects for further development of the communication environment lie in the integration of artificial intelligence to create "digital headquarters" and further formalize interaction models. (In Russian).

Keywords: medical information system, professional communications, ecosystem approach, patient safety, messenger, social integration, medical organization, messaging

MSC-2020 94A05; 92C50, 93Bxx

For citation: Dmitriy V. Belyshev, Aleksandr E. Mikheyev. An ecosystem approach to organizing professional communications in the information system of a medical organization. Program Systems: Theory and Applications, 2025, 16:6, pp. 5–52. (In Russ.). https://psta.psiras.ru/2025/6_5-52.

Full text of article (PDF): https://psta.psiras.ru/read/psta2025_6_5-52.pdf.

The article was submitted 16.10.2025; approved after reviewing 17.11.2025; accepted for publication 17.11.2025; published online 15.12.2025.