Practical Aspects of Using Digital Technology in Cardiovascular Prevention at the Pre-Hospital Level

Purpose. To study the use of digital technology for preventing cardiovascular diseases. Materials and methods. A survey was conducted among 477 respondents who used the digital technology–a pre-hospital preventive care tool for self-assessment of cardiovascular risks. Biological, behavioral, and organizational risk factors affecting health as well as active patient participation in own care were assessed. Results. The authors identified the individuals who had not visited a polyclinic for more than 12 months (17.4%) and more than 24 months (7.1%), thus not examined by healthcare professionals, including those who work at preventive health units (departments). Self-surveys at the pre-hospital stage revealed a high or very high absolute total cardiovascular risk in 31.1% of respondents. According to the survey, healthcare professionals provided preventive health recommendations to 59.7% of the sample, while using the digital technology, 100% of respondents received personalized lifestyle recommendations. A satisfactory level of participation was determined. The greatest interest in using the digital technology was observed among individuals aged 18-39 years (58.9%). Conclusion. The digital instrument Cardiovascular Prevention in Your Pocket (Kardioprofilaktika v karmane) enables the implementation of the 4P medicine at the pre-hospital level of care. The technology generates preventive health recommendations and identifies cardiovascular risk (predictive and preventive), creates tailored preventive health recommendations (personalized), and promotes the involvement of respondents in their own care without support of healthcare professional (participatory).

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