Objective. To study the provision of high-tech medical care in the Russian health care system. Material and methods. Theoretical and methodological analysis of the peculiarities of high-tech medical care provision in the Russian health care system taking into account historical changes in the regulatory-legal landscape and socio-economic conditions in the country was carried out. The main method of research was the analysis of documents (scientific publications 72; normative-legal acts 9). Results. The article considers the main aspects of the organisation of the provision of high-tech medical care to patients in the modern domestic health care system. The authors’ theoretical and methodological analysis of the peculiarities of the organisation of high-tech medical care provision reflects the determinism of the practice of its provision by the historical context of normative-legal regulation of this sphere, the level of digitalisation and informatisation of the health care system development, centralisation and persisting territorial inequality of high-tech medical care accessibility in the country. Conclusion. In the conditions of intensification of digital changes in the health care system, the obvious and expected vector of development is the improvement of accessibility and quality of medical care (including high-tech care), while the pace of technological development and introduction of innovative methods and technologies in the practice of providing medical care to the population allow us to predict a significant expansion of the list of high-tech care already in the short term.

Objective. Development of a system for monitoring the patient’s well — being at the postoperative stage and supporting managerial decision-making by the head of a medical organization on the Customer Relationship Management (CRM) platform Materials and methods. A comprehensive study, including in-depth interviews with medical specialists at the short-stay hospital (n=12), expert interviews with heads of other hospital departments (n=9), and testing of a prototype digital product was conducted on the basis of the Buyanov State Clinical Hospital in Moscow. Results. Based on the results of the study, the need to create a CRM system for this medical institution was identified, the main product requirements were identified, and a mobile web application was developed that includes 3 interconnected modules. The functionality of the application allows you to inform patients about the specifics of treatment, to receive data on the patient’s well-being at the postoperative stage. Conclusion. In the context of digitalization of healthcare, a CRM system for monitoring the patient’s well-being at the postoperative stage is an urgent need for medical organizations, however, it requires taking into account the specifics of a particular clinic or hospital department.

The article discusses the issue of finding optimal digital solutions to streamline organizational processes for medical organizations when providing medical care in a day hospital setting. Based on the analysis of in-depth interviews with medical specialists, the specific features of the system of providing medical care in a day hospital setting are described, and areas for optimizing the procedure for shortterm hospitalization at the present stage are identified. Taking into account the needs of practical healthcare in digital technologies, an algorithm for the functioning of a novel intellectual product (decision support system based on the intellectual processing method) is presented, including an onpremise system for monitoring, diagnosis, and analysis of medical data (condition self-assessment, satisfaction with aspects of treatment, etc.).

The article discusses various methods of prenatal diagnosis and the ethical issues they raise. Currently, prenatal diagnosis is an actively developing area of medicine. There are invasive and noninvasive studies, moreover, non-invasive studies are assigned to all pregnant women without exception, and invasive studies are strictly according to the doctor's indications due to the high likelihood of complications. In addition, a non-invasive prenatal genetic test (NIPT) is available to pregnant women in Russia as part of VHI. Particular attention is paid to the ethical aspects of this particular study, which is actively gaining popularity among the population in large cities of Russia.