head JofIMAB
Journal of IMAB - Annual Proceeding (Scientific Papers)
Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2026, vol. 32, issue1
Subject Area: Medicine
-
DOI: 10.5272/jimab.2026321.6741
Published online: 17 March 2026

Review article
J of IMAB. 2026 Jan-Mar;32(1):6741-6746
DIGITAL TRANSFORMATION IN MILITARY MEDICINE AND PHARMACY - KEY ASPECTS AND CHALLENGES
Antonio Ivanov1, 2ORCID logo, Evgeni Grigorov1, 3ORCID logoCorresponding Autoremail, Ivan Popivanov1,
1) Department of Military Medicine, Military Medical Academy, Sofia, Bulgaria.
2) Department of Organization and Economics of Pharmacy, Faculty of Pharmacy, Medical University Sofia, Bulgaria.
3) Department of Organization and Economics of Pharmacy, Faculty of Pharmacy, Medical University - Varna, Bulgaria.

ABSTRACT:
Purpose: Digital transformation, as a modern phenomenon, encompasses almost all areas of life, including military medicine and pharmacy. This study aims at reviewing the historical development and key aspects and challenges in the modern process of applying digitalization technologies in the structures of the armed forces.
Material/Methods: Review of the Google Scholar database and websites of governmental institutions was performed to identify the most prominent areas where digital transformation is utilized.
Results: We have identified that the use of such technologies can take place in the theatre of war itself, mainly through telemedicine, contributing to reduced costs, enhancing medical evacuations and lowering mortality. On the other hand, the other main implementation is in peacetime where trends are aimed at providing more efficient health and pharmaceutical care to servicemembers and veterans, as well as conducting in-depth analyses of military medical supply and crisis response preparedness. While an appropriate population due to its centralized management and hierarchy, there are several challenges to digital technology implementation in the military. These include administrative hurdles, policies, and the need for specific digital products that meet stringent cybersecurity and secrecy requirements.
Conclusions: Despite military medicine and pharmacy being pioneers in implementing digital technologies starting in the 60s, there are signs of delayed digital transformation relative to the civilian population, need to address challenges more effectively, and a need of military-customized digital solutions.

Keywords: military medicine, military pharmacy, digital transformation, telemedicine, medical supply, e-learning,

pdf - Download FULL TEXT /PDF 1034 KB/
Please cite this article as: Ivanov A, Grigorov E, Popivanov I. Digital transformation in military medicine and pharmacy - key aspects and challenges. J of IMAB. 2026 Jan-Mar;32(1):6741-6746. [Crossref - 10.5272/jimab.2026321.6741]

Corresponding AutorCorrespondence to: Evgeni Grigorov, Department of Organization and Economics of Pharmacy, Faculty of Pharmacy, Medical University – Varna; 55, Marin Drinov Str, Varna, Bulgaria; E-mail: evgeni.grigorov@mu-varna.bg

REFERENCES:
1. Berners-Lee T. WWW: past, present, and future. Computer. 1996 Oct;29(10):69-77. [Crossref]
‌2. Admass WS, Munaye YY, Diro AA. Cyber security: State of the art, Challenges and Future Directions. Cyber Security and Applications. 2024; 2:100031. [Crossref]
3. Alowais SA, Alghamdi SS, Alsuhebany N, Alqahtani T, Alshaya AI, Almohareb SN, et al. Revolutionizing healthcare: the role of artificial intelligence in clinical practice. BMC Medical Education. 2023 Sep 22;23(1):689. [PubMed]
4. Kelly JT, Campbell KL, Gong E, Scuffham P. The Internet of Things: Impact and implications for Health care delivery. J Med Internet Res. 2020 Nov 10;22(11):e20135 [PubMed]
5. Naughton J. The evolution of the Internet: from military experiment to General Purpose Technology. J Cyber Policy. 2016 May 8;1(1):5–28 [Crossref]
6. Telemedicine: A Guide to Assessing Telecommunications in Health Care. Institute of Medicine (US) Committee on Evaluating Clinical Applications of Telemedicine; Field MJ, editor. Washington (DC): National Academies Press (US); 1996. [ PubMed]
7. MHS Digital Transformation Strategy. www.Health.mil. 25 Mar 2025. [Internet]
8. Gupta JF, Telfer BA, Convertino VA. Feature Importance Analysis for Compensatory Reserve to Predict Hemorrhagic Shock. Annu Int Conf IEEE Eng Med Biol Soc. 2022 Jul;2022:1747-1752. [PubMed]
9. Nemeth C, Amos-Binks A, Burris C, Keeney N, Pinevich Y, Pickering BW, et al. Decision support for tactical combat casualty care using machine learning to detect shock. Mil Med. 2021 Jan 25;186(Suppl 1):273-280. [PubMed]  
10. Meyer N, Ullrich L, Goldsmith Z, Verges PD, Papadimos TJ, Stawicki SP. Applications of Artificial Intelligence in Military Medicine and Surgery. In: Artificial Intelligence in Medicine and Surgery - An Exploration of Current Trends, Potential Opportunities, and Evolving Threats - Volume 2. Edited by Stawicki SP. IntechOpen. 16 Jul 2024. Chapter 7. [Crossref]
11. Kizakevich PN, Eckhoff R, Brown J, Tueller SJ, Weimer B, Bell S, et al. PHIT for Duty, a mobile application for stress reduction, sleep improvement, and alcohol moderation. Military Medicine. 2018 Mar 1;183(suppl_1):353–63 [Crossref]
12. Benhassine M, Quinn J, Stewart D, Arsov AA, Ianc D, Ivan M, et al. Advancing military medical planning in large scale combat operations: Insights from computer simulation and experimentation in NATO’s vigorous Warrior Exercise 2024. Military Medicine. 2024 Aug 19;189(Suppl_3):456–64. [Crossref]
13. Benhassine M, Meisner K, Stewart D, Ianc D, Ivan M, Quinn J, et al. Recreating the vigorous warrior and clean care exercises in Silico: A Proof-of-Concept Study for the Digital Transformation of Military medical support. Mil Med. 2025 Sep 1;190(Supplement_2):312-319. [PubMed]
14. Debacker M, Van Utterbeeck F, Ullrich C, Dhondt E, Hubloue I. SIMEDIS: a Discrete-Event Simulation Model for Testing Responses to Mass Casualty Incidents. J Med Syst. 2016 Dec;40(12):273. [PubMed]
15. Kumaravel BT, Anderson F, Fitzmaurice G, Hartmann B, Grossman T. Loki: Facilitating Remote Instruction of Physical Tasks Using Bi-Directional Mixed-Reality Telepresence. In: Proceedings of the 32nd Annual ACM Symposium on User Interface Software and Technology, New Orleans, LA. 2019; 161–174. [Crossref]
16. Gasques D, Johnson JG, Sharkey T, Feng Y, Wang R, Xu ZR, et al. ARTEMIS: A Collaborative Mixed-Reality System for Immersive Surgical Telementoring. In: Proceedings of the 2021 CHI Conference on Human Factors in Computing Systems. 2021 May 6;Art.662:1-14 [Crossref]
17. Davis K, Perry-Moseanko A, Tadlock MD, Henry N, Pamplin J. Successful Implementation of Low-Cost Tele-Critical Care Solution by the U.S. Navy: Initial Experience and Recommendations. Mil Med. 2017 May;182(5):e1702-e1707. [PubMed]
18. Poropatich R. Trauma Care in a Rucksack (TRACIR). Center for Military Medicine Research. 2025. [Internet]
19. Carlisle SE, Howard LT, Nazarchyk JC, Elliott WJ. Reducing the Expenditures and Workload Associated With VA Partial-Fill Prescription Processing. Fed Pract. 2018 Apr;35(4):28-33. [PubMed]
20. Haimi M. Telemedicine in war zones: prospects, barriers, and meeting the needs of special populations. Front Med (Lausanne). 2024 Oct 10;11:1417025. [PubMed]
21. Madsen C, Poropatich R, Koehlmoos TP. Telehealth in the Military Health System: Impact, Obstacles, and Opportunities. Mil Med. 2023 Mar 6;188(Suppl 1):15-23. [PubMed]
22. Zhang X, Saltman R. Impact of Electronic Health Record Interoperability on Telehealth Service Outcomes. JMIR Med Inform. 2022 Jan 11;10(1):e31837. [PubMed]

Received: 04 August 2025
Published online: 17 March 2026

back to Online Journal