Lyapin V.A.Novosibirsk Research Hygiene Institute of the Russian Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Novosibirsk Research Hygiene Institute of Rospotrebnadzor), Novosibirsk, Russian Federation v.a.liapin@mail.ru https://orcid.org/0000-0002-9034-1727
Kulikova O.M.Novosibirsk Research Hygiene Institute of the Russian Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing (Novosibirsk Research Hygiene Institute of Rospotrebnadzor), Novosibirsk, Russian Federation ya.aaaaa11@yandex.ru https://orcid.org/0000-0001-9082-9848
Subject This article deals with the issues of formation of and changes in the flow of patients to the medical organizations of the region. Objectives The article aims to develop a model of patient flow formation in medical organizations of the region, which takes into account the patient's priorities in choosing the method and conditions of medical services, and the disease stage and severity. Methods The initial data of the research are determined on the basis of expert information, patient interviews, and a statistical data and literature sources analysis. A chronic non-communicable disease has been selected for simulation. For the study, we used simulation and Markov processes with discrete time. Results The article presents a developed simulation model, which can help predict the patient flow intensity in time cycles and plan and use resources of medical organizations of the region. Conclusions The flow rate of patients determines the need of medical organizations in financial resources. On the basis of the performed modeling, the problem of improvement of funding of medical organizations can be solved and the workload of various parts of the health care system can be predicted. The developed model contributes to making more precise and effective decisions concerning the planning of resource supply of health care and improving the financial stability of the medical organization.
Keywords: health care resources, medical services, treatment adherence, patient's priorities, agent-based model
References:
Lobkova E.V., Petrichenko A.S. [Managing the effectiveness of the regional health system]. Regional'naya ekonomika: teoriya i praktika = Regional Economics: Theory and Practice, 2018, vol. 16, iss. 2, pp. 274–295. (In Russ.) URL: Link
Volodina N.P., Kamyshnikov A.I. [Improvement of management of flows of patients in primary health care]. Region: gosudarstvennoe i munitsipal'noe upravlenie, 2017, no. 1. (In Russ.) URL: Link
Rybal'chenko I.E., Kulikova O.M. [Development of tools to improve efficiency of medical services in health care sphere in Russian Federation]. Zhurnal pravovykh i ekonomicheskikh issledovanii = Journal of Legal and Economic Studies,2017, no. 2, pp. 113–118. URL: Link (In Russ.)
Isakov A.M. [Management of the development of budgeting organizations of public health in the conditions of optimization of financial resources]. Razvitie territorii = Territory Development, 2017, no. 4, pp. 62–66. URL: Link.pdf (In Russ.)
Pavlov K.V., Stepchuk M.A., Pinkus T.M. [Medical support to population: Lines and dynamics of development under public health service modernization: Evidence from the Belgorod Oblast]. Regional'naya ekonomika: teoriya i praktika = Regional Economics: Theory and Practice, 2017, vol. 15, iss. 1, pp. 192–208. (In Russ.) URL: Link
Pashkus N.A., Pashkus V.Yu., Chemlyakova A.D. [Correlation of quality and effectiveness of medical services as a factor of competitiveness of health care organizations]. Marketing MBA. Marketingovoe upravlenie predpriyatiem, 2017, vol. 8, iss. 2, pp. 136–152. (In Russ.) URL: Link
Drapkina O.M., Livzan M.A., Martynov A.I. et al. [The first Russian expert consensus on the quantitative evaluation of the treatment adherence: pivotal issues, algorithms and recommendations]. Meditsinskii vestnik Severnogo Kavkaza = Medical News of the North Caucasus,2018, vol. 13, iss. 1, pp. 259–271. (In Russ.) URL: Link
Brodskaya O.N. [Frequent asthma exacerbations: risk factors and prevention]. Prakticheskaya pul'monologiya = Journal of Practical Pneumonology,2016, no. 3, pp. 11–19. URL: Link (In Russ.)
Uryas'ev O.M., Korshunova L.V., Kulikov S.A., Volkova O.V. [Bronchial asthma: from Hippocrates to the present day]. Zemskii vrach = Zemsky Doctor,2017, no. 1, pp. 17–20. URL: Link (In Russ.)
Karapetyan S.B. [Asthma in the practice of a general practitioner]. Spravochnik vracha obshchei praktiki = Guide of General Practitioner,2017, no. 10, pp. 10–24. (In Russ.)
Kryuchkova A.V., Semynina N.M., Kondusova Yu.V. et al. [Comparative study of treatment adherence of patients with chronic obstructive pulmonary disease and bronchial asthma]. Nauchnyi meditsinskii vestnik = Scientific Medical Bulletin, 2016, no. 1, pp. 30–36. URL: Link (In Russ.)
Kulikova O.M. [Optimization of planning processes and use of resources in the field of health of the Russian Federation]. Vestnik Sibirskogo instituta biznesa i informatsionnykh tekhnologii = Herald of Siberian Institute of Business and Information Technologies, 2016, no. 4, pp. 27–32. URL: Link (In Russ.)
Gritsyuk E.M., Dugina E.A., Gol'dshtein S.L., Blokhina S.I. [About the resource and productive potential of a medical institution]. Zdorov'e i obrazovanie v XXI veke = Health & Education Millennium, 2017, vol. 19, no. 4, pp. 69–73. URL: Link (In Russ.)