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The Financing Model of the Regional Health System

Kulikova O.M. Novosibirsk Research Hygiene Institute of the Russian Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Novosibirsk, Russian Federation ( ya.aaaaa11@yandex.ru )

Usacheva E.V. Therapeutics Department, Municipal Outpatients' Clinic № 4, Omsk, Russian Federation ( elenav.usacheva@yandex.ru )

Shamis V.A. Siberian State Automobile and Highway University (SibADI), Omsk, Russian Federation ( vitaliy1999@mail.ru )

Nelidova A.V. Omsk State Medical University of the Ministry of Healthcare of the Russian Federation (OmSMU MOH Russia), Omsk, Russian Federation ( avnelidova@mail.ru )

Boush G.D. Omsk F.M. Dostoevsky State University, Omsk, Russian Federation ( gboush@yandex.ru )

Journal: Digest Finance, #4, 2018

Subject The research devises the healthcare spending model in line with types and scope of medical aid, assesses indicators of the current and future planned periods.
Objectives The research is an attempt to optimize healthcare spending by improving the way it is earmarked in line with the region’s demand for certain types of medical aid and reallocating financial resources.
Methods We use the conceptual modeling and Python 3.
Results We devised the model to optimize expenditures in order to increment resources available for health care purposes by reallocating them in accordance with the analysis of the financial situation, classes of patients. Our model builds on the type of total medical expenditures on patients with certain diseases and adjustment of healthcare spending against the current year’s plans.
Conclusions and Relevance Expenditures could be optimized through their reallocation in line with the type of total spending, financial effectiveness class and adequacy of their planning for promising and effective medical interventions.


A regional healthcare financial security model

Kulikova O.M. Novosibirsk Research Hygiene Institute of the Russian Federal Service for Surveillance on Consumer Rights Protection and Human Wellbeing, Novosibirsk, Russian Federation ( ya.aaaaa11@yandex.ru )

Usacheva E.V. Therapeutics Department, Municipal Outpatients' Clinic № 4, Omsk, Russian Federation ( elenav.usacheva@yandex.ru )

Shamis V.A. Siberian State Automobile and Highway University (SibADI), Omsk, Russian Federation ( vitaliy1999@mail.ru )

Nelidova A.V. Omsk State Medical University of the Ministry of Healthcare of the Russian Federation (OmSMU MOH Russia), Omsk, Russian Federation ( avnelidova@mail.ru )

Boush G.D. Omsk F.M. Dostoevsky State University, Omsk, Russian Federation ( gboush@yandex.ru )

Journal: Regional Economics: Theory and Practice, #10, 2018

Subject This article develops models of medical care expenses depending on the types and volume of medical care provided, as well as calculation of indicators for the current and planned periods.
Objectives The article aims to optimize the costs of medical care by improving their structure, taking into account the needs of the region for certain types of medical care and reallocation of funds.
Methods For the study, we used conceptual modeling and Python interpreted programming language version 3.
Results The article presents a model of optimization of expenses structure, which helps increase the resource provision of medical aid by their redistribution taking into account the analysis of financial situation and correlation of patients of different classes. The basis of the original model is the type of total costs of medical care for patients with a certain nosology and the change in the costs of medical care as compared with those planned for the current year.
Conclusions Cost optimization is possible through cost reallocating depending on the type of total expenditure, the class of cost effectiveness, and adequate cost planning of interventions that are promising in terms of maintaining health and ability to work.


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