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Home / Journals / CASPIANJOURNALOF MEDICINE AND PHARMACY / Volume 3 Issue 2 / ORIGINAL INVESTIGATIONS Original article MATHEMATICAL APPROACHES TO THE SELECTION OF INDICATORS OF THE NEED FOR MEDICAL CARE
ORIGINAL INVESTIGATIONS Original article MATHEMATICAL APPROACHES TO THE SELECTION OF INDICATORS OF THE NEED FOR MEDICAL CARE
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ORIGINAL INVESTIGATIONS ORIGINAL ARTICLE MATHEMATICAL APPROACHES TO THE SELECTION OF INDICATORS OF THE NEED FOR MEDICAL CARE
UDK 614.2 3.2.3
Cherkasov Sergey N 1
Fedyaeva Anna 2
Isyanova Alina M 3
Shevchenko Mikhail A 4
Lobanov Aleksey V 5
Authors:
1.  V.A. Trapeznikov Institute of Control Sciences of Russian Academy of Sciences

2.  V.A. Trapeznikov Institute of Control Sciences of Russian Academy of Sciences (laboratoriya 81 «Upravlenie obschestvennym zdorov'em», Senior Researcher of the Laboratory)

Moscow, Russian Federation
3.  V.A. Trapeznikov Institute of Control Sciences of Russian Academy of Sciences

4.  V.A. Trapeznikov Institute of Control Sciences of Russian Academy of Sciences

5.  V.A. Trapeznikov Institute of Control Sciences of Russian Academy of Sciences

Type:
Article
DOI:
https://doi.org/10.48612/agmu/2022.3.2.44.52
Pages:
from 44 to 52
Status:
Published
Received:
18.06.2022
Accepted:
25.06.2022
Published:
25.06.2022
Subject area:
UDK 614.2 3.2.3
Language:
Russian
Keywords:
planning of medical care, the need for medical care, indicators of the need for medical care, mathematical modeling
Abstract and keywords
Abstract (English):
The purpose of the study: to substantiate and implement a mathematical analysis of the dependencies between the indicators of the need for medical care.Materials and methods. As a source of information, we used data on cases of medical care provided to the population of older age groups (60 years and older) (the database of appeals of the TFOMS of the Moscow region for 2019-2020). The characteristic of the need was expressed by calculating seven relative indicators, of which four reflected the frequency of medical care cases: the number of visits and the number of requests from medical organizations providing outpatient medical care, the number of hospitalizations to a hospital around the clock and day stay, and three reflected the volume of medical care provided: the duration of treatment in outpatient conditions and the duration of treatment in conditions of roundthe clock and day hospital. Frequency indicators were expressed in cases per 1000 population, volumetric in days of treatment per 1000 population. The dependencies between the indicators of need were determined by calculating the correlation coefficient of each indicator with each. The analysis of the obtained data on the degree of dependence between the indicators of need was carried out by comparing the modulus of the correlation coefficient with the Cheddock scale. For the purposes of this study, the conditions included in Class IX "Diseases of the cardiovascular system" were selected. The calculation of dependencies took into account the gender attribute, that is, the matrix was calculated for men and women separately. Conclusion.It seems appropriate to use only two intensive indicators when modeling the need for medical care provided in outpatient settings for both men and women: the number of visits per 1000 population and the number of days of outpatient treatment per 1000 population, when modeling the need for medical care provided in inpatient conditions according to one indicator: the duration of treatment in a hospital around the clock stay per 1000 population and the duration of treatment in a daystay hospital per 1000 population.

Keywords:
planning of medical care, the need for medical care, indicators of the need for medical care, mathematical modeling
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References

1. Habriev R.U., Lindenbraten A.L., Komarov Yu.M. Strategii ohrany zdorov'ya naseleniya kak osnova social'noy politiki gosudarstva //Problemy social'noy gigieny, zdravoohraneniya i istorii mediciny. 2014. № 3. S. 3-5.

2. Genovese U., Del Sordo S., Casali M., Zoja R., Pravettoni G., Akulin I.M. A new paradigm on health care accountability to improve the quality of the system: four parameters to achieve individual and collective accountabilityJournal of Global Health. 2017. T. 7. № 1. S. 010301.

3. Shapovalova M.A. Mediko-demograficheskie kriteriio bschestvennogo razvitiya // Rossiyskaya akademiya medicinskih nauk. Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obschestvennogo zdorov'ya. 2005. № 3. S. 144-146.

4. Kulichenko V.P.,Polubenceva E.I., Rahaeva I.V., Chertuhina O.B. Planirovanie okazaniya medicinskoy pomoschi, kak instrument upravleniya sistemoy zdravoohraneniya regiona// Vestnik Sankt-Peterburgskogo universiteta. Medicina. 2011. № 1. S. 190-200.

5. Cherkasov S.N.,Meshkov D.O., Berseneva E.A., Bezmel'nicyna L.Yu., Lalabekova M.V., Fedyaeva A.V., Oleynikova V.S. Puti sovershenstvovaniya tehnologii planirovaniya ob'emov medicinskoy pomoschi//Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obschestvennogo zdorov'ya imeni N.A. Semashko. 2016. № 5. S. 95-104.

6. Shipova V.M.,Voroncov T.N. Sovremennye problemy planirovaniya medicinskoy pomoschi// Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obschestvennogo zdorov'ya imeni N.A. Semashko. 2014. № 1. S. 306-310.

7. Moskvicheva M.G., Schepilina E.S., Schetinin V.B., Yakushev A.M., Savischeva I.P. Analiz sostoyaniya zdorov'ya naseleniya kak osnova planirovaniya medicinskoy pomoschi na regional'nom urovne // Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obschestvennogo zdorov'ya imeni N.A. Semashko. 2014. № 2. S. 86-91.

8. Scherbakov D.V. Problemy planirovaniya i ocenki potrebnosti naseleniya v specializirovannoy (v t.ch. vysokotehnologichnoy) medicinskoy pomoschi// Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obschestvennogo zdorov'ya imeni N.A. Semashko. 2014. № 1. S. 327-329.

9. Saraev A.R.,Mayorskaya A.S. Vliyanie demograficheskih faktorov na planirovanie okazaniya medicinskoy pomoschi // Nauka XXI veka: aktual'nye napravleniya razvitiya. 2016. № 2-2. S. 137-140.

10. Cherkasov S.N., Shipova V.M., Berseneva E.A., Meshkov D.O., Bezmel'nicyna L.Yu., Lalabekova M.V., Fedyaeva A.V., Oleynikova V.S. Sovremennye metodicheskie podhody k planirovaniyu ob'emov medicinskoy pomoschi// Byulleten' Nacional'nogo nauchno-issledovatel'skogo institutaobschestvennogo zdorov'ya imeni N.A. Semashko. 2016. № 4. S. 95-109.

11. Shapovalova M.A., Koreckaya L.R. Analiz gospitalizirovannoy zabolevaemosti i ocenka potrebnosti v medicinskoy pomoschi v nevrologicheskom otdelenii // Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obschestvennogo zdorov'ya imeni N.A. Semashko. 2016. № 4. S. 117-125.

12. Cherkasov S.N., Kudryashova L.V., Egiazaryan K.A. Analiz potrebnosti kak osnova planirovaniya ob'emov vysokotehnologichnyh vidov medicinskoy pomoschi pacientam s zabolevaniyami kostno-myshechnoy sistemy v gorode Moskve // Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obschestvennogo zdorov'ya imeni N.A. Semashko. 2015. № 4-5. S. 199-204.

13. Egiazaryan K.A., Lalabekova M.V., Cherkasov S.N., Attaeva L.Zh. Territorial'nye osobennosti planirovaniya neobhodimogo ob'ema medicinskoy pomoschi po profilyu travmatologiya i ortopediya // Problemy standartizacii v zdravoohranenii. 2016. № 11-12. S. 23-29.

14. Makarov V.Yu., Lazareva E.V., Shil'nikova N.F. Analiz zabolevaemosti po obraschaemosti v vozrastno-polovyh gruppah, kak osnova planirovaniya medicinskoy pomoschi// Zabaykal'skiy medicinskiy vestnik. 2014. № 4. S. 142-147.

15. Cherkasov S.N., Egiazaryan K.A., Kurnosikov M.S., Fedyaeva A.V., Oleynikova V.S. Podhody k planirovaniyu potrebnosti v specializirovannoy stacionarnoy medicinskoy pomoschi // Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obschestvennogo zdorov'ya imeni N.A. Semashko. 2017. № 5. S. 78-86.

16. Berseneva E.A., Lalabekova M.V., Cherkasov S.N., Meshkov D.O. Aktual'nye voprosy sozdaniya avtomatizirovannoy sistemy rascheta ob'emov pervichnoy mediko-sanitarnoy pomoschi v Tverskoy oblasti // Vestnik sovremennoy klinicheskoy mediciny. 2016. T. 9. № 4. S. 15-20.

17. Egiazaryan K.A., Cherkasov S.N., Kudryashova L.V., Kolomiychenko M.E., Oleynikova V.S. Analiz vliyaniya demograficheskih pokazateley na potrebnost' v specializirovannoy medicinskoy pomoschi po profilyu travmatologiya i ortopediya na regional'nom urovne // Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obschestvennogo zdorov'ya imeni N.A. Semashko. 2015. № 6. S. 42-53.

18. Koreckaya L.R., Shapovalova M.A. Kliniko-ekonomicheskiy analiz kak osnovnoy metod ocenki racional'nosti rashodovaniya resursov // Razvitie informacionnyh tehnologiy i ih znachenie dlya modernizacii social'no-ekonomicheskoy sistemy: materialy mezhdunarodnoy nauchno-prakticheskoy konferencii. 2011. S. 88-89.

19. Cherkasov S.N., Kurnosikov M.S. Vliyanie mediko-social'nyh faktorov i osobennostey povedeniya pacientok na uroven' potrebnosti v stacionarnoy pomoschi pri vnematochnoy beremennosti // Rossiyskiy mediko-biologicheskiy vestnik imeni akademika I.P. Pavlova. 2015. T. 23. № 3. S. 66-70.

20. Cherkasov S.N., Shoshmin A.V., Vaisman D.Sh., Meshkov D.O., Besstrashnova Ya.K., Berseneva E.A., Bezmelnitsyna L.Yu., Kolomiychenko M., Oleinikova V.S. Russian WHO-FIC Sollaborating Sentre Annual Report 2015- 2016 // WHO-FIC Network Annual Meeting 2016. Poster Booklet. World Health Organisation. 2016. R. 14.

21. Cherkasov S.N., Meshkov D.O., Berseneva E.A., Fedyaeva A.V., Oleynikova V.S., Kuchuk S.A., Maksimov A.V. Semeystvo mezhdunarodnyh klassifikaciy na sovremennom etape razvitiya rossiyskogo zdravoohraneniya // Sudebnaya medicina. 2018. T. 4. № 3. S. 43-46.

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