Application of the innovative methods of mathematical modeling in the development of standards for providing the ambulatory link by doctors in Russia
https://doi.org/10.24931/2413-9432-2020-9-4-40-47
Abstract
The work presents data on the relationship between the regional incidence of gastrointestinal tract diseases and the number of medical personnel in various regions of the Russian Federation. Indicators for all federal districts for 2013-2017 have been studied. Mathematical models describing this relationship have been proposed. It has been shown that regional morbidity correlates with the number of medical personnel, as well as with attendance at treatment and prevention institutions. The average number of gastroenterologists from 1.3 to 1.5 per 100,000 inhabitants of the region is optimal for the timely detection of gastroenterology diseases. The data obtained can be used in management decisions to optimize the burden on the healthcare system in each region. The introduction of the standards into clinical practice under the established procedure will help to improve the quality of specialized care for patients with gastroenterological problems.
About the Authors
N. E. GuryanovaRussian Federation
Moscow
M. A. Ivanova
Russian Federation
Moscow
L. A. Soprun
Russian Federation
Saint-Petersburg
References
1. Ukaz Prezidenta Rossijskoj Federacii ot 7 maja 2018 g. № 204 «O nacional’nyh celjah i strategicheskih zadachah razvitija Rossijskoj Federacii na period do 2024 goda». Accessed Nov. 20.2020. (In Russian). http://kremlin.ru/acts/bank/43027
2. Nacional’nyj proekt «Zdravoohranenie»: utverzhdennyj 24.12.2018 na Prezidiume Soveta pri Prezidente RF po strategicheskomu razvitiju i nacional’nym proektam. Accessed Sept. 20.2020. (In Russian). https://www.rosminzdrav.ru/poleznyeresursy/natsproektzdravoohranenie
3. Kaprin A. D., Starinsky V. V., Petrova G. V. Malignant neoplasms in Russia in 2018 (morbidity and mortality) – MNIOI after P. A. Herzen – a branch of the Federal State Budgetary Institution «NMIRTS» of the Russia Federation Publ., 2019, pp. 250. ISBN 978–5-85502–251–3 (in Russian)
4. Guryanova N. E., Sachek O. I., Ivanova M. A. Statistical indicators of gastroenterologists in the Russian Federation in 2013–2017. Biomedical Photonics. 2020, vol. 9 (2), pp. 36–44. doi: 10.24931/2413–9432–2020–9–2–36–44 (in Russian)
5. Guryanova N. E. Provision and staffing of gastroenterologists in the Russian Federation and in pilot subjects 2013–2017. Health care Manager, 2020, № 5. (in Russian) http://www.idmz.ru/jurnali/menedger-zdravoohranenija/2020/5/obespechennost-i-ukomplektovannost-vrachami-gastroenterologamiv-rossiiskoi-federatsii-i‑v‑pilotnykh-subektakh-2013–2017-gg
6. Federalnaya Gosudarstvennaya Statisticheskaya Sluzhba (Rosstat). Statisticheskiy Sbornik Regiony Rossii. Sotsialno-Ekonomicheskiye Pokazateli [Federal State Statistics Service (Rosstat). Statistical Collection Regions of Russia. Socio-economic Indicators]. Moscow: Rosstat; 2009, 2012, 2014, 2016. (in Russian)
7. Tsentralnyi Nauchno-Issledovatelskiy Institut Organizatsii i Informatizatsii Zdravookhraneniya Minzdrava RF. Statisticheskiy Material. Central Research Institute of Organization and Informatization of Health Care of the Ministry of Health of the Russian Federation. Statistical Materials, 2008–2016, Vol. 1–65. (in Russian)
8. Federalnaya Gosudarstvennaya Statisticheskaya Sluzhba. Informatsionnye Materialy o Predvaritelnykh Rezultatakh Vserossiyskoy Perepisi Naseleniya 2010 Goda. Chislennost Naseleniya Rayonov i Gorodskikh Poselenih Subyektov Rossijskoy Federatsii Federal State Statistics Service. Information Materials on the Preliminary Results of the all-Russian Census of 2010. The Population of Districts and Urban Settlements of the Subjects of the Russian Federation, 2010. (in Russian)
9. Order of the Ministry of health of the USSR of 23.09.1981 № 1000. Measures to improve the organization of outpatient clinics (in Russian)
10. Order of the Ministry of health and social development of the Russian Federation of August 25, 2005 №. 539. Measures to improve the organization of gastroenterological care to the population of the Russian Federation (in Russian)
Review
For citations:
Guryanova N.E., Ivanova M.A., Soprun L.A. Application of the innovative methods of mathematical modeling in the development of standards for providing the ambulatory link by doctors in Russia. Biomedical Photonics. 2020;9(4):40-47. (In Russ.) https://doi.org/10.24931/2413-9432-2020-9-4-40-47