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Regional Economics: Theory and Practice
 

A regional healthcare financial security model

Vol. 16, Iss. 10, OCTOBER 2018

PDF  Article PDF Version

Received: 10 April 2018

Received in revised form: 6 June 2018

Accepted: 11 July 2018

Available online: 15 October 2018

Subject Heading: REGIONAL STRATEGIC PLANNING

JEL Classification: H51, I15, R13

Pages: 1823–1840

https://doi.org/10.24891/re.16.10.1823

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

https://orcid.org/0000-0001-9082-9848

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

https://orcid.org/0000-0002-6134-1533

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

https://orcid.org/0000-0003-4950-6072

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

https://orcid.org/0000-0003-0149-6119

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

https://orcid.org/0000-0002-3277-5543

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.

Keywords: medical treatment, health care, resources, economic efficiency, cognitive modeling

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