Introduction. This article presents the experience of five years of using simulation modeling to optimize work in the field of healthcare organization. Works are considered on the example of organizing the process of a three-level system for organizing emergency medical care in the regions, and examples of the practical application of computer modeling to improve the work of an inpatient emergency department are presented.The objective was to study various methods and approaches to the implementation of simulation modeling used in practice in the healthcare system. Consider the possibilities of simulation modeling on the FlexsimHC platform.Methods and materials. The analysis of methods and software used to create a simulation model in the healthcare sector was carried out. The main possibilities of using process modeling on the FlexsimHC platform were considered on the example of designing work inside and outside the hospital.Results. After a series of experiments in the virtual space, the data obtained were put into practice. On the example of the completed project of the simulation model of the region, a real way to optimize the emergency medical care in the region was proposed. Experiments were also carried out on models of an inpatient emergency department, the results of which revealed ways to optimize the workflow aimed at reducing the duration of stay inside the department, at an adequate distribution of patient flows, allowing timely implementation of all necessary medical and diagnostic measures without additional burden on medical personnel.Conclusion. Simulation modeling is the key to solving the logical problems of modern planning, allowing to reduce the risks of logistics errors in real time.
Purpose of the study: To identify areas for improving the conditions of effective work of the anesthesiology and critical care service. Materials and methods: The authors performed a comprehensive analysis of data from 75 inpatient medical organizations in St. Petersburg (continuous observation) on the number and structure of critical care and anesthetic support and personnel resources of anesthesiologists and critical care physicians for the period between 2015 and 2019 (1,309,700 cases of anesthetic support and 759,696 cases of critical care). The obtained data were statistically processed, and the average values, extensive and intensive parameters, the significance of differences in parameters according to Student's t-criterion, parameters of the time series, and correlation analysis were calculated. Results: The study showed an increase in the load on the anesthesiology and critical care services in recent years. The number of patients had increased by 13.8%, the volume of critical care and anesthetic support provided had increased by 9.4% and 14.8%, respectively. At the same time, the increase in the volume of manipulations performed by anesthesiologists and critical care physicians was not accompanied by an influx of specialists to work in that field or by staffing of hospitals with medical personnel in sufficient volume, which is confirmed by parameters characterizing the workload per 1 specialist of that profile in a hospital (
The objective was to analyze the views of citizens of the Russian Federation on a number of issues related to donation and transplantation of a cadaveric cornea.Methods and materials. In order to conduct a sociological survey of citizens, we have developed a questionnaire that includes a number of questions concerning the topics of donation and transplantation. The total volume of the study was 768 observation units. Results. Most of the respondents had a positive attitude towards posthumous donation. Almost all respondents knew about the existence of queues for organ transplantation, and also generally agreed with the opinion that informational popularization of posthumous donation should be carried out. The overwhelming majority of respondents believe that it is mandatory to have an informed consent during their lifetime, but some of them allow an operation to remove organs without such consent in some cases. Conclusion. Given the lack of knowledge about posthumous donation, there is a need to carry out sanitary and educational work among the population, revealing in detail all the main provisions related to posthumous donation.
Goal and objectives. Through a comprehensive case study to identify motivating and demotivating factors of professional activity of an anesthesiologists-resuscitators, which will implement the personnel policy of the healthcare security industry with highly qualified specialists of this profile.Materials and methods. In 2019, 412 anesthesiologists and resuscitators from 20 multi-specialty hospitals in St. Petersburg were interviewed, and in 2020, 173 specialists from 8 hospitals were re-trained to treat patients with a new coronavirus infection. In sample populations, the deviation of the average value is 0.7%, while the acceptable reliability assessment of the results is up to 3.0%. The calculation of intensive and extensive indicators and the assessment of the reliability of their difference is made. A correlation analysis was used to assess the impact of a number of aspects of the professional activity of anesthesiologists and resuscitators on their job satisfaction.Results. Anesthesiologists and resuscitators are committed to their work, despite the presence of a negative background: increased emotional load (59.4%), chronic diseases received at work (43.6%). The main negative aspects of their work are «overstrain and fatigue at work» (47.8 per 100 respondents), «the salary does not correspond to the load» (43.6 per 100 respondents), «rudeness on the part of patients and their relatives» (40.1 per 100 respondents), «lack of organized legal protection in the event of conflict situations» (26.8 per 100 respondents). Proper monetary compensation is not always an unambiguous condition for doctors to be highly satisfied with their work — only 26.6% would be fully satisfied with the profession if the salary level met their expectations. The analysis of the positive aspects of professional activity of specialists showed a high significance of factors that have a bright emotional color: the most important are the ability to help people (52.3 per 100 respondents) and a good work team (60.8 per 100 respondents). Salary, the level of which is not marked by doctors among the main aspects of work, however, is stated as a motivating factor by 34.2 respondents out of 100 respondents. A study in 2020 revealed an even greater number of doctors experiencing overstrain and fatigue at work (95.3%, t=4.5, p<0.05, including 59.5% –at the limit of their capabilities), increased psycho-emotional load (86.3%, t=3.8, p<0.05).Conclusion. Most on the professional satisfaction of doctors and anaesthesiologists in Saint-Petersburg have a positive effect: the possibility of self-realization and professional growth (ρ=+0,9, p<0.05) and the wage (ρ=+0,8, p<0.05), the ability to help people (ρ=+0,7, p<0,05) and the presence of career prospects (ρ=+0,7, p<0,05). The greatest negative impact is caused by legal insecurity of specialists (ρ= -0,8, p<0,05), negative consequences of interaction with patients and their relatives (ρ= -0,7, p<0,05), abnormal load on specialists (ρ= -0,7, p<0,05), the need to perform unspecified functions for them (ρ= -0,5, p<0,05).
The analysis of the effectiveness of the narcological services based on the primary and general incidence rates, as well as target indicators considered in the Health Care Development program, is presented. A decrease in both the general and primary incidence of mental and behavioral disorders associated with the use of psychoactive substances in 2013-2018 was revealed. This decrease can be explained by the increasing role of primary prevention and regulation of the consumption of psychoactive substances at the state level, as well as a change in the order of dispensary monitoring of persons with mental disorders and (or) behavior disorders associated with the use of psychoactive substances. An analysis of the target indicators characterizing the activities of the drug treatment service showed that remission rates among patients with alcoholism and drug addiction increase and remain above target values. At the same time, the proportion of patients with alcoholism and drug addiction hospitalized repeatedly during the year exceeds the target values and amounts to 26,3 and 28,2%, respectively. This fact may be associated with insufficiently effective continuity in the work of the outpatient and inpatient stages of treatment of patients with drug addiction and alcoholism. The shares of people included in outpatient and inpatient medical rehabilitation programs also increased - the growth was 5 and 5,7%, respectively. The effective work of the service, in terms of rehabilitation, is also indicated by the fact that the proportion of patients who successfully completed medical rehabilitation programs both in outpatient and inpatient settings tend to increase. In general, the incidence of drug abuse disorders and indicators characterizing the work of the drug treatment service are determined by the strong negative impact of drug addiction and alcoholism on the demographic and economic situation in society.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.