Modeling the Incidence Rate of Tuberculosis in the Regions of the Russian Federation Based on a Family of Spatial Autoregression Models

Nagapetyan, Artur R.; Rymareva, A.A.; Petrukhina, Anastasia S.

doi:10.24158/tipor.2023.1.7

Cited by 2 publications

(1 citation statement)

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“…The negative effect of the specialist-supply indicator on mortality in certain disease areas is well documented in the literature [13]. This impact can be explained by a significant reduction in patients' waiting times in queues, which, in turn, can contribute to the receipt of timely medical care [14].…”

Section: Hypotheses Developmentmentioning

confidence: 94%

How to Determine the Optimal Number of Cardiologists in a Region?

Nagapetyan,

Drozd,

Subbotovsky

2023

Mathematics

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This paper proposes an approach to determining the optimal number of medical specialists in a particular territory. According to the author’s theoretical model, in order to maximise public welfare, the marginal contribution of the last physician recruited to the growth of the public utility function should be equal to the marginal cost of attracting them and providing conditions for their work. To empirically assess the contribution of physicians to the number of lives saved, the CVD mortality rate is modelled using the instrumental variable method. At the level of provision of cardiologists in the amount of 1 per 100,000 people, their marginal contribution to the number of lives saved is not less than 129 per 100,000 people, with a further decrease of 10 per 100,000 people with an increase in the level of provision of one unit. The use of the obtained results will increase the validity of managerial decisions and improve the determination of the optimal number of doctors when choosing between alternative possibilities of spending money on hiring doctors with different profiles or other expenses, especially in the case of limited resources.

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Section: Hypotheses Developmentmentioning

confidence: 94%

How to Determine the Optimal Number of Cardiologists in a Region?

Nagapetyan,

Drozd,

Subbotovsky

2023

Mathematics

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How to Determine the Optimal Number of Cardiologists in the Region?

Nagapetyan,

Drozd,

Subbotovsky

2023

Preprint

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The paper proposes an approach to determine the optimal number of medical specialists in the region. According to the author's theoretical model, in order to maximize public welfare, the marginal contribution of the last physician recruited to the growth of the public utility function should be equal to the marginal cost of attracting him and providing conditions for his work. To empirically assess the contribution of physicians to the number of lives saved, the CVD mortality rate is modeled using the instrumental variable method. On average, a 1% increase in the number of cardiologists is associated with a 0.6% decrease in cardiovascular mortality. At the level of provision with cardiologists in the amount of 1 per 100 thousand people, their marginal contribution to the number of lives saved is not less than 129 per 100 thousand people, with a further decrease by 5 people with the increase in the level of provision by 1 unit. The use of the obtained results will increase the validity of managerial decisions and in determining the optimal level of doctors when choosing between alternative possibilities of spending money on hiring doctors of different profiles or other expenses, especially in the case of limited resources.

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Modeling the Incidence Rate of Tuberculosis in the Regions of the Russian Federation Based on a Family of Spatial Autoregression Models

Cited by 2 publications

References 0 publications

How to Determine the Optimal Number of Cardiologists in a Region?

How to Determine the Optimal Number of Cardiologists in a Region?

How to Determine the Optimal Number of Cardiologists in the Region?

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