Economic efficiency of information management technology for the quality of dispensary observation in patients with coronary artery disease of the last access
- Authors: Nazarov A.M.1, Kicha D.I.2, Goloshchapov-Aksenov R.S.2
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Affiliations:
- Orenburg State Medical University
- Peoples’ Friendship University of Russia
- Issue: Vol 68, No 1 (2024)
- Pages: 5-10
- Section: HEALTH CARE ORGANIZATION
- Submitted: 25.10.2024
- URL: https://hum-ecol.ru/0044-197X/article/view/638088
- DOI: https://doi.org/10.47470/0044-197X-2024-68-1-5-10
- EDN: https://elibrary.ru/ingktm
- ID: 638088
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Abstract
Purpose. To economically substantiate the developed technology of information management of the quality of dispensary observation of patients with coronary heart disease using dynamic monitoring and evaluation of digital personalized data on the provided medical care.
Materials and methods. To improve the efficiency of dispensary observation for angina pectoris, since 2018, the regional health care system of the Orenburg region has been implementing a technology for managing the quality of dispensary observation based on the analysis of big data on medical services and information integration “emergency medical care (EMC), hospital — Territorial Compulsory Medical Insurance Fund + Medical information-analytical center — polyclinic”. To assess the effectiveness of this technology in a group of angina pectoris patients with dispensary observation in the amount of 13,208 patients, we compared the results for 2017 and 2019.
the total cost of treatment per year in the polyclinic, EMC, and hospital, economic losses from deaths and financial costs per unit of efficiency. Angina pectoris patients without a myocardial infarction during the observed period of time was taken as a unit of effectiveness. The data were processed using linear statistics and parametric comparison methods. The Statistica 10 software package was used.
Results. Financial costs for the treatment of angina pectoris for 2017 and 2019 did not differ significantly from each other. The economic losses from premature death have been almost the same over the years. At the same time, the financial costs per unit of efficiency in angina pectoris patients in 2019 accounted for only 76% of the same indicator for 2017, the difference in this indicator was significant.
Limitations. To assess the effectiveness of information management technology, we analyzed the clinical and economic results of dispensary follow-up for two years in 13,208 patients with angina pectoris, which is a sufficient reference sample.
Conclusion. The technology of information management of the quality of dispensary observation in coronary artery disease is cost-effective, manifested by a significant reduction in financial costs per unit of efficiency. The analysis of large databases of electronic data on medical services is a tool for economic evaluation of the effectiveness of healthcare management technologies.
Compliance with ethical standards. The study does not require submission of the opinion of the biomedical ethics committee or other documents.
Contribution of the authors:
|Nazarov A.M. — concept and design of the study, writing the text, collecting and processing material, statistical data processing;
Kicha D.I. — research concept and editing;
Goloshchapov-Aksenov R.S. — research design and analysis of material, statistical data processing, compilation of a list of references.
All co-authors — approval of the final version of the article, responsibility for the integrity of all parts of the article.
Acknowledgment. The study had no sponsorship.
Conflict of interest. The authors declare no conflict of interest.
Received: February 17, 2022 / Accepted: April 14, 2022 / Published: February 26, 2024
About the authors
Alexander M. Nazarov
Orenburg State Medical University
Author for correspondence.
Email: a.m.nazarow@yandex.ru
ORCID iD: 0000-0003-4975-9336
MD, PhD, DSci, Professor of the Department of Anesthesiology and Reanimatology, Orenburg State Medical University, Orenburg, 460000, Russian Federation
e-mail: a.m.nazarow@yandex.ru
Russian FederationDmitry I. Kicha
Peoples’ Friendship University of Russia
Email: d_kicha@mail.ru
ORCID iD: 0000-0001-6529-372X
MD, PhD, DSci, Professor of the Department of Healthcare Organization, Drug Supply, Medical Technology and Hygiene, Peoples’ Friendship University of Russia, Moscow, 117198, Russian Federation
e-mail: d_kicha@mail.ru
Russian FederationRoman S. Goloshchapov-Aksenov
Peoples’ Friendship University of Russia
Email: goloschapovaksenovr@gmail.com
ORCID iD: 0000-0003-3085-7729
MD, PhD, DSci, Associate Professor of the Department of cardiology, x-ray endovascular and hybrid methods of diagnosis and treatment, Peoples’ Friendship University of Russia, Moscow, 117198, Russian Federation
e-mail: goloschapovaksenovr@gmail.com
Russian FederationReferences
- Sharapova O.V., Kicha D.I., Gerasimova L.I., Rukodaynyy O.V., Fomina R.V., Evzerikhina A.V., et al. Map analysis of morbidity and mortality from blood circulatory system diseases of the population of the Russian Federation (2010–2019). Kompleksnye problemy serdechno-sosudistykh zabolevaniy. 2022; 11(1): 56–68. https://doi.org/10.17802/2306-1278-2022-11-1-56-68 https://elibrary.ru/zuqvna (in Russian)
- Samorodskaya I.V., Chernyavskaya T.K., Kakorina E.P., Semenov V.Yu. The analysis of the dynamics of the incidence of cardiovascular disease in the adult population of municipal areas of the Moscow region and organizational measures for its reduction. Rossiyskiy kardiologicheskiy zhurnal. 2022; 27(1): 22–8. https://doi.org/10.15829/1560-4071-2022-4637 https://elibrary.ru/xqfowd (in Russian)
- Benjamin E.J., Virani S.S., Callaway C.W., Chamberlain A.M., Chang A.R., Cheng S., et al. Heart disease and stroke statistics – 2018 update: a report from the American Heart Association. Circulation. 2018; 137(12): e67–492. https://doi.org/10.1161/cir.0000000000000558
- Glushchenko V.A., Irklienko E.K. Cardiovascular morbidity – one of the most vital problems of modern health care. Meditsina i organizatsiya zdravookhraneniya. 2019; 4(1): 56–63. https://elibrary.ru/kngydv (in Russian)
- Omel’yanovskiy V.V., Mel’nikova L.S., Avksent’eva M.V. On the evolution of terms «Dispanserization and dispensary follow-up»: history and reality. Meditsinskie tekhnologii. Otsenka i vybor. 2017; (4): 39–45. https://elibrary.ru/ynjfna (in Russian)
- Ignat’eva V.I., Avksent’eva M.V. The analysis of methodologic characteristics of researches on social and economic burden of diseases in Russia in the frames of development of standard cost of illness methodology for the health technology assessment. Farmaekonomika. Sovremennaya farmakoekonomika i farmakoepidemiologiya. 2014; 7(3): 3–11. https://elibrary.ru/tiqqaz (in Russian)
- Loewen L., Roudsari A. Evidence for busines intelligence in health care: a literature review. Stud. Health Technol. Inform. 2017; 235: 579–83.
- Hintz J.E., O’Connor M.C. First Steps in the Era of Value-Based Health Care Purchasing. Western Springs: National Law Review; 2012. Available at: https://natlawreview.com/article/first-steps-era-value-based-health-care-purchasing
- Vasil’eva T.P., Melerzanov A.V., Almazov A.A. Evaluation of innovations for healthcare. Vrach i informatsionnye tekhnologii. 2020; (2): 6–20. https://doi.org/10.37690/1811-0193-2020-2-6-20 https://elibrary.ru/tslcme (in Russian)
- Karachevtseva M.A., Mikhaylov S.M., Chavpetsov V.F. Logic and Methodology of Examination of the Quality of the Diagnostic and Treatment Process in a Separate Case of Assistance: Textbook [Logika i metodologiya ekspertizy kachestva lechebno-diagnosticheskogo protsessa v otdel’nom sluchae okazaniya pomoshchi: Uchebnoe posobie]. Moscow-St. Petersburg; 2008. (in Russian)
- Burykin I.M., Aleyeva G.N., Hafizyanova R.H. Prospective value of big data analysis method for assessment of pharmacotherapy quality and efficacy in patients with arterial hypotension. Sovremennye tekhnologii v meditsine. 2017; 9(4): 194–200. https://doi.org/10.17691/stm2017.9.4.24 https://elibrary.ru/ymqnvi (in Russian)
- Morozova Yu.A. Digital transformation of Russian health care as a factor in the development of the industry. Intellekt. Innovatsii. Investitsii. 2020; (2): 36–47. https://doi.org/10.25198/2077-7175-2020-2-36 https://elibrary.ru/skfwoo (in Russian)
- Drapkina O.M., Maslennikova G.Ya., Shepel R.N. Priority areas for the prevention of non-communicable diseases on the agenda of the 75th world health assembly: plans for the future. Profilakticheskaya meditsina. 2022; 25(6): 7–11. https://doi.org/10.17116/profmed2022250617 https://elibrary.ru/myejsm (in Russian)
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