Keywords
efficiency of medical care
balance model
elasticity of demand
uterine fibroids
ovarian cyst
How to Cite
Abstract
Objective of the study. To evaluate the state of surgical services for patients with uterine fibroids and/or ovarian cysts in hospitals in Vinnytsia by the correspondence of the balance values of costs, quality, and comfort of medical services depending on the patient's medical education.
Materials and methods. The analysis, design, and program of the study are based on the econometric model of D. Dranov and M. Satterthwaite, which relates the balance values of costs, quality, and comfort of health care services to individualized elasticities of demand. The model is empirically specified for the purposes of the study in a proper structural form. On this theoretical basis, we studied the state of the provision of surgical services to patients with uterine fibroids and/or ovarian cysts by a combined (retrospective + prospective) study of the main array, namely, 150 medical records of inpatients of gynecological departments from three medical diagnostic institutions of Vinnytsia hospitalized over a six-year period.
Results. The behavior of the balance values of costs, quality, and comfort of medical services depending on the patient's medical education was analyzed.
Conclusions. The hypothesis of the existence of responsiveness, namely, a decrease in the individualized elasticity of demand for price, quality, and comfort due to lack of patient awareness leads to a reduction in the balance values of costs, quality, and comfort, has been previously confirmed. In our opinion, the insufficient reliability of the effects is due solely to the small amount of data. The presence of properly oriented shifts in balance sheet values indicates the organization of inpatient obstetric and gynecological care for the nosologies under consideration that is congruent with the market environment. At the same time, the organization of inpatient obstetric and gynecological care for the considered nosologies meets the conditions of optimization, on the basis of which a theoretical model and a system of structural dependencies were developed, and therefore, they offer marketable and cost-effective solutions.
References
Dranove, D., Satterthwaite, M. (1992). Monopolistic Competition when Price and Quality are Imperfectly Observable. The RAND Journal of Economics, 4 (23), 518-534.
Du, H., Zhang, Z., & Yuan, K.-H. (2016). Power analysis for t-test with non-normal data and unequal variances. Springer Proceedings in Mathematics & Statistics, 1 (1), 373-380.
Satorra, A., Saris, W. E. (1985). Power of the likelihood ratio test in covariance structure analysis. Psychometrika, 50 (1), 83-90.
Schmidt, F. L., Hunter, J. E. (2004). General Mental Ability in the World of Work Occupational Attainment and Job Performance. Journal of Personality and Social Psychology, 86, 162-173.
Yaremena, I. V., Ocheredko, O. M. (2017). The influence of competition on quality of hospital treatment from physician behavior perspective (theoretical model verification with case presentation from Vinnitsa, Ukraine). Science Rise: Medical Science, 2 (10), 25-31.
Yaremena, I. V., Ocheredko, O. M. (2015). Physician behavior in hospital in competitive environment. Fourth international conference on Biology and Medical Sciences, 2015. 1, 204-209.
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