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Advantages and disadvantages of an inpatient emergency department in the treatment of therapeutic emergencies: load and economic modeling

https://doi.org/10.24884/1607-4181-2024-31-1-22-27

Abstract

Introduction. The article presents a comparison of simulation models for financing an inpatient emergency department and a therapeutic department using the example of an emergency therapeutic flow of patients.

The objective was to analyze the economic aspects in an inpatient emergency department for the treatment of emergency therapeutic conditions such as hypertension.

Methods and materials. Based on a retrospective analysis of the flow of incoming patients for emergency and urgent indications, a simulation model of the load and economic calculations of the work of the inpatient emergency department was developed.

Results. According to the results of the study, it was revealed that with a three-fold increase in the flow of patients entering the department, the inpatient emergency department copes with this flow more effectively in comparison with the therapeutic one. Despite this funding, the medical institution receives significantly less.

Conclusion. Based on the study, the need to create a special tariff plan for the work of such units as the inpatient emergency department was identified, because the capacity in this department is many times greater.

About the Authors

E. A. Tsebrovskaya
Pavlov University
Russian Federation

Tsebrovskaya Ekaterina A., Cand. of Sci. (Med.), Junior Research Fellow of the Laboratory of Health Organization of the National Research Center, Assistant of the Department of Emergency Medicine and Injury Surgery

6-8, L’va Tolstogo str., Saint Petersburg, 197022


Competing Interests:

 Authors declare no conflict of interest 



V. M. Teplov
Pavlov University
Russian Federation

Teplov Vadim M., Dr. of Sci. (Med.), Professor of the Department of Emergency Medicine and Injury Surgery, Head of the Department of Emergency Medicine

Saint Petersburg


Competing Interests:

 Authors declare no conflict of interest 



A. A. Korshunova
Pavlov University
Russian Federation

Korshunova Aleksandra A., Cand. of Sci. (Med.), Assistant of the Department of Emergency Medicine and Injury Surgery

Saint Petersburg


Competing Interests:

 Authors declare no conflict of interest 



V. V. Burykina
Pavlov University
Russian Federation

Burykina Valeriya V., Assistant of the Department of Emergency Medicine and Injury Surgery

Saint Petersburg


Competing Interests:

 Authors declare no conflict of interest 



K. S. Klyukovkin
Pavlov University
Russian Federation

Klyukovkin Konstantin S., Dr. of Sci. (Med.), Professor of the Department of Public Health with the Course of Economics and Health Management, Vice-Rector for Postgraduate Education

Saint Petersburg


Competing Interests:

 Authors declare no conflict of interest 



S. F. Bagnenko
Pavlov University
Russian Federation

Bagnenko Sergey F., Dr. of Sci. (Med.), Professor, Academician of the Russian Academy of Sciences, Rector

Saint Petersburg


Competing Interests:

 Authors declare no conflict of interest 



References

1. Makhnovsky А. I., Barsukova I. M., Penyugina E. N., Dubikaitis P. A. The problems of utilization of the bed fund of inpatient emergency medical care units in the St. Petersburg medical organizations // Problems of urban Health care: Collection of scientific papers edited by Vishnyakov N. I. Saint Petersburg, St. Petersburg St. Petersburg Research Institute of Emergency Aid named after I. I. Dzhanelidze, 2023. (In Russ.).

2. Barsukova I. M., Kim I. V., Penyugina E. N., Tyavokina E. Yu. Features organization of the work of an inpatient emergency department for obstetric and gynecological patients // Dzhanelidze readings. Collection Scientific papers of the scientific-practical conference. Saint Petersburg, St. Petersburg St. Petersburg Research Institute of Emergency Aid named after I. I. Dzhanelidze, 2023. (In Russ.).

3. Tsebrovskaya E. A., Teplov V. M., Klyukovkin K. S., Prasol D. M., Bagnenko S. F. Possibilities of simulation modeling in the practice of health care system // Scientific Notes of First St. Petersburg State Medical University named after Academician I. P. Pavlov. 2022;29(3):17‒23. DOI: 10.24884/1607-4181-2022-29-3-17-23. (In Russ.).

4. Electronic Resource Jamovi URL: https://www.jamovi.org/ (Accessed 04.06.2024).


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For citations:


Tsebrovskaya E.A., Teplov V.M., Korshunova A.A., Burykina V.V., Klyukovkin K.S., Bagnenko S.F. Advantages and disadvantages of an inpatient emergency department in the treatment of therapeutic emergencies: load and economic modeling. The Scientific Notes of the Pavlov University. 2024;31(1):22-27. (In Russ.) https://doi.org/10.24884/1607-4181-2024-31-1-22-27

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ISSN 1607-4181 (Print)
ISSN 2541-8807 (Online)