2020 № 6 Application of the method of analysis of “oriented trees with assessments” to identify regional features of forming the pathology of dairy teeth in children
In order to identify regional features of the sequence of lesions of primary teeth in children, the data of the medical in- formation system of a children’s hospital using the method of “oriented trees with estimates” were used. The data of 3,405 children under the age of 6 years who contacted a dentist about diseases of deciduous teeth during 2015–2018 were analyzed. They had 17,462 appeals. It was found that in 516 children the first diseased milk tooth was 51, with an average age of 2.72 years. The second is either 61 (237 patients, with an average age of 2.91 years), or 52 (224 patients, with an average age of 2.58 years). In 113 patients, a sequence of newly diagnosed affected primary teeth 51–52–61 was observed. Only one tooth was observed in 59.9% of patients, in 13.1% of two and in 27% of three or more teeth. It is calculated that if premolar is the first diseased milk tooth, then with a probability of 0.619 the next will be the same as the premolar. Application of the method made it possible to es- tablish regional features of the sequence of lesions of primary teeth in children and to develop approaches to individual prevention.
2020 № 7 Modern approaches to the construction of an effective model of preventive work with children
The approaches to the analysis of the information of the medical information system about the child population
attached to the medical organization (22,950 children) are described to identify homogeneous groups in order to build a
preventive work plan with each. The team of experts of the medical organization has developed an electronic work plan for
4,745 options for monitoring a child, which is implemented as a computer program that allows you to automatically rearrange
the plan. It is considered as a sequence of standard operating procedures. The program automatically “restructures”
the calendar plan of work with the child, allowing you to complete the missed work in an acceptable time for the child
and the performer. The use of such planning is especially necessary for work in the conditions of prevention of COVID‑19.
2019 № 9 Modern approaches to the analysis of emergency medical care for children
112 936 cases of 24-hour emergency medical care in a children’s clinic for 2018 were analyzed. The meth¬ods of multivariate statistical analysis and theory of time series are used. It has been established that about 30% of the challenges occur in children of the first year of life. From January to March and from June to October, there is an increase in the number of calls. The days with the most calls are the 12th, 19th and 26th of the month. Almost a quarter of weekly calls fall on Monday. The resulting model of the call service duration structure allows you to evaluate changes in the work of the emergency service in different periods and proves the need for round-the-clock work.
2019 № 8 Modern management of medical organization based on the process approach in russian scientific publications
The intensity and direction of development of the process approach in the management of medical organizations from the time of the first publications in the Russian literature to the present has been evaluated. 282 literary sources were studied, of which 235 were for managing a medical organization and 47 were papers that analyzed the construction of business processes in non-medical enterprises. It was found that to accelerate the pace of building business processes in medical organizations, it is necessary to use computer programs for building processes.
2019 № 3 The formation of a new model of medical organization providing primary health care. Treatment of patients in the clinic: analysis and modeling
As part of the formation of a new model of medical organization providing primary health care to children promising mathematical apparatus for management decision-making are Markov chain with estimates. The generation of models with different scenarios in the treatment of children in the clinic revealed that the activation of dispensary work leads to a decrease in both the number of visits for diagnostic and treatment purposes, as well as the total number of visits to the clinic. The experience of dispensary work will be replicated in other regions from 2019.
2019 № 2 Management of a medical organization based on Markov chains with grades
Different aspects of management decision-making based on mathematical models have been actively examined in scientific papers over recent years. The mathematical apparatus of Markov chains with estimations is a perspective mathematical apparatus of management decision-making. The advantage of Markov chains with estimations is that the method adequately works with quantitative, as well as with qualitative data. The modelling based on Markov chains is a variation of imitational modelling using random number generators. Generating models with different scenarios allows to find a management decision that has the best characteristics of the required state of a medical organisation.
2018 № 9 Influence of activity of the medical organization, providing medical assistance to children, on the economy of the region
The analysis of 46 7122 entries in the medical information system of the organization for 2016 characterizing the treatment of children for the purpose of medical care, 9533 cases when the sheet can not work (SNW) was issued. The costs of territorial funds of compulsory medical insurance (CMI) and social insurance fund, an internal regional product for the treatment of a child, are estimated. It is established that the budget of the region loses 8,9 times more than the amount of CMI funds that was spent for the treatment of the child, if issued by the SNW. This requires active prophylactic measures for children.
2021 № 4 REMOTE EFFECT OF IMMUNOPROPHYLATICS OF INFECTIOUS DISEASES ON THE APPEALS OF CHILDREN TO THE POLYCLINIC
The structure of complaints about diseases of 28,432 children aged 0 to 14 years was studied, for the period from 2006 to 2019 to a medical organization against the background of vaccination. The data of the medical information system were used. To compare the distributions of values in vaccinated and unvaccinated children, the “copy-pairs” method and the nonparametric Mann-Whitney test were used. It was found that the analysis of data over a long period of time, allows you to identify special effects. Thus, the vaccinations given to children do not lead to a decrease in the number of visits for diseases, but lead to changes in the structure of visits by children in ICD‑10 classes. In unvaccinated children, the proportion of requests for diseases of the genitourinary system, infectious and parasitic diseases is significantly higher than in vaccinated children. Starting from the age of 4 years, the proportion of vaccinated children with diseases of the digestive system is higher than that of unvaccinated children.