Analysis of Indicators of Optimal Functioning of a Network of Hospitals, Taking into Account Errors of Observation Results

Abstract

In Russia, over the past few years, there has been a tendency for an increase in the number of elderly citizens and the incidence of this category of persons. The situation that has arisen requires an increase in the efficiency of the existing system of medical institutions in the context of limited financial and other resources in health care. This problem cannot be solved without an analytical study aimed at economic optimisation of costs in each medical institution and in the network of medical institutions of the subject as a whole. In this paper, we use a representation of the process of functioning of a network of medical institutions in the form of a control cybernetic system. The authors, using the cybernetic approach, have synthesized a mathematical model of the functioning of a typical medical institution of the network in the form of a control system. The created mathematical model allows for a single measurement with a given accuracy to generate the values of the main indicators of the work of a medical institution during each reporting period and, thus, to obtain additional statistics of any volume for these indicators. In the work, on the basis of the additional statistics obtained, an analysis of the optimal distribution of resources between medical institutions of a network of a particular subject is carried out, using the example of Nizhny Novgorod.

This work was carried out with the financial support of the Russian Foundation for Basic Research, project No. 18-413-520005.