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SIMULATION OF A THREE-LEVEL EMERGENCY MEDICAL CARE SYSTEM IN THE CHECHEN REPUBLIC

https://doi.org/10.24884/2072-6716-2020-21-2-9-14

Abstract

This article presents the experience of using computer modeling to organize a three-tier system of emergency medical care in the Chechen Republic. An analysis of patients admitted for emergency indications to various hospitals in the Chechen Republic was carried out. Based on the data obtained, an adequate simulation model is created. At the last, a series of experiments was conducted aimed at determining the optimal redistribution of the flow of patients in need of emergency care in level 3 hospitals.

About the Authors

V. M. Teplov
Pavlov First St. Petersburg State Medical University
Russian Federation

Vadim M. Teplov

St. Petersburg



E. A. Tsebrovskaya
Pavlov First St. Petersburg State Medical University
Russian Federation

Ekaterina A. Tsebrovskaya

St. Petersburg



E. A. Karpova
Pavlov First St. Petersburg State Medical University
Russian Federation

Elena A. Karpova

St. Petersburg



E. A. Suleymanov
Ministry of Health of the Chechen Republic
Russian Federation

Elkhan A. Suleymanov

Groznyy



A. B. Ihaev
Republican ambulance station
Russian Federation

Alimkhan B. Ihaev

Groznyy



N. V. Razumniy
Pavlov First St. Petersburg State Medical University
Russian Federation

Nikolay V. Razumniy

St. Petersburg



I. P. Minnullin
Pavlov First St. Petersburg State Medical University
Russian Federation

Ildar P. Minnullin

St. Petersburg



S. F. Bagnenko
Pavlov First St. Petersburg State Medical University
Russian Federation

Sergey F. Bagnenko

St. Petersburg



References

1. Bagnenko S. F. et al. Organization of the work of the inpatient emergency department: guidelines. Moscow: Publishing House GEOTAR-Media, 2015, 80 p. (In Russ.).

2. Letter of the Ministry of Health of the Russian Federation dated March 20, 2019 Nо 14–3/ и /2–2339 On ensuring the availability and quality of emergency care, including specialized emergency medical care and specialized medical care (In Russ.).

3. Order of the Ministry of Health of the Russian Federation of February 27, 2016, Nо 132н «On the Requirements for the Placement of Medical Organizations of the State Health Care System and the Municipal Health Care System Based on the Needs of the Population» (In Russ.).

4. Order of the Ministry of Health of the Russian Federation of June 20, 2013 Nо 388н «On approval of the Procedure for the provision of emergency, including specialized emergency medical care» (In Russ.).

5. Teplov V. M. et al. The use of simulation to optimize the work of the inpatient emergency department. Emergency medical care, 2019, Vol. 20, No 2, рр. 14–19 (In Russ.).

6. Yakimov I. M., Kirpichnikov A. P. Simulation of probabilistic objects in the Flexsim system. Bulletin of the technological university, 2016, Vol. 19, No 21, рр. 170–173 (In Russ.).

7. Borschev A. How to build beautiful and useful models of complex systems. Simulation modeling. Theory and practice. IMMOD-2013: conference proceedings. Kazan, 2013. Vol. 1, рр. 21–34. (In Russ.).

8. Tsebrovskaya E. A. et al. Use of FlexSim Healthcare to optimize the work of the in-patient emergency department. Simulation modeling. Theory and practice. IMMOD-2017: conference proceedings, Kazan, 2017, р. 592 (In Russ.).

9. Korablev Yu. A. Simulation modeling: a training manual. Moscow: Publishing House Knorus, 2017, 146 р. (In Russ.).


Review

For citations:


Teplov V.M., Tsebrovskaya E.A., Karpova E.A., Suleymanov E.A., Ihaev A.B., Razumniy N.V., Minnullin I.P., Bagnenko S.F. SIMULATION OF A THREE-LEVEL EMERGENCY MEDICAL CARE SYSTEM IN THE CHECHEN REPUBLIC. EMERGENCY MEDICAL CARE. 2020;21(2):9-14. (In Russ.) https://doi.org/10.24884/2072-6716-2020-21-2-9-14

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ISSN 2072-6716 (Print)