Учёные записки Санкт-Петербургского государственного медицинского университета им. Акад. И.П. Павлова (Oct 2024)

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

  • E. A. Tsebrovskaya,
  • V. M. Teplov,
  • A. A. Korshunova,
  • V. V. Burykina,
  • K. S. Klyukovkin,
  • S. F. Bagnenko

DOI
https://doi.org/10.24884/1607-4181-2024-31-1-22-27
Journal volume & issue
Vol. 31, no. 1
pp. 22 – 27

Abstract

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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.

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