ANALYSIS OF THE BEHAVIOR OF BALANCE VALUES OF COSTS, QUALITY AND COMFORT OF MEDICAL SERVICES DEPENDING ON THE PATIENT'S MEDICAL EDUCATION

Abstract

Objective of the study. To evaluate the state of surgical services for patients with uterine fibroids and/or ovarian cysts in hospitals in Vinnytsia by the correspondence of the balance values of costs, quality, and comfort of medical services depending on the patient's medical education. Materials and methods. The analysis, design, and program of the study are based on the econometric model of D. Dranov and M. Satterthwaite, which relates the balance values of costs, quality, and comfort of health care services to individualized elasticities of demand. The model is empirically specified for the purposes of the study in a proper structural form. On this theoretical basis, we studied the state of the provision of surgical services to patients with uterine fibroids and/or ovarian cysts by a combined (retrospective + prospective) study of the main array, namely, 150 medical records of inpatients of gynecological departments from three medical diagnostic institutions of Vinnytsia hospitalized over a six-year period. Results. The behavior of the balance values of costs, quality, and comfort of medical services depending on the patient's medical education was analyzed. Conclusions. The hypothesis of the existence of responsiveness, namely, a decrease in the individualized elasticity of demand for price, quality, and comfort due to lack of patient awareness leads to a reduction in the balance values of costs, quality, and comfort, has been previously confirmed. In our opinion, the insufficient reliability of the effects is due solely to the small amount of data. The presence of properly oriented shifts in balance sheet values indicates the organization of inpatient obstetric and gynecological care for the nosologies under consideration that is congruent with the market environment. At the same time, the organization of inpatient obstetric and gynecological care for the considered nosologies meets the conditions of optimization, on the basis of which a theoretical model and a system of structural dependencies were developed, and therefore, they offer marketable and cost-effective solutions.