DOI: 10.21045/2071-5021-2017-56-4-7

Contacts: Aleksandr Vasilenok, e-mail: This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
Information about authors:
Shcherbakov S.M.,http://orcid.org/0000-0001-8001-0214
Teplyakova E.D., http://orcid.org/0000-0002-3585-7026
Rumyantsev S.A., http://orcid.org/0000-0002-7418-0222
Vasilenok A.V., http://orcid.org/0000-0003-0512-9949
Acknowledgments. The study had no sponsorship.
Conflct of interests. The authors declare no conflict of interest.

Abstract. Significance. The introduction of information technology into the work of medical organizations on different levels is one of the urgent tasks of health care system modernization. The simulation method allows to estimate labor costs for the execution of medical care processes and to find ways to increase productivity of the ambulatory medical organization work while conducting medical check ups.

Purpose of the study. Evaluation of the effectiveness of various options for automating the processes of conducting medical check ups and clinical examination in an ambulatory medical organization based on the use of simulation models to reduce the cost of resources.

Methods. Visual and simulation modeling of the processes of an ambulatory medical organization was carried out by means of the unified UML language.

Results of the study. A set of visual and imitation models of the process of medical check ups and clinical examination in an ambulatory medical organization is constructed allowing to visually reflect these processes at different levels of use of information technology and to quantify the labor costs for their implementation depending on the parameters of the ambulatory medical organization. As a result of the simulation experiment a comparative assessment of the labor costs of pediatricians, specialists, nurses and support medical personnel was carried out for five alternative ways of organizing the processes using medical information systems taking a pediatric ambulatory medical organization as an example. Basing on the results of the simulation experiment, decisions are taken on making changes in the organization of the processes that are most optimal for the specific tasks of the medical organization.

Conclusions. The application of the proposed methodology of visual and simulation modeling in the ambulatory medical organizations allows to estimate the labor costs of doctors, nurses and support medical personnel; to highlight the most time-consuming processes and operations; to find ways to improve efficiency, including through the use of information technology; to compare alternative ways of automation. The simulation modeling conducted in accordance with the proposed methodology demonstrates the possibility of its wide use to improve the management efficiency of an ambulatory medical organization of any organizational form.

Keywords: medical organization; business process; information systems; simulation; SIM-UML

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