EMPIRICAL VERIFICATION OF THE STRUCTURAL MODEL RELATING EQUILIBRIUM VALUES OF COSTS, QUALITY, AND COMFORT OF MEDICAL SERVICES WITH INDIVIDUALIZED ELASTICITIES OF DEMAND
The healthcare system in Ukraine is moving to flexible mechanisms to support the quality and comfort of medical services, in particular through the introduction of co-payments. The following necessitates the development of theoretical background and econometric models to support the process evaluati...
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| Format: | Article |
| Language: | English |
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Danylo Halytsky Lviv National Medical University
2023-10-01
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| Series: | Acta Medica Leopoliensia |
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| Online Access: | https://amljournal.com/index.php/journal/article/view/328 |
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| author | Oleg Klymenyuk Oleksandr Ocheredko Volodymyr Klymenyuk Anastasiia Rudenko |
| author_facet | Oleg Klymenyuk Oleksandr Ocheredko Volodymyr Klymenyuk Anastasiia Rudenko |
| author_sort | Oleg Klymenyuk |
| collection | DOAJ |
| description | The healthcare system in Ukraine is moving to flexible mechanisms to support the quality and comfort of medical services, in particular through the introduction of co-payments. The following necessitates the development of theoretical background and econometric models to support the process evaluation and optimization.
Aim. The research aims at performing empirical verification of the structural model relating equilibrium values of costs, quality, and comfort of medical services with individualized elasticities of demand.
Material and Methods. We have performed a combined (retrospective + prospective) study of the cases of uterine fibroids and/or ovarian cysts treated surgically in three city gynecological hospitals/centers in Vinnytsia, Ukraine. An econometric model of D. Dranove and M. Satterthwaite was used as the theoretical basis, the one that describes the dynamic equilibrium of cost, quality, and comfort of medical services together with demand elasticities. Importantly, the system of structural equations models joins moves of equilibrium of the price, quality, and comfort of medical services given shifts in the elasticities of demand. This is of use to analyze factors of efficiency and responsiveness to the demand of health care provision. Unfortunately, we did not find any practical use of this promising theoretical model, possibly due to the lack of empirical verification.
Results and Disscusion. Therefore, we analyzed 150 case histories of women with uterine fibroids and/or ovarian cysts treated surgically. The data on the costs, quality, and comfort of inpatient care are studied to enable empirical verification of the model. The modern Monte Carlo Markov Chain (МСМС) methods of structural modeling and power analysis were used to estimate the required sample size.
Conclussion. As a result of the study, the system of structural equations accompanying the theoretical model has been empirically verified for the first time and proved to be valid for ascertaining rational ways to optimize inpatient servicing of women with given gynecological pathology, in particular through the management of demand elasticities. |
| format | Article |
| id | doaj-art-da3042c0553f4d9cb83d8e1d64f6e913 |
| institution | Kabale University |
| issn | 1029-4244 2415-3303 |
| language | English |
| publishDate | 2023-10-01 |
| publisher | Danylo Halytsky Lviv National Medical University |
| record_format | Article |
| series | Acta Medica Leopoliensia |
| spelling | doaj-art-da3042c0553f4d9cb83d8e1d64f6e9132025-01-06T10:49:52ZengDanylo Halytsky Lviv National Medical UniversityActa Medica Leopoliensia1029-42442415-33032023-10-01291-2496410.25040/aml2023.1-2.049328EMPIRICAL VERIFICATION OF THE STRUCTURAL MODEL RELATING EQUILIBRIUM VALUES OF COSTS, QUALITY, AND COMFORT OF MEDICAL SERVICES WITH INDIVIDUALIZED ELASTICITIES OF DEMANDOleg Klymenyuk0Oleksandr Ocheredko1Volodymyr Klymenyuk2Anastasiia Rudenko3National Pirogov Memorial Medical University, Vinnytsya, UkraineNational Pirogov Memorial Medical University, Vinnytsya, UkraineNational Pirogov Memorial Medical University, Vinnytsya, UkraineNational Pirogov Memorial Medical University, Vinnytsya, UkraineThe healthcare system in Ukraine is moving to flexible mechanisms to support the quality and comfort of medical services, in particular through the introduction of co-payments. The following necessitates the development of theoretical background and econometric models to support the process evaluation and optimization. Aim. The research aims at performing empirical verification of the structural model relating equilibrium values of costs, quality, and comfort of medical services with individualized elasticities of demand. Material and Methods. We have performed a combined (retrospective + prospective) study of the cases of uterine fibroids and/or ovarian cysts treated surgically in three city gynecological hospitals/centers in Vinnytsia, Ukraine. An econometric model of D. Dranove and M. Satterthwaite was used as the theoretical basis, the one that describes the dynamic equilibrium of cost, quality, and comfort of medical services together with demand elasticities. Importantly, the system of structural equations models joins moves of equilibrium of the price, quality, and comfort of medical services given shifts in the elasticities of demand. This is of use to analyze factors of efficiency and responsiveness to the demand of health care provision. Unfortunately, we did not find any practical use of this promising theoretical model, possibly due to the lack of empirical verification. Results and Disscusion. Therefore, we analyzed 150 case histories of women with uterine fibroids and/or ovarian cysts treated surgically. The data on the costs, quality, and comfort of inpatient care are studied to enable empirical verification of the model. The modern Monte Carlo Markov Chain (МСМС) methods of structural modeling and power analysis were used to estimate the required sample size. Conclussion. As a result of the study, the system of structural equations accompanying the theoretical model has been empirically verified for the first time and proved to be valid for ascertaining rational ways to optimize inpatient servicing of women with given gynecological pathology, in particular through the management of demand elasticities.https://amljournal.com/index.php/journal/article/view/328economic modelstatistical modelmedical care systemdemand factorscase managementpelvic organ diseases |
| spellingShingle | Oleg Klymenyuk Oleksandr Ocheredko Volodymyr Klymenyuk Anastasiia Rudenko EMPIRICAL VERIFICATION OF THE STRUCTURAL MODEL RELATING EQUILIBRIUM VALUES OF COSTS, QUALITY, AND COMFORT OF MEDICAL SERVICES WITH INDIVIDUALIZED ELASTICITIES OF DEMAND Acta Medica Leopoliensia economic model statistical model medical care system demand factors case management pelvic organ diseases |
| title | EMPIRICAL VERIFICATION OF THE STRUCTURAL MODEL RELATING EQUILIBRIUM VALUES OF COSTS, QUALITY, AND COMFORT OF MEDICAL SERVICES WITH INDIVIDUALIZED ELASTICITIES OF DEMAND |
| title_full | EMPIRICAL VERIFICATION OF THE STRUCTURAL MODEL RELATING EQUILIBRIUM VALUES OF COSTS, QUALITY, AND COMFORT OF MEDICAL SERVICES WITH INDIVIDUALIZED ELASTICITIES OF DEMAND |
| title_fullStr | EMPIRICAL VERIFICATION OF THE STRUCTURAL MODEL RELATING EQUILIBRIUM VALUES OF COSTS, QUALITY, AND COMFORT OF MEDICAL SERVICES WITH INDIVIDUALIZED ELASTICITIES OF DEMAND |
| title_full_unstemmed | EMPIRICAL VERIFICATION OF THE STRUCTURAL MODEL RELATING EQUILIBRIUM VALUES OF COSTS, QUALITY, AND COMFORT OF MEDICAL SERVICES WITH INDIVIDUALIZED ELASTICITIES OF DEMAND |
| title_short | EMPIRICAL VERIFICATION OF THE STRUCTURAL MODEL RELATING EQUILIBRIUM VALUES OF COSTS, QUALITY, AND COMFORT OF MEDICAL SERVICES WITH INDIVIDUALIZED ELASTICITIES OF DEMAND |
| title_sort | empirical verification of the structural model relating equilibrium values of costs quality and comfort of medical services with individualized elasticities of demand |
| topic | economic model statistical model medical care system demand factors case management pelvic organ diseases |
| url | https://amljournal.com/index.php/journal/article/view/328 |
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