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Бодня, Е. И.
    Сравнительный анализ себестоимости лечения эхинококкоза терапевтическим и хирургическим методами (методология "step-down") [Електронний ресурс] = Comparative analysis of the cost of treatment of echinococcosis by therapeutic and surgical methods (based on the step-down methodology) / Е. И. Бодня, О. С. Марченко, Л. С. Шевченко, Т. А. Велиева, И. П. Бодня, Т. И. Навет // Georgian medical news. - 2019. - № 5 (290). - P. 107-116

УДК

330.1:61

ББК У01

Аннотация: The aim of the study was to carry out a comparative economic analysis of the costs of therapeutic and surgical treatment of liver echinococcosis based on the developed methodological approaches and principles for calculating the cost of complex medical services in accordance with the step-down methodology. The model for calculating the cost of complex medical services for the treatment of echinococcosis was justified. The sum of costs of outpatient and inpatient units that directly provide medical care (direct costs) to the costs of support centers (indirect costs) was adjusted, which among simple medical services based on the chosen criterion were distributed. Calculation of costing items out on the basis of the direct-cost costing method was carried. Based on the proposed model, a comparative analysis of the cost of treatment of liver echinococcosis using therapeutic and surgical methods was carried out. As a result of the study, it was proved that the therapeutic method is less expensive than the surgical method. This is the basis to recommend it for wider use in medical practice, especially in cases when there is a problem of choosing the method of treatment of echinococcosis. Cost optimization is facilitated by a combination of surgical intervention and therapeutic treatment.

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Бодня, Е. И.
    Многофакторная модель финансирования профилактики и лечения дирофиляриоза (основные принципы и показатели эффективности) [Електронний ресурс] = Multi-factor model of financing prevention and treatment of dirophilariosis (basic principles and indicators of efficiency) / Е. И. Бодня, О. С. Марченко, Л. С. Шевченко, Л. И. Скорик, И. П. Бодня // Georgian medical news. - 2019. - No 10 (295). - P. 164-170

УДК

330.1:61

ББК У01
РУБ PubMed:31804221

Аннотация: The aim of the study was to substantiate the effectiveness and feasibility of the practical application of the multifactorial model of financing the prevention and treatment of dirofilariasis, its principles and methodological approaches. The basic principles of the multifactor model - an integrated approach, a combination of public and private financing, ensuring continuity of financing, discreteness of expenses; methodology for determining the effectiveness of the use of financial resources on the calculation of the return on costs for the prevention and treatment of dirofilariasis were justified. The effectiveness of local budget spending on the treatment of territories of the Kharkov region from mosquitoes on the base on the proposed principles and methodology was analyzed. As a result of the study, it has been proven the limited budgetary funds do not allow the implementation of long-term comprehensive programs for the prevention and treatment of dirofilariasis. The use of a multifactorial model of financing will allow overcoming budgetary constraints, significantly increasing the financial resources of the fight against dirofilariasis, optimizing the expenditures of state and local budgets, and ensuring targeted use of funds from the state, territorial communities, enterprises and the population.

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