Systems and Means of Informatics
2016, Volume 26, Issue 1, pp 13-29
STRUCTURAL AND FUNCTIONAL MODEL OF PATIENT FLOW CONTROL IN A REGIONAL CONSULTATION CLINIC
Abstract
The paper deals with the problem of the availability and efficiency of advising highly specialized care for patients of regional health centers, serving a vast region of the Russian Federation with low average density of population by the example of the Krasnoyarsk region. It is proposed to solve this problem with the help of a medical information system "Virtual clinic," which implements the following principles of flow control of remote patients: differentiation of patients by type of advice (full-time or part-time consulting), distance forming a route sheet to provide full-time advice to the patient of intraregional clinics, and remote distance counseling. The paper presents the rationale of the proposed approach as a result of the structural and functional domain modeling methodology SADT (Structured Analysis and Design Technique). The paper contains the results of the simulation of patient flow control in the form of a data flow diagram in a graphical notation IDEF0 AS IS and TO BE. The paper reveals the features of the remote absentee counseling and individual route planning of the patient in the clinic at the regional level by the example of the Krasnoyarsk Regional Hospital. The paper contains the description of the "Virtual clinic," which reflects the composition and functions of the system, data presentation, user category, methodical and financial aspects of implementation, and monitoring tools accessibility provide advice. The paper describes the experience of the introduction of the "Virtual clinic" medical information system in the regional consultative clinics and 134 medical organizations of the Krasnoyarsk region sending patients for consultation to the regional hospital.
[+] References (10)
- Assotsiatsiya razvitiya meditsinskikh informatsionnykh tekhnologiy (ARMIT) [Association of medical information technology development]. Available at: http:// www.armit.ru/ (accessed February 10, 2011).
- Dubrovin, A. A., and N.M. Zhilina. 2012. Problemy i puti resheniya organizatsii dostupa naseleniya k informatsionnym resursam v lechebno-profilakticheskikh uchrezh- deniyakh pri vnedrenii kompleksnoy meditsinskoy informatsionnoy sistemy zapisi k vrachu cherez Internet [Problems and ways of organization of access to information resources in health-care institutions in the implementation of an integrated health information system records to the doctor over the Internet]. Vrach i Informatsionnye Tekhnologii [Doctor and Information Technology] 4:56-61.
- Guliev, Y.I. 2014. Osnovnye aspekty razrabotki meditsinskikh informatsionnykh sistem [Basic aspects of medical information systems development]. Vrach i Informatsionnye Tekhnologii [Doctor and Information Technology] 5:10-19.
- Marka, D.A., and M. G. Klement, eds. 1993. Metodologiya strukturnogo analiza i proektirovaniya SADT [Methodology of structure analysis and design SADT]. Moscow: Meta Technology. 231 p.
- RD 50.1.028-2001. 2001. Metodologiya funktsional'nogo modelirovaniya [Methodology of functional modeling]. Moscow: IPK Standart Publs. 50 p.
- Irikov, V. A., and V. N. Trenev, eds. 1999. Raspredelennye sistemy prinyatiya resheniy [The distributed decision marketing systems]. Moscow: Nauka. 285 p.
- Burkov, V. N., N. A. Korgin, andD. A. Novikov. 2009. Vvedenie v teoriyu upravleniya organizatsionnymi sistemami [Introduction to theoretical management organization systems]. Moscow: Librokom. 264 p.
- Paklin, N. B., and V. I. Oreshkov, eds. 2013. Biznes-analitika: Ot dannykh k znaniyam [Business-analytics: From data to knowledge]. St. Petersburg: Piter. 706 p.
- Ob osnovakh okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii: Federal'nyy zakon No.323-FZ ot 21.11.2011 [About basis of health of citizens in the Russian Federation: Federal Law No.323-FZ of 21.11.2011]. Available at: http://www.rg.ru/2011/11/23/zdorovie-dok.html (accessed December 10, 2015).
- Ilyushin, G. Y., and V. I. Limanskiy. 2015. Postroenie sistemy upravleniya potokami patsientov [Creation of patient flow control system]. Sistemy i Sredstva Informatiki - Systems and Means of Informatics 25(1): 186-197.
[+] About this article
Title
STRUCTURAL AND FUNCTIONAL MODEL OF PATIENT FLOW CONTROL IN A REGIONAL CONSULTATION CLINIC
Journal
Systems and Means of Informatics
Volume 26, Issue 1, pp 13-29
Cover Date
2016-04-30
DOI
10.14357/08696527160102
Print ISSN
0869-6527
Publisher
Institute of Informatics Problems, Russian Academy of Sciences
Additional Links
Key words
medical information systems; remote consulting; patient flow control; individual patient routing; virtual clinic
Authors
V. G. Azanov 
Author Affiliations
IT Department, Krasnoyarsk Regional Clinic Hospital, 3A Partizana Zheleznyaka Str., Krasnoyarsk 660022, Russian Federation
|