Business game “High-tech Pediatric Surgery”: Modeling of management decisions in children’s health protection in the Far Eastern Federal District
- Authors: Morozov D.A.1,2, Rozinov V.M.1, Suvorov S.G.1, Ampar F.B.1, Strizhnev S.V.3, Vaganov N.N.4
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Affiliations:
- Veltishchev Research and Clinical Institute for Pediatrics, Pirogov Russian National Research Medical University
- I.M. Sechenov First Moscow State Medical University (Sechenov University)
- Agency for Strategic Initiatives
- Russian Children’s Clinical Hospital, Pirogov Russian National Research Medical University
- Issue: Vol 13, No 4 (2023)
- Pages: 459-474
- Section: Original Study Articles
- URL: https://journals.rcsi.science/2219-4061/article/view/249857
- DOI: https://doi.org/10.17816/psaic1561
- ID: 249857
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Abstract
BACKGROUND: The difference in the levels of total infant mortality in certain administrative territorial entities of the country is an acute medical and social problem of domestic healthcare, which indicates the absence of a single standard of accessibility and quality of medical care. This indicator in the Far Eastern Federal District significantly exceeds the corresponding indicators in the Central and Northwestern districts.
AIM: This study aimed to identify unresolved problems and identify ways to improve the availability and quality of surgical care for children by modeling the process of making administrative and clinical decisions by employees of medical organizations and heads of healthcare in the Far Eastern Federal District in the interests of children in need of specialized, including high-tech, medical care, including medical evacuation.
MATERIALS AND METHODS: A “business game” with simultaneous implementation of the simulation process in 11 regions of the Far Eastern Federal District was conducted using distributed communication channels and technical capabilities of audiovisual fixation of the opinions of the study participants. A series of five business games on the following profiles were implemented: neonatal surgery, thoracic surgery, neurosurgery, oncology, and combustiology. The scenarios of the games were prepared by the organizers of the study: “Russian Association of Pediatric Surgeons” (LLC) and “Agency for Strategic Initiatives to promote new projects” (ANO). The moderators of the games were leading specialists from specialized federal medical organizations. The game participants were regional teams of the subjects of the Far Eastern Federal District. The observers of the games were representatives of federal legislative and executive authorities and healthcare experts.
RESULTS: In this study, 9–11 regions of the Far Eastern Federal District participated in a series of five games. The total number of participants in business games ranged from 126 to 151, and the number of connection points was 42–66. The identified problematic issues included organizational (9), personnel (8), transport (7), equipment (7), and financial (6) aspects.
CONCLUSIONS: The ideology of the interregional centers of specialized surgical care for children corresponds to the vision of representatives of the professional community and organizers of territorial healthcare as a promising way to increase the availability and quality of medical care to the pediatric population.
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##article.viewOnOriginalSite##About the authors
Dmitry A. Morozov
Veltishchev Research and Clinical Institute for Pediatrics, Pirogov Russian National Research Medical University; I.M. Sechenov First Moscow State Medical University (Sechenov University)
Email: damorozov@list.ru
ORCID iD: 0000-0002-1940-1395
SPIN-code: 8779-8960
MD, Dr. Sci. (Med.), Professor
Russian Federation, Moscow; MoscowVladimir M. Rozinov
Veltishchev Research and Clinical Institute for Pediatrics, Pirogov Russian National Research Medical University
Email: rozinov@inbox.ru
ORCID iD: 0000-0002-9491-967X
SPIN-code: 2770-3752
MD, Dr. Sci. (Med.), Professor
Russian Federation, MoscowSergey G. Suvorov
Veltishchev Research and Clinical Institute for Pediatrics, Pirogov Russian National Research Medical University
Author for correspondence.
Email: suvorowww@gmail.com
ORCID iD: 0000-0002-8286-3541
SPIN-code: 5438-1302
MD, Cand. Sci. (Med.)
Russian Federation, MoscowFatima B. Ampar
Veltishchev Research and Clinical Institute for Pediatrics, Pirogov Russian National Research Medical University
Email: fatampar@mail.ru
ORCID iD: 0000-0002-4594-7025
SPIN-code: 9902-4290
Russian Federation, Moscow
Sergey V. Strizhnev
Agency for Strategic Initiatives
Email: s4041010@gmail.com
ORCID iD: 0009-0005-1515-0989
Russian Federation, Moscow
Nikolay N. Vaganov
Russian Children’s Clinical Hospital, Pirogov Russian National Research Medical University
Email: nnvaganov@yandex.ru
ORCID iD: 0009-0002-4063-9362
SPIN-code: 3875-5040
MD, Dr. Sci. (Med.), Professor
Russian Federation, MoscowReferences
- Belchikov JM, Birshtein MM. Business games. Riga: Avots, 1989. 304 p. (In Russ.)
- Berne E. The games people play. Psychology of human relationships. People who play games. Psychology of human destiny. Transl. from Engl. Moscow: Progress, 1988. (In Russ.)
- Simulation management game: Great Russian Encyclopedia: 35 volumes / Rep. ed. S.L. Kravets. Moscow: Great Russian Encyclopedia, 2004–2017. Vol. 11. (In Russ.)
- Shchedrovitsky GP. Organizational-activity game. Collection of texts. Moscow: Nasledie MMK, 2004. 288 p. (In Russ.)
- Panova AN. History of development of business game as one of the methods of active learning. Psychology and pedagogy: methodology and problems of practical application. 2010;(17):327–332. (In Russ.)
- Shoigu SK, editor; Ministry of Emergency Situations of Russia. Civil defense: encyclopedia in 4 vol. Vol. II (K-O). Moscow: ZAO FID «Delovoi ehkspress», 2007. (In Russ.)
- Rozinov VM, Morozov DA, Rumyantsev SA, et al. Interregional centers of high-tech children’s surgery – mortgage of accessibility and quality of medical care for Russian children. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2018;8(3):6–17. doi: 10.30946/2219-4061-2018-8-3-6-17
- Rozinov VM, Morozov DA, Rumyantsev SA, et al. Interregional centers for specialized pediatric surgical aid in Russia — profile and dislocation. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2019;9(1):8–16. doi: 10.30946/2219-4061-2019-9-1-8-16
- Rozinov VM, Morozov DA, Rumyantsev SA, et al. The rationale for dislocation of interregional specialized surgical care centers for children in the Russian Federation. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2020;10(3):263–274. doi: 10.17816/psaic694
- Isakov YuF. Modern aspects of pediatric surgery. Act speech. Moscow: AMN SSSR, 1978.
- Kassif E, Weissbach T, Kushnir A, et al. Esophageal atresia and tracheoesophageal fistula: prenatal sonographic manifestation from early to late pregnancy. Ultrasound Obstet Gynecol. 2021;58(1):92–98. doi: 10.1002/uog.22050
- Pedersen RN, Calzolari E, Husby S, et al. Oesophageal atresia: prevalence, prenatal diagnosis and associated anomalies in 23 European regions. Arch Dis Child. 2012;97(3):227–232. doi: 10.1136/archdischild-2011-300597
- Moulton SL, Recicar JF Jr, Bensard DD. The system of care for injured children in the state of Colorado and the rocky mountain region of the Western United States. Russian Journal of Pediatric Surgery, Anesthesia and Intensive Care. 2018;8(4):6–13. doi: 10.30946/2219-4061-2018-8-4-6-13