Determination of frequency dispensary examinations of school-age children with peptic ulcer disease of the duodenum with the help of a formalized model

О. Г. Шекера, П. М. Яблонський, Д. В. Мельник


The current state of public health in Ukraine is characterized as a crisis. The article is discussed the frequency of clinical dispensary surveys by mathematical modeling using. Gastrointestinal patients are among those patients for which clinical dispensary surveys should be provided necessarily. Now there are some practical recommendations on the frequency of clinical dispensary surveys based on clinical grounds. At the same time, these recommendations are not possible to determine the quantitative effect of frequency of clinical dispensary surveys on the effectiveness of clinical examinations.

The objective: is the study of the frequency of clinical dispensary surveys to ensure maximum efficiency of school children with duodenal ulcer regard to their level of disease, the characteristics of health care, the level of applications for health care, duration of treatment and so on. Patients and methods. The mathematical modeling method; system and process analysis methods.

Results. According to the research program, we studied and analyzed the modern mathematical models that can be used to describe a real health care system. Given the peculiarities of dispensary health care system (its formal modeling) for school age children with duodenal ulcer we included the following main considerations: 1) health care of Patients is in the form of mandatory clinical dispensary surveys at regular intervals along the possibility to Patients’ appeal for health care in time intervals between the clinical dispensary surveys; 2) Patients do not always seek treatment for various reasons in the range between clinical dispensary surveys; 3) there are a number of false Patients applications for health care; 4) the Patients’ disease level is one of the main factors that determine the volume as medical care and clinical dispensary surveys; 5) it is important to determine the frequency of clinical dispensary surveys for the average interval between diseases; 6) the actual level of health care quality – namely timeliness and accuracy of diagnostic in Primary Health Care Centers (family medicine clinics) and in hospital; 7) time wasting of Patients’ rehabilitation and spent time on the clinical examination when Patients apply for medical care and clinical dispensary surveys; 8) most of the indicators is random. The health care formalized model of Patients is proposed the various options trajectory random process model is discussed in the article.

Conclusions. The results enable General Practitioners – Family Physicians and Health Care Managers to optimize the organization of medical care of gastroenterology patients usage by forecasting a patient and patient groups level of efficiency.


mathematical modeling; diseases of the digestive system; school-age children; clinical dispensary survey; family doctor


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Copyright (c) 2020 О. Г. Шекера, П. М. Яблонський, Д. В. Мельник

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ISSN 2412-8708 (Online), ISSN 2307-5112 (Print)

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ISSN (print): 2307-5112.