Integral rating system approbation of the Russian Federation regions using weight coefficients based on indicators characterizing the effectiveness of the organization of medical care in cardiovascular surgery

Abstract

Aim. Integral rating system approbation of the Russian Federation regions using weight coefficients based on indicators characterizing the effectiveness of the organization of medical care in cardiovascular surgery.Methods. The study included 6 indicators with the highest final rating and expert agreement coefficient (based on data from the previous study). The values of the indicators were calculated for 38 Russian Federation regions supervised by the national medical research centers in cardiovascular surgery based on the statistical data provided by the Russian Federation regions and compared with the data of federal statistical observation forms. Further, all indicators were transferred to a point scale to form a single integral rating. The value in points for each of the indicators was multiplied by the corresponding weight coefficient for each subject of the Russian Federation. At the end, we performed a comparative analysis of the two integral ratings and expert validation.Results. It was found that the Moscow Region is in first place (880.00 points) based on the results of building an integral rating using weight coefficients. In second place instead of the Tambov region is the Republic of Bashkortostan (760.71 points). The third position of the Lipetsk region is occupied by the Samara region (750.89 points). The Smolensk region (259.28 points) occupies the 38th place in the integral rating with the use of weight coefficients, as well as in the ranking without the use of weight coefficients. The Republic of Ingushetiya (+18 seats) and the Republic of Dagestan (+17 seats) are characterized by the greatest positive change in the number of seats. The Kirov region (-16 places), the Penza region (-16 places), as well as the Tula region (-11 places) and the Vladimir region (-11 places) are characterized by the greatest change in the number of seats in the negative direction.Conclusion. Presented system of integral rating of the Russian Federation regions with weight coefficients demonstrated the principal adequacy of all proposed approaches in relation to the real situation with the organization of medical care in the Russian Federation regions, and also made it possible, through the use of weight coefficients, to take into account the varying degree of contribution of the indicators used to the integral rating of the Russian Federation regions. In the same time the indicators should be choose very careful.