IDEAS home Printed from https://ideas.repec.org/a/gam/jmathe/v11y2023i21p4422-d1267161.html
   My bibliography  Save this article

How to Determine the Optimal Number of Cardiologists in a Region?

Author

Listed:
  • Artur Nagapetyan

    (Laboratory of Data Analysis and Applied Econometric Research, School of Economics and Management, Far Eastern Federal University, Vladivostok 690922, Russia)

  • Alexander Drozd

    (Laboratory of Data Analysis and Applied Econometric Research, School of Economics and Management, Far Eastern Federal University, Vladivostok 690922, Russia)

  • Dmitry Subbotovsky

    (Laboratory of Data Analysis and Applied Econometric Research, School of Economics and Management, Far Eastern Federal University, Vladivostok 690922, Russia)

Abstract

This paper proposes an approach to determining the optimal number of medical specialists in a particular territory. According to the author’s theoretical model, in order to maximise public welfare, the marginal contribution of the last physician recruited to the growth of the public utility function should be equal to the marginal cost of attracting them and providing conditions for their work. To empirically assess the contribution of physicians to the number of lives saved, the CVD mortality rate is modelled using the instrumental variable method. At the level of provision of cardiologists in the amount of 1 per 100,000 people, their marginal contribution to the number of lives saved is not less than 124 per 100,000 people, with a further decrease of 10 per 100,000 people with an increase in the level of provision of one unit. The use of the obtained results will increase the validity of managerial decisions and improve the determination of the optimal number of doctors when choosing between alternative possibilities of spending money on hiring doctors with different profiles or other expenses, especially in the case of limited resources.

Suggested Citation

  • Artur Nagapetyan & Alexander Drozd & Dmitry Subbotovsky, 2023. "How to Determine the Optimal Number of Cardiologists in a Region?," Mathematics, MDPI, vol. 11(21), pages 1-23, October.
    • Handle: RePEc:gam:jmathe:v:11:y:2023:i:21:p:4422-:d:1267161
    as

    Download full text from publisher

    File URL: https://www.mdpi.com/2227-7390/11/21/4422/pdf
    Download Restriction: no
    File URL: https://www.mdpi.com/2227-7390/11/21/4422/
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Wang, Qinan, 2004. "Modeling and analysis of high risk patient queues," European Journal of Operational Research, Elsevier, vol. 155(2), pages 502-515, June.
    2. Francis Mitrou & Ha Trong Nguyen & Huong Thu Le & Stephen R. Zubrick, 2024. "The causal impact of mental health on tobacco and alcohol consumption: an instrumental variables approach," Empirical Economics, Springer, vol. 66(3), pages 1287-1310, March.
    3. Jacopo Gabani & Sumit Mazumdar & Marc Suhrcke, 2023. "The effect of health financing systems on health system outcomes: A cross‐country panel analysis," Health Economics, John Wiley & Sons, Ltd., vol. 32(3), pages 574-619, March.
    4. Børge G Nordestgaard & Tom M Palmer & Marianne Benn & Jeppe Zacho & Anne Tybjærg-Hansen & George Davey Smith & Nicholas J Timpson, 2012. "The Effect of Elevated Body Mass Index on Ischemic Heart Disease Risk: Causal Estimates from a Mendelian Randomisation Approach," PLOS Medicine, Public Library of Science, vol. 9(5), pages 1-13, May.
    5. Dizon-Ross, Rebecca & Dupas, Pascaline & Robinson, Jonathan, 2017. "Governance and the effectiveness of public health subsidies: Evidence from Ghana, Kenya and Uganda," Journal of Public Economics, Elsevier, vol. 156(C), pages 150-169.
    6. Twigg, Judyth L., 1999. "Obligatory medical insurance in Russia: the participants' perspective," Social Science & Medicine, Elsevier, vol. 49(3), pages 371-382, August.
    7. Rita Hamad & Thu T Nguyen & Jay Bhattacharya & M Maria Glymour & David H Rehkopf, 2019. "Educational attainment and cardiovascular disease in the United States: A quasi-experimental instrumental variables analysis," PLOS Medicine, Public Library of Science, vol. 16(6), pages 1-19, June.
    8. Mihaela Simionescu & Svitlana Bilan & Beata Gavurova & Elena-Nicoleta Bordea, 2019. "Health Policies in Romania to Reduce the Mortality Caused by Cardiovascular Diseases," IJERPH, MDPI, vol. 16(17), pages 1-9, August.
    9. Kehr, Janina, 2023. "The moral economy of universal public healthcare. On healthcare activism in austerity Spain," Social Science & Medicine, Elsevier, vol. 319(C).
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Besstremyannaya, Galina, 2015. "Measuring the effect of health insurance companies on the quality of healthcare systems with kernel and parametric regressions," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 38(2), pages 3-20.
    2. João Paulo Magalhães & Joana Pestana & Renato Lourenço Silva & António Pereira & André Biscaia, 2024. "Avoidable hospital admissions depend on the primary healthcare governance model? A global health perspective from Europe countries," American Journal of Economics and Sociology, Wiley Blackwell, vol. 83(1), pages 127-141, January.
    3. Zamboni, Yves & Litschig, Stephan, 2018. "Audit risk and rent extraction: Evidence from a randomized evaluation in Brazil," Journal of Development Economics, Elsevier, vol. 134(C), pages 133-149.
    4. Mo, Di & Bai, Yu & Shi, Yaojiang & Abbey, Cody & Zhang, Linxiu & Rozelle, Scott & Loyalka, Prashant, 2020. "Institutions, implementation, and program effectiveness: Evidence from a randomized evaluation of computer-assisted learning in rural China," Journal of Development Economics, Elsevier, vol. 146(C).
    5. Silvia Megyesiova & Vanda Lieskovska, 2019. "Premature Mortality for Chronic Diseases in the EU Member States," IJERPH, MDPI, vol. 16(20), pages 1-23, October.
    6. Adam Wagstaff, 2010. "Social health insurance reexamined," Health Economics, John Wiley & Sons, Ltd., vol. 19(5), pages 503-517, May.
    7. Michael Samudra & Carla Van Riet & Erik Demeulemeester & Brecht Cardoen & Nancy Vansteenkiste & Frank E. Rademakers, 2016. "Scheduling operating rooms: achievements, challenges and pitfalls," Journal of Scheduling, Springer, vol. 19(5), pages 493-525, October.
    8. Gordeev, Vladimir S. & Pavlova, Milena & Groot, Wim, 2011. "Two decades of reforms. Appraisal of the financial reforms in the Russian public healthcare sector," Health Policy, Elsevier, vol. 102(2), pages 270-277.
    9. Pascaline Dupas & Basimenye Nhlema & Zachary Wagner & Aaron Wolf & Emily Wroe, 2023. "Expanding Access to Clean Water for the Rural Poor: Experimental Evidence from Malawi," American Economic Journal: Economic Policy, American Economic Association, vol. 15(1), pages 272-305, February.
    10. Sumi Kim & Seongmoon Kim, 2015. "Differentiated waiting time management according to patient class in an emergency care center using an open Jackson network integrated with pooling and prioritizing," Annals of Operations Research, Springer, vol. 230(1), pages 35-55, July.
    11. Galina Besstremyannaya, 2014. "Urban inequity in the performance of social health insurance system: evidence from Russian regions," Working Papers w0204, Center for Economic and Financial Research (CEFIR).
    12. Mohammadi, M. & Dehbari, S. & Vahdani, Behnam, 2014. "Design of a bi-objective reliable healthcare network with finite capacity queue under service covering uncertainty," Transportation Research Part E: Logistics and Transportation Review, Elsevier, vol. 72(C), pages 15-41.
    13. Dmitry A. Subbotovsky & Viktor A. Kalashnikov & Alexander E. Drozd & Artur R. Nagapetyan, 2023. "The Impact of the Supply of Oncologists on Mortality from Neoplasms in the Regions of Russia," Journal of Applied Economic Research, Graduate School of Economics and Management, Ural Federal University, vol. 22(4), pages 892-931.
    14. Louise A C Millard & Neil M Davies & Kate Tilling & Tom R Gaunt & George Davey Smith, 2019. "Searching for the causal effects of body mass index in over 300 000 participants in UK Biobank, using Mendelian randomization," PLOS Genetics, Public Library of Science, vol. 15(2), pages 1-20, February.
    15. Wagstaff, Adam & Moreno-Serra, Rodrigo, 2009. "Europe and central Asia's great post-communist social health insurance experiment: Aggregate impacts on health sector outcomes," Journal of Health Economics, Elsevier, vol. 28(2), pages 322-340, March.
    16. Victor Olsavszky & Mihnea Dosius & Cristian Vladescu & Johannes Benecke, 2020. "Time Series Analysis and Forecasting with Automated Machine Learning on a National ICD-10 Database," IJERPH, MDPI, vol. 17(14), pages 1-17, July.
    17. Park, Hansol & Kim, Taehoon & Kim, Jinho, 2023. "Longitudinal pathways from adolescent depressive symptoms to cardiovascular disease risk in adulthood," Social Science & Medicine, Elsevier, vol. 318(C).
    18. Augsburg,Britta & Caeyers,Bet & Malde,Bansi Khimji, 2019. "Can Micro-Credit Support Public Health Subsidy Programs ?," Policy Research Working Paper Series 8846, The World Bank.
    19. Augsburg,Britta & Caeyers,Bet & Giunti,Sara & Malde,Bansi Khimji & Smets,Susanna, 2019. "Labelled Loans, Credit Constraints and Sanitation Investments," Policy Research Working Paper Series 8845, The World Bank.
    20. Galina Besstremyannaya, 2014. "Urban inequity in the performance of social health insurance system: evidence from Russian regions," Working Papers w0204, New Economic School (NES).

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gam:jmathe:v:11:y:2023:i:21:p:4422-:d:1267161. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: MDPI Indexing Manager (email available below). General contact details of provider: https://www.mdpi.com .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.