Theoretical Model of Regional Healthcare System Resource Provision for a Sustainable Response to Global Challenges

Abstract

Introduction: Global disasters and challenges have a significant impact on the functioning of national health systems. Heterogeneous and often differing approaches to assessing the readiness of the latter for a timely and effective response to these events necessitate the development of an integrated and unified model of its functioning given the resource potential. Objective: Based on international approaches, to develop a theoretical model of resource provision of a regional healthcare system for a sustainable response to global challenges. Materials and methods: We conducted a six-stage analytical review of international scientific publications using PRISMA method. The first and third stages included creation of primary databases (initial sample size: 470 articles, additional sample size: 549 articles) of publications found in the National Medical Library of the National Institute of Health (NLM and NCBI) and the PubMed databases for the period of January 1, 2000 to May 2024. The second and fourth stages included peer review and selection of eligible publications. At the fifth stage, an expert analysis of the final sample (30 articles) consisting of the most informative publications was carried out. At the sixth stage, we developed a BPMN (Business Process Management Notation) model of resource provision of the healthcare system that allows it to maintain stability in the face of global challenges. Results: We developed the theoretical model of the regional healthcare system resource provision for its sustainable response to global challenges, represented by five levels of interaction that take into account medical care types and conditions, different stages of resource reserve formation, as well as hierarchical links between health facilities. Conclusion: The developed model has been formalized and algorithmized in terms of description of the main processes taking place in the health system structural elements under different scenarios of their functioning and can be used to elaborate plans and programs to improve the regional healthcare system emergency response to global challenges.