Step-by-step transformation of a static model of a medical organization prototype into a dynamic one, taking into account existing functionality.
Authors:   FSBEI HE «Kabardino-Balkarian State University named after H. M. Berbekov» Ministry of Education and Science of Russia, Ahokhova A. V. ,   Limited liability company Firm «SEM», Almova I.Kh. ,   FSBEI HE «Kabardino-Balkarian State University named after H. M. Berbekov» Ministry of Education and Science of Russia, Tlakadugova M. H. ,   FSBEI HE «Kabardino-Balkarian State University named after H. M. Berbekov» Ministry of Education and Science of Russia, Tlupova M. V. ,   FSBEI HE «Kabardino-Balkarian State University named after H. M. Berbekov» Ministry of Education and Science of Russia, Khavzhokova M. M. ,   FSBEI HE «Kabardino-Balkarian State University named after H. M. Berbekov» Ministry of Education and Science of Russia, Shukurova D. A. ,   FSBEI HE «Kabardino-Balkarian State University named after H. M. Berbekov» Ministry of Education and Science of Russia, Zheldasheva A. I. ,   FSBEI HE «Kabardino-Balkarian State University named after H. M. Berbekov» Ministry of Education and Science of Russia, Khokonova L. Т. ,   FSBEI HE «Kabardino-Balkarian State University named after H. M. Berbekov» Ministry of Education and Science of Russia
Published: February 2025

Significance. The regional program “Combating Cardiovascular Diseases,” launched in 2020 in all regions of the Russian Federation, is one of the priority areas in the healthcare industry, aimed at increasing the coverage of chronic patients with dispensary observation and expanding the program of free drug provision for outpatients.
The ongoing systematic monitoring of the activities of regional programs and reports indicates a variety of violations that require revision in the approaches to their implementation.
The purpose of the study to identify a prototype of a medical organization to assess the functionality and subsequent optimization of the project processes it implements. The use of prototyping methods makes it possible to clarify the requirements and stage-by-stage
transformation of the static prototype model of the medical organization into a dynamic one, taking into account the existing functionality of the medical organization.
The materials and methods for analyzing and drawing up the conclusions of the article were scientific publications and research results of Russian and foreign scientists. The search for publications to study the subject of the research question was carried out in databases
(Medline, Cochrane Controlled Trials Register and others), the Scientific Electronic Library LIBRARY.RU and the Internet information and communication network for the period from 2006 to the present. To analyze and present the issues raised, 32 sources of publications devoted to the issues of mathematical modeling, engineering, and prototyping were studied.
Results. The model of a functional prototype of a medical organization (static and dynamic), as an active, functionally integral system, reproduces processes at various levels of the organization and maintains stability of development in changing environmental conditions.
Selection of solutions and determination of requirements for a medical organization implementing regional projects, taking into account the analysis of the parameters of requests for their functionality and establishing the compliance of project participants with the regulated
requirements of regulatory legal acts, sets the conditions for detailed identification of the prototype.
At the same time, the structure of the requirements must preserve the integrity of the system and not impede its development within the changing conditions of the project.
Conclusion. The accumulated experience based on the results of the implementation of regional projects, finding methodological approaches for creating functional prototypes will allow optimizing the management of regional projects to solve practical problems not only at the level of the region, but the industry as a whole. Obtaining feedback from prototyping objects provides evidence of the level of true functionality, system resources, and design constraints.
The result of using prototyping processes is the optimization of design processes related to the cost-effectiveness of the analyzed research subject – a medical organization implementing a regional project. The resulting effects are aimed at reducing mortality from cardiovascular diseases by providing patients with medications, determining the level of quality of medical care and the percentage of subsidy utilization through the cash execution of the project by the region.