Preview

Health care of Tajikistan

Advanced search

Analysis and modeling for calculation the need for x-ray therapy systems in Tajikistan

https://doi.org/10.52888/0514-2515-2023-358-3-34-39

Abstract

Objective. To analyze the needs of the Republic of Tajikistan in radiotherapy equipment.

Materials and methods. A comprehensive bibliographic and informational search was employed, accompanied by a semantic analysis. Scientific literature and regulatory legal documents were reviewed, and an economic mathematical modeling method was utilized.

Results. The demand for radiotherapy devices in Tajikistan can be determined through three models: “by the number of the population served” 12 devices, “by the number of oncological dispensaries in the country” 5 units, “by oncological prevalence” (Lean management approach) one system. The proposed models should be adjusted taking into account the territorial accessibility of the method for the population, current clinical recommendations, as well as the availability of other radiotherapy equipment.

Conclusion. X-ray therapy is of particular interest to the organization of oncological care due to the low cost of devices in comparison with other radiotherapy equipment, as well as the low cost of their maintenance, high operational efficiency, and ease of use. Heads of medical institutions need to know different approaches to calculate the needs.

About the Author

Yu. A. Zuenkova
Russian University of Peoples’ Friendship
Russian Federation

Yu. A. Zuenkova, doctor of business administration, teacher at the department of public health, pharmacy provision, medical technologies and hygiene.



References

1. Hamouzadeh P., Darkhor S., Aboie P. Safety and Effectiveness of Superficial Radiation Therapy in the Treatment of Skin Diseases: A Systematic Review. Health Technology Assessment in Action, 2017, No. 1 (1), pp. e62068

2. Lohman D., Abidjanova N. Progress Update: Development of Palliative Care from 2017 to 2020 in Five Countries in Eurasia. Journal of Pain and Symptom Management, 2022, Vol. 64 №2.

3. Micke O., Seegenschmiedt M.H., Adamietz I.A. German Cooperative Group on Radiotherapy for Nonmalignant Diseases (GCG-BD). Low-Dose Radiation Therapy for Benign Painful Skeletal Disorders: The Typical Treatment for the Elderly Patient? International Journal of Radiation Oncology, Biology, Physics, 2017, Vol. 15, No. 98 (4), pp. 958-963.

4. Ott O.J., Niewald M., Weitmann H.D. German Cooperative Group on Radiotherapy for Benign Diseases (GCG-BD). DEGRO guidelines for the radiotherapy of non-malignant disorders. Part II: Painful degenerative skeletal disorders. Strahlenther Onkology, 2015, No. 191 (1), pp. 1-6.

5. Palliative Care in Tajikistan. An emerging health service. London: eHospice, 2014. Available at: http://www.ehospice.com/ArticleView/tabid/10686/ArticleId/11023/language/en-GB/Default.aspx. Accessed November 23, 2022.

6. Palmer A.L., Pearson M., Whittard P., McHugh K.E. Current status of kilovoltage (kV) radiotherapy in the UK: installed equipment, clinical workload, physics quality control and radiation dosimetry. British Journal of Radiology, 2016, No. 89 (1068), pp. 20160641.

7. Rosenblatt E., Fidarova E., Ghosh S. Quality of radiotherapy services in post-Soviet countries: An IAEA survey. Radiother Oncology, 2018, No. 127 (2), pp. 171-177.

8. Sánchez-Pérez J.L., Fuentes-Sánchez C., AcostaAcosta B. Conjunctival-corneal intraepithelial neoplasia (Bowen disease) treated with orthovoltage. Cornea, 2011, No. 30 (4), pp. 474-6.

9. Thomas T.O., Agrawal P., Guitart J. Outcome of patients treated with a single-fraction dose of palliative radiation for cutaneous T-cell lymphoma. International Journal of Radiation Oncology, Biology, Physics, 2013, No. 85 (3), pp. 747-53.

10. Trott K.R., Kamprad F. Estimation of cancer risks from radiotherapy of benign diseases. Strahlenther Onkology, 2006, No. 182 (8), pp. 431-6.

11. Tsao M.N., Sinclair E., Assaad D., Fialkov J., Antonyshyn O., Barnes E. Radiation therapy for the treatment of skin Kaposi sarcoma. Annals of Palliative Medicine, 2016, No. 5 (4), pp. 298-302.

12. Xu J., Yang E., Yu N.Z., Long X. Radiation Therapy in Keloids Treatment: History, Strategy, Effectiveness, and Complication. Chinese Medical Journal, 2017, Vol. 20, No. 130 (14), pp. 1715-1721.

13. Zuenkova J., Izurov L. Forecasting the kilovoltage therapy unit. RAD Proceedings, 2020, Vol. 4, pp. 7-10.

14. Zuenkova Yu. A. Analysis of the Technical Characteristics of X-Ray Therapy Systems and the Potential for Their Further Improvement. Biomedical Engineering, 2022, Vol. 55, No. 5, pp. 370-374.


Review

For citations:


Zuenkova Yu.A. Analysis and modeling for calculation the need for x-ray therapy systems in Tajikistan. Health care of Tajikistan. 2023;(3):34-39. (In Russ.) https://doi.org/10.52888/0514-2515-2023-358-3-34-39

Views: 249


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 0514-2415 (Print)