Market efficiency of the organization of medical services for patients with persistent, long-standing persistent, and permanent forms of atrial fibrillation based on an adapted theoretical model
DOI:
https://doi.org/10.32782/2077-6594/2025.3/14Keywords:
healthcare service efficiency, atrial fibrillation, theoretical model, quality of health care service, patient comfort, SEM, information noiseAbstract
Purpose: To evaluate market efficiency in organizing medical services for patients with persistent, long-standing persistent, and permanent atrial fibrillation using an adapted model by Dranov and Satterwait, considering the role of information noise in demand elasticity and consumer decisions.Materials and methods: The study analyzed services for 250 patients with various atrial fibrillation forms during 2015–2023 across five clinical pathways. Structural Equation Modeling (SEM) with latent variables – quality, comfort, and information noise – was applied using R’s «lavaan» package. Model fit was assessed with RMSEA, SRMR, CFI, TLI, and the Satorra-Bentler test.Results. SEM showed significant links between quality, comfort, cost, and information noise. For persistent atrial fibrillation patients, service cost correlated strongly with quality and comfort; in other forms, quality sensitivity prevailed. Information noise reduced perceived quality but increased cost. Physician qualification influenced quality, while physician changes affected comfort.Conclusions. The Dranov and Satterwait model effectively assesses healthcare market behavior. Patients with severe atrial fibrillation prioritize quality; those with milder forms value comfort more. Minimizing information noise can optimize cost, quality, and convenience balance. SEM is a suitable method for analyzing complex consumer behavior factors.
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