The aim of the study was to develop a new organizational technology for patient routing when providing medical care using radiation therapy methods. The development of the organizational technology was carried out in several stages. At the first stage a content analysis of existing regulatory legal acts governing the routing of patients with oncological diseases for radiation therapy and radiological diagnostics at the federal level as well as regulatory legal acts of the city of Moscow was conducted. At the second stage based on the selected factors determining the routing of patients with oncological diseases for radiation therapy and radiological diagnostics an expert assessment and ranking of these factors were performed. A total of 14 experts participated in the study. At the third stage expert group meetings were held to adjust and validate the proposed elements of the organizational technology for patient routing when providing medical care using radiation therapy and diagnostics. The developed organizational technology is used to improve the temporal and volumetric accessibility of medical care using radiation therapy methods within a private medical organization — the Moscow International Cancer Center (MICC). The MICC is part of the territorial program of compulsory health insurance in Moscow and several neighboring subjects of the Russian Federation and provides medical care using radiation therapy methods to patients from these subjects of the Russian Federation funded by compulsory health insurance. The developed new organizational technology for patient routing when providing medical care using radiation therapy and diagnostics includes 5 elements: (A) Mechanism for routing patients to the radionuclide diagnostics department; (B) Mechanism for routing patients to the radionuclide therapy department; (C) Mechanism for routing patients to the radiation therapy department; (D) Mechanism for routing patients to the radiological diagnostics department; (E) Administrative regulation for managing patient flows using an information system. This structure of the organizational technology ensures that the specifics of each structural unit are taken into account and allows for the most efficient use of each department to increase the throughput capacity of the Moscow International Cancer Center (MICC).

organizational technology healthcare management patient routing radiation therapy malignant neoplasms.