Presentation
Matevosyan NR. Health-Care Prometrics In The Era Of Redeployment
International Forum on Knowledge Asset Dynamics (IFKAD)
(2020)
Abstract
THE PROBLEM: Health inequalities persist in all countries, howbeit at various degrees or distribution. One of the burdensome public health problems is the lack of external validity of health measures across the populations or countries. Quantifying healthcare index as an aggregate measure is a challenge due to the multiplex constraints in sampling of the anchor points to enumerate the enigmatic ratio. AIM: A bid was made toward a functional prometrics of health - as a value. SAMPLING & METHODOLOGY: A set of numerical and conceptual variables pertaining to healthcare expenses and outcomes were obtained from 70 studies retrieved from the databases (LILACS, SCOPUS, PUBMED, COCHRAN) stratified for three periods (biennium, lustrum, decade) and covering 4,245,866 patient-population from Finland and 4,304,049 from the United States. Two causality loops were designed per country of interest: prematurity and perinatal mortality (PPM); tobacco consumption and respiratory cancer (TRC). ANALYSIS: Prognostic values and survival rates were analyzed by Kaplan‐Meier method. Results from each cluster were tried by Cronbach's alpha for internal consistency. Where the results were chaotic, data were assessed through holomorphic operation, each domain as complex-valued function of differentiable variable(s). Under the Riemann and Finsler reasoning, each variable was a manifold in a spatial unit where tangent sits with the fourth root of differential expression. Such indexing interprets functional relationships between healthcare value, demand elasticity, attributable or relative risk, prevention, prognosis in the non-cohort datasets: R = (<η (t) η (t’)/δ (t - t’)> - D1 xμ r − D1[μ xr + μ r x] − D2 x(1 − λ s ) + D2[λ xs + λ s x] )ik (lj Rjikl ll) RESULTS: Both in Finland and the United States the attributable risk for hypothyroidism, autoimmune disorders and cardiomyopathy outstage other predictors of perinatal mortality. Diabetes mellitus or insipidus, obesity, urinary tract infections are increasingly dominating risks. Perinatal and maternal mortality ratios are consistently lower in Finland (RR 1.8-4.35). The mean duration of NICU-stay among the surviving and non-surviving low-weight infants is higher in Finland (RR 1.3 – 3.0). Regardless the term, cost of one NICU-day is 36-53 fold higher in the United States. CONCLUSIONS: 1) Low income is a substantial contributor to tobacco smoking (OR 5.0-15.6) - with a stronger connection (RR 3.56) in the U.S. The U.S. mortality rates from active smoking (R1.5) and nicotine consumption by the non-smoking means (RR 2.22) are higher even when the primary mortality predictors (COPD, Fanconi anemia, thromboembolism, TP53 gene mutation, KRAS mutation) are significantly higher in Finland (RR 2.57-12.85). High asthma rates among the U.S. smokers (RR 4.21) are distinct predictors of poor survival rates from the lung cancer – also reflected in higher Tiffeneau-Pinelli index reduction rates (RR 3.96). 2) Due to its inherent dissonance property enabling inferences and data triangulation in infinitesimal points, Riemann reasoning holds promise by devising comprehensive index to predict perinatal and tobacco mortality using the digitally obtained data. 3) Where the Ricci scalar does not depend on the y-axis, Finsler metric can be used if the transverse edge of the unit is perpendicular to the flagpole (g or D). THE NOVELTY: The offered equation is entirely original and non-inherent. Healthcare value is tried as a spatial-unit of variables and tangents such as duration, recurrence, cost and outcome of services, disease attributable risk (AR), absolute risk reduction (ARR), relative risk reduction (RRR) and provider's valence (provider/patient ratio). Under the euclid reasoning, each variable is seen as a manifold in which the tangent line element is allowed to be expressed as the fourth root of a differential expression. Next, the construed equation considers the human factor (risk assumption) on part of a patient or a provider. The empirical test of negligence is incorporated into the prognostic model of risk iteration. The higher is the care level and incentives, the longer is the survival period because the disease term η (t) - which is a nominator - will be subtracted at a higher degree; also, the base angles of a manifold will be greater and it will take more time for the lp lines to intersect.
Disciplines
Publication Date
Fall September, 2020
Location
University of Basilicata; Matera, Italy
Citation Information
Naira R. Matevosyan. "Matevosyan NR. Health-Care Prometrics In The Era Of Redeployment" International Forum on Knowledge Asset Dynamics (IFKAD) (2020) Available at: http://works.bepress.com/naira_matevosyan/99/