PATIENT PATHWAY INTEGRITY IN THE CARDIOVASCULAR SEGMENT OF THE MEDICAL SERVICES MARKET: A MODEL OF COMPENSATORY REGULATION

Author(s): Deren I.I., Kusanova A.Yu.

Rubric: Management

DOI: 10.21777/2587-554X-2026-3-121-131

Release: 2026-3 (58)

Pages: 121-131

Keywords: cardiovascular segment, medical services market, patient pathway, patient pathway integrity, compensatory regulation, organizational and economic mechanisms, structural breakpoints, fragmentation of medical care

Annotation: The article examines the problem of maintaining patient pathway integrity in the cardiovascular segment of the medical services market under a mixed healthcare model. The study reveals that the need for continuous patient support at the stages of prevention, diagnosis, treatment, rehabilitation, and follow-up care conflicts with the discrete organizational and financial model of healthcare delivery. Using systemic and structural-functional ap- proaches, the study shows that the criterion of regulatory effectiveness is the ability of administrative, insurance- based, market, digital, and service mechanisms to ensure continuity of care stages and to reduce structural gaps in the patient pathway. The main pathway breakpoints have been identified, and the dual role of compensatory mechanisms has been revealed: when integrated into a unified support framework, they compensate for the limitations of the basic system; when functioning autonomously, they exacerbate the fragmentation of medical care. The scientific novelty of the study lies in the development of a compensatory regulation model that makes it possible to assess these mechanisms based on their impact on the integrity of the patient’s pathway. The practical significance of the results is related to the possibility of using the proposed model to evaluate the effectiveness of organizational and economic mechanisms and to develop service solutions in cardiovascular care.

Bibliography: Deren I.I., Kusanova A.Yu. PATIENT PATHWAY INTEGRITY IN THE CARDIOVASCULAR SEGMENT OF THE MEDICAL SERVICES MARKET: A MODEL OF COMPENSATORY REGULATION // Economics and Management. – 2026. – № 3 (58). – С. 121-131. doi: 10.21777/2587-554X-2026-3-121-131