{"id":"https://openalex.org/W7204199646","doi":"https://doi.org/10.31550/1727-2378-2026-25-4-46-51","title":"Optimized Prenatal Routing Model: Clinical and Organizational Efficiency. The Experience of the Samarkand Region, Republic of Uzbekistan","display_name":"Optimized Prenatal Routing Model: Clinical and Organizational Efficiency. The Experience of the Samarkand Region, Republic of Uzbekistan","publication_year":2026,"publication_date":"2026-01-01","ids":{"openalex":"https://openalex.org/W7204199646","doi":"https://doi.org/10.31550/1727-2378-2026-25-4-46-51"},"language":"en","primary_location":{"id":"doi:10.31550/1727-2378-2026-25-4-46-51","doi":"https://doi.org/10.31550/1727-2378-2026-25-4-46-51","is_oa":true,"landing_page_url":"https://doi.org/10.31550/1727-2378-2026-25-4-46-51","pdf_url":"https://journaldoctor.ru/upload/iblock/399/ra89frh6bngsa1o71qzpeelw0v9jm229/7_Optimized_Prenatal_Routing_Model_Clinical_and_Organizational_Efficiency.pdf","source":{"id":"https://openalex.org/S4210179296","display_name":"Doctor Ru","issn_l":"1727-2378","issn":["1727-2378","2713-2994"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Doctor.Ru","raw_type":"journal-article"},"volume":null,"type":"article","is_traditional":true,"indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://journaldoctor.ru/upload/iblock/399/ra89frh6bngsa1o71qzpeelw0v9jm229/7_Optimized_Prenatal_Routing_Model_Clinical_and_Organizational_Efficiency.pdf","any_repository_has_fulltext":false},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5085707344","display_name":"L. R. Agababyan","orcid":"https://orcid.org/0000-0003-3011-6998","observed_orcids":["https://orcid.org/0000-0003-3011-6998"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"L.R. Agababyan","raw_affiliation_strings":["Samarkand State Medical University; Samarkand, Republic of Uzbekistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Samarkand State Medical University; Samarkand, Republic of Uzbekistan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5148081533","display_name":"A.I. Kamalov","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A.I. Kamalov","raw_affiliation_strings":["Samarkand State Medical University; Samarkand, Republic of Uzbekistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Samarkand State Medical University; Samarkand, Republic of Uzbekistan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5136079176","display_name":"Z. A. Nasirova","orcid":"https://orcid.org/0000-0001-7032-2628","observed_orcids":["https://orcid.org/0000-0001-7032-2628"]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"Z.A. Nasirova","raw_affiliation_strings":["Samarkand State Medical University; Samarkand, Republic of Uzbekistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Samarkand State Medical University; Samarkand, Republic of Uzbekistan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5038514349","display_name":"A.T. Akhmedova","orcid":null,"observed_orcids":[]},"institutions":[],"countries":[],"is_corresponding":false,"raw_author_name":"A.T. Akhmedova","raw_affiliation_strings":["Samarkand State Medical University; Samarkand, Republic of Uzbekistan"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Samarkand State Medical University; Samarkand, Republic of Uzbekistan","institution_ids":[]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5089937038","display_name":"E. V. Enkova","orcid":"https://orcid.org/0000-0001-8885-1587","observed_orcids":["https://orcid.org/0000-0001-8885-1587","https://orcid.org/0009-0003-4521-1004","https://orcid.org/0009-0005-3709-6936"]},"institutions":[{"id":"https://openalex.org/I2800247874","display_name":"Voronezh State Medical Academy named after N.N. Burdenko","ror":"https://ror.org/05kce7016","country_code":"RU","type":"education","lineage":["https://openalex.org/I2800247874"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"E.V. Enkova","raw_affiliation_strings":["N.N. Burdenko Voronezh State Medical University; Voronezh, Russian Federation"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"N.N. Burdenko Voronezh State Medical University; Voronezh, Russian Federation","institution_ids":["https://openalex.org/I2800247874"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5048401488","display_name":"Olga V. Khoperskaya","orcid":"https://orcid.org/0000-0003-4199-8156","observed_orcids":["https://orcid.org/0000-0003-4199-8156"]},"institutions":[{"id":"https://openalex.org/I2800247874","display_name":"Voronezh State Medical Academy named after N.N. Burdenko","ror":"https://ror.org/05kce7016","country_code":"RU","type":"education","lineage":["https://openalex.org/I2800247874"]}],"countries":["RU"],"is_corresponding":false,"raw_author_name":"O.V. Khoperskaya","raw_affiliation_strings":["N.N. Burdenko Voronezh State Medical University; Voronezh, Russian Federation"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"N.N. Burdenko Voronezh State Medical University; Voronezh, Russian Federation","institution_ids":["https://openalex.org/I2800247874"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":[],"apc_list":null,"apc_paid":null,"fwci":0.0,"has_fulltext":true,"cited_by_count":0,"citation_normalized_percentile":{"value":0.57098267,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.5976999998092651,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T12741","display_name":"Maternal and Neonatal Healthcare","score":0.5976999998092651,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T10453","display_name":"Maternal and Perinatal Health Interventions","score":0.31299999356269836,"subfield":{"id":"https://openalex.org/subfields/2729","display_name":"Obstetrics and Gynecology"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11060","display_name":"Infant Development and Preterm Care","score":0.009999999776482582,"subfield":{"id":"https://openalex.org/subfields/2735","display_name":"Pediatrics, Perinatology and Child Health"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/perinatal-outcomes","display_name":"perinatal outcomes","score":0.8629999756813049},{"id":"https://openalex.org/keywords/emergency-admissions","display_name":"emergency admissions","score":0.8960000276565552},{"id":"https://openalex.org/keywords/preterm-labor","display_name":"preterm labor","score":0.9760000109672546},{"id":"https://openalex.org/keywords/perinatal-mortality","display_name":"perinatal mortality","score":0.9900000095367432},{"id":"https://openalex.org/keywords/risk-stratification","display_name":"risk stratification","score":0.7260000109672546},{"id":"https://openalex.org/keywords/continuity-of-care","display_name":"continuity of care","score":0.7710000276565552},{"id":"https://openalex.org/keywords/planned-delivery","display_name":"planned delivery","score":0.5699999928474426},{"id":"https://openalex.org/keywords/samarkand-region","display_name":"Samarkand region","score":0.7179999947547913}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.7773000001907349},{"id":"https://openalex.org/C46973012","wikidata":"https://www.wikidata.org/wiki/Q28627","display_name":"Gestation","level":3,"score":0.5634999871253967},{"id":"https://openalex.org/C61511704","wikidata":"https://www.wikidata.org/wiki/Q1671857","display_name":"Incidence (geometry)","level":2,"score":0.5604000091552734},{"id":"https://openalex.org/C194828623","wikidata":"https://www.wikidata.org/wiki/Q2861470","display_name":"Emergency medicine","level":1,"score":0.4512999951839447},{"id":"https://openalex.org/C545542383","wikidata":"https://www.wikidata.org/wiki/Q2751242","display_name":"Medical emergency","level":1,"score":0.446399986743927},{"id":"https://openalex.org/C131872663","wikidata":"https://www.wikidata.org/wiki/Q5284418","display_name":"Obstetrics","level":1,"score":0.38940000534057617},{"id":"https://openalex.org/C188816634","wikidata":"https://www.wikidata.org/wiki/Q2113324","display_name":"Prospective cohort study","level":2,"score":0.36660000681877136},{"id":"https://openalex.org/C21547014","wikidata":"https://www.wikidata.org/wiki/Q1423657","display_name":"Operations management","level":1,"score":0.3269999921321869},{"id":"https://openalex.org/C2779234561","wikidata":"https://www.wikidata.org/wiki/Q11995","display_name":"Pregnancy","level":2,"score":0.3034000098705292},{"id":"https://openalex.org/C81182388","wikidata":"https://www.wikidata.org/wiki/Q353963","display_name":"Complication","level":2,"score":0.2996000051498413},{"id":"https://openalex.org/C2775924081","wikidata":"https://www.wikidata.org/wiki/Q55608371","display_name":"Control (management)","level":2,"score":0.2987000048160553},{"id":"https://openalex.org/C2775887326","wikidata":"https://www.wikidata.org/wiki/Q3308829","display_name":"Prenatal care","level":3,"score":0.2879999876022339},{"id":"https://openalex.org/C2779328685","wikidata":"https://www.wikidata.org/wiki/Q1475557","display_name":"Patient safety","level":3,"score":0.2797999978065491},{"id":"https://openalex.org/C71405471","wikidata":"https://www.wikidata.org/wiki/Q757012","display_name":"Quality management","level":3,"score":0.27889999747276306},{"id":"https://openalex.org/C2779530757","wikidata":"https://www.wikidata.org/wiki/Q1207505","display_name":"Quality (philosophy)","level":2,"score":0.2721000015735626},{"id":"https://openalex.org/C74172769","wikidata":"https://www.wikidata.org/wiki/Q1446839","display_name":"Routing (electronic design automation)","level":2,"score":0.26969999074935913},{"id":"https://openalex.org/C3018031340","wikidata":"https://www.wikidata.org/wiki/Q6786626","display_name":"Maternal morbidity","level":3,"score":0.2565999925136566},{"id":"https://openalex.org/C2987404301","wikidata":"https://www.wikidata.org/wiki/Q679690","display_name":"Intensive care","level":2,"score":0.25200000405311584},{"id":"https://openalex.org/C3019152611","wikidata":"https://www.wikidata.org/wiki/Q625506","display_name":"Preterm labor","level":4,"score":0.251800000667572}],"mesh":[],"locations_count":1,"locations":[{"id":"doi:10.31550/1727-2378-2026-25-4-46-51","doi":"https://doi.org/10.31550/1727-2378-2026-25-4-46-51","is_oa":true,"landing_page_url":"https://doi.org/10.31550/1727-2378-2026-25-4-46-51","pdf_url":"https://journaldoctor.ru/upload/iblock/399/ra89frh6bngsa1o71qzpeelw0v9jm229/7_Optimized_Prenatal_Routing_Model_Clinical_and_Organizational_Efficiency.pdf","source":{"id":"https://openalex.org/S4210179296","display_name":"Doctor Ru","issn_l":"1727-2378","issn":["1727-2378","2713-2994"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Doctor.Ru","raw_type":"journal-article"}],"best_oa_location":{"id":"doi:10.31550/1727-2378-2026-25-4-46-51","doi":"https://doi.org/10.31550/1727-2378-2026-25-4-46-51","is_oa":true,"landing_page_url":"https://doi.org/10.31550/1727-2378-2026-25-4-46-51","pdf_url":"https://journaldoctor.ru/upload/iblock/399/ra89frh6bngsa1o71qzpeelw0v9jm229/7_Optimized_Prenatal_Routing_Model_Clinical_and_Organizational_Efficiency.pdf","source":{"id":"https://openalex.org/S4210179296","display_name":"Doctor Ru","issn_l":"1727-2378","issn":["1727-2378","2713-2994"],"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":["russia-white-list-1"],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"journal"},"license":"cc-by-nc-sa","license_id":"https://openalex.org/licenses/cc-by-nc-sa","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Doctor.Ru","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.9940000176429749,"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7204199646.pdf","grobid_xml":"https://content.openalex.org/works/W7204199646.grobid-xml"},"referenced_works_count":10,"referenced_works":["https://openalex.org/W3126241087","https://openalex.org/W4393094536","https://openalex.org/W4403779515","https://openalex.org/W4408666959","https://openalex.org/W4412638044","https://openalex.org/W4413985191","https://openalex.org/W4415029746","https://openalex.org/W4415181917","https://openalex.org/W4415215481","https://openalex.org/W7117242463"],"related_works":["https://openalex.org/W3090164867","https://openalex.org/W2562674220","https://openalex.org/W2561639520","https://openalex.org/W4396217644","https://openalex.org/W2035702161","https://openalex.org/W7217113317","https://openalex.org/W4303498606","https://openalex.org/W7211940927","https://openalex.org/W7206216558","https://openalex.org/W4312112855"],"abstract_inverted_index":{"Aim.":[0],"To":[1],"evaluate":[2],"the":[3,27,73,103,113,123,128,141,149,155,164,174,191,211,238],"clinical":[4],"and":[5,31,40,76,102,240,254,265],"organizational":[6],"efficiency":[7],"of":[8,19,50,59,70,98,105,112,151,188,242],"an":[9],"optimized":[10,114],"model":[11,116,235],"for":[12,222,228],"routing":[13,115,234],"pregnant":[14,60],"women":[15,61,90,260],"from":[16,67],"28":[17,48,68],"weeks":[18,49,69],"gestation":[20,71],"to":[21,118],"a":[22,119],"planned":[23],"delivery":[24,100],"facility":[25],"using":[26,72],"Digital":[28,262],"Medical":[29,263],"Evaluation":[30,264],"Diagnosis":[32,266],"(DMED)":[33],"system.":[34],"Design.":[35],"Prospective":[36],"comparative":[37],"study.":[38],"Materials":[39],"methods.":[41],"The":[42,52,83,96,232],"study":[43,53,129,156,192],"included":[44,89],"624":[45],"patients":[46],"at":[47,134],"gestation.":[51],"group":[54,85,143,157,166],"(n":[55,86,198,205],"=":[56,87,199,206],"322)":[57],"consisted":[58],"monitored":[62],"by":[63,245],"maternity":[64],"hospital":[65],"obstetricians":[66],"DMED":[74],"system":[75],"stratified":[77],"into":[78],"three":[79],"complication":[80],"risk":[81,275],"categories.":[82],"control":[84,142,165,212],"302)":[88],"who":[91],"received":[92],"standard":[93],"outpatient":[94],"care.":[95],"course":[97],"pregnancy,":[99],"outcomes":[101],"incidence":[104,150],"perinatal":[106,175,256,271],"complications":[107],"were":[108],"analysed.":[109],"Results.":[110],"Implementation":[111],"led":[117],"significant":[120],"reduction":[121],"in":[122,127,140,154,163,210],"emergency":[124,203,214,273],"hospitalization":[125],"rate":[126,177],"group,":[130,193,213],"where":[131],"it":[132],"stood":[133],"59":[135],"(18.3%)":[136],"versus":[137],"105":[138],"(34.8%)":[139],"(p":[144],"<":[145],"0.05).":[146],"In":[147,190],"addition,":[148],"preterm":[152],"labor":[153],"was":[158,178],"1.6":[159],"times":[160],"lower":[161,182],"than":[162,180],"(50":[167],"(15.5%)":[168],"vs.":[169,185,225],"76":[170],"(25.2%),":[171],"respectively),":[172],"while":[173],"mortality":[176],"more":[179],"twofold":[181],"(4":[183],"(1.2%)":[184],"8":[186],"(2.6%)":[187],"cases).":[189],"scheduled":[194,229],"operative":[195],"deliveries":[196,215],"prevailed":[197],"61;":[200],"18.9%)":[201],"over":[202],"ones":[204],"31;":[207],"9.6%),":[208],"whereas":[209],"occurred":[216],"almost":[217],"twice":[218],"as":[219],"frequently,":[220],"accounting":[221],"66":[223],"(21.9%)":[224],"37":[226],"(12.3%)":[227],"ones.":[230],"Conclusion.":[231],"proposed":[233],"can":[236],"enhance":[237],"quality":[239],"safety":[241],"obstetric":[243,268],"care":[244,269],"eliminating":[246],"its":[247],"fragmentation,":[248],"strengthening":[249],"continuity":[250],"across":[251],"service":[252],"units":[253],"improving":[255],"outcomes.":[257],"Keywords:":[258],"prenatal":[259],"routing,":[261],"system,":[267],"optimization,":[270],"outcomes,":[272],"hospitalizations,":[274],"stratification":[276]},"counts_by_year":[],"updated_date":"2026-11-04T10:54:05.112534","created_date":"2026-08-26T00:00:00"}