All articles by Tolstova K. S.
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2020 № 1 New model of ambulatory healthcare operation as a form of sustainable development of healthcare organization
The article presents a review of the literature and the data of our own research on the problem of introduction of certain elements of the lean production model in the work of the ambulatory healthcare and assessment of its impact on the sustainable development of the healthcare organization as a whole. It was revealed that the new model of the am¬bulatory healthcares increases the efficiency of activities in the following areas: the achievement of long-term development strategy by 6.8 times, the introduction of organizational improvements and training of personnel by 5 times, synchronizes processes and optimizes resource provision 3 times more often than the initial level of work of the healthcare organization. In this regard, the sustainability potential of the healthcare organization providing primary health care to the population has increased by 3.47 times, which indicates an increase in the efficiency of the organization.
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2023 № 9 Analysis of the effectiveness of healthcare organizations implementing the development strategy.
The development strategy is the most well-known model implemented in various industries, including healthcare. It allows managers to make decisions and focus the efforts of employees on processes that contribute to the achievement of the long-term goals of the organization.
However, when conducting a study of management models that affect the sustainable development of healthcare organizations, we received conflicting results. On the one hand, some healthcare organizations implementing the development strategy achieved their results within 3 years or more. On the other hand, 24,6% of healthcare organizations using this concept participated in the study, which did not achieve sustainable growth in indicators. This was the basis for the present study
Purpose of the study is to determine and the analysis of the effectiveness of the activities of healthcare organizations implementing a development strategy.
Materials and methods. The study of management models for the development of healthcare organizations was carried out in the period from 2012 to 2023 at the Novosibirsk State Medical University. Sociological (n=625) and expert survey (n=286) of heads of healthcare organizations was conducted in the period from 2012 to 2018.
Results. 625 heads of healthcare organizations participated in the sociological study. Only 43,4% of respondents used a development strategy in their work.
According to the results of the study, healthcare organizations that implement a development strategy in 100% of cases pay special attention to the implementation of an effective strategy. Plan processes in line with the organization’s strategy 34,6% more often than the average of all organizations surveyed. 1,7 times more likely to cooperate with government and scientific organizations to achieve their strategic goals. In the internal policy of the organization, they emphasize the implementation of corrective and preventive measures, and also evaluate mutual cooperation between departments.
Findings. The results of the study show that in order to achieve strategic goals, it is necessary to involve all the main activities of a healthcare organization, which gives reason to believe that the development strategy has a positive impact on the effectiveness of the organization as a whole. However, the method under study contributes to increasing the potential for sustainable development of a healthcare organization by only 39%. And a quarter of all the studied organizations that implement a development strategy do not achieve a stable growth of indicators within 3 years. This means that the studied management model can improve the efficiency of the organization only in combination with other approaches.