Articles with tag: «management»
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2013 № 10 Trends in the development of laboratory services in Russia in 2009–2012 (Moscow, Russia)
The article presents data on the volume and structure of the clinical laboratories in the country. An increase to 16 000 the number of laboratories in the decline in the number of medical facilities of MoH system. The share of centralized clinical diagnostic laboratories in Russia does not exceed 3,8%. The specificity of the laboratory service, which is manifested in the lagging pace of growth from analitical equipments, relatively low labor productivity.
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2015 № 10 How the process of loosing real authority among directors of Federal (Municipal) institutions impact the efficiency of operations in organisations lead by them
The market conditions in which health care and other social sphere industries operate, issues with financing and so forth prompted the need for reforms, directed on forming an optimal balance between rights and responsibilities of state (municipal) institutions and their leaders. This article looks into opportunities for executing legislatorial rights of Federal Municipal health care institutions from the perspective of matching the authority given to the directors with the responsibilities weighted on them.
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2019 № 7 Improvement of information support and organizational and managerial aspects of the chief doctors of Central district hospitals
Annotation. The article presents the results of the study of the organization of work of chief physicians of Central district hospitals and their deputies in the Republic of Dagestan. The content of 918 administrative acts issued at the level of the Ministry of health of the Republic of Dagestan and basic CRH for the last 5 years is analyzed. Studied information provision CRH chief doctors and their deputies.
It is established that opinion acts of management are executed partially or aren’t executed at all. Of the 436 orders of the Ministry of health of the Republic of Dagestan executed 70.6% of 482 orders of chief physicians CRH – 64.2%. About
half (48.6%) of management decisions fall on personnel issues, 17.5% – on the organization of medical and preventive
care, 7.1% – on the development of material and technical base. On the basis of research materials recommendations
on improvement of information support and organizational and administrative aspects of activity of the chief physicians of the Central regional patients are developed. -
2019 № 8 Reference center of radiology: justification and concept
The situation in radiology (intensive growth of infrastructure against the background of organizational, methodical
and managerial problems) requires a new system approach to organization and management. The concept of radiology
reference center as a structure in the health care system is supposed to provide remote assessment, interpretation, description and control of radiological studies performed in medical centers of all forms of ownership, with the use of telemedicine technologies. The reference center should simultaneously solve organizational, methodological, therapeutic, diagnostic, educational problems, information and coordination tasks and scientific issues. The concept is based on systematized results of publications and own successful experience of creation and effective functioning of the reference center on the basis of the State Funded Healthcare Institution of Moscow “Research and Practical Clinical Center of Diagnostics and Telemedicine Technologies, Department of Health Care of Moscow”. Basing on the concept, it is necessary to keep developing the scientific and practical aspects of normative, legal and methodological support of the activities of radiology reference centers. -
2022 № 6 Expert validation of the clinical laboratory service models’ standardized descriptors
Introduction. The growing demand for the availability and quality of clinical laboratory tests has necessitated the search for new approaches to organizing and management of laboratory services. At the same time, needs a systematic description of the laboratory services organization models as a background for further improvement. Objective: to validate the description of the laboratory services organization models by standardized characteristics. Methods. A sociological study carried out on the principles of a systematic approach. Research methods: sociological (expert assessments), analytical, statistical. Results and discussion. The inter-expert agreement for the centralization (consolidation) model was 0,626 (95% CI 0,516–0,711), outsourcing (decentralization) – 0,747 (95% CI 0,672–0,804), horizontal integration – 0,784, 95% CI 0,720–0,833, mobile (pointto-care) model – 0,883 (95% CI 0,848–0,909). The first value interpreted as doubtful, significant adjustments made to the model characteristics. The second and third values – as sufficient, minimal adjustments made. Fourth – as good, the description was not changed. The final SWOT-analysis matrices for four models formed. Conclusions. Thanks to expert validation, a methodical change from an empirical to a scientifically based standardized description of the four basic laboratory services organization models made.
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2014 № 7 The application of Balanced Scorecard for the evaluation of the medical organization (Samara State Medical University, Samara, Russia)
The article is devoted to questions of application of Balanced Scorecard for the evaluation of the medical organization. The result of the work is theoretical substantiation of causality prospects and compilation of the list of indicators for measuring the achievement of objectives within the system of balanced scorecard of outpatient organization. The article concludes on the need to develop methodological approaches to the development of strategic objectives in the framework of the system of balanced indicators.
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2017 № 4 The load on the blood service of medical establishments depending on the volume of platelet transfusions per days of week
Rate of the frequency of transfusions, goal-setting, and the stratification of 1519 doses of donor platelets on different days of the week have been evaluated in 16 clinics in the Republic of Bashkortostan. The proportion of transfused platelets in the different days of the week has been different at 5.1 times. The needs of clinics, from Sunday to Tuesday inclusive in platelets make up 17.2% of the total consumption and at 61,3% (p < 0,01) more often than on other days of the week are met by apheresis platelets. Maximum uniformity of platelet transfusion dates identified in Children Republic Clinical Hospital, which from Wednesday to Friday inclusive, transfuses 51.2% of platelets, whereas in other hospitals – 76,8% (p < 0,01). Increased frequency of platelet therapy beginning on Friday in small clinics can cause compliance audit for transfusion rules. The results may be useful for evaluating workflow of blood service clinics, improve the efficiency of clinical work.
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2020 № 8 Improving rural health care through business process management
Meeting the needs of the rural population in all types of primary health care (pre-medical and general medical
care), as well as specialized medical care, improving the quality of medical care for the rural population is an important
public health problem that is difficult to solve and is of particular concern to government structures at all levels of government. The article presents an analysis of the literature on the use of business processes in modern healthcare, the main tasks of which are the creation and development of effective models for the provision of medical care that increase not only its accessibility and quality, but also the satisfaction of the population. As part of the activities of the modernization program for the implementation of information technology in healthcare, it is planned to create information resources and services that would allow, using this system tool, to move to a qualitatively new level of organization of industry management. It is noted that at present, at the level of management of the medical organization as a whole, and in the management of individual areas of its activity, the application of the process approach is becoming relevant, in which the medical organization can be considered as a separate business system, which is a related set of business processes, the ultimate goal which, undoubtedly, is the provision of quality medical services. It is shown that the development and modeling of business processes will increase the relevance of management information, will make it possible to focus on rationalizing cross-functional processes to significantly reduce time and / or costs, increase revenue, improve service quality and reduce risks, the information system allows you to simulate processes and carry them out further optimization.
The analyzed works examine the experience of process-oriented management in medical organizations and its role in ensuring the improvement of the quality of medical services provided. In addition, the introduction of a process approach will allow the application of certain managerial decisions necessary in each specific situation, including in the field of medical services for the rural population. -
2016 № 2 Management of blood donor: platelet pooling
Based on the cost analysis of different types of platelet concentrates (PC) assessed the effectiveness of the introduction of technology pooling of platelets in the Irkutsk Regional Blood Transfusion. Comparative cost analysis of different types of PC, the cost of consumables for the same therapeutic dose PC was performed. It was found that the content of pooled PC cells does not give in to apheresis. The introduction of technology pooling of platelets allows significantly (by 54,4% or more) to reduce the cost of issuing PC. To evaluate provision of PC in the regions it is advisable to consider the number of harvested PC through methods for preform at therapeutic doses.
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2019 № 6 Management in modern management in foreign health care systems(scientific literature review)
This science literature review was conducted for five-year period. It has been established that the process of improvement by lean management has more than 50 years history in industry, and the experience is best carried out, in primary health care; the main of lean management introduction in healthcare is to ensure optimal participation of medical staff in the changes; the concept of medical care in the first place has the aim of improving the quality and availability of healthcare processes; mapping is a basic tool allows to visualize the process of changes and evaluate progress; project management is a method of comprehensive changes in healthcare in which the elements of lean management are also used to ensure general increase in the efficiency of transformations. Lean management is becoming increasingly scientific and practical tool in health management nowadays.
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2022 № 1 About the ability of the Uniform State Health Information System to solve management problems
The unified state health information system (UHISZ) is becoming a state-significant information system (IS), which is capable of solving any problems of preserving and strengthening the health of citizens.
Purpose of the study is to substantiate the problems of the construction and functioning of the Unified State Health Information System, the solution of which will multiply the capabilities of the Unified State Health Information System to solve the problems of preserving and strengthening the health of citizens and look for new non-traditional ways to improve their health.
Results. I n the article, the authors distinguish three levels of problems to be solved. The first level of problems is problems that can be solved at the highest (legislative) level. The second level of problems is the problems that must be solved at the regional level. The third level of problems is the problems faced by ordinary users of the Uniform State Health Information System – doctors and other medical workers.
The article initially uses the position – “Any information system is a tool for solving management problems.” The authors trace the stages of creating informatization in the Russian Federation from the complex program “Development and implementation of automated consultative systems for diagnosis, prognosis and choice of treatment tactics in emergency conditions”, which substantiated the development of automated systems for the period 1978–1990 until 2018, when Russia was the National Healthcare Project was launched, which includes the Federal project “Creation of a unified digital circuit in health care based on the unified state health information system (Unified State
Health Information System) ”. The article discusses the problem of the privacy of data on the health of a resident of the region and the privacy of knowledge of the factors that determine both the health of a particular resident of the region and those around him. Preserving the complete privacy of a citizen’s “personal space” will lead to the fact that the Unified State Health Information System will have the most general data on the health of a resident of the region. In this case, it will only be possible to solve those problems that characterize the health of the region’s inhabitants, which were solved without any digitalization. The second level of problems is associated with the work of “Uniform State Health Information System” and support programs operating at the level of the regional health care system. The main
regional problems associated with “EGISZ” are: problems of licensing of auxiliary programs; problems of accounting for the quantitative parameters of the development of the Uniform State Health Information System and auxiliary programs; problems of control over the work of auxiliary programs; problems of control over the filling of the Uniform State Health Information System; the problem of “user-friendliness of the interface” (especially for departments with cases of “peak work” – emergency departments).
Separately, it should be noted the issues that are not problems of the functioning of the Uniform State Health Information System, but more characterize the new opportunities that arise in the presence of the Unified State Health Information System, which has a wide range of knowledge about human health. Uniform State Health Information System allows to solve in a different way the traditional tasks of an informational, organizational, medical, economic, scientific and educational nature that exist in the region. The noted fact prompts to look for new problems of assessing the health of residents of the region and ways to solve them, which were previously unavailable due to the lack of systematized data on the treatment and diagnostic process, other aspects of the activities of medical organizations, as well as information on factors affecting the health of residents of the region.
Conclusions. Any information system is a tool for solving management problems. Without eliminating the problems of replenishing the Uniform State Health Information System with data on the factors influencing the health of the inhabitants of the region, it is impossible to effectively solve the problems of preserving and strengthening the health of the citizens of the region. The data, which, in accordance with the Federal Law “On Personal Data”, are included in the list of closed data, are encrypted in the EGIZS. To oblige the regional health authorities to introduce a licensing mechanism for programs interacting with the regional Unified State Health Information System.
The development of regional Uniform State Health Information System will lead to a radical change in the view of the traditional tasks of information, organizational, medical, economic, scientific and educational nature, solved in the region. -
2022 № 2 Network facilities of internal communication of a medical organization.
For the effective work of employees, it is necessary to competently establish internal communication. To date, dozens of companies provide various network means of internal communication, but not all of them are suitable for a medical organization.
P u r p o s e of the study is to study the network means of internal communication in a medical organization.
M a t e r i a l s a n d m e t h o d s . Network facilities of internal communication, their advantages and disadvantages were analyzed and systematized in the article. The definitions, types of communication networks and communication management are presented. The rules for the security of personal data when using network communication tools are described. A survey of employees was carried out to identify the main facilities of internal communication used, as well as satisfaction from them on the basis of the State Autonomous Healthcare Institution “City Polyclinic No. 21”. A SWOT based on the survey results analysis was carried out.
R e s u l t s . 85 employees participated in the study. It showed that the main facilities of electronic internal communication used are the WhatsApp messenger and the electronic document management system. WhatsApp isn’t convenient for a significant part of employees to use, also there are too many working chats and messages in this messenger. Employees don’t often use the electronic document management system and there is a significant part of users who don’t like using it.
F i n d i n g s . One of the most convenient facilities of internal network communication is a corporate social network, which, however, is difficult to implement and expensive in terms of costs. A more accessible means of internal communication is the Telegram messenger. -
2017 № 6 Review of international experience in process-oriented management of medical organization on the example of the Mayo clinic (USA)
The article presents the Genesis of the process approach to management, presented the benefits of this approach, an overview of the implementation of a process-oriented approach at the Mayo clinic, brief description of key aspects of the management of the specified medical organizations
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2020 № 2 Phenomena of formation and functioning of modern managers in russian healthcare
The article considers a number of phenomena that determine the features of the formation of the professional trajectory of modern managers in health care. The analysis of factors that determine the appointment of managers to positions, as well as environmental, market, personal, educational, political and other factors that accompany the activities of management personnel in health care is presented.