scholarly journals Improvement of the Human Resources Policy in the Regional Health Care

REGIONOLOGY ◽  
2020 ◽  
Vol 28 (3) ◽  
pp. 598-623
Author(s):  
Igor O. Marinkin ◽  
Elena G. Kondyurina ◽  
Elena A. Aksenova ◽  
Elena A. Pushkareva ◽  
Stanislav V. Sokolov ◽  
...  

Introduction. It is not possible to create an adequate human resources policy only through the efforts of heads of medical organizations. There is a need to integrate the efforts of governments, educational institutions and employers to improve the human resources policy for regional health care. The article presents the strategy of personnel policy perfection on the basis of Russian and international organizations’ experience, research of personnel imbalance of regional public health care system and results of own researches. Materials and Methods. The research materials were statistical data on the staffing of the regional health care, including a database of job opportunities for medical workers in the labor market, materials from a sociological survey of managers on ways to improve personnel policies and its impact on the sustainable development of health care organizations. Results. The study of personnel policy that affects the sustainability of the development of medical organizations has shown that an important aspect of achieving long-term goals of the organization is the introduction of improvements in accordance with the modern strategy of health development. The authors identified the problems of staffing the health care system in the Novosibirsk region (a surplus of trained specialists in both outpatient and inpatient units; an imbalance of specialists with a shortage of doctors in the primary sector; there is a significant need for specialized specialists, whose training takes place through training in residency, etc.). Special attention is paid to the problem of training personnel based on continuing medical education programs. The authors focus on the need to train specialists in the region under the program “Lean medicine” for the qualitative introduction of a new model of primary health care. Discussion and Conclusion. The main results of our work are that the regional health development strategy depends on the integration of efforts of the Ministry of Health of the region, healthcare organizations and higher educational organizations. Against the background of personnel imbalance, it is necessary to ensure the training of specialists for implementing regional health development programs in a short time. At the same time, graduate specialists should be willing to work in conditions of constant changes and at the same time contribute to the sustainable development of healthcare organizations. The results of the study are important for specialists at various levels of health authorities, higher education institutions and medical organizations.

2019 ◽  
Vol 45 (3) ◽  
pp. 242-248 ◽  
Author(s):  
Susan B. Fowler ◽  
Christian A. Rosado ◽  
Jennifer Jones ◽  
Suzanne Ashworth ◽  
Darlene Adams

2019 ◽  
Vol 28 (3) ◽  
pp. 147-154 ◽  
Author(s):  
Nina R. Sperber ◽  
Rebecca A. Bruening ◽  
Ashley Choate ◽  
Elizabeth Mahanna ◽  
Virginia Wang ◽  
...  

2020 ◽  
pp. 36-44
Author(s):  
Valeriy Karavaev

The article presents the authors' view on the state of staffing in healthcare organizations and training of medical personnel within higher education system. The necessity of reviewing approaches to the formation of management in healthcare institutions, to assess the effectiveness of work is shown. Options for improving activity of universities and health care system are proposed.


2014 ◽  
Vol 13 (5) ◽  
pp. 184-194
Author(s):  
Ye. G. Totskaya ◽  
M. A. Sadovoy

The paper reviews topical issues of organization and management of innovative activity in the regional health care system.Objective. Development and scientific substantiation of a conceptual model of managing innovation in the regional health care system, introduction of institutional mechanisms for its implementation, and evaluation of their efficacy in using diagnosis and treatment technologies. Objectives of the study included reviewing the organization status and problems hampering the development, identification of prospects, and justification for appropriate changes in innovation in healthcare system and medical science at the regional level.Material and methods. To conduct a comprehensive assessment of the status and meet challenges of innovation promotion, a methodology for social-hygienic research was worked out including bibliographic and analytical methods, situational analysis, sociological and economic methods, expert assessment, methods for quality management system audit in accordance with ISO 19011:2002, IDEFO function modeling (RD IDEF0-2000), and organizational modeling. The study was based on the analysis of foreign and domestic literature, statistics, methods for managerial modeling, as well as management experience (including innovative methodological approaches) gained by Novosibirsk Research Institute of Traumatology and Orthopedics named after Ya.L. Tsivyan which meets the requirements for a platform for research and innovative product reproduction, including research, clinical, organizational, and managerial aspects. Other facilities were considered in conjunction with the leading innovative platform.Results. The paper presents a scientifically based model of innovative medical environment with its elements as subjects, each with a set of functions. Conceptual model for management includes structuring (resource, processes, and quality management; application of international standards) and strategic management mechanisms, provides a systematic approach to management, and ensures efficient operation of medical institutions and public access to innovative medical diagnostic technologies. The advantage of innovative products and technologies using within the doctrine of innovative management is that they provide a comprehensive approach to the diagnosis and treatment of patients. The introducted managing innovation technologies allow to improve organizational performance of healthcare institutions and to achieve significant medical and social effects: high level of diagnosis and treatment, improved access and quality of care what promotes the public health.Conclusion. Formation of regional innovation medical environment with advanced innovation infrastructure, interaction of its elements through an effective system of coordination and control is a prerequisite and basis for more mature and system-level structure – an industry innovative cluster. Active development of innovation in health care based on cooperation among the different actors of innovation and interagency collaboration provides a professional staff to the sphere of research commercialization, accomplishes innovative technology transfer to a real economy, and enables the integration in the worldwide innovation environment through the implementation of technological and scientific research projects.


2021 ◽  
Vol 17 (1) ◽  
pp. 31-43
Author(s):  
V.A. Chereshnev ◽  
N.V. Krivenko ◽  
V.G. Krylov

Nowadays, the sustainability of the health care system is a relevant research topic. The works of Russian scientists demon- strate the lack of a systematic approach to determining the efficiency and sustainability of the Russian health care. International experience and the data of the Regional Office for Europe of the World Health Organization (WHO) show that, despite exten- sive research, efficiency indicators of the health care system have been insufficiently developed. Using the methods of multidi - mensional comparative analysis, determined factor analysis, structural analysis, expert assessment, statistical modelling and forecasting methods, we developed a methodology for the comprehensive assessment of the efficiency and sustainability of the regional health care system. The methodological toolkit includes the comprehensive assessment of the relative efficien cy and relative sustainability of the regional health care system based on the established integral indicators. We tested this methodol- ogy on the example of the health care system of Sverdlovsk Oblast in the period 2017–2018. Integral indicators of the relative efficiency are directly influenced by the indicators of medical and social performance, which largely depend on the funding and management of the health care system. Simultaneously, the indicators of the relative efficiency can be high even if the indicators of the relative sustainability did not reach the established threshold. An integral indicator of the risk level considers the need to maintain the sustainability of the health care system for its functioning and development. Further, we constructed an interactive model for determining the risk zone and safe zone of the health care system. Due to its versatility, the proposed methodological toolkit allows an objective assessment of the efficiency and sustainability of the regional health care system


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