scholarly journals Raising the level of the regional healthcare development

POPULATION ◽  
2021 ◽  
Vol 24 (4) ◽  
pp. 122-133
Author(s):  
Natalya Krivenko

The article is devoted to the consideration of the possibilities of change management in the regional health care system. The research methodology includes the provisions of theories of change management, innovation management, concepts of organizational development, strategic management. The author's approach to managing changes in the Russian healthcare system at the regional level was developed using a systemic, multilevel, integrative, interdisciplinary approach, methods of comparative, factor analysis, instrumental methods of statistics. The study revealed shortcomings of the management systems in the healthcare during the pandemic. Proposed current approaches to change management, author's approach to their assessment in regional health care. The studies carried out show the high potential of the Russian medical science, the sanitary and epidemiological service, the rapid adaptation of the healthcare system in the face of the challenges associated with the pandemic. Along with the success of the Russian healthcare, serious problems have been identified in the management of the industry, including due to insufficient resource provision. A conclusion is made about the possibilities of increasing the level of development of the regional healthcare as a result changes in the industry through integration of medical science and practical healthcare, active implementation of innovations, digitalization, public-private partnership tools that contribute to preservation of the human potential and strengthening the socio-demographic, economic security of the region.

Author(s):  
I. Timakov

В статье проанализированы изменения элементов системы здравоохранении в Республике Карелия в результате проведенных реформ. С помощью методов статистического и дескриптивного анализа, нами были выявлены особенности структурных изменений и сопутствующие последствия для доступности здравоохранения в регионе. С целью улучшения доступности, обоснована приоритетность расширения возможностей здравоохранения в пространстве всего региона, особенно в сельской местности. In the article we analyzed changes in the healthcare system in the Republic of Karelia as a result of state reforms. Using the methods of statistical and descriptive analysis, we have identified the features of structural changes and the attendant consequences for the accessibility of regional health care. In order to improve accessibility, we propose to pay attention to the expansion of healthcare opportunities in the entire region, especially in rural areas.


Author(s):  
Asha Devereaux ◽  
Holly Yang ◽  
Gilbert Seda ◽  
Viji Sankar ◽  
Ryan C. Maves ◽  
...  

ABSTRACT Successful management of an event where health-care needs exceed regional health-care capacity requires coordinated strategies for scarce resource allocation. Publications for rapid development, training, and coordination of regional hospital triage teams to manage the allocation of scarce resources during coronavirus disease 2019 (COVID-19) are lacking. Over a period of 3 weeks, over 100 clinicians, ethicists, leaders, and public health authorities convened virtually to achieve consensus on how best to save the most lives possible and share resources. This is referred to as population-based crisis management. The rapid regionalization of 22 acute care hospitals across 4500 square miles in the midst of a pandemic with a shifting regulatory landscape was challenging, but overcome by mutual trust, transparency, and confidence in the public health authority. Because many cities are facing COVID-19 surges, we share a process for successful rapid formation of health-care care coalitions, Crisis Standard of Care, and training of Triage Teams. Incorporation of continuous process improvement and methods for communication is essential for successful implementation. Use of our regional health-care coalition communications, incident command system, and the crisis care committee helped mitigate crisis care in the San Diego and Imperial County region as COVID-19 cases surged and scarce resource collaborative decisions were required.


2020 ◽  
Vol 22 ◽  
pp. 01010
Author(s):  
Natalya Krivenko ◽  
Daria Epaneshnikova

The article considers modern demographic trends, in the conditions of medical care cost increasing and aging of the population. The expediency of studying aspects of health care efficiency is justified. The relationship and mutual influence of changes in the country’s economy and changes in the health care system are revealed. The problems of preserving the health of the population are considered comprehensively, taking into account the influence of environmental factors, behavioral factors and attitudes to human health, the effectiveness of public policy implementation and the effectiveness of the health system. An integrative model for evaluating the effectiveness of regional health care is proposed based on an integrated approach aimed at improving the population health and ensuring social and demographic security of the region. The integrative model is adapted on the example of the Sverdlovsk region. In dynamics for 2008-2018, improved medical and demographic indicators and high effects were achieved as a result of comprehensive measures to neutralize factors that have a negative impact on the health of the population, promotion and implementation of healthy lifestyle, strengthening state support for the industry, and the successful functioning of regional health care.


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

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