scholarly journals SYSTEM AND SYNERGETIC METHODOLOGY TO RESEARCH DOCTOR'S PROFESSIONAL COMPETENCES IN THE MULTIPROFILE HEALTHCARE INSTITUTIONS

Author(s):  
A.H. Shevtsov

The national strategy for a new health care system formation in Ukraine requires medical institutions to comply with national and international standards of medical service quality and staff training, based on the concepts of their professional competencies, provided by undergraduate education and postgraduate training of doctors, nurses and managers. The goals of radical reform of this system call for the need of additional studying and updating of methodological approaches to the formation of health care workers' competencies on the basis of modern post-non-classical scientific picture of the world. The aim of the research. To determine the system and synergetic methodology and the program directions for research of professional competencies of the employees in the multiprofile health care institutions in the frame of the modern post-non-classical synergetic discourse. Material and methods. Theoretical research was conducted in the frame of the post-non-classical scientific paradigm with the use of system and synergetic analysis. Program areas of the research were determined on the project-conceptual modelling and forecasting of applied research work within the activities of a multipfofile health care institution. Results. In the determination and implementation of program areas of research of the list of professional competencies specific to a multipfofile health care institutions employees with a purpose of providing integrated medical care, it is expedient to adhere to system and synergetic modelling. It is necessary to identify the main classification features and descriptors of professional competencies of the medical institutions employees, in particular on the basis of ontological approach and method of group expert evaluation, understanding the studied set of professional competencies as a system of interconnected and interdependent competencies which is an open, nonlinear, dissipative and with a certain level of complexity and self-organization system. Conclusions. To scientifically substantiate the multidisciplinary system of formation and development of the professional competencies of the multiprofile medical institution workers, it is necessary to create a reliable model of this system based on modern theoretical and methodological principles in the post-non-classical scientific paradigm, i.e. on system and synergetic approach via use of both general and special methods of cognition.

Author(s):  
R. Grinyuk ◽  
B. Kindyuk

The article considers the peculiarities of criminal liability of employees of health care institutions for violation of the provisions of Art. 320 of the Criminal Code of Ukraine, which consists of two parts, which differ in the ways (forms) of committing criminal offenses and limits of liability. The methodological basis of the study includes logical-semantic method, by which the types of methods (forms) of committing criminal offenses under Art. 320 of the Criminal Code of Ukraine are studied; a systematic approach, on the basis of which the author analyses the sequence of actions of employees of investigative bodies in the investigation of crimes on the grounds of criminal activity provided for in the provisions of this article. It is established that Art. 320 of the Criminal Code of Ukraine consists of two parts and provides for a wide range of criminal offenses, in particular the cultivation of sleeping poppy or hemp; violation of the rules of production, manufacture, storage, accounting, release, distribution, trade, transportation, shipment or use of narcotic drugs, psychotropic substances, their analogues or precursors intended for the production or manufacture of these drugs or substances; theft, misappropriation, extortion of narcotic drugs, psychotropic substances, their analogues or precursors, or their acquisition by fraud or abuse of office by an official, etc. It is shown that the disposition of Art. 320 of the Criminal Code of Ukraine has a blanket nature, which requires specification of its provisions in other regulations, including orders, instructions, rules. It is emphasized that employees of medical institutions and health care institutions must clearly know the content of the resolution of the Cabinet of Ministers № 770 "On approval of the list of narcotic drugs, psychotropic substances and precursors" from 06.06.2000, the order of the Ministry of Health № 188 "On approval of tables of small, large and especially large amounts of narcotic drugs, psychotropic substances and precursors that are in illicit traffic" from 01.08.2000, which will significantly help them to avoid offenses related to drug trafficking. Special attention should by paid to compliance with the rules of storage, transfer, accounting, release, distribution, trade, transportation, as well as the introduction of drug logs. The article also shows the sequence of actions of employees of investigative bodies during crime investigation on grounds of the criminal activity provided by Art. 320 of the Criminal Code of Ukraine.


Author(s):  
О. Lubenchenko ◽  
R. Kostyrko ◽  
S. Shulha ◽  
М. Valiliuk

Abstract. Inconsistencies of the accounting policy in business enterprise health care institutions with the legal and regulatory requirements, and the imperatives for forming the accounting policy of medical institutions in the new conditions of their reforms are determined by exploring their accounting procedures. The specifics of payment of value added tax by medical institutions are analyzed. Scientific-medical recommendations on accounting policy improvements with respect to the accounting of liabilities, including value added tax, are substantiated. The essential characteristic of the definition «related party» is given in keeping with the standards of accounting and tax law, accounting of transactions with related parties, with providing recommendations on the accounting of related parties. Methodical provisions on the accounting policy of incomes, stocks and expenses, pertaining to the classification and evaluation of incomes from medical services are specified. The structure of management report compiled by business entities, including medical institutions, is specified, with demonstrating that the process involved in the compilation of report is conditional on the accounting data and judgement of the management personnel, realized through the accounting policy. Based on an analytical review of methods for the compilation of report on monetary flows generated by operational activities (direct and indirect method), it is proposed that medical institutions should use indirect method as more informative one for users of financial reporting. The necessity to form information about incomes, expenses, financial results, assets and liabilities of reporting segments and its disclosure in the financial reporting is demonstrated. Recommendations on organization of an effective system for internal control of health care institutions are developed, with outlining the main areas of its organizational support in view of preventing risky events. The procedure for forming information required for the compilation of reports on management, monetary flows, and reports by segments, which is supposed by comply with all the essential aspects of a selected conceptual framework of financial reporting is shown. Keywords: accounting policy, heath care institution, financial reporting, control. JEL Classіfіcatіon M41, M48, I18 Formulas: 0; fig.: 0; tabl.: 4; bibl.: 18.


Author(s):  
Yu.V. Sulkina ◽  
◽  
N.V. Bolonyaeva ◽  
E.K. Gaponenko ◽  
E.V. Denisova ◽  
...  

The relevance of the development of paid services in health care institutions is mainly due to the interest of managers in the development of medical institutions, since the funds received are both a source of additional material incentives for employees and an additional source of equipment for the institution


Author(s):  
A. V. Guryev ◽  
A. R. Tukov ◽  
A. Y. Shirokov

The results of the analysis of prevalence and structure of diseases of nonprofessional Genesis in persons (men and women) with the diagnosis of occupational disease, working at the enterprises and organizations, served by health care institutions of the FMBA of Russia are presented.


1982 ◽  
Vol 63 (1) ◽  
pp. 69-69
Author(s):  
V. V. Kanep ◽  
L. L. Lipovetskaya

The book by Academician of the USSR Academy of Medical Sciences V.V.Kanep and Associate Professor L.L. Lipovetskaya is of undoubted interest both for healthcare organizers and clinicians. The first chapter of the book is devoted to the theoretical and methodological issues of the scientific organization of labor, it formulates the goals and main tasks of NOT in health care, outlines the methods of studying the organization of labor. The second chapter describes the work of doctors and nurses in outpatient and inpatient medical institutions. The presented materials provide initial information for the development of recommendations for improving work processes in health care institutions of various profiles.


2017 ◽  
Vol 98 (2) ◽  
pp. 251-256 ◽  
Author(s):  
G V Gudimenko ◽  
R A Kondrashova

Aim. To conduct comparative analysis of patients’ satisfaction with medical services in private and public health care institutions, considering satisfaction as a factor of improving competitiveness. Methods. Analysis of satisfaction with medical services in two medical institutions in Orel was performed by means of survey of 300 patients and analysis of web-based feedbacks. The obtained quantitative data were processed, grouped and presented as a result of statistical observation. Results. According to the results of the survey of clients of the medical center «Sakara» it was found that almost 100% of patients were satisfied with medical services, and according to the web-based feedbacks 59.1% of patients were not satisfied with the services and stuff attitude. In polyclinic №2 according to the results of the survey about 70% of the visitors were satisfied, and according to web-based feedbacks 78.8% are completely unsatisfied. It was revealed that over time consumers marked down their assessment and sometimes they even became reverse. In this regard we identified the primary level of satisfaction - satisfaction, and secondary level - contentment (discontent). Primary satisfaction and subsequent contentment of consumers with medical services do not coincide and are not consistent. The explanation of this result lies in specificity of medical services, their duration and uncertainty of outcome. In the market of medical services in Russia satisfaction doesn’t often transform into customer loyalty, and therefore is not a source of profit. Between the parameters of satisfaction and customer contentment there is a gap due to the current efficiency of services and customer expectations. Conclusion. Medical institutions should constantly analyze satisfaction and contentment of consumers for wider and more justified understanding of their behavior, preferences and expectations; identification of medical instituion problems and their timely correction is one of the most effective mechanisms to improve competitiveness.


2020 ◽  
pp. 140-146
Author(s):  
Victoriia Adamyk ◽  
Yulia Dyshkant

Subject, aim of research. The subject of the study is the modernization of the organizational culture of health care facilities in the implementation of the second stage of medical reform in Ukraine. The aim is to identify the factors and problems of the organizational culture of medical institutions, as well as directions and tools for its modernization in the context of medical reform. Methods and methodology of work. The methodological basis is the scientific works of domestic and foreign scientists. The research is based on a systematic approach and methods of strategic analysis, in particular SWOT-analysis, comparative analysis, export valuation method, questionnaire method, etc. Research results. The article emphasizes that the main factor of health care facilities modernization in Ukraine is the medical reform. The main challenges facing secondary hospitals are highlighted: increased competition of healthcare market, expanding the range of funding sources, technological change, demand transformation and epidemiological threat. The main directions of modernization of health care institutions organizational culture are identified. Among them there are strengthening its functional component with separation of responsibilities and capabilities of hospital management and medical staff; innovative development; communication with colleagues from other institutions, including foreign ones, and patients respectively to the requirements of digitalization; staff training, the use of crisis management tools, etc. The project profile of the evaluation components of the effectiveness of the organizational culture of health care institutions modernization has been formed. The important role of PR-management and image-making in the formation of corporate culture of modern medical institutions is emphasized.


Author(s):  
R. Grinyuk ◽  
B. Kindyuk

The article considers the peculiarities of criminal liability of employees of health care institutions for violation of the provisions of Art. 320 of the Criminal Code of Ukraine, which consists of two parts, which differ in the ways (forms) of committing criminal offenses and limits of liability. The methodological basis of the study includes logical-semantic method, by which the types of methods (forms) of committing criminal offenses under Art. 320 of the Criminal Code of Ukraine are studied; a systematic approach, on the basis of which the author analyses the sequence of actions of employees of investigative bodies in the investigation of crimes on the grounds of criminal activity provided for in the provisions of this article. It is established that Art. 320 of the Criminal Code of Ukraine consists of two parts and provides for a wide range of criminal offenses, in particular the cultivation of sleeping poppy or hemp; violation of the rules of production, manufacture, storage, accounting, release, distribution, trade, transportation, shipment or use of narcotic drugs, psychotropic substances, their analogues or precursors intended for the production or manufacture of these drugs or substances; theft, misappropriation, extortion of narcotic drugs, psychotropic substances, their analogues or precursors, or their acquisition by fraud or abuse of office by an official, etc. It is shown that the disposition of Art. 320 of the Criminal Code of Ukraine has a blanket nature, which requires specification of its provisions in other regulations, including orders, instructions, rules. It is emphasized that employees of medical institutions and health care institutions must clearly know the content of the resolution of the Cabinet of Ministers № 770 "On approval of the list of narcotic drugs, psychotropic substances and precursors" from 06.06.2000, the order of the Ministry of Health № 188 "On approval of tables of small, large and especially large amounts of narcotic drugs, psychotropic substances and precursors that are in illicit traffic" from 01.08.2000, which will significantly help them to avoid offenses related to drug trafficking. Special attention should by paid to compliance with the rules of storage, transfer, accounting, release, distribution, trade, transportation, as well as the introduction of drug logs. The article also shows the sequence of actions of employees of investigative bodies during crime investigation on grounds of the criminal activity provided by Art. 320 of the Criminal Code of Ukraine.


2020 ◽  
Vol 5 (5) ◽  
pp. 204-211
Author(s):  
A. V. Kolomoets ◽  
◽  
V. M. Mikhalchuk ◽  
O. K. Tolstanov ◽  
Z. V. Gbur ◽  
...  

In the logistics approach, the health care organization is seen as a system that incorporates many interconnected processes, the ultimate goal of which is to provide quality health services. Modern system and process approaches to management have also undergone significant changes in the management of medical institutions, applying new methods and technologies of resource management, which are based on the concept of logistics. The positive aspects of logistics technologies in health care institutions are the following: the ability to influence the strategy and tactics of health care institutions, the formation of new competitive market advantages in this market segment. The use of logistics methods and technologies optimizes the processes of information input on the amount of resources consumed, its receipt and transmission of information, thus improving the quality of medical care. The main idea of the logistics process is to create a certain result from the resources available in medical institutions. It should be noted that today companies in various sectors of the economy are interested in the transition to logistics management. The advantage of the logistical approach in health care is the ability to influence the strategy and tactics of the medical organization, to create new competitive advantages in the market of medical services. The use of logistics accelerates the process of obtaining and transmitting information about the necessary resources as a result, improving the quality of medical services. In this way, logistics coordinates the resource provision of the health care organization as a whole. Conclusion. Implementation and use of the world best practices of the logistics concept "just in time" to optimize the needs and time of supply of medical devices of each structural unit of the medical institution will ensure continuity of processes in the health care facility as medical supplies and property arrive on time, and , at the same time do not accumulate in warehouses unclaimed (which, in turn, reduces the turnover of working capital and as a result negatively affects the financial stability of the organization), which contributes to the rapid restructuring of the supply system to the needs of health care


Author(s):  
L. V. Birukova ◽  
E. Y. Apkhanova ◽  
O. G. Tolkaneva

The article describes the problems of staffing budgetary medical institutions of the Khabarovsk Territory; the reasons for the staff shortage were revealed; the main directions of the regional program for the development of the health care system and the problems of its implementation in medical institutions are considered


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