scholarly journals Determination of ways to improve the activities of the Central district hospital in Kazakhstan

2020 ◽  
Vol 3 (38) ◽  
pp. 53-59
Author(s):  
Shyndos Myrzaliyev ◽  
Keyword(s):  
Swot Analysis ◽  
District Hospital ◽  
Total Mortality ◽  
District Level ◽  
Medical Services ◽  
Positive Trend ◽  
Medical Organization ◽  
Central District ◽  
Calculation Processing

Abstract The aim of the study: To study the activities of the district-level hospital for further improving the quality of the provided medical services. Methods. A set of research methods was used in the work: 1) information and analytical - analysis of legislative and regulatory legal acts, modern literary sources on the topic of work; 2) statistical calculation, processing and analysis of statistical information; 3) analysis of the main statistical indicators of the structural component and the quality of the result (according to the main indicators of the hospital’s activity). The data were studied for 2015 and 2019 in a comparative aspect to assess the dynamics. Results. The total incidence per 100 thousand population in 2019 is 74 140.6 (in 2015 - 72 911.5, an increase of 3.6%). The primary incidence of the population of the district in 2019 is 43 429.6 (in 2015 - 42 952.8), there is an increase of 1.1% due to an increase in the detection rate at screening examinations. The overall mortality rate in 2019 is 6.30 / 00, in 2015 - 6.90 / 00, comparatively, there is a decrease in total mortality by 8.7%. Based on the results of the data, a SWOT analysis was carried out with the definition of the strengths and weaknesses of the hospital, which make it possible to determine the main directions for the development of a medical organization to improve the quality of medical services provided. Conclusions. In general, during the period under study, morbidity and mortality rates tended to decrease in the Central District Hospital, there is a positive trend in the provision of medical equipment and medical products, an increase of 31.5% compared to 2015. Over the period studied, the situation with the staffing of the Central District Hospital has improved significantly. Key words: SWOT-analysis, hospital management of the district level, medical organizations, Kazakhstan.

Study of temporary losses of patients when receiving medical services in ambulatorypolyclinic conditions

2021 ◽  
pp. 37-44
Author(s):  
T. V. Pozdeeva ◽  
◽  
N. V. Pchelina ◽  
Keyword(s):  
Medical Care ◽  
Statistical Processing ◽  
Medical Services ◽  
Special Technique ◽  
Medical Organization ◽  
Patient’S Satisfaction ◽  
District Center ◽  
Quality Of Medical Care ◽  
Microsoft Office

The study of the patient’s temporary losses when receiving medical services in an outpatient clinic and their minimization contribute to an increase in patient satisfaction with the quality of medical care. Objective of the stud y: to assess the temporary losses of patients when visiting outpatient clinics of the city municipality. Methods and materials. The temporary losses of patients were studied by analyzing route maps compiled using a special technique. The analysis of the questionnaires made it possible to assess the patient’s satisfaction with the conditions of providing medical services, the information received in the healthcare institution and the attitude of the nursing staff to the visitor. Statistical processing of the results was carried out using the programs Statistica 5.0 and Microsoft Office Excel. Results. As a result of the conducted research, significant time costs of patients were identified when receiving medical care in polyclinics of the district center: when visiting a district doctor, a registry, a treatment room and a laboratory, which directly affected the results of assessing their satisfaction with the temporary criteria for visiting a medical organization. Scope of the results. The data obtained during the study can be used as basic information when developing measures to optimize key processes in outpatient health care institutions.

scholarly journals Innovation Personnel Behavior in the Organization

2018 ◽  
pp. 116-120
Author(s):  
I. A. Rudaleva ◽  
I. A. Kabasheva
Keyword(s):  
Public Health Service ◽  
District Hospital ◽  
Subjective Assessment ◽  
Medical Organization ◽  
Central District ◽  
The Russian Federation ◽  
The Republic ◽  
Internal And External Factors ◽  
Innovation Processes ◽  
Innovation Behavior

The article investigates the essence of innovation behavior and innovation readiness of personnel, identifies internal and external factors of its shaping and shows its role in the organization development. It discusses methodology of estimating innovation readiness of personnel worked out by D. Howkins, K. Rogers, A. Yu. Popova, A. A. Dubova and conducts their comparative analysis. The authors put forward their own methodology of estimating innovation readiness, which includes employees' assessment of their role in innovation processes in the organization, the situation and difficulties of introducing innovation inside the organization, trends and challenges of innovation introduction in the external environment. Results obtained during the estimation of innovation readiness of the administrative-managerial personnel of the Almetievsk central district hospital (the Republic of Tatarstan) are provided in the article. A serious factor is the availability of real possibility to put forward innovation proposals (direct communication) and a subjective assessment by top management of the population readiness to innovation technologies being introduced in the medical organization (positive responses and appraisals of the medical organization's work on the part of the population can foster shaping of the innovation behavior of personnel). We explain the importance of these factors by the direct participation of the administrative-managerial personnel in attaining goals of the program of the Russian Federation 'The Development of Public Health Service'.

scholarly journals CHARACTERISTIC OF EMERGENCY MEDICAL SERVICES TO THE PATIENT WITH CARDIOLOGICAL PROFILE IN THE SOUTH KAZAKHSTAN REGION

2017 ◽  
Vol 4 (3) ◽  
pp. 128-133
Author(s):  
Zh. M. Beisenbaeva ◽  
O. E. Konovalov
Keyword(s):  
Emergency Medical Services ◽  
District Hospital ◽  
Circulatory System ◽  
Medical Services ◽  
Cardiac Care ◽  
The South ◽  
Sociological Study ◽  
Emergency Medical ◽  
Central District ◽  
Group 1

Purpose. Assessment of the received emergency medical services (EMS) in patients with cardiological profile in the South Kazakhstan region.Materials and methods. A sociological study was carried out among three compared groups: group 1 — patients of the regional cardiological center (312); 2nd — those who applied to rural outpatient clinics, polyclinics, hospitals (244), and the 3rd — who applied to the central district hospital (228).Results. The analysis showed that 65.1% of the respondents applied for EMS over the diseases of the circulatory system, mostly they did it 1–2 times a year (44.9%), less often several times a month (15.1%). Several times a week 5.1% of patients were called to EMS. It was found that in 65.5% of cases there was a rapid arrival of the EMS, less than 20 minutes. It should be noted that a long wait for the arrival of the EMS (45 minutes or more) took place in 10.2% of cases. The waiting time, as the reason for the dissatisfaction of the EMS, was more often called the respondents of the 2 nd and 3 rd groups — 94.1% and 93.9% versus 76.5% in the 1st group (p < 0.05). Inattentive attitude of the staff was more often noted by the patients of the 3rd group, and the low availability of free medication was most often indicated in the 1st group.Conclusion. The received characteristic of the EMS and its assessment by patients with diseases of the circulatory system should be taken into account when developing a package of measures to optimize cardiac care in the region. 

scholarly journals MODERN APPROACHES TO THE IMPROVEMENT OF THE INSTITUTE OF PAID MEDICAL SERVICES IN RUSSIA

2019 ◽  
Vol 6 (1) ◽  
pp. 119-131
Author(s):  
A. V. Panov ◽  
T. Yu. Bykovskaya
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Medical Services ◽  
Economic Regulation ◽  
Medical Organization ◽  
Gradual Development ◽  
Quality Of Medical Care ◽  
Almost All

The article pertains the main problems faced by manufacturers and consumers of paid medical services. The increase in the volume of paid medical care prevails in the fields of dentistry, diagnostics and cosmetology. Of course, the expansion of voluntary medical insurance in almost all areas of medicine, further digitalization and gradual development of commercial outpatient care will be promising areas in the domestic health care. After all, currently every fourth outpatient medical organization is private owned. In this regard, taking into account the foreign and domestic experience of modernization of the medical services market, the paper comprehensively analyzes the trends in the development of commercial medicine within the legal, organizational and socio-economic regulation of the health care industry. Marketing tools to optimize the system of paid services are presented. The key role of mechanisms of public-private interaction in health care management is proved. Integrative approaches to the problems of introduction and development of paid medical services, considered in this study, will allow to systematize and to adjust the extra-budgetary activities of medical organizations while simultaneously increasing the availability and quality of medical care in Russia.

scholarly journals Features of Strategic Management in the Management of a District Hospital

2020 ◽  
Vol 3 (38) ◽  
pp. 45-52
Author(s):  
Laura Turarova ◽  
Keyword(s):  
Strategic Management ◽  
Performance Indicators ◽  
Management Strategy ◽  
Swot Analysis ◽  
District Hospital ◽  
Medical Organization ◽  
Organization Management ◽  
Management Leadership ◽  
East Kazakhstan ◽  
The Republic

Abstract The aim of the study: To assess the main performance indicators of the Interdistrict Hospital of the Urdzhar district of the East Kazakhstan region of the Republic of Kazakhstan and determine the ways of developing the organization of strategic management. Methods: Within the framework of this work, the external and internal environment was assessed based on the main indicators of the Interdistrict Hospital of the Urdzhar district. Also, the management strategy of a medical organization was investigated, the methods of PEST and SWOT-analyzes were used in the work of the organization management leadership. Results: In the course of the study, it was revealed that the Interdistrict hospital of the Urdzhar region» of the East Kazakhstan region of the Republic of Kazakhstan, during the existence and implementation of the components of strategic management, has achieved development in some of the main indicators of the development of a medical institution. This development dynamics can be seen in the way in the interdistrict hospital of the Urdzhar district of the East Kazakhstan region, work is being carried out to achieve the set goals, which is associated with the tasks and mission, as well as the transformation of the organizational structure of the medical organization Conclusions. In the case of monitoring the implementation of strategies, the tasks acquire a very definite specificity, due to the fact that strategic control is aimed at finding out to what extent the implementation of strategies leads to the achievement of the goals of the hospital at the district level. Key words: strategic management, medical organization, PEST analysis, SWOT analysis, regional hospital, Kazakhstan.

Improving rural health care through business process management

2020 ◽  
pp. 20-26
Author(s):  
E. A. Bakirova ◽  
◽  
E. N. Mingazova ◽  
◽  
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Rural Population ◽  
Business Processes ◽  
Public Health Problem ◽  
Process Approach ◽  
Medical Services ◽  
Specific Situation ◽  
Medical Organization

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.

A technique of the analysis of subjective and objective characteristics of medical services for design of quality of medical services (Voronezh state medical university of N. N. Burdenko, Voronezh, Russia) Annotation.

2020 ◽  
pp. 19-25
Author(s):  
A. V. Danilov ◽  
Keyword(s):  
Control System ◽  
Six Sigma ◽  
Quantitative Methods ◽  
Medical Services ◽  
Quality Of Services ◽  
House Of Quality ◽  
Medical Organization ◽  
Degree Of Satisfaction ◽  
Medical University

In a control system of quality of medical services the important part is assigned to estimates of results of activity of the medical organization, in particular degree of satisfaction of patients with quality of the received services. Now the question of quality of medical services is extremely relevant, a need for development of instruments of improvement of quality of services is had. Methods: The technique of measurement of satisfaction with quality of SERVQUAL provided to medical care based on provisions of GOST “Quality Management …” and a technique of expansion of functions of quality of QFD which elements are defined in GOST “Quantitative methods of improvement of processes “Six sigma are used”. Results: Approach on the basis of integration of techniques of measurement of satisfaction of consumers of medical services of SERVQUAL and expansion of function of quality of QFD which realization allows to build the House of quality is stated and to create data for carrying out design of quality of medical services. Conclusion: The conducted research allowed to create tools for elaboration of the adjusting and warning operating influences directed to demanded change of quality of medical services and, as a result, the recipients of services increasing satisfaction.

Improving the technology of work of heads of therapeutic departments of Central district hospitals

2020 ◽  
pp. 9-18
Author(s):  
R. S. Gadzhiev ◽  
◽  
L. S. Agalarova ◽  
Keyword(s):  
Medical Care ◽  
District Hospital ◽  
Working Time ◽  
Organization Of Work ◽  
District Hospitals ◽  
Number Of Patients ◽  
Central District ◽  
Quality Of Medical Care ◽  
Therapeutic Care

The article presents the results of studying the organization of work of heads of departments of central district hospitals (CRH) and the quality of therapeutic care for the rural population. The study was conducted in 2017–2019. on the basis of 26 Central District Hospital of the Republic of Dagestan. The quality of therapeutic care was studied through an expert assessment of 1,085 inpatient and 748 outpatient patient records. The timing of the working time spent by the heads of the departments of the Central District Hospital for 845 hours. It was found that under the current conditions the heads of departments devote up to 50.7% of their working time to the fulfillment of the main duties. Waste of time is 15.1%. In the therapeutic departments of the Central District Hospital, an untimely and complete examination of a significant part of the patients took place; treatment is not always complete and complete, there is no continuity in the examination and treatment of the patient between the clinic and the hospital. On the basis of the research materials, a set of recommendations was developed to improve the technology of work of heads of departments of the Central District Hospital and improve the quality of medical care. Experimental verification of the recommendations confirmed their effectiveness: the time spent on the main work increased from 51.2% to 72.4%, the share of time spent on organizing and managing the treatment and diagnostic process increased by 15.5%. Improving the organization of work of heads of departments during the experiment had a positive effect on the quality of medical care: the proportion of patients examined at the prehospital stage increased by 25.4%; the number of those fully surveyed increased from 58.4% to 90.3%; the number of patients who received full treatment increased by 14.7%.

scholarly journals The Application of Swot Analysis in a Healthcare Institution During the Implementation of Teleconsulting

2019 ◽  
pp. 85-91
Author(s):  
I. N. Moroz
Keyword(s):  
Health Care ◽  
Medical Care ◽  
Swot Analysis ◽  
District Hospital ◽  
Health Care Institution ◽  
Healthcare Institution ◽  
Management Decision ◽  
Primary Medical Care ◽  
Care Institution ◽  
Central District

Objective: to assess the potential of a healthcare institution for the implementation of teleconsulting aimed at the provision of primary medical care to population using the SWOT analysis. Material and methods. The method of expert estimations, method of SWOT analysis, sociological, statistical methods were employed during the research. The object of the research was the health care institution «Ostrovets Central District Hospital», and the work was done together with the primary care specialists. The facilities and activities of Ostrovets Central District Hospital over 2013-2017 were analyzed. Results. The potential of the health care institution for the implementation of teleconsulting aimed at the provision of primary medical care to population using the SWOT analysis has been assessed. It has been shown that the method of SWOT analysis can be used by the head of the healthcare institution for strategic planning and management. The stages of the research and SWOT analysis during the implementation of teleconsulting in the provision of primary health care have been described. Conclusion: The application of SWOT analysis made it possible to substantiate the strategy of management decision for the implementation of teleconsulting in the activities of the healthcare institution.

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