Robust management tools for a person-centered medical organization

2020 ◽  
pp. 17-34
Author(s):  
Vitaliy Berdutin

Modern social and cultural reality forces the heads of medical institutions to pay increased attention to the human factor, rethinking such basic concepts as «management» and «organization». It is important to cultivate the most comfortable person-centered work environment in medical teams. The main goal of this article was to demonstrate the feasibility of using robust management to maintain the constant attention of the medical administration on the interpersonal relations of employees. The article contains a brief description of robust management tools, a description of the person-centered approach, as well as examples of the use of robust regulators and socionic profiling estimators. The potential of robust management is not revealed when the management simply declares its merits, but when the entire medical team wants and can use it, actively involved in achieving the desired result.

2020 ◽  
Vol 79 ◽  
pp. 02004
Author(s):  
Irina Nikolaevna Efremkina ◽  
Elena Vladimirovna Liksina ◽  
Valerii Liusev ◽  
Natalia Vladimirovna Osipova

The purpose of the study is to identify the problem areas in education management and the opportunities to apply positive management tools. The authors believe that it is possible to diminish the issues related to authoritarian education management by using the tools and principles of positive psychology, specifically, positive management connected to addressing the human factor. The authors note the inefficiency of strict and regulated methods of education management as it often requires unorthodox, original solutions. The article contains the results of the pilot study of education workers’ subjective perception of a positive management tool – engagement. The survey method has been utilized for the study. The analysis of the data has resulted in the following conclusions: 1) it has been found that the positive management tools identified through the analysis are insufficiently used in education management; 2) the identified problem areas in education management are related to expectations for work, satisfaction with the evaluation and feedback, interpersonal relations, as well as career and development.


2021 ◽  
pp. 50-60
Author(s):  
Irina Nikolaevna Bogomolova ◽  
Sergey Ivanovich Dvoinikov

Motivating healthcare professionals is a critical function of healthcare management. Without solving the problems of motivation, it is impossible to really improve the quality and culture of providing medical care to the population, as well as to increase the efficiency of the activities of medical institutions and the industry as a whole on the basis of the competent use of all types of resources, material, financial and personnel. The use of motivation also helps to reduce the number of errors in work due to the human factor associated with its low level and with an insufficiently serious attitude to work.


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):  
G. Suhanova ◽  
S. Sharikov

Hospital education is a new phenomenon in the Russian educational space that has emerged and strengthened into the pedagogical community by authors and creators of the Federal educational project "UchimZnaem". To date, the project includes seven elementary and secondary schools in Moscow and about 40 school sites in the regions of Russia. The main problem faced by the heads of hospital schools is to search and select of teachers for long-term ill children who receive education within the walls of medical institutions. After all, for the majority of teaching staff, a medical organization is not a natural environment for professional activity as in pedagogical universities no one prepared them to work in a children's hospital. In this article, the authors attempted to identify and group the main categories of requirements for a hospital teacher. The formulated requirements were then evaluated by the expert community in terms of importance and formed the basis for the scheme of the recruitment process for hospital teachers for the flagship site of the «UchimZnaem» project.


2021 ◽  
Vol 76 (2) ◽  
pp. 187-195
Author(s):  
Natalia G. Nikolaeva ◽  
Elena V. Priimak ◽  
Irina S. Razina ◽  
Maria A. Kazanceva

It is believed that more than 70% of errors in a medical organization can be prevented, in particular, by using risk management methods and implementing risk management tools in the practice of their activities. To this end, the authors conducted a study based on data from the analysis of scientific papers and regulatory documents regulating quality management and risk management in healthcare. The study summarizes the main approaches to implementing risk management methods in healthcare and suggests an algorithm for analyzing the types and consequences of potential failures in healthcare (HFMEA). As the analyzed process, the process of performing doctors appointments by medical nurses for drug therapy was chosen, which refers to the main medical events, and drug error is a serious problem in drug therapy. The results of the study revealed possible risks associated with each step. The study is appropriate due to the fact that many healthcare institutions are currently implementing a quality management system to improve their processes.


2021 ◽  
Vol 92 ◽  
pp. 01002
Author(s):  
Asadula Asadulaev ◽  
Nadegzda Starobinskaya ◽  
Petr Shvetc

Research background: As the experience of a number of countries whose health systems were considered effective has shown, the pandemic has caused multiple disruptions, system overloads, and in some cases complete collapse. The negative experience made us think about what characteristics of the system and each specific medical organization are determining, and which parameters contributed to the increase of problems in the system, and which ones ensured the ability of the medical cluster or organizations to successfully function in the complex conditions of the pandemic. Consequently, mechanisms for evaluating medical institutions and clusters that would be able to monitor the health system in a normal situation and monitor its readiness for peak loads are coming to the fore. Purpose of the article: This article is intended to identify the key factors for ensuring the competitiveness of regional medical clusters and develop a methodology for assessing the level of competitiveness of institutions in the context of a pandemic. Methods: The methodology of evaluation is built based on modified matrices of competitiveness based on the matrix of strategic mechanisms. Findings & Value added: The article analyses the successful strategic practices of medical market leaders for other players and maintaining the effectiveness of the healthcare system even during global pandemics. As the scientific increment can be considered the results of analysis of mechanisms for evaluating medical institutions and clusters that could monitor the health care system in a normal situation and monitor its readiness for peak loads.


Public Health ◽  
2022 ◽  
Vol 1 (4) ◽  
pp. 68-75
Author(s):  
V. N. Pavlov ◽  
V. V. Viktorov ◽  
A. G. Imelbaeva ◽  
R. M. Gumerov ◽  
I. I. Lutfarakhmanov ◽  
...  

During the pandemic of the new coronavirus infection Covid 19, the healthcare system faced serious challenges, one of which is a shortage of qualified personnel. One of the methods for solving this problem was the creation of mobile multidisciplinary mobile teams on the basis of federal medical institutions. In this article, the authors analyze the legal aspects of the functioning of mobile teams, and also give the experience of the employees of the Federal State Budgetary Educational Institution of Higher Education Bashkir State Medical University in the regions of Russia and abroad.


2009 ◽  
Vol 24 (6) ◽  
pp. 556-564 ◽  
Author(s):  
Hisayoshi Kondo ◽  
Yuichi Koido ◽  
Kazuma Morino ◽  
Masato Homma ◽  
Yasuhiro Otomo ◽  
...  

AbstractIntroduction:The large number casualties caused by the 1995 Great Hanshin and Awaji Earthquake created a massive demand for medical care. However, as area hospitals also were damaged by the earthquake, they were unable to perform their usual functions. Therefore, the care capacity was reduced greatly. Thus, the needs to: (1) transport a large number of injured and ill people out of the disaster-affected area; and (2) dispatch medical teams to perform such wide-area transfers were clear. The need for trained medical teams to provide medical assistance also was made clear after the Niigata-ken Chuetsu Earthquake in 2004. Therefore, the Japanese government decided to establish Disaster Medical Assistance Teams (DMATs), as “mobile, trained medical teams that rapidly can be deployed during the acute phase of a sudden-onset disaster”. Disaster Medical Assistance Teams have been established in much of Japan. The provision of emergency relief and medical care and the enhancement and promotion of DMATs for wide-area deployments during disasters were incorporated formally in the Basic Plan for Disaster Prevention in its July 2005 amendment.Results:The essential points pertaining to DMATs were summarized as a set of guidelines for DMAT deployment. These were based on the results of research funded by a Health and Labour Sciences research grant from the, Labour and Welfare (MHLW) of the Ministry of Health. The guidelines define the basic procedures for DMAT activities—for example: (1) the activities are to be based on agreements concluded between prefectures and medical institutions during non-emergency times; and (2) deployment is based on requests from disaster-affected prefectures and the basic roles of prefectures and the MHLW. The guidelines also detail DMAT activities at the disaster scene of the, support from medical institutions, and transportation assistance including “wide-area” medical transport activities, such as medical treatment in staging care units and the implementation of medical treatment onboard aircraft.Conclusions:Japan's DMATs are small-scale units that are designed to be suitable for responding to the demands of acute emergencies. Further issues to be examined in relation to DMATs include expanding their application to all prefectures, and systems to facilitate continuous education and training.


1993 ◽  
Vol 73 (3_suppl) ◽  
pp. 1147-1151 ◽  
Author(s):  
Joseph B. Gerwood

Counseling interventions with paranoid schizophrenics can be daunting. While chemical, directive, and behavioral controls often are considered important, nondirective counseling techniques used by the therapeutic staff may help schizophrenic patients explore their thoughts and feelings. Several nondirective concepts pioneered by Carl Rogers are examined. These methods, which represent basic concepts of the person-centered approach, are empathy, unconditional positive regard, and congruence. A brief illustration of an interaction with a patient diagnosed as paranoid schizophrenic is presented to suggest the effectiveness of Rogerian counseling.


2020 ◽  
Vol 7 (1) ◽  
pp. 96-103
Author(s):  
A. A. Kurmangulov ◽  
Yu. S. Reshetnikova ◽  
N. S. Brynza

Purpose of the study. To evaluate the level of detail, the amount of visualized data and the levels of navigation systems of primary medical organizations.Materials and methods. The object of this study was 33 primary care medical organizations located on the territory of 7 constituent entities of the Russian Federation. The subject of the study was all the internal and external navigation elements of the MO. The assessment was based on the ALIDS checklist (version 1.0) of 72 indicators, united by five characteristics in general characteristics: architectural-planning and design solutions, transmitted information, levels and navigation elements. The “Levels” block was represented by 19 parameters with a separate assessment of the internal level (9 indicators), the intermediate level (5 indicators) and the external level (5 indicators) of navigation. For each criterion, a nominal dichotomous point score was set with the possibility, if necessary (doubt, clarification, question, etc.) of indicating an expert comment.Results. A full-time study of the navigation systems of 33 primary medical organizations found that the levels of intermediate and external visualization are not used enough. Unlike architectural and planning solutions, various levels of navigation are maximally represented in medical institutions of the Tyumen and Kaliningrad regions, Krasnoyarsk Territory. The lack of an external level of navigation contributes to the main losses of lean production: unnecessary movement, unnecessary transportation and expectations from patients and visitors. Among the objects of internal navigation, cabinets and safety signs are most often placed on the navigation elements. The maximum percentage of compliance among the intermediate navigation category has been established for the main entrances for visitors, including entrances for patients with limited mobility.Conclusion. The navigation system of a medical organization is an important part of the visualization system and one of the criteria for the quality of space. The qualimetry of navigation systems not only of medical organizations, but also of any other buildings and premises, is currently not conclusively presented. Using the author's ALIDS method of audit of navigation systems allows us to give a quantitative and qualitative assessment of the navigation elements used in medical institutions. While improving the navigation systems of existing medical organizations and designing/building new ones, especially with complex mixed or section planning, in order to reduce the main losses of lean manufacturing, it is necessary to create the most detailed and understandable general navigation schemes.


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