scholarly journals Implementation of strategic planning in the practice of modern medical institution management: methodological and applied aspects

2021 ◽  
pp. 66
Author(s):  
Alla Melnyk ◽  
Leonid Radzvyliuk
Keyword(s):  
Health Care ◽  
Strategic Planning ◽  
Swot Analysis ◽  
External Environment ◽  
Hospital Management ◽  
Health Care Facilities ◽  
Medical Reform ◽  
Medical Institutions ◽  
Care Facilities ◽  
The Impact

Introduction. Dismantling of the old economic model of health care as a purely budget organization, which took place under the influence of medical reform in Ukraine, led to a new nature of economic relations, the need for work and development of hospitals as participants in a competitive environment, regional or local health services market, exacerbated the impact of opportunities and threats. Given the uncertainty and dynamism of change, this highlights the need for strategic planning primarily at the level of medical institutions that provide secondary and tertiary (specialized) care to determine priorities and focus resources on achieving their development goals, which requires attention to the scientific and methodological framework ensuring this task.Purpose. The purpose of the article is to substantiate the need for strategic planning for the development of health care facilities in the context of medical reform and to develop recommendations for its implementation in their management.Research methods. In the course of the research the following methods were used: induction and deduction, system analysis - to determine the components of strategic planning at the level of health care, PEST analysis - to identify factors influencing the development of health care and factors that indicate the need to implement strategic planning in the hospital management system, institutional and comparative analysis - to identify features of strategic planning models, SWOT-analysis, expert assessments - to assess the internal and external environment of the organization, setting goals and strategic priorities.Results. Based on the analysis of the theoretical basis, the author’s approach to the interpretation of the essential characteristics of strategic planning of health care facilities is formed. The current state of the internal and external environment of health care facilities that provide secondary care in the context of health care reform in Ukraine is assessed, problems are identified. The planning system in medical institutions of this type is analyzed. The factors of actualization of the problem of implementation of strategic planning at the present stage are revealed and the necessity of its implementation in management of health care institutions is proved. Based on empirical evaluation conducted using the methods of expert collective commission, SPEIS-analysis, SWOT-analysis, the strengths and weaknesses of modern hospitals, opportunities and threats, the degree of probability and importance of the impact of opportunities and threats on the development of medical institutions, critical issues, the mission is specified, the main strategic goals and priorities are defined. An algorithm for the implementation of strategic planning in hospital management, a system of strategies and their content characteristics is proposed.Perspectives. Further research is needed on organizational design related to the implementation of strategies of medical institutions, organization of strategies, overcoming resistance to changes related to the implementation of strategies, training staff to work in new conditions, the use of other management actions aimed at building a perfect mechanism strategic planning.

scholarly journals MODERNIZATION OF THE ORGANIZATIONAL CULTURE OF THE HEALTHCARE INSTITUTION IN THE CONDITIONS OF MEDICAL REFORM

2020 ◽  
pp. 140-146
Author(s):  
Victoriia Adamyk ◽  
Yulia Dyshkant
Keyword(s):  
Health Care ◽  
Organizational Culture ◽  
Corporate Culture ◽  
Swot Analysis ◽  
Health Care Facilities ◽  
Management Tools ◽  
Medical Reform ◽  
Health Care Institutions ◽  
Medical Institutions ◽  
Care Facilities

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.

Decisions and maintenace conditions of built-in healthcare institutions by the T. Saati method

2021 ◽  
Vol 99 (2) ◽  
pp. 62-71
Author(s):  
V.M. Makhniuk ◽  
◽  
H.V. Chaika ◽  
V.V. Chorna ◽  
O.V. Voloshchuk ◽  
...  
Keyword(s):  
Health Care ◽  
Residential Buildings ◽  
Health Care Facilities ◽  
Expert Assessment ◽  
Planning Decisions ◽  
Health Care Institutions ◽  
Medical Institutions ◽  
Care Facilities ◽  
Architectural Planning ◽  
The Impact

Background: Health care facilities located in built-in non-residential premises of residential buildings are medical institutions of a new type. There are no sanitary-and-hygienic requirements for their placement in the Ukrainian legislation for them. The above was a basis for the conduction of the comprehensive hygienic research on this issue using the T. Saati method. Objective: We performed an expert assessment of the impact of architectural planning decisions and maintenance conditions of health care facilities built into residential buildings on the medical workers’ feel and the conditions of the stay of visitors and residents by means of the in pair comparison of hierarchies (the T. Saati method). Materials and methods: In our study we used the materials of the research on the architectural-and-planning decisions on the location and maintenance of built-in residential buildings of health care institutions which were a subject for expert assessment by the T. Saati method. Conclusions: According to the results of the research, the changes into the regulatory framework of urban planning legislation - SBSB.2.2-10-2001 «Health Care Facilities» on the standardization of the special purpose area for temporary mini-parking, built-in health care institutions for medical workers and visitors were substantiated.

Assessing the Preparedness of Healthcare Facilities for Disasters and Emergencies in Damghan, Iran

2021 ◽  
pp. 1-7
Author(s):  
Behrad Pourmohammadi ◽  
Ahad Heydari ◽  
Farin Fatemi ◽  
Ali Modarresi
Keyword(s):  
Health Care ◽  
Cross Sectional Study ◽  
Health Care Facilities ◽  
Mitigation Measures ◽  
Health Staff ◽  
Cross Sectional ◽  
Healthcare Facilities ◽  
Wide Range ◽  
Care Facilities ◽  
The Impact

Abstract Objectives: Iran is exposed to a wide range of natural and man-made hazards. Health-care facilities can play a significant role in providing life-saving measures in the minutes and hours immediately following the impact or exposure. The aim of this study was to determine the preparedness of health-care facilities in disasters and emergencies. Methods: This cross-sectional study was conducted in Damghan, Semnan Province, in 2019. The samples consisted of all the 11 health-care facilities located in Damghan County. A developed checklist was used to collect the data, including 272 questions in 4 sections: understanding threatening hazards, functional, structural, and nonstructural vulnerability of health-care facilities. The data were analyzed using SPSS 21. Results: The results revealed that the health-care facilities were exposed to 22 different natural and man-made hazards throughout the county. The total level of preparedness of the health-care centers under assessment was 45.8%. The average functional, structural, and nonstructural vulnerability was assessed at 49.3%, 31.6%, and 56.4%, respectively. Conclusions: Conducting mitigation measures is necessary for promoting the functional and structural preparedness. Disaster educational programs and exercises are recommended among the health staff in health-care facilities.

An Assessment of Health Needs in Selected Nigeria Villages

1985 ◽  
Vol 6 (2) ◽  
pp. 161-169 ◽  
Author(s):  
Collins O. Airhihenbuwa
Keyword(s):  
Health Care ◽  
Access To Health Care ◽  
Cost Of Care ◽  
Health Care Facilities ◽  
High Morbidity ◽  
Community Members ◽  
Care Needs ◽  
Medical Institutions ◽  
Poor Access ◽  
Care Facilities

Two hundred and fifty five heads of households in Iyekuselu District, Bendel State Nigeria, were interviewed. Fifteen villages were randomly selected from the 107 villages that make up the district. There is high morbidity of infectious diseases identified in the study. Limited number of medical professionals and medical institutions present problems of availability of services. This is compounded by high cost of medical services and poor access to health care facilities. The self-perceived health care needs of the heads of households are disease prevention, availability of health services, improved accessibility to health care facilities and reduced cost of care. There is a strong need for health education programs in these villages. This should be attempted with the cooperation of community members, so as to attain the goal of promoting health and preventing diseases.

scholarly journals (A3) Health Care Facilities Affected by the Earthquake in Chile

2011 ◽  
Vol 26 (S1) ◽  
pp. s1-s2
Author(s):  
C. Bambaren
Keyword(s):  
Health Care ◽  
Health Care Services ◽  
Health Sector ◽  
Health Care Facilities ◽  
Cold Chain ◽  
Care Services ◽  
Biomedical Equipment ◽  
Care Facilities ◽  
Health Care Infrastructure ◽  
The Impact

IntroductionOn February 27, 2010, a 8,8 MW earthquake struck the central and southern coast of Chile, that was followed by a tsunami that destroyed some cities such as Constitution, Ilaco, Talcahuando and Dichato. The national authorities reported 512 dead and 81,444 homes were affected. It was the one of the five most powerful earthquakes in the human modern history. The most affected regions were Maule (VII) and Bio (VIII).ResultsThe impact of the quake in the health sector was enormous especially on the health care infrastructure. The preliminary evaluations showed that 18 hospitals were out of service due severe structural and no-structural damages, interruption of the provision of water or because they were at risk to landslides. Another 31 hospitals had moderate damage. The Ministry of Health lost 4249 beds including 297 (7%) in critical care units. Twenty-two percent of the total number of beds and thirty-nine surgical facilities available in the affected regions were lost in a few minutes due to quake. At least eight hospitals should be reconstructed and other hospitals will need complex repair.ConclusionThe effect of the earthquake was significant on hospital services. It included damages to the infrastructure and the loss of furniture and biomedical equipment. The interruption of the cold chain caused loss of vaccines. National and foreign field hospitals, temporary facilities and the strengthening of the primary health care facilities had been important to assure the continuation of health care services. *Based on information from PAHO – Chile.

Renovation in hospitals: a case study on the use of control cubes for local repairs in health-care facilities

2020 ◽  
Vol 18 (3) ◽  
pp. 247-257
Author(s):  
Ehsan Mousavi ◽  
Vivek Sharma ◽  
Dhaval Gajjar ◽  
Shervin Shoai Naini
Keyword(s):  
Health Care ◽  
Air Quality ◽  
Indoor Air Quality ◽  
Indoor Air ◽  
Health Care Facilities ◽  
Repair Work ◽  
Content Type ◽  
Care Facilities ◽  
Pathogenic Agents ◽  
The Impact

Purpose The purpose of this study is to evaluate the effectiveness of the control cubes for dust control in health-care facilities. Research shows that more than 80% of pathogenic agents in hospitals are spread into the air, where they either remain airborne or deposit on the surface. At the same time, renovation and repair activities, including regular maintenance, are a necessity in active health-care facilities and a multitude of studies have documented their impact on indoor air quality. The dust that is generated by construction activities may potentially carry pathogenic agents, varying from coarse particles (≤10 µm, PM10) to fine particles (≤2.5 µm, PM2.5), including airborne bacteria, and fungal spores linked to high patient mortality in immune-compromised patients. Design/methodology/approach This study measures the impact and effectiveness of one such preventative measure, namely, the control cube (CC), on air quality during renovation and repair. CC is a temporary structure, typically made from stainless steel, around the local repair zone to minimize the spread of dust and potential microorganisms. The current paper presents a comparative analysis to identify the effectiveness of a CC equipped with the high-efficiency particulate filtration (HEPA) filter in a hospital setting by simulating construction renovation and repair work. Findings A baseline was established to measure the effectiveness of CCs and the impact of negative pressure on the indoor air quality in a hospital during simulated renovation work. Results showed that CCs are very effective in minimizing the spread of dust due to construction activities in the hospital. However, it is imperative to ensure that the air inside the CC is cleaned via filtration. Originality/value CCs are very effective, and this paper investigates the best approach for facility managers to implement this strategy.

Organizational Renewal and Strategic Planning: A Winning Combination

1994 ◽  
Vol 7 (1) ◽  
pp. 32-37
Author(s):  
R. Cercone ◽  
D. McDonald ◽  
L. Tarrant ◽  
K. Tremblay
Keyword(s):  
Health Care ◽  
Strategic Planning ◽  
Organizational Performance ◽  
Effective Means ◽  
Shared Vision ◽  
Health Care Facilities ◽  
Theory And Practice ◽  
Organizational Renewal ◽  
The Past ◽  
Care Facilities

Several approaches to organizational renewal have been described, but few are reported for health care institutions in Canada. In contrast, approaches to strategic planning in health care facilities have been well documented. From our experience over the past six years, the theory and practice of organizational renewal complement the focused activities of strategic planning. This combination can be an effective means to enhance organizational performance, employee commitment and a shared vision among the various stakeholders within the hospital and community. This article outlines the process and benefits that can accrue through such efforts. It demonstrates how the investment of organizational renewal strategies can produce sustainable, operational and strategic planning benefits for community hospitals.

scholarly journals Formation of the architectural space of health care facilities based on landscape design

2021 ◽  
pp. 29-32
Author(s):  
Iryna Bulakh
Keyword(s):  
Health Care ◽  
Soviet Union ◽  
Large Scale ◽  
Health Care Facilities ◽  
Urban Context ◽  
Urban Network ◽  
The Soviet Union ◽  
Medical Institutions ◽  
Care Facilities ◽  
The Right

Architecture is gradually changing along with the development of society, its changing perceptions of beauty, strength, usefulness, as well as the growing need for comfort, aesthetics, the ideal environment. For a long time, the architecture of health care facilities was perceived and, accordingly, mechanically designed exclusively as a kind of technically necessary shell to ensure the treatment of the impersonal mass of the population. This approach was due to the acute and rapid need for a quantitative supply of medical institutions to a large number of people in large areas. This is what happened in the last century in the post-Soviet countries - standard projects of medical institutions were "cloned" everywhere, which were integrated into the urban environment by huge industrial-panel arrays without regional, cultural and aesthetic connection with "genius loci" and urban context. Do we have the right to condemn this large-scale approach that prevailed in the twentieth century? No. At one time, he made it possible to resolve the important issues of providing medical care to the majority of the population of the Soviet Union. Thanks to the massive and economic industrial design and construction approach, Ukraine has received an extensive urban network of various health care facilities, which continue to perform their functions, accepting the harsh challenges and trials of global pandemics and epidemics. The main problem is that with the acquisition of sovereignty in Ukraine began protracted political-oligarchic clan "internecine wars", which for decades froze attention to improving, modernizing, updating and developing the architecture of health care facilities. A significant part of Ukrainian hospitals is in a condition that not only does not meet sanitary and other requirements, but even threatens the health and lives of patients and staff. But it is not customary to talk about it. The Soviet mentality, enshrined in our subconscious, forces everyone in their place to report on the order, on compliance, on the implementation of plans. Despite the long-standing disregard for the problems and issues of compliance of domestic medical architecture with world standards, the powerful and once the world's best "machine" continued to perform its functions, inertially moving down from its pedestal. But today, in 2021, we are frantically approaching the foot of the new "rock", which embodies all the latest advances in health care and which the world's leading countries have gradually, step by step, overcome with long-term state plan for the development of medicine and with periodic reforms in the medical field.

scholarly journals The diagnostics of the atrial fibrillation by the telecommuting ECG methods by the means of the primary health-care facilities

2020 ◽  
pp. 46-57
Author(s):  
Г.В. РЯБЫКИНА ◽  
Н.А. ВИШНЯКОВА ◽  
Я.С. СМИРНОВА ◽  
Е.Ш. КОЖЕМЯКИНА ◽  
А.В. СОБОЛЕВ ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
District Hospital ◽  
Health Care Facilities ◽  
Primary Health ◽  
Medical Institutions ◽  
Care Facilities ◽  
Central District ◽  
Medical Analysis ◽  
Primary Health Care Facilities

Резюме Цель исследования. Изучить частоту выявления фибрилляции предсердий (ФП) в первичном звене здравоохранения. Материал и методы. На базе лечебно9профилактических учреждений Мытищинской центральной районной больницы (ЦРБ) Московской области и Урюпинской ЦРБ Волгоградской области применяли дистанционные методы регистрации электрокардиографии (ЭКГ) в одном (ДЭКГ91) и 12 (ДЭКГ912) отведениях. В 12 лечебно9профилактических учреждениях (ЛПУ) Мытищинской городской клинической больни9 цы устройством CardioQVARK с одноканальной записью ЭКГ обследованы 2357 пациентов, обратившихся в ЛПУ в основном по поводу сердечно9сосудистых заболеваний. В Урюпинской ЦРБ был проведен врачебный анализ 18 564 ЭКГ, зарегистрированных в 12 отведени9 ях телемедицинской системой Easy ECG при проведении медицинских осмотров и диспансеризации населения в 4 ЛПУ. Результаты. Частота выявления ФП в Урюпинском районе, по данным врачебного анализа ДЭКГ912, составила 310 (1,7%) случаев на 18 564 зарегистрированных ЭКГ обследованных лиц, в основном при диспансеризации. В Мытищинском районе при проведении съемки ДЭКГ91 устройством CardioQVARK у пациентов с различными (преимущественно сердечно9сосудистыми) заболеваниями автоматически диагностировано 79 случаев ФП, что составило 3,35% обследованных. Впервые ФП выявлена у 91 человека: у 26 — методом ДЭКГ91, у 65 — методом ДЭКГ912. Из лиц с впервые выявленной ФП 21 человек считал себя практически здоровым. Заключение. В исследовании показаны возможности дистанционного метода регистрации и автоматического анализа ДЭКГ91 в сопостав9 лении с результатами врачебного анализа ДЭКГ912 в выявлении ФП на уровне врача первого контакта. Информативность автоматизиро9 ванного анализа одного (первого) отведения ЭКГ устройством CardioQVARK не уступает врачебному анализу ЭКГ912. Различия в частоте выявления ФП обусловлены различным контингентом обследованных лиц. Summary Aim. Тo explore the prevalence of atrial fibrillation (AF) in the primary health care facilities. Material and methods: on the basis of medical institutions of the Mytishy City Clinical Hospital of the Moscow Region and Uryupinsk Central District Hospital of the Volgograd Region, methods of remote 19channel ECG recording (DECG91) and 12 leads ECG (DECG912) were used. In 12 medical institutions of Mytishchy City Clinical Hospital, CardioQVARK device with a single9channel ECG recording examined 2357 patients who applied to medical institutions mainly for cardiovascular diseases. A medical analysis of 18 564 ECGs recorded in 12 leads by the Easy ECG telecommuting system during medical examinations and dispanserisation of the population in four medical institutions was performed in the Uryupinsk Central District Hospital. Results: the prevalence of AF in the Uryupinsk district according to the medical analysis of DECG>12 data was 310 cases per 18564 recorded ECGs, that is AF was diagnosed in 1.7% of patients mainly during the dispanserisation of the citizens. In the Mytischy district when conducting a DECG>1 examination with the CardioQVARK device in patients with various (mainly cardiovascular) diseases 79 cases of AF were automatically diagnosed, which amounted to 3.35% of the examined persons. For the first time, AF was detected in 91 persons: in 26 — by the DECG>1 method, in 65 — by the DECG>12 method. Of those with newly diagnosed AF, 21 persons considered themselves healthy. Conclusion: the study shows the capabilities of the method of remote registration and automatic analysis of DECG>1 in comparison with the results of a medical analysis of DECG>12 in detecting AF at the primary health care level. The informational content of the automatic analysis of 1>channel (lead I) ECG by the CardioQVARK device is not inferior to the medical analysis of the ECG>12. The differences in the frequency of occurrence of AF are imposed on the different contingent of the examined individuals.

Impact of Training to Improve Knowledge on Blood Transfusion among Health Care Providers from Tertiary Hospitals in Tanzania

2020 ◽  
Vol 31 (2) ◽  
pp. 59-69
Author(s):  
Abdu J. Bhombo ◽  
Oscar Mwashiuya ◽  
Wilhellmuss I. Mauka ◽  
Elineema Meda ◽  
Iragi Ngerageza ◽  
...  
Keyword(s):  
Health Care ◽  
Blood Transfusion ◽  
Health Care Providers ◽  
Transfusion Practice ◽  
Health Care Facilities ◽  
Basic Knowledge ◽  
Care Providers ◽  
Care Facilities ◽  
Post Test ◽  
The Impact

Background: Blood transfusion is a lifesaving therapy which is linked to the adverse outcome when given inappropriately. Inadequate knowledge and skills among health care providers have been reported to contribute to safety issues for recipients and wastage of the precious resource. This study was conducted to determine the impact of training of health care providers in Tanzania on improving the knowledge regarding the transfusion of blood and blood components.Methodology: This was a cross-sectional study which used secondary data from pre and post training assessment questionnaire whereby trainees answered the same set of questions before training (pre-test) and after training (post-test). The questionnaire consisted of two Likert scale questions and eight YES/NO questions which assessed the perception of clinicians, nurses and Laboratory personnel on blood transfusion practices. Moreover, there were thirty multiple-choice questions for assessment of basic knowledge related to usage of blood and blood components.Results: One hundred and eleven (111) health care providers who attended training on blood transfusion were recruited into this study, out of which 72.1% (80/111) were from secondary health care facilities and 6.3% (7/111) were from tertiary health care facilities. The pre-test mean percent score was 32.8% (SD ±12.9%), while the post-test mean percent score was 56.6% (SD ±12.9%). The mean percentage of knowledge gain was 26.6% (SD±13.0%) and 27.1% (SD±12.5%) for health care providers and National Blood Transfusion Service staff respectively. It was observed that only 25.8% (24/93) and 19% (19/100) of participants were aware of the transfusion timing of various blood components and principles of platelet transfusion, respectively. Regarding bedside blood handling practices, only 52.9% (46/87) responded, ‘warm whole blood unit and packed red blood by putting under room temperature for 30 minutes and the majority of participants 63.1% (65/103) reported not to ask for consent before blood transfusion.Conclusion: There was a modest improvement in the knowledge on blood transfusion practice among participants. The overall performance of participants increased from 33% in the pre-test to 57% in the post-test. Therefore, this study has shown the positive impact of training for health care providers in improving their knowledge. We recommend regular on job training courses and mentorship program for health care providers for proficiency in clinical transfusion practice. Key words: Blood Transfusion, Training and Health care providers.

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