Levels of Comprehensive Assessment of the Medical and Economic Efficiency of Healthcare in the Field of Industry Strategy
DOI:
https://doi.org/10.22394/1726-1139-2024-4-47-62Keywords:
strategizing, V. L. Kvint methodology, healthcare, digitalization, medical and economic efficiencyAbstract
New tasks set for the healthcare sector by the President of Russia include the transition to a lifestyle that corresponds to the world level, including the support and development of active longevity. For the multi-level methodology of strategizing developed by V. L. Kvint, healthcare sector represents the most promising area of application. The system of strategic measures to achieve the country's development goals related to the health of the population cannot include only medical or medical-preventive measures; it is advisable to include promotion of a healthy lifestyle, social support for older people and other measures. Essentially, in strategizing, it is advisable to single out the “health care sector” or, more precisely, the “health saving” sphere, which includes all the forces associated with the focus on increasing life expectancy, and the “health care system” as a branch of the economy and social sphere, covering a network of specific institutions and bodies. Thus, a sphere, an industry, a region, an individual medical institution, its specialized unit and an individual medical specialist, as well as an individual citizen (patient) must form a single strategic system (using a digital circuit and other platforms). It is obvious that the essence of the medical effectiveness of the healthcare system as a whole and at the level of individual medical institutions is somewhat different. Establishing a comprehensive all-level assessment of the medical and economic effectiveness of healthcare is, in the author's opinion, a key task in the formation and implementation of a new healthcare development strategy and relevant government programs and projects. Aligning national, regional and global interests requires such strategic management within a single digital health system.Downloads
References
Бабенко А. И., Пушкарев О. В. Методологические основы комплексной оценки медико-экономической эффективности здравоохранения // Бюллетень Сибирского отделения Российской академии медицинских наук. 2014. Т. 34. № 2. С. 89–94.
Квинт В. Л., Новикова И. В., Алимурадов М. К. Согласованность глобальных и национальных интересов с региональными стратегическими приоритетами // Экономика и управление. 2021. Т. 27. № 11. С. 900–909. DOI: http://doi.org/10.35854/1998-1627-2021-11-900-909
Концевая А. В., Муканеева Д. К., Игнатьева В. И., Анциферова А. А., Драпкина О. М. Экономика профилактики сердечно-сосудистых заболеваний в Российской Федерации // Российский кардиологический журнал. 2023. Т. 28. № 9. С. 21–28. DOI: 10.15829/1560-4071-2023-5521. EDN KNLBZO
Марисов Л. В., Кобяцкая Е. Е., Бутарева М. М., Мецгер А. В. Анализ медико-экономической эффективности деятельности структурных подразделений медицинской организации // Проблемы социальной гигиены, здравоохранения и истории медицины. 2022. Т. 30. № 5. С. 853–858. DOI: http://dx.doi.org/10.32687/0869-866X-2022-30-5-853-858
Морозова Ю. А. Развитие научно-инновационной базы цифровизации здравоохранения и медицины в России и мире // Страховое дело. 2019. № 6 (315). С. 38–53.
Морозова Ю. А. Cтратегические приоритеты инновационного развития российского здравоохранения в условиях цифровизации. М.; СПб., 2021. 205 c.
Морозова Ю. А. Цифровизация как глобальный, страновой и отраслевой процесс в повышении результативностии эффективности здравоохранения и медицины // Интеллект. Инновации. Инвестиции. 2019. № 4. С. 44–53.
Сагов А. И. Специфика экономического анализа эффективности деятельности учреждений здравоохранения // Экономические науки. 2012. Т. 2. № 87. С. 104–109.
Соболева Е. А. Бюджетно-страховая модель финансирования здравоохранения в России // Финансы: теория и практика. 2021. Т. 25. № 3. С. 127–149. DOI: 10.26794/2587-5671-2021-25-3-127-149
Состояние онкологической помощи населению России в 2021 году / под ред. А. Д. Каприна, В. В. Старинского, А. О. Шахзадовой. М. : МНИОИ им. П. А. Герцена. 2022. 239 с. ISBN 978-5-85502-275-9
Alexander J. A., Weiner B. J., Griffith J. Quality improvement and hospital financial performance // Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior. 2006. Vol. 27. N 7. P. 1003–1029.
Applegate L. M., Mason R. O., Thorpe D. Design of a management support system for hospital strategic planning // Journal of Medical Systems. 1986. Vol. 10. P. 79–95.
Beauvais B., Dolezel D., Ramamonjiarivelo Z. An Exploratory Analysis of the Association between Hospital Quality Measures and Financial Performance // Healthcare. 2023. Vol. 11. N 20. P. 2758. DOI: 10.3390/healthcare11202758. PMID: 37893832; PMCID: PMC10606508
Cinaroglu S., Baser O. Understanding the relationship between effectiveness and outcome indicators to improve quality in healthcare // Total Quality Management & Business Excellence. 2018. Vol. 29. N 11–12. P. 1294–1311. DOI: 10.1080/14783363.2016.1253467
Denis J. L., Langley A., Lozeau D. The role and impact of formal strategic planning in public hospitals // Health Services Management Research. 1995. Vol. 8. N 2. P. 86–110.
Devers K. J., Pham H. H., Liu G. What is driving hospitals’ patient-safety efforts? // Health Affairs. 2004. Vol. 23. N 2. P. 103–115.
Fontaine P., Ross S. E., Zink T., Schilling L. M. Systematic review of health information exchange in primary care practices // The Journal of the American Board of Family Medicine. 2010. Vol. 23. N 5. P. 655–670. DOI: 10.3122/jabfm.2010.05.090192
Frisse M. E., Johnson K. B., Nian H., Davison C. L., Gadd C. S., Unertl K. M., Turri P. A., Chen Q. The financial impact of health information exchange on emergency department care // Journal of the American Medical Informatics Association. 2012. Vol. 19. N 3. P. 328–333. DOI: 10.1136/amiajnl-2011-000394
Goes J. B., Zhan C. The effects of hospital-physician integration strategies on hospital financial performance // Health Services Research. 1995. Vol. 30. N 4. P. 507.
Groff J. E., Lien D., Su J. Measuring efficiency gains from hospital mergers // Research in Healthcare Financial Management. 2007. Vol. 11. N 1. P. 77–90.
Holt H. D., Clark J., DelliFraine J., Brannon D. Organizing for performance: what does the empirical literature reveal about the influence of organizational factors on hospital financial performance? // Biennial review of health care management. 2011. P. 21–62.
Kaissi A. A., Begun J. W. Strategic planning processes and hospital financial performance // Journal of Healthcare Management. 2008. Vol. 53. N 3. P. 197–208.
Kringos D. S., Sunol R., Wagner C. et al. The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews // BMC Health Services Research. 2015. Vol. 15. P. 1–13. https://doi.org/10.1186/s12913-015-0906-0
Li L. X., Collier D. A. The role of technology and quality on hospital financial performance: an exploratory analysis // International Journal of Service Industry Management. 2000. Vol. 11. N 3. P. 202–224.
Martin D., Shulman K., Santiago-Sorrell P., Singer P. Priority-setting and hospital strategic planning: a qualitative case study // Journal of Health Services Research & Policy. 2003. Vol. 8. N 4. P. 197–201.
Perera F. P. R., Peiró M. Strategic planning in healthcare organizations //Revista Española de Cardiología (English Edition). 2012. Vol. 65. N 8. P. 749–754.
Ramamonjiarivelo Z., Weech-Maldonado R., Hearld L., Pradhan R., Davlyatov G. K. The Privatization of Public Hospitals: Its Impact on Financial Performance // Medical Care Research and Review. 2020. Vol. 77. N 3. P. 249–260.
Sadeghifar J., Jafari M., Tofighi S., Ravaghi H., Maleki M. R. Strategic planning, implementation, and evaluation processes in hospital systems: A survey from Iran // Global journal of health science. 2015. Vol. 7. N 2. P. 56.
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