2019 № 4 The experience and results of lean manufacturing introduction in health care
The World Health Organization gives notice an increasing demand for medical service on the one hand and a tendency toward deterioration of financial conditions in the healthcare system on the other that is the cause of the main concern in modern medical management. The article is considerate feasibility of using principles and methods of lean production for the purposes of organizing practical healthcare. Analyzed the results of lean production implementation of over the past few decades, the main early successes achieved using the tools and methods of lean production, as well as the basic limitations of the application are evaluated. Special attention is given to potential roles of the leader of healthcare institutions in lean production adaptation as well as evaluating the success of a strategy. A deep analysis of modern economic indicators of lean production successful implemen- tation in medical clinics abroad is presented, the key points of the effective introduction of lean production are being updated. In additional to economic indicators, the impact of lean production implementation in medical organizations on reducing mortality rates, transmission of nosocomial infections, mortality from hospital infections, reducing waiting times for medical services (especially in the admission department) is estimated. The current task facing the health care system in the Russian Federation is updated. The main conclusion is made about a huge amount of positive results after introducing lean production, including the positive economic effect and the increase in the quality of medical care after the introduction of the principles and methods of lean production, and also the entity of lean production as a separate method of organizing processes.
2013 № 3 Classification of the financial violations connected with the direction of the medical personnel for participation in work of the draft commissions (Saratov state Socio-Economic University, Saratov, Russia)
This article is prepared on the basis of the analysis of laws and other regulations of the Russian Federation and results of the control events held in military commissariats, and intended for employees of accounts department of medical institutions and military commissariats. Systematization of standard financial violations and shortcomings will allow to define the most characteristic violations when carrying out military-medical examination and to organize precautionary work with development of concrete recommendations about strengthening of the financial and budgetary discipline.