2017 № 10 Financial reserves of the state (municipal) institutions health
. The difficult economic situation makes to search for possible variants of optimization of resources and reserves in the state (municipal) institutions. Many heads of agencies believe that the reserves for salary increases in accordance with the «Мay» decrees of the President have been exhausted. However, they did not start the process of normalization, the introduction of professional standards and effective contracts. On the other hand, the legal environment in which agencies are often not allowed to implement the legislation provided for the possibility of attracting additional resources. These issues are discussed in this publication
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.
2019 № 3 Performance optimization of the operating unit in conditions of high patient turnover using economical technologies
Presents optimization methods of functioning of the operating unit. The efficiency and validity of the implementation of these methods in the work of the operating unit, and in the units involved in the preoperative preparation, is shown. Analyzed the effectiveness of innovations on the example of two departments of the surgical profile. An assessment of the result is given.
2019 № 7 Performance optimization of the operating unit in conditions of high patient turnover using economical technologies
Proposed methods for optimizing the work of the receiving department. The efficiency and validity of the implementation
of these methods in the work of the receiving department has been shown. Analyzed the effectiveness of
innovations. An assessment of the result is given.
2013 № 6 Models of the optimal distribution of the planned volume of financial means in the sphere of compulsory health insurance of Saint-Petersburg (The territorial compulsory health insurance fund of Saint-Petersburg, Saint-Petersburg, Russia)
The article deals with the mathematic modeling of distribution of the planned volume of financial means in the compulsory health insurance and the results of modeling.