All articles by Latukha O. A.
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2020 № 1 New model of ambulatory healthcare operation as a form of sustainable development of healthcare organization
The article presents a review of the literature and the data of our own research on the problem of introduction of certain elements of the lean production model in the work of the ambulatory healthcare and assessment of its impact on the sustainable development of the healthcare organization as a whole. It was revealed that the new model of the am¬bulatory healthcares increases the efficiency of activities in the following areas: the achievement of long-term development strategy by 6.8 times, the introduction of organizational improvements and training of personnel by 5 times, synchronizes processes and optimizes resource provision 3 times more often than the initial level of work of the healthcare organization. In this regard, the sustainability potential of the healthcare organization providing primary health care to the population has increased by 3.47 times, which indicates an increase in the efficiency of the organization.
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2023 № 10 Integrated approach to the implementation of strategy in a sustainable developing healthcare organization.
Currently, strategic planning is the basis of the activities of many healthcare organizations. Building strategic goals and objectives structures the action plan and allows you to determine the degree of importance of the work being carried out relative to the organization’s policies.
However, not all management methods and techniques lead to sustainable development of healthcare organizations. To achieve the strategic goals of an organization, an integrated approach is needed, which determined the relevance of this study.
Purpose of the study is to determine and the description of an integrated approach to the implementation of strategic objectives in a sustainably developing healthcare organization providing primary health care to the urban population.
Materials and methods. The study of the sustainable development of healthcare organizations was carried out from 2012 to 2023, and a sociological study of the opinions of the heads of healthcare organizations implementing a development strategy was carried out from 2012 to 2018.
Results. A sociological survey of managers showed that 24,6% of healthcare organizations applying a development strategy do not achieve their indicators within 3 years. To increase the sustainability of the development of healthcare organizations, an integrated approach is required in combination with such management methods as: implementation of a quality management system; implementation of a sustainable development model; implementation of improvements; training staff on a long-term development strategy; analysis of process effectiveness, etc.
To implement a sustainable development strategy in the healthcare organization, the following activities were developed and implemented: determining the long-term goals of the healthcare organization; determination of key performance indicators of the organization; identifying key processes to achieve long-term goals of the clinic; identification of key performance indicators for each process; determining the quality and quantity of resources that support key processes; on-the-job training of personnel; monitoring and analysis of key performance indicators; identifying departmental best practices; implementing organizational improvements and innovations; changing long-term goals and key performance indicators based on the internal needs of the organization.
In general, over 6 years, the effectiveness of the organization’s strategy and policies increased by 5,9 times.
Findings. Thus, to achieve sustainable growth in long-term development indicators, it is necessary not only to formulate strategic performance indicators, but also to ensure their implementation in all divisions of the healthcare organization, including administrative, economic and support services. To this end, it is necessary to involve staff in improving work efficiency through on-the-job training in the best practices for implementing project work to improve the activities of a healthcare organization. This integrated approach increases employee engagement and allows for sustainable development of the organization as a whole. -
2023 № 9 Analysis of the effectiveness of healthcare organizations implementing the development strategy.
The development strategy is the most well-known model implemented in various industries, including healthcare. It allows managers to make decisions and focus the efforts of employees on processes that contribute to the achievement of the long-term goals of the organization.
However, when conducting a study of management models that affect the sustainable development of healthcare organizations, we received conflicting results. On the one hand, some healthcare organizations implementing the development strategy achieved their results within 3 years or more. On the other hand, 24,6% of healthcare organizations using this concept participated in the study, which did not achieve sustainable growth in indicators. This was the basis for the present study
Purpose of the study is to determine and the analysis of the effectiveness of the activities of healthcare organizations implementing a development strategy.
Materials and methods. The study of management models for the development of healthcare organizations was carried out in the period from 2012 to 2023 at the Novosibirsk State Medical University. Sociological (n=625) and expert survey (n=286) of heads of healthcare organizations was conducted in the period from 2012 to 2018.
Results. 625 heads of healthcare organizations participated in the sociological study. Only 43,4% of respondents used a development strategy in their work.
According to the results of the study, healthcare organizations that implement a development strategy in 100% of cases pay special attention to the implementation of an effective strategy. Plan processes in line with the organization’s strategy 34,6% more often than the average of all organizations surveyed. 1,7 times more likely to cooperate with government and scientific organizations to achieve their strategic goals. In the internal policy of the organization, they emphasize the implementation of corrective and preventive measures, and also evaluate mutual cooperation between departments.
Findings. The results of the study show that in order to achieve strategic goals, it is necessary to involve all the main activities of a healthcare organization, which gives reason to believe that the development strategy has a positive impact on the effectiveness of the organization as a whole. However, the method under study contributes to increasing the potential for sustainable development of a healthcare organization by only 39%. And a quarter of all the studied organizations that implement a development strategy do not achieve a stable growth of indicators within 3 years. This means that the studied management model can improve the efficiency of the organization only in combination with other approaches.