2019 № 3 Corporate competency model in a medical organization practice as a quality improving factor
The aim of the article is to describe the process of medical organization corporate competency approach in personnel management in health care system. The model of relations between professional standarts, key performances indices, functional responsibilities and competency model in practice of personnel management in medical center is examined. The model of personnel (corporate) and managerial competencies of Tatarstan cancer center is presented.
2020 № 2 Competency model based human resources assessment in medical organization
The article considers main types of personnel assessment on the example of a large specialized hospital, analyzes
the features of the assessment of medical personnel. As an example of the system of personnel assessment, personnel
assessment is given according to the competency model of a large medical organization with consideration of practical
examples of the use of personnel assessment results in the development of the clinic. The model of personnel rating based
on the given competency model is presented.
2021 № 9 Current issues of evidence-based management of state and municipal health care.
The topic of evidence-based management is relevant due to a significant increase of managerial innovations in medicine, healthcare commercialization, changes in approaches to the use of evidence sources in healthcare and high commercial, investment, social and reputational risks of poorly evidence-based decisions. The article deals with awareness and practical use of the evidence-based management approach among the executives of budgetary medical cites. The results of the first Russian study of evidence-based management among health care managers are presented, in particular, their awareness of the evidence-based approach, attitude to evidence-based management practice, and the sources of information used by them are studied.
The purpose of the study is to investigate the existing practice of applying evidence-based approaches in the management, awareness of the approach, it’s application in practice, drawing conclusions about the factors influencing managerial decisionmaking, and making recommendations for their improvement.
Materials and methods. The study of the management practice of heads of medical organizations was conducted using an online survey. The general part of the questionnaire included questions about the demography of respondents, their management experience, education, and the size of the organization. The special part assessed: respondents ‘ awareness of the approach; their attitude to the evidence-based management practice; sources of information when making decisions. Their opinion on the role of corporate culture in the formation of evidence-based management practice was clarified.
Results. Only 17% of managers use an evidence-based approach in practice, and only 5% use at least six sources of information for this purpose. The popularity rating of information sources is presented as follows: own experience 81%, consultations with external experts 60,3%, internal data of the organization 56,9%, scientific data 38%, the opinion of colleagues 36,2%. Most managers consider the use of data in practice to be the most difficult in making managerial decisions. Only 31% of healthcare managers regularly summarize their managerial experience. The majority of respondents, 75.8%, recognize the important role of corporate culture in forming the habit of making decisions on an evidence-based basis, but also assess the organization’s resources for making informed management decisions as insufficient. Only 20,7% of respondents rated the degree of the organization’s learning ability and its readiness for changes as high.
Conclusions. Further improvement of the practice of making managerial decisions on an evidence-based basis is possible due to the informatization of healthcare and the development of the corporate culture of municipal medical organizations. Evidence-based management practices should be integrated into the trajectory of continuing medical education of healthcare managers in order to improve the efficiency of the industry.
2020 № 5 Analysis of the study of the opinions and satisfaction of medic al personnel with features in the organization of the work of a network of d ental clinics, united in a research and production network
The article presents the results of a sociological survey according to a specially developed questionnaire, which made it possible to elicit the opinion of medical personnel (dentists and managers) in certain areas of improving the organization of medical care, affecting the level of service in branch clinics integrated into a research and production network. Based on this questionnaire, answers were received about the organization of activities and recommendations were developed to improve the organization of work of the integrated research and production network.
2022 № 10 Approaches to the study and development of corporate culture in a healthcare organization
Relevance. The N. V. Sklifosovsky Research Institute for Emergency Medicine is a leading multidisciplinary medical institution with a unique corporate culture. In its established work team, the heads of departments are carriers and indicators of values for the employees.
P u r p o s e . To study the values of the heads of departments.
M e t h o d s . Anonymous survey among two groups of heads: GrS (scientific departments) and GrC (clinical departments) using the methodology of assessing the value profile (questionnaires: SVS‑57, PVQ‑47) and labor motives (Martin-Ritchie questionnaire).
F i n d i n g s . The questionnaires were filled out by 25 heads, of which GrS – 11 people (44%), GrC – 14 (56%). According to the Schwartz questionnaire, in the GrS, “Self-Direction” was in the first place in the value profile rating, “Benevolence” was in the second place, “Security” was in the third, and in the GrC, “Security” was in the first place, “Benevolence” was in the second, “Self-Direction” was in the third. Regression analysis was carried out in the general group: clustering was determined by the indicator “Universalism” (0.13). Its strong correlation with “Security” was revealed (k=0.73, p<0.01). According to the Martin-Ritchie questionnaire, the main motivating factor for people is the feeling of their own relevance in interesting and socially useful activities.
In particular, the respondents for whom “Security” is not a priority want more recognition from other people than employees for whom “Security” is very important. The respondents ranking the “Security” value first prefer material incentives, but they also prefer to set challenging goals and achieve them.
C o n c l u s i o n s . In the rating of value orientations among the heads of scientific and clinical departments, there are divergent values of “Self-Direction” and “Security”, which increases the risk of professional burnout. The priority motives of mid-level executives were identified. The data obtained during the CC monitoring can be used for the development of communication strategies within the clinic (including in the distribution of functional responsibilities), as well as for image-building activities aimed at the external environment.