FORMATION OF ORGANIZATIONAL AND ECONOMIC MECHANISM OF MANAGEMENT OF HEALTHCARE INSTITUTION IN THE MODERN DEVELOPMENT PARADIGM
Abstract
The article is devoted to current issues of intensifying the functioning of the healthcare system at the level of healthcare institutions using a system of economic tools and methods. The purpose of the article is to study the possibility of forming and implementing the organizational and economic mechanism for healthcare management in the context of a patient-oriented approach to ensure its development. The article analyzes and systematizes approaches to creating the organizational and economic mechanism for managing the healthcare institution. The basic model and key elements for the formation of the basic architecture of the organizational and economic development mechanism for the healthcare institution have been formed. The most complex problematic issues that need to be addressed by the management of healthcare institutions in modern conditions of reform are outlined. Proposals are given for building the organizational and economic mechanism for managing the healthcare institution in the context of the patient-oriented approach to ensure its development. The functioning of two subsystems of the mechanism was studied: the functional business system and the support and development system. It is emphasized that the functional subsystem is subject to mandatory state licensing, as well as the implementation of norms and standards of state regulation (unified clinical protocols, local clinical protocols, etc.). The organizational and economic mechanism for the development of the healthcare institution is considered as a set of the legal system, functional system of business processes, of support and provision business processes, of business development processes. The main problems and negative factors of introducing the new organizational and economic mechanism for managing the healthcare institution are considered. Additional attention is paid to such the important element of the modern organizational and economic mechanism of healthcare management as the introduction of internal audit of activities into the medical and management system of the healthcare institution. A set of social, economic and organizational levers acting on healthcare is outlined in order to increase its competitiveness, operational efficiency and quality of medical services. It has been determined that the proposed organizational and economic mechanism for healthcare management is a set of approaches, means, techniques, methods and tools, indicators and norms and other elements that can have the complex impact on the results of healthcare activities and ensure the increase in the efficiency of its functioning.
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