Levels of Comprehensive Assessment of the Medical and Economic Efficiency of Healthcare in the Field of Industry Strategy
https://doi.org/10.22394/1726-1139-2024-4-47-62
EDN: OTKYYR
Abstract
New tasks set for the healthcare sector by the President of Russia include the transition to a lifestyle that corresponds to the world level, including the support and development of active longevity. For the multi-level methodology of strategizing developed by V. L. Kvint, healthcare sector represents the most promising area of application. The system of strategic measures to achieve the country’s development goals related to the health of the population cannot include only medical or medical-preventive measures; it is advisable to include promotion of a healthy lifestyle, social support for older people and other measures. Essentially, in strategizing, it is advisable to single out the “health care sector” or, more precisely, the “health saving” sphere, which includes all the forces associated with the focus on increasing life expectancy, and the “health care system” as a branch of the economy and social sphere, covering a network of specific institutions and bodies. Thus, a sphere, an industry, a region, an individual medical institution, its specialized unit and an individual medical specialist, as well as an individual citizen (patient) must form a single strategic system (using a digital circuit and other platforms). It is obvious that the essence of the medical effectiveness of the healthcare system as a whole and at the level of individual medical institutions is somewhat different. Establishing a comprehensive all-level assessment of the medical and economic effectiveness of healthcare is, in the author’s opinion, a key task in the formation and implementation of a new healthcare development strategy and relevant government programs and projects. Aligning national, regional and global interests requires such strategic management within a single digital health system.
About the Author
J. A. Morozova
City Clinical Hospital N 24 of the Moscow City Health Department
Russian Federation
Russian Federation
Yulia A. Morozova, deputy Chief Physician for Economic affairs, Candidate of Economic Sciences
Moscow
References
1. Babenko A. I., Pushkarev O. V. Methodological foundations for a comprehensive assessment of the medical and economic effectiveness of healthcare // Bulletin of the Siberian Branch of the Russian Academy of Medical Sciences [Bjulleten’ sibirskogo otdelenija rossijskoj akademii medicinskih nauk]. 2014. T. 34. N 2. P. 89–94. (In Russ.)
2. Kvint V. L., Novikova I. V., Alimuradov M. K. Coordination of global and national interests with regional strategic priorities // Economics and management [Ekonomika i upravlenie]. 2021. Vol. 27. N 11. P. 900–909. (In Russ.) DOI: http://doi.org/10.35854/1998-1627-2021-11-900-909
3. Kontsevaya A. V., Mukaneeva D. K., Ignatieva V. I., Antsiferova A. A., Drapkina O. M. Economics of prevention of cardiovascular diseases in the Russian Federation // Russian Journal of Cardiology [Rossijskij kardiologicheskij zhurnal]. 2023. Vol. 28. N 9. P. 21–28. doi:10.15829/1560-4071-2023-5521. (In Russ.) EDN KNLBZO
4. Marisov L. V., Kobyatskaya E. E., Butareva M. M., Metzger A. V. Analysis of the medical and economic efficiency of the activities of structural units of a medical organization // Problems of social hygiene, health care and history of medicine [Problemy social’noj gigieny, zdravoohranenija i istorii mediciny]. 2022. Vol. 30. N 5. P. 853–858. (In Russ.) DOI: http://dx.doi.org/10.32687/0869-866X-2022-30-5-853-858
5. Morozova Yu. A. Development of the scientific and innovative base for digitalization of healthcare and medicine in Russia and the world // Insurance business. [Strakhovoe delo] 2019. N 6 (315). P. 38–53. (In Russ.)
6. Morozova Yu. A. Strategic priorities for innovative development of Russian healthcare in the context of digitalization. Moscow; Saint Petersburg, 2021. 205 p. (In Russ.)
7. Morozova Yu. A. Digitalization as a global, country and sectoral process in increasing the effectiveness and efficiency of healthcare and medicine // Intellect. Innovation. Investments. [Intellekt. Innovatsii. Investitsii]. 2019. N 4. P. 44–53. (In Russ.)
8. Sagov A. I. Specifics of economic analysis of the effectiveness of health care institutions // Economic Sciences [Ekonomicheskie nauki]. 2012. T. 2. N 87. P. 104–109. (In Russ.)
9. Soboleva E. A. Budgetary and insurance model of healthcare financing in Russia // Finance: theory and practice [Finansy: teorija i praktika]. 2021. Vol. 25. N 3. P. 127–149. (In Russ.) DOI: 10.26794/2587-5671-2021-25-3-127-149
10. The state of cancer care for the population of Russia in 2021 / ed. by A. D. Kaprin, V. V. Starinsky, A. O. Shakhzadova. Moscow : MNIOI under P. A. Herzen. 2022. 239 p. (In Russ.) ISBN 978-5-85502-275-9
11. Alexander J. A., Weiner B. J., Griffith J. Quality improvement and hospital financial performance // Journal of Organizational Behavior: The International Journal of Industrial, Occupational and Organizational Psychology and Behavior. 2006. Vol. 27. N 7. P. 1003–1029.
12. Applegate L. M., Mason R. O., Thorpe D. Design of a management support system for hospital strategic planning // Journal of Medical Systems. 1986. Vol. 10. P. 79–95.
13. Beauvais B., Dolezel D., Ramamonjiarivelo Z. An Exploratory Analysis of the Association between Hospital Quality Measures and Financial Performance // Healthcare. 2023. Vol. 11. N 20. P. 2758. DOI: 10.3390/healthcare11202758. PMID: 37893832; PMCID: PMC10606508
14. Cinaroglu S., Baser O. Understanding the relationship between effectiveness and outcome indicators to improve quality in healthcare // Total Quality Management & Business Excellence. 2018. Vol. 29. N 11–12. P. 1294–1311. DOI: 10.1080/14783363.2016.1253467
15. Denis J. L., Langley A., Lozeau D. The role and impact of formal strategic planning in public hospitals // Health Services Management Research. 1995. Vol. 8. N 2. P. 86–110.
16. Devers K. J., Pham H. H., Liu G. What is driving hospitals’ patient-safety efforts? // Health Affairs. 2004. Vol. 23. N 2. P. 103–115.
17. Fontaine P., Ross S. E., Zink T., Schilling L. M. Systematic review of health information exchange in primary care practices // The Journal of the American Board of Family Medicine. 2010. Vol. 23. N 5. P. 655–670. DOI: 10.3122/jabfm.2010.05.090192
18. Frisse M. E., Johnson K. B., Nian H., Davison C. L., Gadd C. S., Unertl K. M., Turri P. A., Chen Q. The financial impact of health information exchange on emergency department care // Journal of the American Medical Informatics Association. 2012. Vol. 19. N 3. P. 328–333. DOI: 10.1136/amiajnl-2011-000394
19. Goes J. B., Zhan C. The effects of hospital-physician integration strategies on hospital financial performance // Health Services Research. 1995. Vol. 30. N 4. P. 507.
20. Groff J. E., Lien D., Su J. Measuring efficiency gains from hospital mergers // Research in Healthcare Financial Management. 2007. Vol. 11. N 1. P. 77–90.
21. Holt H. D., Clark J., DelliFraine J., Brannon D. Organizing for performance: what does the empirical literature reveal about the influence of organizational factors on hospital financial performance? // Biennial review of health care management. 2011. P. 21–62.
22. Kaissi A. A., Begun J. W. Strategic planning processes and hospital financial performance // Journal of Healthcare Management. 2008. Vol. 53. N 3. P. 197–208.
23. Kringos D. S., Sunol R., Wagner C. et al. The influence of context on the effectiveness of hospital quality improvement strategies: a review of systematic reviews // BMC Health Services Research. 2015. Vol. 15. P. 1–13. https://doi.org/10.1186/s12913-015-0906-0
24. Li L. X., Collier D. A. The role of technology and quality on hospital financial performance: an exploratory analysis // International Journal of Service Industry Management. 2000. Vol. 11. N 3. P. 202–224.
25. Martin D., Shulman K., Santiago-Sorrell P., Singer P. Priority-setting and hospital strategic planning: a qualitative case study // Journal of Health Services Research & Policy. 2003. Vol. 8. N 4. P. 197–201.
26. Perera F. P. R., Peiró M. Strategic planning in healthcare organizations //Revista Española de Cardiología (English Edition). 2012. Vol. 65. N 8. P. 749–754.
27. Ramamonjiarivelo Z., Weech-Maldonado R., Hearld L., Pradhan R., Davlyatov G. K. The Privatization of Public Hospitals: Its Impact on Financial Performance // Medical Care Research and Review. 2020. Vol. 77. N 3. P. 249–260.
28. Sadeghifar J., Jafari M., Tofighi S., Ravaghi H., Maleki M. R. Strategic planning, implementation, and evaluation processes in hospital systems: A survey from Iran // Global journal of health science. 2015. Vol. 7. N 2. P. 56.
Review
For citations:
Morozova J.A. Levels of Comprehensive Assessment of the Medical and Economic Efficiency of Healthcare in the Field of Industry Strategy. Administrative Consulting. 2024;(4):47-62. (In Russ.) https://doi.org/10.22394/1726-1139-2024-4-47-62. EDN: OTKYYR
Views:
344
Email this article 