Healthcare reform: Heads of medical organizations at the forefront of problems
How to Cite
Alexandrova O.A., Komolova O.A. Healthcare reform: Heads of medical organizations at the forefront of problems. Population. 2019. Vol. 22. No. 1. P. 79-91. DOI: https://doi.org/10.19181/1561-7785-2019-00006 (in Russ.).
Abstract
The article is devoted to the impact of healthcare reform on the situation in the industry and the requirements for managers of medical organizations. On the data from the expert survey, participants of which were physicians with practical experience in the field of health management; economists studying the work of the public sector; lawyers involved in the protection of patients’ rights, etc., it provides characteristics of today’s financial, logistical support and staffing of medical institutions, their relationships with founders, insurance companies and patients; there are given experts’ opinions on who should be the leaders of medical organizations — managers or clinicians, how to create their personnel reserve, what should be changed in the system of professional development and retraining of medical personnel. It is shown that the working conditions of medical organizations have radically changed, and the amount of attracted extra-budgetary funds has become an important indicator of their effectiveness. At the same time, the institutional context, in which they function, is highly controversial, devoid of a number of fundamentally important elements, and is not balanced in terms of the rights and obligations of various actors involved in the provision of medical care. This significantly complicates the activity of the management of medical institutions, generates a «conflict of interests» among them, which ultimately negatively affects patients. According to experts, today an experienced manager should be at the head of the medical institution, but — with the obligatory good knowledge and understanding of the specifics of the medical industry. Since medical institutions are now managed by medics, their training in economics and management within the system of continuing professional education becomes very important. The article is divided into two parts. The second part will be published in Population 2019 No.1.
Keywords:
healthcare reform, accessibility and quality of medical services, heads of medical organizations, advanced training and retraining of medical personnel
References
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Reforma: ot narodnogo zdravookhraneniya — k prodazhe meditsinskikh uslug [Reform: from Public Healthcare to Sale of Medical Services]. Doklady Tsentra problemnogo analiza i gosudarstvennoupravlencheskogo proyektirovaniya [Reports of the Center for Problem Analysis and State Management Designing]. Vyp. 10. [Issue 10]. Moscow. Nauchnyy ekspert [Scientific Expert]. 2014. (in Russ.)
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ONF raskritikoval sostoyaniye sistemy zdravookhraneniya v Rossii [The All-Russian Peo-ple’s Front has criticized the healthcare system in Russia]. Available at: https://tass.ru/obschestvo/2239739 (Accessed: 20 August 2018). (in Russ.)
Ulumbekova G. Kurs Minzdrava — b rosayem patsiyentov, spasayem chastnika [Course of the Ministry of Healthcare: we forsake patients, we rescue private busyness]. Available at: http://expert. ru/2015/01/28/kurs-minzdrava—-brosaem-patsientov-spasaem-chastnika/ (Accessed: 20 August 2018). (in Russ.)
Batchikov S., Kara-Murza S. Ot zdravookhraneniya k prodazhe meditsinskikh uslug [From healthcare to sale of medical services]. Ekonomicheskiy estrategii [Economic Strategies]. 2013. № 2. (in Russ.)
Rtishcheva E. Za ofitsial’no besplatnuyu meditsinu pridet’sya ofitsialno platit’ [For officially free medicine we’ll have to pay officially]. Available at: http://www.doctorpiter.ru/articles/4506/ (Accessed: 18 March 2014) (in Russ.)
Chubarova T. V. Perspektivy reformy zdravookhraneniya v Rossii: neobkhodimost’ novykh podkhodov [Prospects for healthcare reform in Russia: the need for new approaches]. Problemy prognozirovaniya [Studies on Russian Economic Development]. 2004. № 5. (in Russ.)
Sotsial’noye razvitiye i uroven’ zhizni naseleniya SSSR [Social Development and Living Standards of the Population of the USSR]. Statistical handbook. Moscow. Goskomstat USSR. 1989. (in Russ.)
Chubarova T. V. Krizis rossiyskoy zdravookhranitel’noy sistemy i politiki [The crisis of the Russian healthcare system and policy].Ekonomicheskaya nauka sovremennoy Rossii. Ekspress-vypusk [Economic Science of Modern Russia. Express release]. 2007. № 1 (12). (in Russ.)
Ulumbekova G.E. Zdravookhraneniye Rossii: 2018–2024 gg. Chto nado delat’? [Russian Healthcare: 2018–2024. What should be done?]. ORGZDRAV: novosti, mneniya, obucheniye. Vestnik VSHOUZ [ORGZDRAV: News, Opinions, Training. Herald of the Higher School of Organization and Management in Healthcare System]. 2018. № 1. (in Russ.)
Reforma: ot narodnogo zdravookhraneniya — k prodazhe meditsinskikh uslug [Reform: from Public Healthcare to Sale of Medical Services]. Doklady Tsentra problemnogo analiza i gosudarstvennoupravlencheskogo proyektirovaniya [Reports of the Center for Problem Analysis and State Management Designing]. Vyp. 10. [Issue 10]. Moscow. Nauchnyy ekspert [Scientific Expert]. 2014. (in Russ.)
Chubarova T. Public health management education and training: Russia. In: Health Care Delivery Systems: Opportunities for Public Management Education in Central and Eastern Eu-rope. Ed. by A. Rosenbaum, J. Nemec, K. Tolo.NISPAcee. 2004
«Nas uchili vrachevat’, a upravleniye meditsinskoy organizatsiyey — e to drugoy vid professional’noy deyatel’nosti…». Interv’yu s G. E. Ulumbekovoy [«We were taught to heal, and management of a medical organization is another kind of professional activity …». Interview with G. E. Ulumbekova.] Available at: https://cyberleninka.ru/article/n/nas-uchili-vrachevat-a-upravlenie-meditsinskoyorganizatsiey-eto-drugoy-vid-professionalnoy-deyatelnosti-1
Citation Formats
Other cite formats:
APA
Alexandrova, O. A., & Komolova, O. A. (2019). Healthcare reform: Heads of medical organizations at the forefront of problems. Population, 22(1), 79-91. https://doi.org/10.19181/1561-7785-2019-00006
Section
ESTIMATION OF POVERTY AND WAYS TO ITS REDUCTION
