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Main arrow Archive of previous Issues arrow 6 2011 (22) arrow Integrated approach to reforming federal multidisciplinary hospital in the current conditions
Integrated approach to reforming federal multidisciplinary hospital in the current conditions Print
Wednesday, 08 February 2012

L.V. Laktionova
Clinical Hospital 83, Moscow

Summary. The Concept of long-term social economic development of the Russian Federation for the period ending in 2020 has presented for the public health a problem of preservation and improvement of health of the population. A professional medical staff, development of infrastructure, resources provision, and improved organization are indispensable for the effective functioning of the system of public health.

This study was conducted at the municipal hospital No.83, Moscow, Russia where a reform of the clinic with the purpose of upgrading the quality of specialized medical care and making it more accessible - was under way in recent years. Our experience elucidated some problems to be solved on this way which can be common to many others medical establishments as well:

  1. Structural reorganization with involvement of novel branches of medicine and introduction of brand-new medical technologies. Utilized capacity of medical and surgical departments was compared to real population-based needs and insurance companies evaluated ones for various kinds of medical care. As a result, bed capacity of the hospital was reconsidered and rearranged. Intra-hospital standards of diagnostics and treatment inclusive of medical forms for various nosologies were introduced. New departments were created, as well as a special center for medical advice and diagnosis.
  2. Active staffing policies. In selection of the staff only those physicians were preferred that did fit with adopted here some specific technologies of diagnosis and therapies, had the command of the skills in related specialties, presented sound motivation, and expressed ideas on further vocational training.
  3. Implementation of modern marketing and advertising techniques. The efforts were applied to wide coverage among the population basis of perfect capabilities of the clinic, for more complete and opportune awareness of insurance companies or their agents about all aspects of the clinic activities, for verifying the image a skillful and benevolent medical personnel in patients with access to medical care here.
  4. Arrangement of intra-hospital common information space. Medical information system was designed for better accounting and control of medical activities in this hospital; the tool to this end was to equip every workplace with a capacity to conduct electronically the medical records, to draft research projects, to obtain upon enquiry the required diagnostic data, etc.

These combined 4-focuses management brought about significant improvement in the main qualitative and quantitative indicators of this clinics activities. Growth in number of treated patients for the last three years was of 39.8%, number of surgical procedures performed grew by 35.6%, mean hospital stay reduced by 3.3 days.

Thus consistent multi-focal management strategy enlarged the volumes of specialized highly qualified medical care for the population.

Keywords. Multidisciplinary clinic, the organization of medical care, development strategy.

 

References

  1. Kontseptsiya dolgosrochnogo sotsialno-ekonomicheskogo razvitiya Rossiyskoy Federatsii. Rasporyazhenie Pravitelstva Rossiyskoy Federatsii ot 17 noyabrya 2008 g. 1662-r [Conception of long-term socioeconomic development of the Russian Federation. Executive order of the government of the Russian Federation of 2008, November 17 1662-] [Internet]. 2008 [cited 2011 Nov 22]. Available from: http://www.consultant.ru/document/cons_doc_LAW_90601/?frame=1#5316CA4A5373CA1D333A02030381F054
  2. Miloserdov V.P. Nauchnoe obosnovanie organizatsii statsionarnoy spetsializirovannoy meditsinskoy pomoshchi naseleniyu regiona i puti povysheniya ee effektivnosti i kachestva v sovremennykh usloviyakh (na primere Saratovkoy oblasti) [Scientific rationale for organization of inpatient specialized medical care to population of the region and ways for rising healthcare quality and efficiency in the present day conditions (by an example of Saratov region]. [PhD. Thesis]. SPb. 2005. 44 p.
  3. Ragoznyy A.D. Rol ekonomicheskikh metodov upravleniya v deyatelnosti gorodskoy mnogoprofilnoy bolnitsy [Role of economic management methods in activity of city multi-field hospital] [PhD. Dissertation]. Moscow. 2004. 246 p.
  4. Tatarnikov M.A. Mediko-sotsiologicheskaya otsenka rezultatov reformirovaniya i puti sovershenstvovaniya zdravookhraneniya v Moskovskoy oblasti [Health and sociological assessment of results of healthcare reforms and directions for advancing healthcare service in Moscow region] [PhD. Dissertation]. Moscow. 2003. 352 p.
  5. Sheyman I.M. Restrukturizatsiya zdravookhraneniya [Restructuring of healthcare]. Zdravookhranenie 2011;(8):20-28.
  6. Federalnyy zakon Ob obyazatelnom meditsinskom strakhovanii v Rossiyskoy Federatsii ot 29 noyabrya 2010 goda 326-FZ [On mandatory health insurance in the Russian Federation Federal Regulation of 2010, November 29 326-]. Rossiyskaya gazeta. Federalnyy vypusk 5353. 3 December 2010.
  7. Federalnyy zakon "Ob osnovakh okhrany zdorovya grazhdan v RF" ot 21 noyabrya 2011 g. 323-FZ [On essentials of health protection in citizens of the RF, the Federal Regulation of 2011, November 21 323- ]. Rossiyskaya gazeta. Federalnyy vypusk 5639 (263) 21 November. 2011.

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