Dementjeva E.L., Korablev V.N.
Far Eastern State Medical University, Khabarovsk
Contacts: Elena Dementjeva, e-mail:
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(elenadementjeva at gmail dot com)
Abstract. The article is devoted to performance improvement of a healthcare organization.
The purpose of the study is to work out measures aimed
at improving organizational structure of the healthcare organization in
terms of non-medical personnel, regulations on structural units and job
descriptions.
Methods and data. The objects under study included
seven outpatient departments and polyclinics within the system of
primary care in Khabarovsk. The subject of the research comprised
organizational structure in terms of non-medical personnel, regulations
on structural units and job descriptions.
Results. Lack of a unified approach towards non-medical
personnel organizational structure, poorly defined regulations on
structural units and job descriptions of healthcare organizations alike
in the level of care delivery with similar aims, objectives, and
functions decrease management efficacy.
These conditions necessitate creation of a unified nomenclature of
non-medical departments of health organizations resulting in universal
approaches towards elaborating regulations on structural units and job
descriptions. Solution to those problems is especially crucial in the
context of transition to “effective” contract and accreditation of
healthcare organization and personnel.
Keywords: healthcare organization; organizational structure; regulations on structural unit, job description.
References
- Gorfinkel V. Ya., Popadyuk T. G. Innovatsionnoe predprinimatel'stvo
[Innovative business].Moscow: Yurayt; 2013. 523 p. (in Russian).
- Kvalifikatsionnyy spravochnik dolzhnostey rukovoditeley,
spetsialistov i drugikh sluzhashchikh [Qualification handbook for
managers, professionals and other employees] (utv. Postanovleniem
Mintruda RF ot 21.08.1998 ¹37). [Online] [cited 2014 Nov 20]. Available
from: http://www.consultant.ru/popular/spravochnik-dolzhnostej/232_1.html. (In Russian).
- Kozhanova E.N. Polozhenie kak organizatsionno-pravovoy dokument [Regulation as an organizational and legal document] Sekretar'-referent [Online] 2014 [cited 2014 Nov 05]; (8). Available from: http://www .profiz.ru/sr/8_2014/polozhenie/. (In Russian).
- Ob osnovakh okhrany zdorov'ya grazhdan v Rossiyskoy Federatsii:
federal'nyy zakon ¹ 323-FZ ot 21.11.2011 g. (s izmeneniyami i
dopolneniyami). [On the basis of health protection for the citizens of
the Russian Federation]. [Online]. Available from: http://base.garant.ru/12191967/(In Russian).
- Ob utverzhdenii vedomstvennogo perechnya gosudarstvennykh uslug
(rabot), okazyvaemykh (vypolnyaemykh) nakhodyashchimisya v vedenii
Ministerstva zdravookhraneniya Khabarovskogo kraya kraevymi
gosudarstvennymi uchrezhdeniyami v kachestve osnovnykh vidov
deyatel'nosti: prikaz Ministerstva zdravookhraneniya Khabarovskogo kraya
ot 20 iyulya 2011 g. ¹ 17 [On approval of the departmental list of
public services (works) provided (performed) by territorial government
agencies under the jurisdiction of the Ministry of Health of Khabarovsk
Territory as core activities]. [Online]. 2011 [cited 2014 Nov 15].
Available from: http://www.zdrav.khv.ru/node/483. (In Russian)
- Ob utverzhdenii Nomenklatury dolzhnostey meditsinskikh rabotnikov i
farmatsevticheskikh rabotnikov: prikaz Minzdrava Rossii ot 20 dekabrya
2012 g. ¹ 1183n. [On approval of the nomenclature of positions for
medical and pharmaceutical personnel]. [Online] 2013. Available from:
http://www.rg.ru/2013/03/27/nomenklatura-dok.html. (In Russian).
- Ob utverzhdenii nomenklatury meditsinskikh organizatsiy: prikaz
Minzdrava Rossii ot 6 avgusta 2013 g. ¹ 529n. [On approval of the
nomenclature of health care facilities]. [Online]. 2013 [cited 2014 Nov
10]. Available from: http://www.rg.ru/2013/10/07/nomenklatura-dok.html.
(In Russian).
- Ob utverzhdenii Polozheniya ob organizatsii okazaniya pervichnoy
mediko-sanitarnoy pomoshchi vzroslomu naseleniyu: prikaz
Minzdravsotsrazvitiya Rossii ot 15 maya 2012 g. ¹ 543n. [On approval of
the Regulations on the organization of primary health care to adult
population]. [Online] 2012 [cited 2015 Jan 20]. Available from:
http://www.rg.ru/2012/12/24/medpomosch-site-dok.html (In Russian).
- Ob utverzhdenii trebovaniy k organizatsii i vypolneniyu rabot
(uslug) pri okazanii pervichnoy mediko-sanitarnoy, spetsializirovannoy
(v tom chisle vysokotekhnologichnoy), skoroy (v tom chisle skoroy
spetsializirovannoy), palliativnoy meditsinskoy pomoshchi, okazanii
meditsinskoy pomoshchi pri sanatorno-kurortnom lechenii, pri provedenii
meditsinskikh ekspertiz, meditsinskikh osmotrov, meditsinskikh
osvidetel'stvovaniy i sanitarno protivoepidemicheskikh
(profilakticheskikh) meropriyatiy v ramkakh okazaniya meditsinskoy
pomoshchi, pri transplantatsii (peresadke) organov i (ili) tkaney,
obrashchenii donorskoy krovi i (ili) ee komponentov v meditsinskikh
tselyakh prikaz Minzdrava Rossii ot 11 marta 2013 ¹ 121n. [On approving
requirements for the organization and execution of works (services) to
provide primary health care, specialized (including high-tech) health
care, emergency (including emergency specialist) care , palliative care,
sanatorium and resort treatment, health care during medical
examinations, medical examinations and sanitary epidemiological
(preventive) measures in the framework of health care, transplantation
of organs and/or tissues, donor blood and/or its components circulation
for medical purposes]. [Online] 2013 [cited 2014 Oct 02]. Available
from: http://www.rg.ru/2013/05/15/medpomosh-dok.html (In Russian).
- O vvedenii novykh sistem oplaty truda rabotnikov federal'nykh
byudzhetnykh uchrezhdeniy i federal'nykh gosudarstvennykh organov, a
takzhe grazhdanskogo personala voinskikh chastey, uchrezhdeniy i
podrazdeleniy federal'nykh organov ispolnitel'noy vlasti, v kotorykh
zakonom predusmotrena voennaya i priravnennaya k ney sluzhba, oplata
truda kotorykh v nastoyashchee vremya osushchestvlyaetsya na osnove
setki po oplate truda rabotnikov federal'nykh gosudarstvennykh
uchrezhdeniy». Postanovlenie Pravitel'stva Rossiyskoy Federatsii ot 5
avgusta 2008 g. ¹ 583. [On the introduction of new systems of labor
payment for employees engaged in federal budgetary institutions and
federal government agencies, as well as civilian personnel of military
units, agencies and departments of federal executive bodies, in which
the law provides military service and service equal to it, which payment
is being implemented on the basis of unified tariff for payment to
employees engaged in federal government agencies]. [Online] 2008. URL: http://www.rg.ru/2008/08/13/tarifnaya-setka-dok.html [cited 2014 Nov 21]. (In Russian).
- O trekhurovnevoy sisteme okazaniya meditsinskoy pomoshchi:
rasporyazhenie Ministerstva zdravookhraneniya Khabarovskogo kraya ot
23.08.2012 ¹ 883-r. [On the three-level system for providing health
care]. [Online] 2012 [cited 2014 Nov 15]. Available from:
http://base.consultant.ru/regbase/cgi/online.cgi?req=doc;base=RLAW011;n=
(In Russian).
- Reestr Sbornikov norm truda. Razdel 14. [Register of Collections of
norms of work. Section 14.] [Online] [cited 2014 Oct 5]. Available
from: http://niitss.ru/about/center.html/. (In Russian).
- Rukovoditelyam organov gosudarstvennoy vlasti sub"ektov Rossiyskoy
Federatsii v sfere okhrany zdorov'ya, direktoram territorial'nykh fondov
obyazatel'nogo meditsinskogo strakhovaniya o primenenii standartov i
poryadkov okazaniya meditsinskoy pomoshchi: pis'mo Minzdrava Rossii ot
30 aprelya 2013 g. ¹ 13-2/10/2-3113. [To the heads of government of
subjects of the Russian Federation in health sector, directors of the
territorial mandatory health insurance funds on implementation of the
standards and practices of health care]. [Online] 2013 [cited 2014 Nov
21]. Available from: http://www.rosminzdrav.ru/documents/5521-pismo-minzdrava-rossii-ot-30-aprelya-2013-g-13-2-10-2-3113. (In Russian).
- Son I.M., Leonov S.A., Danilova N.V., Mirskov Yu.A. Kharakteristika
i ob"em osnovnykh trudovykh resursov sistemy zdravookhraneniya.
[Characteristics and the volume of basic human health resources]. Sotsial'nye aspekty zdorov'ya naseleniya [serial online] 2012 [cited 2015 January 12]; 25(3). Available from: http://vestnik.mednet.ru/content/view/413/30/lang,ru/ (In Russian).
- Shchur D.L. Metodika razrabotki polozheniy o strukturnykh
podrazdeleniyakh. [Methods for development of regulations on structural
units]. Kadry predpriyatiya [serial online] 2004 [cited 2014 Nov 5]; (6). Available from: http://www.kapr.ru/articles/2004/6/3866.html/ (In Russian).
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