ВДОСКОНАЛЕННЯ УПРАВЛІННЯ ТА АДМІНІСТРУВАННЯ МЕДИЧНИМ ЗАКЛАДОМ

Abstract

Article is devoted to the theoretical and practical principles of management and administration of a medical institution, which is the basis for improving the efficiency and effectiveness of indicators. Management and administration of medical institutions is a management with a socially oriented approach. Management of a medical organization is a key issue for the effective functioning of the health care system. Management is designed to create the conditions necessary for the successful operation of the medical institution, may be based on the fact that profit is not always the purpose of existence, but the result of the enterprise is ultimately determined by the market. Article identifies specific elements that need to improve the management and administration of the medical institution: problems of quality and accessibility of medical services; the problem of underfunding by the state and management of financial resources directly in the medical institution; low level of public confidence in the health care system; shortage of highly qualified medical personnel, outflow of personnel; poor quality of patient care due to the vague description of the functions of managers and the proposed areas for improvement. The article proposes to develop and implement a matrix of distribution of management activities among hospital units. Introduce a methodological approach to assessing the effectiveness of financial resources, which will allow for a comprehensive and objective assessment of efficiency, taking into account the specifics of the hospital, varying degrees of importance of certain aspects of efficiency based on the typological groups of the institution. Communicative interaction of the enterprise with consumers of medical services and information-communicative in the hospital itself requires development in the direction of information support, and as a consequence of strengthening the internal and external image. To do this, the paper proposed a scheme of internal communicative interaction with consumers of medical services through the use of consumer-oriented communication system that characterizes the relationship between doctor and patient, and the ability to manage such a system to provide medical services. The "paternalistic" system of doctor-patient relations that exists today.