Analysis of the organizational activity of a healthcare institution in the conditions of reforming the industry: theoretical, methodological and applied aspects

Abstract

Introduction. Effective management of any organization is possible with proper institutionalization of all stages of preparation and implementation of management decisions. In this context, a special place is given to analysis. Economic studies are mainly devoted to issues of economic or functional-cost analysis. Appropriate methods have been developed. However, issues of analysis of the organization's organizational activity remain neglected. These issues are especially acute for organizations that have undergone institutional reform. This applies to medical institutions, which in the process of reforms acquired the status of communal non-commercial enterprises. In order to correctly assess the current state of the organization of a medical institution, the objects of such an analysis, the empirical base, criteria for evaluating the effectiveness of changes, and appropriate methods must be clearly defined. The lack of theoretical, methodological and applied developments in relation to this issue creates certain difficulties for researchers and hospital management, which actualizes the proposed research topic. The purpose and task of the article is to generalize theoretical approaches to the study of the problem of organization of the health care institution’s activities, highlight the results of the first stages of health care reform in Ukraine through the prism of changes in the activity of a health care institution, propose an author’s approach to the methodology of analyzing the organization of the work of a medical institution as a component of the functional management structure, to offer empirical results of its approbation on the example of a multidisciplinary hospital. Results. Modern theoretical approaches to the study of the organization of the activity of a health care institution are summarized, the influence of the stages of reforms on it is highlighted, an algorithm and methodology for analyzing the organization of the activities of reformed health care institutions are proposed, which is based on a combination of system and process approaches. On the basis of methodological approaches proposed by the authors, empirical evaluations of the organizational activity of a multidisciplinary institution were carried out.