The modern approaches to rating of medical organizations on the basis of strategy of sustainable development of health care institution

Abstract

The article analyzes modern approaches to medical organizations rating based on national and foreign literature, The groups of indices that are responsible for effectiveness of medical organizations from point of view of consumers of medical services and health care administration are established. According analyzed publications, rating values consider effectiveness of single processes rather than organization in whole. This served as a basis for scientific search of evaluation system that can reflect performance of medical organization contributing to its sustainable development. In 2012-2018, the Novosibirsk State Medical University carried out a study of potential of sustainable development of health care organizations. On the basis of legal analysis, sociological and expert research of opinions of administrators the key directions of activity contributing to improving efficiency of medical organizations functioning were identified. The article presents original approach to comparative assessment of health care organizations providing different types of medical care to population based on concept of sustainable development using the T. L. Saati hierarchy analysis methodology. The strategy of sustainable development supposes achievement of long-term goals of medical organizations, including not only indices of patient satisfaction with quality of medical care and organization of safe environment for their stay in health care facility, but also optimization of all processes, rational resource support, monitoring and analysis of internal environment of organization for continuous activity improvement, staff training, implementation of organizational innovations, etc. It is established that medical organizations implementing strategy of sustainable development demonstrated the best results in resource management, increasing of consumer satisfaction with quality and safety of medical care, optimization of processes to increase the number of treated patients, etc. Thus, health care institutions with clear-cut plan of actions and set of management practices to achieve long-term goals acquire ability to improve medical social indices and, as a result, population health indices.