Medical Services Market Research Articles

Research of the role of investment and innovative activities in the process of management of medical institutions

The object of research is investment and innovation activity as a component of modern medical management. One of the problematic points is that the transformational transition from outdated management methods has caused the need to form a new management system, which should be implemented in all spheres of society's functioning. Even in those that were regulated only by government agencies. In particular, it is possible to talk about the health sector. But today, far from all medical institutions can show an effective management system of an institution. Therefore, there is a need to introduce a «new management» of health care institutions based on the use of investment and innovation tools. In the course of the study, the following scientific methods were used, as a method of theoretical analysis when studying the foundations of the functioning of health care institutions and the approaches of neoinstitutional theory and the theory of transaction costs when studying the activities of institutions of medical infrastructure. As well as methods of theoretical analysis, comparison and generalization for a general analysis of the issue and for determining the properties of the management system of medical institutions. The proposed work examines the development of the market for medical services on the example of Ukraine, along with state-guaranteed free medical care, in a correct and fair balance. Conclusions are drawn about the need to move from a system of exclusively budgetary financing of health care to a new budgetary and insurance model based on compulsory insurance. The importance of the search and development of investment funds, which will become the basis for the creation of a high-tech modern base of medical equipment and medical technologies, has been investigated. Thanks to the research results, modern healthcare institutions will be able to more reasonably approach the issue of organizing their own innovative and investment activities; if implemented correctly, it will allow them to get additional profit and improve the institution's management system.

THE DEVELOPMENT OF INTERNAL FINANCIAL CONTROL MECHANISMS IN THE HEALTH CARE INSTITUTION

The article reveals the development of internal financial control mechanisms, which is considered in conjunction with the use of planning tools, budgeting based on performance monitoring, along with the involvement of financial instruments leasing, factoring, outsourcing, which are important means of solving financial and production problems faced by the institution. The authors emphasize that one of the main tasks of financial control is not only strict compliance with the legality and legitimacy of spending budgetary financial resources, but also the search for effective mechanisms for managing them in market conditions, along with the development of market management tools, the search for additional extrabudgetary resources and sources of their replenishment, taking into account their rational use in conditions of growing competition in the open market of medical services. The article analyzes the system of internal financial control, which is able to increase the efficiency of the organization and is able to make higher demands on the budgetary powers of its controlling agency. It is assumed that the system of internal financial control is designed to take into account the areas and requirements in anticipating the reduction of budget subsidies, paying attention to the crisis and recessions in the formation of an open market for medical services in order to comply with the timeliness and quality of budget tasks and eliminate irrational or inappropriate use of budget resources. In order to successfully implement the tasks set by the new system of financial control, a new structure of internal financial control bodies has been developed, which is a permanently functioning, multifaceted system of bodies aimed at organizing monitoring, analysis, evaluation and timely control, carried out within the framework of a rational combination of powers of internal and external financial control units, which contributes to the timely elimination of identified shortcomings in the field of legality, legitimacy, efficiency and rational use of budgetary and extrabudgetary resources.

State regulation of the healthcare management system as a strategic imperative in the context of external challenges

The study identified key factors in the effective management of the health care system. Emphasis was placed on defining mechanisms and tools for public administration of the national health care system, which determine profound systemic changes in the reform of the industry and developed an improved methodology for assessing the results of effective development of public administration mechanisms through the transformation of procedures and rules governing the interaction of agents. market of medical services of Ukraine. These provisions, in fact, necessitate an analysis of the development of public administration mechanisms in the field of health care in Ukraine as a subject of study, and their interaction in the process of systemic changes in the industry to establish links between major categories. Based on the analysis of the results of the study, the current state of the health care system of Ukraine as a prerequisite for the modernization of the medical sector and increase its competitiveness. State regulation of the health care system should be divided into specific types of regulatory actions that would determine the subject, content, structure of the object of regulation and other parameters. The system of public administration is a set of rules, laws and procedures governing the interaction of participants at the national level. The determinants of the development of mechanisms of state management of the medical sector of Ukraine (socio-political, economic, demographic, socio-cultural) are determined and substantiated. The main reasons that hinder the development of the market of medical services in Ukraine are identified and the main directions and tools for overcoming these obstacles are outlined. The concept of systemic transformation of public administration mechanisms in the field of health care is substantiated, which defines the basic principles, among which are decentralization, democratization, self-regulation, autonomy, intensification, optimization of functions, which provides for diversification of ownership, sectoral governance reform, improving regional governance, financial reform, etc.

Cost Optimization of the Medical Tourism Market Research Project in Poland and Turkey

Research and development projects constitute a specific group of activities carried out in the course of scientific research. The purpose of this article was the analysis of the planned research and development project related to the research on medical services market in Poland and Turkey in the aspect of cost optimization. The analyzed project was designed to examine consumer behavior in the market of a new and growing tourism sector, i.e. medical tourism. Medical tourism is currently defined as the traveling of people to a foreign country in order to undergo planned treatment there, caused by financial or qualitative reasons or due to the unavailability of services in the country of residence. The aim of the planned research project was to compare the behavior of two different groups of stakeholders on two different markets - Polish and Turkish. Efficient implementation of a research project requires precise planning of all activities that should be conducted. The performed analysis showed that regardless of the location of the planned project, its schedule consists of similar components, but the time and costs associated with the project will be different and will largely depend on the location of the research. In the article, in order to optimize the basic parameters of a research project carried out in various destinations, a traditional project management tool, i.e. the Gantt chart, was used, and complemented with the cost gradient concept. The use of both those tools made it possible to identify activities, the change of which has the greatest impact on the cost and time optimization of the project in Poland and Turkey. The analysis of the research project carried out in various destinations showed that, regardless of the location of the research project, shortening its time is associated with a similar increase in the cost of the project, despite the fact that it concerns different activities in both analyzed cases. As a rule, the implementation of a project, including a research project, should be preceded by planning, which enables its subsequent optimization using traditional project management tools.

THEORETICAL APPROACHES TO DETERMINING THE ESSENCE OF STRATEGIC DEVELOPMENT MANAGEMENT OF DENTAL MEDICAL INSTITUTIONS

Topicality. Reforming the modern health care system requires comprehensive strategic measures that will help improve the management of modern health care facilities, including dental health facilities. The market of dental medical services is an important component in the structure of the market of medical services, as evidenced by the intensive development of dental services, expansion of not only medical but also cosmetic services, improving their quality and level of service. Therefore, there is an urgent need to determine the essence of the management of strategic development of dental institutions. Aim and tasks. Purpose and objectives: to determine the fundamental theoretical approaches to understanding the essence of management of strategic development of dental institutions. Research results. The level and quality of medical services characterize the sustainable development of the country, as other areas cannot be fully developed if the health care system is low. Formation and development of strategic management is an important part of corporate management not only of the production enterprise, but also of health care institutions, and it acquires especially important participation in the conditions of medical reform with the purpose of further social, medical, financial and economic competitive advantages in the medical services market. Without effective medical care, citizens are not interested in solving secondary problems, because the issue of preserving and maintaining health is always in the first place. With the spread of market development priorities, the management of medical institutions in general and dental medical institutions in particular is becoming important. Conclusion. Management of strategic development of dental medical institution is aimed at introducing new dental medical technologies, improving the level of professional training of medical staff of dental medical institutions and improving the quality of dental care using new standards in dentistry. Management of strategic development of dental medical institutions is possible only with the support of the dental care system by the state, through standardization, certification and financial support, observance of human rights in the health care system and state support of dental care to socially vulnerable groups.

Features of the competitive environment in the compulsory health insurance market

In the context of increasing concentration in the medical services market, one of the key areas of the industry's development is expanding the opportunities for private medical organizations to participate in the MHI and developing competition between medical organizations participating in the MHI system. In the work the analysis of the competitive environment in the market of mandatory medical insurance for 2015-20018 years, the reasons to reduce insurance companies on the market of OMS over the years, as well as the consequences of this event, considered leaders by revenues and shares in the market during 2016-2018, the identified indicators of the level of concentration in these regions, the analysis of market OMS of the SFD identified the problematic aspects and ways of increasing the effectiveness of competition between health insurance organizations, the built Matrix porter services OMS, identified obstacles (obstructions), faced by entities when entering into the market of medical services in the MHI system.

SOCIAL EFFICIENCY OF CREATING A COMPETITIVE ENVIRONMENT IN THE MARKET OF MEDICAL SERVICES: ECONOMIC AND ENVIRONMENTAL PRINCIPLES

Purpose. The aim of the article is substantiation of the need to increase the competitiveness of health care institutions in the context of the quality of medical services, improving the image of medical institutions of various forms of ownership, strengthening the economic and environmental efficiency of their activities. Methodology of research.The theoretical and methodological basis of writing the article are the fundamental principles of economics, set out in the scientific works of domestic and foreign scientists on economic and environmental efficiency of health care facilities. Methods of analysis, synthesis, induction, deduction were used to solve the tasks set in the research process (to characterize the levels of medical services, to argue the effects of competition in the market of medical services on the quality and availability of medical services, increase economic and environmental efficiency activities of health care institutions). Results. The risks and advantages of forming a competitive environment in the market of medical services, changes in the system of financing the medical industry are studied. The prospects of the level of territorial and financial accessibility of medical services in connection with the creation and operation, along with municipal medical institutions, of private medical institutions are substantiated. Due to the impact of environmental risks on the work of health care facilities, a system of measures to coordinate and control the state of the process of medical waste disposal has been proposed. Originality. The environmental and economic approach to increasing the competitiveness of health care facilities was improved. This approach in contrast to the existing substantiated the need to improve the quality of medical services, forming a positive image of medical institutions of various forms of ownership, strengthening economic performance, conscious management of medical waste raising the level of environmental awareness and responsibility. Practical value. The use of the proposed measures to improve the work with medical waste will reduce the level of environmental pollution, will improve the health of the population of Ukraine. Key words: health care system; medical services market; social and environmental efficiency; medical institutions; competitive environment; mortality rate.

Биоинформиционные технологии в медицинской сфере: достижения и вызовы

Global health systems are under extreme strain to cope with the consequences of the pandemic that broke out in 2020. The need to find new approaches to the development of the medical industry forms and significantly expands the problem field of research in this area. This study examines the new opportunities that a new technological revolution opens up, which simultaneously affected all areas of modern medicine. The changes affected diagnostics and treatment, new scientific directions appeared, and the industry itself turned into a rapidly developing industry that attracts new players in the market of medical services. Consistently considering the emerging trends in the world, the author comes to the conclusion: with a successful combination of the interests of all participants in the process of transformation that has begun, a completely new model of medical care will appear in the world. The breakthrough is expected both at the clinical level and at the organizational level, which is associated with the active penetration of telemedicine technologies based on AI into the public health system. However, a prerequisite for the introduction of a new hybrid model, which provides for a combination of clinical and virtual methods of treatment, remains the need to comply with the fundamental principles: accessibility, quality and safety. To achieve these goals, it is necessary to link bioinformatics, medical and telecommunications technologies and direct them in the necessary direction, which requires the theoretical understanding of various practical experiences and new global trends in the organization of management of modern health systems.

ДІАГНОСТИКА ПЕРСОНАЛУ В СИСТЕМІ КАДРОВОГО МЕНЕДЖМЕНТУ ЗАКЛАДУ ОХОРОНИ ЗДОРОВ’Я

The staff of the health care institution is its main resource, the quality and efficiency of which largely depends on the results of its activities and its competitiveness in the market of medical services. Prerequisites are being formed for the emphasis on staff diagnostics as a kind of tool for regulating the personnel management system in health care institutions. The theoretical and methodological aspects and results of personnel diagnostics in the personnel management system of a health care institution were revealed in the article. An example was UC “Subsidiary Company of Dental Clinic № 1” of the city of Nikolaev. It is noted that the goals of personnel diagnostics in personnel management systems are: improving the quality of management; unity of action in management; effective use of human resources; increase staff productivity. Carrying out diagnostics involves a step-by-step study of the following aspects: staffing; staffing of the enterprise; quantitative composition of staff by categories, gender structure, age, education and length of service; labor movement, use of working time. Emphasis is placed on decision-making based on its results. As the analysis showed, in 2018–2020 years the share of employees of the most important for the company categories of staff (managers, professionals, and specialists) not changed significantly. These categories of staff occupied the largest share in the structure of all staff. A study of the structure of the company’s staff by age, education and length of service, found that the basis of the staff UC “Subsidiary Company of Dental Clinic № 1” are young, energetic and highly educated people. The age category from 25 to 40 years largely prevails. Most of the staff of UC “Subsidiary Company of Dental Clinic № 1” works at the company from 10 to 20 years. However, there are some problems in the staffing of the clinic, the structure of health workers and the orientation of work to the end result. Emphasis is placed on decision-making based on the results of staff diagnostics. Considerable attention is paid to improving the motivational mechanism. Recommendations for the use of additional tangible and intangible incentives in personnel management are given.

The market of medical services in the regional dimension

This article analyzes the medical services market in the Khabarovsk territory for the period of 2014–2018. Data on the number of state and municipal medical institutions in the Khabarovsk territory, data on the number of medical personnel, consumer prices for certain types of medical services are analyzed. It was found that there is an annual steady increase in the volume of paid medical services in the Khabarovsk territory during the analyzed period. There are a number of factors that limit development of the medical services market, including the low population density, large distances between the settlements, low incomes of the population. Factors hindering the development of the medical services market include barriers associated with the market entry, such as: licensing, strict requirements for implementation of medical activities, limited budget funding, imperfection of the regulatory framework. The article discusses the question of availability of medical services for population of the Khabarovsk territory, which consists of the transport, personnel and price components.

ОСОБЕННОСТИ ФОРМИРОВАНИЯ И РАЗВИТИЯ РЫНКА МЕДИЦИНСКИХ УСЛУГ В УСЛОВИЯХ ПАНДЕМИИ

The article examines the changes in the market of medical services in the context of a pandemic. The competitive advantages of medical institutions, the possibility of using paid and free services are being studied. The main directions of the development of private medicine, taking into account its mobility, are considered. The analysis of the medical services market for 2016–2020 years and development prospects for 2022–2025 years is carried out, the possibilities of using modern equipment, the role of which increases with the development of digital technologies, are revealed. The article notes that in modern conditions, the requirements for personnel are increasing and the cost of medical research is increasing. It is proposed to use private clinics within the framework of the CHI to relieve the public sector of medicine, which is overloaded during the pandemic

Special types of tourism: medical tourism

The content and structure of a new direction in tourism – medical tourism-are considered and justified. The content and structure of medical and health tourism are considered. The article reveals the existing difficulties and prospects for its development. Its varieties are distinguished: medical, sanatorium-resort and health tourism. The history of the development of the resort business is considered. Features of creation and functioning of sanatorium-resort complexes in Russia are revealed. It is proved that in modern conditions the role of medical tourism is increasing. At the same time, the market of medical services is actively developing, its infrastructure is expanding.

РЫНОК МЕДИЦИНСКИХ УСЛУГ РЕСПУБЛИКИ КРЫМ: ТРЕНДЫ И ПЕРСПЕКТИВЫ РАЗВИТИЯ

The article examines the trends in the development of the medical services market in the Republic of Crimea for the period 2015–2020. The analysis of the number of medical organizations by form of ownership, size and types of activity, capacity and technical equipment, provision of medical personnel, the volume of medical services in the context of public and commercial segments was carried out. In the period under study, there was an increase in the medical services market, due to an increase in the number of private medical organizations, the volume of mandatory medical insurance funds under the basic program. The expansion of the base and capacity of the sanatorium-resort complex, the growth of domestic medical tourism, laboratory services and telemedicine were identified as promising areas of market development.

Prospects of state regulation in the medical services market

Prospects of state regulation in the medical services market

Territorial features of consumer behavior in the medical services market

Expansion of the commercial medical service market in Russia is a risk factor that promotes social inequality. In remote rural areas, social infrastructure, in particular the healthcare system, has been degrading. As a result, patients have widely taken to the use of commercial medical services. In this situation, such behavioral models are demonstrated not only by well-off, but even by needy rural and small-town residents. In this context, research on the formation mechanisms of user practices in the commercial medical service market in remote rural areas and smaller towns gains more relevance. The objective of the study is to assess the behavior of people in the Republic of Karelia (Russia) as users of commercial services. Methodologically, the study employed the household approach and statistical data analysis methods: factor and discriminant analyses. We demonstrate that the active use of commercial medical services by poor population strata is a necessity-driven activity caused by the absence or low availability of free services of this sort, or their low quality at the local level. The findings can help in decision-making on upgrading the social policy in healthcare.

ЭВОЛЮЦИЯ ЗДРАВООХРАНЕНИЯ США: ЭФФЕКТИВНОСТЬ, БЕЗОПАСНОСТЬ, КАЧЕСТВО И ДОСТУПНОСТЬ МЕДИЦИНСКИХ УСЛУГ

The relevance of the study of the evolution of the socially significant sphere of the United States of America, located at the point of bifurcation of socio-economic development, one way or another concerns the entire global community. The main aim of the study is to identify trends in the evolution of American health care in terms of ensuring the effectiveness, safety, quality and accessibility of medical services. Its achievement is based on the traditional methodological basis of statistical and economic analysis of the average annual growth of the main indicators of the development of American health care during the formation of its modern organizational-functional structure in 1951-2020. The results obtained reflect the general direction of the evolution of the USA health care as a haphazard complex mechanism functioning in direct resonance with socio-economic cyclicality. Identified trends in the evolution of healthcare in the context of the extraordinary commercialization of medicine and insurance dependence of patients on market conditions. Analysis of long-term development indicators of the USA health care dynamics reveals rather low results of permanent reforms of national health care due to the adjustment of their parameters and indicators to the existing concept of free market relations in the relevant market of medical goods and services. The limitation of the market mechanism in the use of potential resources of American health care, which is generally provided with both financial and innovative and technological potential, is revealed.

Analysis of consumer behavior in the population with myocardial infarction on the market of medical and pharmaceutical goods and services

Analysis of consumer behavior in the population with myocardial infarction on the market of medical and pharmaceutical goods and services

РАЗРАБОТКА НАПРАВЛЕНИЙ РАЗВИТИЯ УСЛУГ РЕГИОНА НА ОСНОВЕ ИСПОЛЬЗОВАНИЯ ПОТЕНЦИАЛЬНЫХ ПРИРОДНЫХ ЛЕЧЕБНЫХ РЕСУРСОВ

The article is devoted to the situational analysis of the directions of services development in the region and increasing the commercial effect of their use, taking into account the unique physical and chemical characteristics of natural healing resources. In the current economic conditions, optimizing the use of resource potential is significant and allows you to implement several strategic goals. The mass use of mineral waters in the system of tourist and recreational organizations allows you to diversify the offer of the sanatorium and resort complex, contribute to the saturation of the market of medical and recreational services and stimulate demand. The purpose of the study is to determine the directions of development of services in the region based on the use of potential natural healing resources that have value properties for the psychophysiological recovery of a person. Research objectives: 1) characteristics of natural healing resources of the Perm Territory; 2) description of the physical and chemical characteristics of mineral waters and their impact on the development of the medical profile of resort medicine enterprises; 3) development of directions for the development of services in the region, taking into account the value characteristics of the resource potential. The research methods are analytical, systematic and modeling of economic processes. The study has revealed the high importance of some territories of the Perm Region for the development of the sphere of medical and health services. Improving the commercial efficiency of mineral water use should be developed taking into account the directions of the impact on human health, stable domestic demand and the infrastructure of resort areas. Trends in a healthy lifestyle have a positive impact on the development of the market of services related to wellness, cosmetology, and rational nutrition. The proposed directions for the development of the service sector are based on the unique properties of the mineral waters of the therapeutic areas of the Perm Region, and are related to the expectations of consumers

PRESERVATION AND STRENGTHENING THE HEALTH OF THE POPULATION THROUGH THE PRISM OF SUSTAINABLE DEVELOPMENT

The article reveals the essence of the category of "population health", the methodology and methods of its cognition, the main methods and techniques of the empirical and theoretical levels of research, the technology of their practical use in ensuring sustainable socio-economic development of the country. The main attention is paid to the analysis and assessment of the health status of the population – the main productive force of society, on the basis of which it is concluded that in Ukraine there is a deterioration in the corresponding characteristics. It is noted that this is primarily influenced by insufficient financial and resource support of the medical industry as a whole. Other factors that negatively affect the health of the Ukrainian population are also indicated. An important role in overcoming these negative phenomena is played by the modernization of the medical industry, the rational use of its resource potential, the formation of a civilized market of medical services. In this regard, it is emphasized that the activities of the health care system of Ukraine should be based on unified national principles, including the formation of economically viable systems for organizing medical care, taking into account the real needs of the population, the possibilities of meeting them, as well as the most appropriate allocation of resources and their effective use. The peculiarities of the current situation with the spread of coronavirus, which led to the exacerbation of existing problems, which require the search for new approaches to their solution, related to the adoption of fundamental decisions, especially at the state level are taken into account. In addition, the article provides an assessment of the main results of the ongoing reforms in the health care system of Ukraine. In the course of the study, considerable attention is paid to structural and typological features, as well as the conditions for the formation and strengthening of public health - an important factor in increasing labor productivity, developing the economy based on the principles of sustainable development. The economic, innovative and technological aspects of the development of the health care system are summarized. New approaches to further strengthening and preserving the health of the population in the context of implementing the tasks of sustainable development are substantiated.

О некоторых вопросах регулирования труда медицинских и фармацевтических работников в отдельных государствах ОЭСР

The article presents the results of a study of the legal basis for the labor activity of medical and pharmaceutical workers in some states that are members of the Organization for Economic Cooperation and Development (hereinafter - OECD). The author provides general features and specifics of labor regulation models in the healthcare sector. The article analyzes legislation and law enforcement. Thus, the European (continental) and Anglo-American models stand out, which differ in the direction of regulation. The first model is distinguished by the social orientation of labor regulation and public law regulation of disciplinary liability issues through quasi-state bodies of control and supervision. Whereas the second model provides for more autonomy to the parties to labor relations in establishing working conditions and private law regulation of disciplinary liability issues through self-regulatory professional organizations. The second model is more flexible, allowing more freedom to build labor relations with medical and pharmaceutical personnel, contributing to the development of the market for medical services and the efficiency of the health care system. The article substantiates the need for the reception of individual institutions and norms of labor and medical law of the states in question in the legislation of the Republic of Kazakhstan. In particular, there is a need for an independent law regulating the legal status of medical and pharmaceutical workers by analogy with foreign laws on the regulation of medical professions, in order to differentiate the norms that establish the specifics of the application of disciplinary measures, compliance with professional ethics and quality standards.