THE ROLE OF THE REGIONAL CENTER FOR THE ORGANIZATION OF PRIMARY HEALTH CARE OF THE SVERDLOVSK REGION IN THE IMPLEMENTATION OF MEASURES TO CREATE A NEW MODEL OF THE ORGANIZATION OF THE PROVISION OF MEDICAL CARE
DOI: 10.22138/2500-0918-2022-19-5-514-522
T.A. Zherebtsova, S.L. Leontiev, D.O. Mikhailova, E.V. Anufrieva
State Autonomous Institution of Additional Professional Education
“A.B. Blokhin Urals Institute of Health Care Management”, Yekaterinburg, Russian Federation
Abstract. Regional centers for the organization of primary health care play an important role in the implementation of measures to create a New model for organizing the provision of medical care at the subject level. The purpose of the work: to analyze the experience of organizing the work of the Regional Center for the Organization of Primary Health Care in the Sverdlovsk Region for the period 2018–2021. Materials and methods. The work uses systematic and integrated approaches, analytical, statistical methods. Results. Based on the results of the assessment, it was found that the Regional Center for the Organization of Primary Health Care forms a general strategy for the implementation of lean technologies in healthcare in the region, coordinates, and involves the heads and staff of medical organizations in the processes of lean management of a medical organization, including through training in lean production methods. Based on the analysis of activities, an algorithm for organizing the work of the Regional Center for the Organization of Primary Health Care is presented. Also, a high level of implementation of the New Model of Organization of Medical Care for 5 years was determined. Conclusion. The creation of the Regional Center for the Organization of Primary Health Care on the basis of an organization carrying out educational and scientific activities provides great opportunities for training employees of medical organizations, and allows the successful implementation of the New Model of Organization of Medical Care.
Keywords: lean technologies, regional center of primary health care organization, New model for organizing medical care of medical care organization
There is no conflict of interest.
Contact details of the corresponding author:
Tatyana A. Zherebtsova
umsep-ta@yandex.ru
Received 16.11.2022
For citation:
Zherebtsova T.A., Leontiev S.L., Mikhailova D.O., Anufrieva E.V. The role of the regional center for the organization of primary health care of the Sverdlovsk region in the implementation of measures to create a new model of the organization of the provision of medical care. [Online] Vestn. Ural. Med. Akad. Nauki. = Journal of Ural Medical Academic Science. 2022, Vol. 19, no. 5, pp. 514–522. DOI: 10.22138/2500-0918-2022-19-5-514-522 (In Russ)
REFERENCES
1. Pestushko N.A., Dorofeev A.L., Popova K.E. Criteria for the transition to a new model of a medical organization providing primary health care. Far Eastern Medical Journal = Dal’nevostochnyj medicinskij zhurnal. 2020, no 3, pp. 152-157, (In Russian).
2. Smyshlyaev A. V., Melnikov Yu. Yu., Sadovskaya M.A. Results of the implementation of the project on the introduction of lean technologies and a process-oriented approach in the management of a medical organization providing primary health care in the Russian Federation. Chief physician of the South of Russia = Glavnyj vrach YUga Rossii. 2020, Vol. 5 (75), pp. 45-48, (In Russian).
3. Shkarin V.V., Simakov S.V., Ivasheva V.V., Emelyanova O.S., Chepurina N.G., Bagmetov N.P., Lomovtsev M.S. A new model of a medical organization providing primary health care. Experience of the region: problems, solutions. Problems of standardization in health care = Problemy standartizacii v zdravoohranenii. 2020, Vol. 7(8), pp 20-26, (In Russian).
4. Senenko A.Sh., Son I.M., Dzyuba N.A., Zakharchenko O.O., Terent’eva D.S., Shelgunov V.A. Lean production technologies in reforming medical organizations providing PHC. Analytical review. Social aspects of public health [network publication]=Social’nye aspekty zdorov’ya naseleniya [setevoe izdanie]. 2020, Vol. 66 (4), pp. 6, doi: 10.21045/2071-5021-2020-66-4-6. 4, (In Russian).
5. Fedoskina A.K., Fedoskina L.A. Implementation of a Lean Approach in the Context of a New Model of a Medical Organization: Results and Prospects. Russian Medical and Biological Bulletin named after Academician I.P. Pavlov= Rossijskij mediko-biologicheskij vestnik imeni akademika I. P. Pavlova. 2022, Vol. 30 (1), pp. 39-50 (In Russian).
6. Mikhailova Yu.V., Golubev N.A., Frantseva V.O., Danaev A.B., Mikhailov A.Yu. A comprehensive analysis of the effectiveness and efficiency of the activities of medical organizations in the Stavropol Territory providing primary health care in the context of implementing the principles of lean production in healthcare. Social aspects of population health [online edition]=Social’nye aspekty zdorov’ya naseleniya [setevoe izdanie]. 2022, Vol. 68 (3), pp.:1. doi: 10.21045/2071-5021-2022-68-3-1, (In Russian).
7. Vasilenok V.L., Negreeva V.V., Kochegarova T.S., Aleksashkina E.I. Improving the quality management system in healthcare organizations. Scientific journal NRU ITMO. Series «Economics and Environmental Management»= Nauchnyj zhurnal NIU ITMO. Seriya «Ekonomika i ekologicheskij menedzhment». 2021, no. 3, pp. 209-217, (In Russian).
8. Orel V.I., Smirnova V.I., Guryeva N.A., Orel A.V., Chentsov D.V., Zatulkin V.A. Experience in the formation of a knowledge system of tools and methods of lean production used in the implementation improvement projects in medical organizations. Medicine and healthcare organization= Medicina i organizaciya zdravoohraneniya. 2021, Vol. 6 (3), pp. 20-28, (In Russian).
9. Kurmangulov A.A., Reshetnikova Yu.S., Bagirov R.N., Frolova O.I., Brynza N.S. «Process Factory» is a new format for organizing the educational process in a higher educational institution. Higher education in Russia= Vysshee obrazovanie v Rossii. 2018, Vol. 27(5), pp. 37-41, (In Russian).
10. Davydova N.S., Mazunina S.D., Pozmogova N.P. Organizational and methodological issues of applying lean technologies in medicine in terms of motivation and staff training. Vyatka Medical Bulletin=Vyatskij medicinskij vestnik. 2020, Vol. 1 (65), pp.74-81, doi:10.24411/2220-7880-2020-10063, (In Russian).
Authors
Tatyana A. Zherebtsova
Scientific worker
umsep-ta@yandex.ru
ORCID 0000-0001-6318-8037, SPIN: 2627-2450
Sergey L. Leontiev
Professor, Doctor of Medical Sciences, Director of the Ural Institute of Public Health Management named after A.B. Blokhin
ls.04@yandex.ru
ORCID 0000-0003-4092-4577; SPIN: 8386-2137
Diana O. Mikhailova
Doctor of Medical Sciences, Deputy Director for Development
umsep-do@yandex.ru
ORCID:0000-0001-8068-5940; SPIN:9236-1821
Elena V. Anufrieva
Doctor of Medical Sciences, Deputy Director for Science
elena-@list.ru
ORCID: 0000-0003-2727-2412, SPIN: 9572-7395
Ural Institute of Public Health Management named after A.B. Blokhin
8-B K. Libkneht St. Yekaterinburg, Russian Federation 620075