DIAGNOSTICS AND IMPROVEMENT OF THE PERSONNEL POLICY IN A MEDICAL ORGANIZATION

2020 ◽  
Vol 10 (10) ◽  
pp. 2480-2490
Author(s):  
E.A. Sergeyeva ◽  
◽  
T.A. Pogorelskaya ◽  

Personnel policy in the health care institution is one of the main activities, which contains a system of methods and principles implemented by the personnel department of the organization. Only under the condition of a systematic analysis of the activities of a health care institution and an assessment of human potential, a personnel strategy is it possible to competently and effectively manage the medical personnel. The issues of forming an effective personnel policy in a medical institution in the modern conditions of global reform of the industry are not sufficiently covered in the open press. The materials of the study were data on the composition and structure of the personnel of the medical institution “Stavropol Regional Hospital for War Veterans”, and the regulations governing the activities of the personnel service. To identify the type of personnel policy and its main components, the methods of questioning and statistical processing of information were used. As a result of the study, the type of personnel policy of the hospital was determined, namely, the institution adopted a reactive personnel policy, since the efforts of the personnel service and the management of the organization are mainly aimed at tracking the causes and consequences of negative aspects related to personnel. In terms of the degree of openness and the level of interaction with the environment, personnel policy is more characterized by a closed type, which is typical for medical organizations and is explained by the specifics of their activities. A new type of personnel policy is proposed, which is adequate to the modern conditions of the external environment in which the hospital operates, namely, a strategically oriented personnel policy, the main characteristics of which will be, firstly, the correct ratio of openness and closedness towards the external environment, and, secondly, high flexibility and quick adaptability to the changes in the external and internal environment, including those in the long term. The article will be of interest to managers and employees of the personnel service of medical organizations responsible for the formation of personnel policy.

Author(s):  
Svitlana Kramarchuk ◽  
Nadiya Lubkey

The article deals with issue of ensuring effective coordination of the personnel activities in health care institutions. The author proposes to apply models which allow solving a large number of management tasks by applying the principle of optimization for ensure the mutually agreed functioning of the structural departments of medical institution. The purpose of the article is to develop methods and proposals for improving the coordination of personnel activities in the structural departments in health care institutions. Sociological methods are proposed to be used to achieve this goal. The article presents the author’s matrix of the relationship between the processes in the health care institution as a result of the provision of medical services, as well as the matrix of responsibility for the processes in the health care institution. Heads of structural departments of medical institutions must have the necessary information about the condition of the managed facility to implement the effective processes of the institution. Therefore the coordination of the structural departments of medical institution is associated with information and communication processes. The methods of monitoring the mutually agreed functioning of the structural departments of the medical institution should depend on the nature of operations and information about the condition of the managed facilities. In the article own vision of the mechanism of formation of a favorable social and psychological climate in the staff of the medical institution is offered. At the first stage it is necessary to analyze the staff of the selected health care institution, to identify the individual characteristics of each employee, the possibility of grouping people into groups of competencies and similar individual qualities. The next stage involves the separation of methods of influence on individual structural departments of the medical institution. It is advisable to take into account informal factors and interests of individuals, groups of employees and the whole team. The last stage involves the implementation of selected methods and their application individually to each member of staff or structural department in accordance with the results of the socio-psychological analysis of the team.


Author(s):  
Alla Melnyk ◽  
Yuriy Bogach

Introduction. The second stage of the reform in the domestic health care system, which concerns its secondary and tertiary levels, began in Ukraine on April 1, 2020 after fulfilment of some tasks of reforming medicine. The issues of modern peculiarities of the work of institutions of these levels are currently insufficiently worked out both on the theoretical and empirical level, which often leads to the lack of algorithms for solving problems that arise in this area. This requires research in the context of modernizing the organizational mechanism of operation of these health care facilities in today’s complex environment.The purpose of the study is to develop theoretical and methodological foundations  of the enterprise’s organizational mechanism, its empirical assessment of the health care institution of the secondary (tertiary) level of medical care in the course of its transformation, and develop proposals for its modernization.Methods. The study used epistemological, comparative and systematic methodological approaches to study the object and subject of research, research methods: dialectical, linguistic, PEST analysis, ABC analysis, SWOT analysis, expert evaluations, program- target.Results. The author’s position on the interpretation of the content of the enterprise’s organizational mechanism and its main components is presented. The factors are determined and the objective necessity of modernization of the organizational mechanism of the health care institution is substantiated.The structural component-by-component analysis of the current organizational mechanism of functioning of the health care institution of the secondary (tertiary) level of medical care is carried out. “Bottlenecks” have been identified, and the most influential among them, such as unsatisfactory coordination of the working processes and problems of resource provision, have been distinguished.The expediency of developing a strategy for the development and operation of a medical institution for the future is substantiated. Strategic priorities in the formation of a modernized model of development and functioning of a medical institution are highlighted. Clear structuring and content of strategic and operational goals; strategy development    in optimistic and pessimistic variants; development of additional strategies - image and resources have been proposed.Finally, the following steps have been proposed: a) improved organizational structure of management, through the addition of units of the current linear-functional structure and the creation of an additional adaptive structure as a temporary; b) the author’s solution of the problem of organizational design of the content of works, which is based on a differentiated approach to the typical work related to the treatment process and work (technology, types of services); c) organizational design of personnel activities.Prospects for further research concern the study of modernization of organizational design of medical staff and the problem of introducing innovative technologies in the organization of functional activities of hospitals.


Author(s):  
Ekaterina Peredelskaya ◽  
Tatyana Safyanova ◽  
Mikhail Druchanov

Chickenpox is an urgent problem, as it is widely spread with a high level of morbidity and an increasing share in the structure of the General infectious pathology with significant economic damage. The aim of the study is to study the epidemiological and clinical features of chickenpox in adults hospitalized in Krai government-owned publicy funded health care institution «City clinical hospital No. 5, Barnaul» for the period 2008‑2018. Content analysis included statistical reporting forms No. 2 of Federal state statistical supervision «Data on infectious and parasitic diseases» in the city of Barnaul during the period 2008‑2018 of medical archival documents adult infectious Department Krai government-owned publicy funded health care institution «City clinical hospital №5, Barnaul» for the same period. Data processing was performed using calculation of intensive and extensive indicators, calculation of the arithmetic mean (X) and standard error of the average (m). Calculations were made using the STATISTICA-10 program. Consistently high rates were recorded, with an average of 64.32 ± 3.46 per 100,000 population. The percentage of hospitalized adults averaged 18.5% during the study period. Adults aged 18‑30 were more likely to be admitted to the hospital (90.3%); 41.6% were students. Adults with moderate severity were hospitalized more often (70.6%); 7 patients (1.3%) had complications: aphthous stomatitis (3 cases), pustulosis (2 cases), and pneumonia (2 cases). Patients with severe severity of the disease accounted for 2.4%, the premorbid background was burdened in 48% (HIV infection, tuberculosis). In 35% of patients with severe severity, the final diagnosis of Herpes zoster was made, all patients older than 40 years, stayed in the hospital for 20‑25 days.


2017 ◽  
Vol 01 (01) ◽  
Author(s):  
George Uchenna Eleje ◽  
Chito Pachella Ilika ◽  
Chukwuemeka Okwudili Ezeama ◽  
Joseph Chinedu Umeobika ◽  
Charlotte Blanche Oguejiofor

2021 ◽  
Vol 13 (1) ◽  
pp. 66-70
Author(s):  
E. A. Peredelskaya ◽  
T. V. Safyanova ◽  
M. M. Druchanov

Introduction. Chickenpox is one of the most common infectious diseases in childhood. It is considered a benign disease, but both children and adults can lead to the development of serious complications.Purpose: to study the epidemiological and clinical features of chickenpox in children aged 0–17 years, hospitalized in the Krai government-owned publicy funded health care institution “City clinical hospital No. 11, Barnaul”, for the period 2008–2018.Materials and methods. The materials of the study were data from statistical reporting forms No. 2 of the Federal state statistical observation “Information on infectious and parasitic diseases” in Barnaul for 2008–2018, and medical archive documentation of the children’s infectious diseases Department of the Krai government-owned publicy funded health care institution “City clinical hospital No. 11, Barnaul” for the same period. Data processing was performed using calculation of intensive and extensive indicators, calculation of the arithmetic mean (X) and standard error of the average (m). Calculations were made using the STATISTICA-10 program.Results. The incidence of chickenpox is consistently high, and children aged 3 to 6 years dominated the structure of hospitalized patients with the diagnosis of «chickenpox». All patients were not vaccinated against this infection. Patients developed complications due to the layering of secondary bacterial flora. Summary. Chickenpox is an infectious disease that can be severe, especially in patients with a heavy premorbid background. There is a tendency to” grow up” the infection, which emphasizes the need to discuss specific prevention of the disease.


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