Analysis of budgetary medical organization economic performance
Abstract
Subject. In the context of limited budget funding, increased competition from private medical practice, and increasing demands from the population for the quality of medical services, the problem of assessing the effectiveness of the activities of medical organizations arises. The authors consider the effectiveness of a medical organization as a complex concept that includes economic, medical and social components. Each of the components has its own estimated indicators. The paper argues that the analysis of the use of the hospital bed fund is one of the directions for assessing the economic efficiency of its activities.
Objectives. Research of directions for analyzing the effectiveness of a medical institution in the context of three components - economic, medical and social efficiency. Development of methodological approaches to the analysis of the economic efficiency of a medical organization on the example of assessing the use of its bed fund.
Methods. In the process of researching the effectiveness of the activity of a medical organization, the authors used the methods of dynamic, structural, comparative, coefficient analysis.
Results. The study shows the importance of analyzing the economic efficiency of a medical organization on the example of assessing the use of its bed resources. The results of this analysis make it possible to identify ways to improve the rationality of resource use and reduce the economic losses of the organization.
Conclusion and Relevance. In order to increase the efficiency of the use of the bed fund of a medical organization, it is necessary to regularly carry out: analysis and assessment of the indicators of the bed fund as a whole and in the context of the profiles of specialized medical care in stationary conditions; a comparative analysis of the planned and actual indicators of the use of the bed fund to identify the departments of the medical institution, for which significant deviations are observed; assessment of changes in the structure of the bed network in order to increase the efficiency of the use of bed capacity for individual profiles.
Metrics
References
Alekseyev, N. A. (2004) Analyzing the efficiency of activities of therapeutic-and-prophylactic institutions. Health care of the Russian Federation, 5, 8-10. (In Russ.)
Andreeva, O. V. & Isakova L. E. (2002) Instrumenty povysheniya effektivnosti deyatelnosti meditsinskikh uchrezhdenii. Problemy upravleniya zdravookhraneniem, 1, 79-82. (In Russ.)
Bushueva, G. A. (2001) Sravnitelnaya otsenka effektivnosti ekonomicheskoi deyatelnosti lechebno-profilakticheskikh uchrezhdenii krupnogo goroda. Ekonomika zdravookhraneni-ya, 78, 51-57. (In Russ.)
Vyalkov, A. I. (2005) Otsenka effektivnosti deyatelnosti uchrezhdeniya zdravookhraneniya. Glavvrach, 3, 25-33. (In Russ.)
Vyalkov, A. I., Shchepin, V. O. (ed.), Tishuk, E. A. & Proklova, T. N. (2000) Lechebno-profilakticheskie uchrezhdeniya federalnogo podchineniya: analiz i otsenka deyatelnosti. Moscow, GEOTAR Meditsina. (In Russ.)
Evdokimova, T. V. (2013) The analysis of genesis of theoretical approaches to concept and an assessment of efficiency. Tomsk State University Journal of Economics, 3(23), 8-13. (In Russ.)
Zurnadhzyants, Y. A. (2010) Formation of analytical indicators towards the activity of a medical institution. Vestnik of Astrakhan State Technical University. Series: Economics, 1, 178-187. (In Russ.)
Kadyrov, F. N. (2005) Metody otsenki effektivnosti deyatelnosti meditsinskikh uchrezhdenii. Moscow, GRANT Publ. (In Russ.)
Kadyrov, F. N. (2011) Ekonomicheskie metody otsenki effektivnosti deyatelnosti meditsinskikh uchrezhdenii. Moscow, Menedzher zdravookhraneniya publ. (In Russ.)
Karlov, A. A. & Bryksina, N. V. (2007) Otsenka effektivnosti deyatel'nosti detskoi mnogoprofil'noi bol'nitsy i ee strukturnykh podrazdelenii. Byulleten' NNII OZ RAMN, 3, 84-85. (In Russ.)
Minyaev, V. A. & Vishnyakov, N. I. (2009) Obshchestvennoe zdorove i zdravookhranenie. Moscow, MEDpress-inform. (In Russ.)
Orlov, E. M. & Sokolova, О. N. (2010) Efficiency category in public health services. Fundamental Research, 4, 70-75. (In Russ.)
Putin, M. E. (2002) Planirovanie i povyshenie effektivnosti deyatelnosti byudzhetnykh meditsinskikh uchrezhdenii. Ekonomika zdravookhraneniya, 3, 14-18. (In Russ.)
Reshetnikov, A. B. (2002) Sotsiologiya upravleniya zdravookhraneniem. Problemy upravleniya zdravookhraneniem, 1, 50-53. (In Russ.)
Filimonov, A. A. (2004) Analiz meditsinskoi i ekonomicheskoi effektivnosti raboty LPU oblastnogo tsentra. Glavnyi vrach, 10, 13-19. (In Russ.)
Chernova, T. V., Polzik, E. V. & Bushueva, G. A. (2001) Sravnitelnaya otsenka effektivnosti ekonomicheskoi deyatelnosti lechebno-profilakticheskikh uchrezhdenii krupnogo goroda. Ekonomika zdravookhraneniya, 7, 51-57. (In Russ.)
Chernova, T. V., Blokhin, A. B. & Polzik, E. V. (2004) Effektivnost deyatelnosti lechebno-profilakticheskikh uchrezhdenii : teoriya, metodologiya, analiz. Ekaterinburg, AMB publ. (In Russ.)
Shamshurina, N. G. (2005) Pokazateli sotsialno-ekonomicheskoi effektivnosti zdra-vookhraneniya: normativnye dokumenty s kommentariyami. Moscow, MTsFER publ. (In Russ.)
Yashina, N. I. & Bogomolov, S. V. (2010) Metodika opredeleniya rezultativnosti lechebno-profilakticheskikh uchrezhdenii na osnove kompleksnoi otsenki standartizovannykh rezultativno-proizvodstvennykh i smetno-byudzhetnykh pokazatelei deyatelnosti. Finansy i kredit, 7(391), 29-36. (In Russ.)
Yashina, N. I., Khansuvarova, Е. А. & Yashin K. S. (2016) Development of Methodologi-cal Aspects of Assessing the Efficiency of Healthcare Institutions. The Manager, 4(62), 26-33. (In Russ.)
Copyright (c) 2020 Pozhidaeva T.A., Shamraeva M.A., Fedchenko A.A.
This work is licensed under a Creative Commons Attribution 4.0 International License.