Development of an Approach to Assessing the Feasibility of Implementing Options for Improvement within the Framework of the Organizational Development System of a Multidisciplinary Hospital
https://doi.org/10.23934/2223-9022-2025-14-3-628-644
Abstract
At the current stage of healthcare development, one of the most important factors for the success of medical organizations is the presence of an effectively functioning system of organizational development.
The paper presents an organizational and methodological approach developed by the authors to substantiate the feasibility of implementing blitz and cross-structural proposals for development as the most important element of the system of organizational development of medical and diagnostic processes of a medical institution. The presented approach includes algorithms and organizational schemes for making appropriate decisions, as well as approaches to quantitative, including cost, assessment of typical effects from the implementation of relevant projects.
The paper also presents the results of testing the organizational and methodological approach, conducted on the basis of proposals for improving the N.V. Sklifosovsky Research Institute of Emergency Medicine of the Moscow Health Department, which confirmed its applicability and efficiency.
About the Authors
N. S. FomenkoRussian Federation
Natalia S. Fomenko, Candidate of Economic Sciences, Leading Researcher, Laboratory of Scientific and Organizational Technologies,
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
A. Yu. Perminov
Russian Federation
Aleksandr Yu. Perminov, Candidate of Economic Sciences, Head of the Information and Analytical Center,
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
S. S. Petrikov
Russian Federation
Sergey S. Petrikov, Academician of the Russian Academy of Sciences, Doctor of Medical Sciences, Director,
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
A. I. Maksimov
Russian Federation
Andrey I. Maksimov, Candidate of Technical Sciences, Leading Researcher, Laboratory of Automated Management System for the Treatment and Diagnostic Process,
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
V. A. Molodov
Russian Federation
Valentin A. Molodov, Head of the Laboratory of the Automated Management System for the Treatment and Diagnostic Process,
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
A. R. Samarin
Russian Federation
Aleksandr R. Samarin, Researcher at the Laboratory of Scientific and Organizational Technologies,
Bolshaya Sukharevskaya Sq. 3, Moscow, 129090
References
1. Adizes IK. Managing Corporate Lifecycles. In 2 vol. Vol. 1: How Organizations Grow, Age and Die. CA: The Adizes Institute, 2016. (Russ. Ed.: Adizes IK. Upravlenie zhiznennym tsiklom kompanii. Kak organizatsii rastut, razvivayutsya i umirayut i chto s etim delat’. Moscow: Alpina Publisher; 2022.)
2. Solov’ev VS. Polnoe sobranie sochineniy i pisem v dvadtsati tomakh. Sochineniya v pyatnadtsati tomakh. Vol. 2: Sochineniya, 1875–1877. Moscow: Nauka Publ.; 2000. (In Russ.).
3. Mihnevich S. On Some Trends in the World Economy in the Era of Digital Globalization. Trade Policy. 2019;1(17):120–140. https://doi.org/10.17323/2499-9415-2019-1-17-120-140
4. Drucker PF. Management Challenges for the 21st Century. Routledge, 2007. (Russ. Ed.: Druker P. Zadachi menedzhmenta v XXI veke. Moscow: ID Vil’yams Publ.; 2007).
5. Bono E. Serious creativity. N.Y.: HarperCollins publishers, 1997. (Russ. Ed.: Bono E. Ser’eznoe tvorcheskoe myshlenie. Minsk: Poppuri Publ.; 2005.).
6. Serebryakova GV, Nezamaykin IV. Modeli upravleniya razvitiem organizatsii. Cheboksary: Sreda Publ.; 2022. (In Russ.).
7. Pascale RT, Athos AG. The art of Japanese management. N.Y.: Simon & Schuster, 1981. (Russ. Ed.: Paskal’ R, Etos E. Iskusstvo yaponskogo menedzhmenta. Moscow: Olimp-Biznes Publ.; 2006.).
8. Mishchenko IK. Osnovy planirovaniya deyatel’nosti predpriyatiya. Barnaul: Izdatel’stvo Altayskogo gosudarstvennogo universiteta Publ.; 2008. (In Russ.)
9. Porter ME. Competitive Strategy: Techniques for Analyzing Industries and Competitors. Simon and Schuster, 2008. (Russ. Ed.: Porter ME. Konkurentnaya strategiya: metodika analiza otrasley i konkurentov. Moscow: Alpina Publisher; 2019.)
10. Borisenko IL, Elfimova IF, Kablashova IV, Logunova IV. Osnovy menedzhmenta: praktikum. Voronezh: FGBOU VPO Voronezhskiy gosudarstvennyy tekhnicheskiy universitet Publ.; 2011. (In Russ.)
11. Mintzberg H, Ahlstrand B, Lampel J. Strategy Safari: A Guided Tour Through the Wilds of Strategic Management. Free Press, 1998. (Russ. Ed.: Mintsberg G, Al’strand B, Lampel’ Zh. Strategicheskoe safari: Ekskursiya po debryam strategicheskogo menedzhmenta. Moscow: Alpina Publisher, 2013.)
12. Hanna D. Leadership for the Ages: Delivering Today’s Results, Building Tomorrow’s Legacy. Executive Excellence Pub, 2001 (Russ. Ed.: Khenna D. Liderstvo na vse vremena. Rezul’taty segodnya – nasledie na veka. Moscow: Alpina Publisher, 2014)
13. Ivanova IA, Sergeev AM. Menedzhment. Moscow: Yurayt Publ., 2018. (In Russ.)
14. Bugakova MS, Grigor’yants IA. Model’ izmeneniy Kurta Levina. In: Sovremennye podkhody v upravlenii ekonomicheskimi sistemami v usloviyakh global’nykh preobrazovaniy: sb. materialov I mezhdunar. nauch.-prakt. konf. (Samara 8 oktyabrya 2019 g.). Samara, 2020. pp. 27– 33. (In Russ.) Available at: http://repo.ssau.ru/bitstream/Sovremennyepodhody-v-upravlenii-ekonomicheskimi-sistemami/Model-izmeneniiKurta-Levina-83930/1/с.%2027-33.pdf [Accessed Apr 15, 2025]
15. Upravlenie organizatsionnymi izmeneniyami. Saint Petersburg: Izdatel’skiy dom Sankt-Peterburgskogo gosudarstvennogo universiteta Publ.; 2005. (In Russ.)
16. Menedzhment organizatsii v usloviyakh strategicheskikh izmeneniy. Barnaul: Izdatel’stvo Altayskogo universiteta Publ.; 2009. (In Russ.) 17. Gotsdanker A. Biznes-psikhologiya: Pochemu sotrudniki vsegda protiv izmeneniy. Izdatel’skie resheniya Publ., 2015. (In Russ.)
17. Zazygin SP. Algoritmy upravleniya izmeneniyami v organizatsii. E-SCIO. 2021;3(54):393–400. (In Russ.)
18. Satir V, Banmen J, Gerber J, Gomori M. The Satir Model: Family Therapy and Beyond. Palo Alto, California: Science and Behavior Books;1991.
19. Maurer R. Beyond the Wall of Resistance: Unconventional Strategies that Build Support for Change. Bard, 1996. (Russ. Ed.: Maurer R. Za stenoy soprotivleniya. Austin: Bard Books, 1996.).
20. Upravlenie izmeneniyami v pervichnoy mediko-sanitarnoy pomoshchi: issledovatel’skie kompetentsii vrachey i kriticheskoe myshlenie. Moscow: GBU NIIOZMM DZM Publ., 2023. (In Russ.) Available at: https://niioz.ru/upload/iblock/16d/16d600199781bc3f82efb61e7151f8e2.pdf [Accessed Apr 15, 2025]
21. Kotter JP. Leading Change. Harvard Business Press, 2012. (Russ. Ed.: Kotter DP. Vperedi peremen. Moscow: Olimp-Biznes Publ., 2014.).
22. Imai M. Kaizen: The Key to Japan’s Competitive Success. McGraw-Hill Education, 1986. (Russ. Ed.: Imai M. Kaydzen. Klyuch k uspekhu yaponskikh kompaniy. Moscow: Alpina Publisher, 2016.)
23. Imai M. Gemba kaizen. New York: McGraw-Hill Publishing Company, 1997. (Russ. Ed.: Imai M. Gemba Kaydzen: Put’ k snizheniyu zatrat I povysheniyu kachestva. Moscow: Al’pina Biznes Buks Publ.; 2005.).
24. Perminov AYu, Fomenko NS, Petrikov SS, Samarin AR, Dragunova NP, Maksimov AI, et al. Development of a Model of the System of Organizational Development of Treatment and Diagnostic Processes of a Multidisciplinary Hospital. Russian Sklifosovsky Journal Emergency Medical Care. 2024;13(4):691–705. (In Russ.) https://doi.org/10.23934/2223-9022-2024-13-4-691-705
25. Bierman H. Jr, Smidt S. The Capital Budgeting Decision: Economic Analysis and Financing of Investment Projects. Macmillan, New York, 1967 (Rus. Ed.: Birman G., Shmidt S. Ekonomicheskiy analiz investitsionnykh proektov. Moscow: Banki i Birzhi Publ.; 1997.)
26. Bierman H., Smidt S. Capital Budgeting Decision: Economic Analysis of Investment Projects. 8th ed. Prentice Hall, 1992. [Rus. Ed.: Birman G., Shmidt S. Kapitalovlozheniya: ekonomicheskiy analiz investitsionnykh proektov. Moscow: YuNITI Publ.; 2003.)
27. Skorokhodova LA. Approaches to the Implementation of Investment Projects in the Health Care System. Economics of sustainable development. 2019; 2(38):176–179. (In Russ.)
28. Komusheva EE, Tikeev AO, Dzhapova EN, Vaskeeva EB, Shipieva ZI, Ilzitinov BA. Modern Approaches to Assessing the Economic Efficiency of IT Projects. Ekonomika i Predprinimatel’’stvo. 2021;5(130):1336–1343. (In Russ.) https://doi.org/10.34925/EIP.2021.130.5.267
29. Bril’ AR, Kalinina OV, Vil’ken VV, Fedorova ES. Upravlenie innovatsiyami na predpriyatii: ekonomicheskaya otsenka proektov. Saint Petersburg: Sankt-Peterburgskiy politekhnicheskiy universitet Petra Velikogo Publ.; 2022. (In Russ.)
30. Nadaryan BM, Vasil’eva AS. Vnutrennyaya norma dokhodnosti kak metod otsenki investitsionnoy privlekatel’nosti proekta. Territoriya nauki. 2023;(4):54–59. (In Russ.)
31. Batenin KV Assessment of Efficiency of Investment Projects by Using Internal Rate of Return Indicator. Economics and Management. 2008;1(33):157–160. (In Russ.)
32. Askinadzi VM, Maksimova VF. Investitsii. Moscow: Izdatel’stvo Yurayt Publ.; 2016. (In Russ.)
33. Novikova TS, Zafarjonova MR. Estimates of the Working Capital Requirements for Investing in Health Care Development. Issues of Economic Theory. 2023;3(20):62–79. (In Russ.) https://doi.org/10.52342/2587-7666VTE_2023_3_62_79
34. Boricheva NN. Analiz effektivnosti investitsiy, napravlennykh na razvitie uchrezhdeniy zdravookhraneniya: cand. econ. sci. diss. synopsis. Saint Petersburg; 2004. (In Russ.) Available at: https://new-disser.ru/_avtoreferats/01002741056.pdf?ysclid=m9icq78k9z975828838 [Accessed Apr 15, 2025]
Review
For citations:
Fomenko N.S., Perminov A.Yu., Petrikov S.S., Maksimov A.I., Molodov V.A., Samarin A.R. Development of an Approach to Assessing the Feasibility of Implementing Options for Improvement within the Framework of the Organizational Development System of a Multidisciplinary Hospital. Russian Sklifosovsky Journal "Emergency Medical Care". 2025;14(3):628-644. (In Russ.) https://doi.org/10.23934/2223-9022-2025-14-3-628-644