Miroshnichenko Yu V
S.M. Kirov Military Medical Academy, Saint-Petersburg, Russia
S.M. Kirov Military Medical Academy, Saint-Petersburg, Russia
S.M. Kirov Military Medical Academy, Saint-Petersburg, Russia
The use of strategic analysis methods is relevant in optimizing the manage- ment of medical property (MP) resources in military medical organizations (MMO). One of the methods is a SWOT analysis, which allows to conduct a joint study and establish a relationship between the factors of the external and internal environment in determining the strengths and weaknesses of the processes of managing medical resources in a large MMO in modern socio-economic conditions. The purpose of the work was to conduct a SWOT analysis of the management of MP resources in large MMO and to compile a SWOT analysis decision matrix, which is an effective tool for strategic planning and decision making. The SWOT analysis model for MP resource management in a large MMO included the following elements: compilation of a standard SWOT analysis matrix; application of the method of expert assessments (with the determination of the competence and consistency of opinions of experts); drawing up a cross (summary) matrix of SWOT analysis; SWOT analysis of the weighted score; statistical SWOT analysis; construction of the McKinsey matrix model. Based on the results of the assessment of the McKinsey model, it is noted that the implementation of the capabilities of a large MMO in managing medical resources under the influence of external threats and factors of the internal en- vironment has unstable success, which indicates the need for careful attention to attempts to realize one or another existing growth opportunity. As part of the SWOT analysis, 4 strategies were substantiated: a breakthrough strategy (correlation of strengths and opportunities); transition strategy 1 (correlating strengths and threats, and describing what benefits can be used to avoid emerging threats and mitigate risks); transition strategy 2 (correlating weaknesses and opportunities, and presenting the effect of how weaknesses can be moved away from and turned into strengths); survival strategy (correlation of weaknesses and threats, as well as a reflection of how, by eliminating weaknesses, identified threats can be reduced). The described strategies and the matrix of SWOT-analysis decisions based on them, based on data on the most significant and most significant potential for implementation factors of the internal and external environment, can be an effective tool for strategic planning and decision-making when optimizing the management of medical resources in large MMO in modern conditions for the development of military and civilian health care.
Objective: to analyze the structure of consumption of infusion solutions in physical and cost terms in multidisciplinary medical organizations of the research base. Materials and methods: calculation of relative and average values, structural and functional analysis, system analysis, retrospective analysis, comparison method, correspondence. Results. As a result of the analysis of the structure of the consumption of infusion solutions by the main groups in multidisciplinary medical organizations of the research base, it was revealed that the largest share in the actual consumption of infusion solutions in kind are the groups of infusion solutions «Regulators of water-electrolyte and acid-base balances» and «Hemodynamic infusion solutions», which is explained by their significance for the provision of medical care in hospital conditions and the need for their appointment for a large number of patients of multidisciplinary medical organizations. As a result of the analysis of the structure of consumption of infusion solutions in value terms, we identified the main groups of infusion solutions that account for the greatest financial burden of multidisciplinary medical organizations of the research base, as well as the rating of the main groups of infusion solutions in the structure of consumption in value terms of multidisciplinary medical organizations. Conclusions. As a result of the analysis of the actual consumption of infusion solutions in kind, a significant predominance of the groups «Regulators of water-electrolyte and acid-base balances» and "Hemodynamic infusion solutions" was revealed. The analysis of the structure of infusion solutions consumption in value terms showed that the largest share in total infusion solutions consumption is also occupied by the groups of infusion solutions «Regulators of water-electrolyte and acid-base balances», "Other infusion solutions" and «infusion solutions for parenteral nutrition».
Objective: to carry out a comparative analysis of the actual consumption of infusion solutions in multidisciplinary medical organizations and the quantities of infusion solutions calculated on the basis of the generated database to determine the need for infusion solutions of each specific multidisciplinary medical organization. Materials and methods: statistical reports, journals of the movement of medicines and prescribing lists of medical histories of patients examined by multidisciplinary medical organizations, as well as data on standards of medical care and clinical recommendations were used as research materials. In the course of the study, methods of retrospective analysis, comparison, correspondence, etc. were used. Results: a comparative analysis of the data on the actual consumption of infusion solutions and the projected need for infusion solutions in multidisciplinary medical organizations, calculated using the generated database to determine the need for infusion solutions, showed an excess (in some cases, significant) of the actual consumption of 0.9% sodium chloride and 5% dextrose solutions in all surveyed multidisciplinary medical organizations compared to with regulations, regulated standards of medical care and clinical recommendations. Conclusions: in order to optimize the provision of infusion solutions to multidisciplinary medical organizations and, accordingly, to increase the effective- ness of medical care, it is important to use data on the structure of patients of multidisciplinary medical organizations and the most common nosological forms, as well as regulatory and reference information on the drug provision of patients with the most common nosological forms of diseases when predicting the need.
S.M. Kirov Military Medical Academy, Saint-Petersburg, Russia
S.M. Kirov Military Medical Academy, Saint-Petersburg, Russia
S.M. Kirov Military Medical Academy, Saint-Petersburg, Russia
The use of strategic analysis methods is relevant in optimizing the manage- ment of medical property (MP) resources in military medical organizations (MMO). One of the methods is a SWOT analysis, which allows to conduct a joint study and establish a relationship between the factors of the external and internal environment in determining the strengths and weaknesses of the processes of managing medical resources in a large MMO in modern socio-economic conditions. The purpose of the work was to conduct a SWOT analysis of the management of MP resources in large MMO and to compile a SWOT analysis decision matrix, which is an effective tool for strategic planning and decision making. The SWOT analysis model for MP resource management in a large MMO included the following elements: compilation of a standard SWOT analysis matrix; application of the method of expert assessments (with the determination of the competence and consistency of opinions of experts); drawing up a cross (summary) matrix of SWOT analysis; SWOT analysis of the weighted score; statistical SWOT analysis; construction of the McKinsey matrix model. Based on the results of the assessment of the McKinsey model, it is noted that the implementation of the capabilities of a large MMO in managing medical resources under the influence of external threats and factors of the internal en- vironment has unstable success, which indicates the need for careful attention to attempts to realize one or another existing growth opportunity. As part of the SWOT analysis, 4 strategies were substantiated: a breakthrough strategy (correlation of strengths and opportunities); transition strategy 1 (correlating strengths and threats, and describing what benefits can be used to avoid emerging threats and mitigate risks); transition strategy 2 (correlating weaknesses and opportunities, and presenting the effect of how weaknesses can be moved away from and turned into strengths); survival strategy (correlation of weaknesses and threats, as well as a reflection of how, by eliminating weaknesses, identified threats can be reduced). The described strategies and the matrix of SWOT-analysis decisions based on them, based on data on the most significant and most significant potential for implementation factors of the internal and external environment, can be an effective tool for strategic planning and decision-making when optimizing the management of medical resources in large MMO in modern conditions for the development of military and civilian health care.
Objective: to analyze the structure of consumption of infusion solutions in physical and cost terms in multidisciplinary medical organizations of the research base. Materials and methods: calculation of relative and average values, structural and functional analysis, system analysis, retrospective analysis, comparison method, correspondence. Results. As a result of the analysis of the structure of the consumption of infusion solutions by the main groups in multidisciplinary medical organizations of the research base, it was revealed that the largest share in the actual consumption of infusion solutions in kind are the groups of infusion solutions «Regulators of water-electrolyte and acid-base balances» and «Hemodynamic infusion solutions», which is explained by their significance for the provision of medical care in hospital conditions and the need for their appointment for a large number of patients of multidisciplinary medical organizations. As a result of the analysis of the structure of consumption of infusion solutions in value terms, we identified the main groups of infusion solutions that account for the greatest financial burden of multidisciplinary medical organizations of the research base, as well as the rating of the main groups of infusion solutions in the structure of consumption in value terms of multidisciplinary medical organizations. Conclusions. As a result of the analysis of the actual consumption of infusion solutions in kind, a significant predominance of the groups «Regulators of water-electrolyte and acid-base balances» and "Hemodynamic infusion solutions" was revealed. The analysis of the structure of infusion solutions consumption in value terms showed that the largest share in total infusion solutions consumption is also occupied by the groups of infusion solutions «Regulators of water-electrolyte and acid-base balances», "Other infusion solutions" and «infusion solutions for parenteral nutrition».
Objective: to carry out a comparative analysis of the actual consumption of infusion solutions in multidisciplinary medical organizations and the quantities of infusion solutions calculated on the basis of the generated database to determine the need for infusion solutions of each specific multidisciplinary medical organization. Materials and methods: statistical reports, journals of the movement of medicines and prescribing lists of medical histories of patients examined by multidisciplinary medical organizations, as well as data on standards of medical care and clinical recommendations were used as research materials. In the course of the study, methods of retrospective analysis, comparison, correspondence, etc. were used. Results: a comparative analysis of the data on the actual consumption of infusion solutions and the projected need for infusion solutions in multidisciplinary medical organizations, calculated using the generated database to determine the need for infusion solutions, showed an excess (in some cases, significant) of the actual consumption of 0.9% sodium chloride and 5% dextrose solutions in all surveyed multidisciplinary medical organizations compared to with regulations, regulated standards of medical care and clinical recommendations. Conclusions: in order to optimize the provision of infusion solutions to multidisciplinary medical organizations and, accordingly, to increase the effective- ness of medical care, it is important to use data on the structure of patients of multidisciplinary medical organizations and the most common nosological forms, as well as regulatory and reference information on the drug provision of patients with the most common nosological forms of diseases when predicting the need.
