Introduction. Quality management closely relates to the search for the most effective tools for the development of institutions. Understanding the immanent focus of commercial structures on continuous quality improvement, public sector medical institutions need to pay more attention to modern mechanisms for the formation of competitive advantages. Purpose. Analysis of the experience of applying the criteria of self-assessment of the Award of the Government of the Russian Federation in the field of quality in a medical management. Material and methods. Analysis of open sources of literature of scientific electronic libraries, regulatory documents and information Internet resources of the laureates of the Award of the Russian Federation in 2015-2019. Some aspects are considered on the example of the Research Institute of Complex Problems of Cardiovascular Diseases in Kemerovo. Results. In 2019, the number of participants in the competition for the Government Award of the Russian Federation in the field of quality increased significantly by more than 200 institutions of various profiles. In the course of the study, the management of the institutions’ activities was found to be based on the requirements of the international standard ISO 9001-2015 for most of the laureate institutions. The article presents the author’s vision of the significance of the Government Award in the field of quality in the development of the management system of a medical institution and illustrates options for the development of a medical institution. Limitations. The study used data from 56 Prizewinners of the Russian Federation; the clinic has 160 beds, which provides about 8000 patients per year. Conclusions. The award can be used by medical organizations for the purpose of self-assessment of internal processes for compliance with international quality standards, increasing competitiveness and attractiveness for the consumer.
he present research touches upon the problem of comprehension of the concept «labor productivity» as applied to the field of healthcare in comparison with other categories and the corresponding indicators, used in the assessment of the medical organization personnel activity. As methodological basis the ideas in the field of labor economics, conceptual apparatus and theoretical bases of which have proved their efficiency in the solution of the tasks of development of the organizations of different branch affiliation act. The statement that labor productivity in public health services is connected with the transfer of knowledge and technologies from industrial sphere to medicine, requiring the interpretation of concepts and conceptual apparatus in relation to the considered branch is taken as the basis. In modern conditions of high intensity of work of medical organizations at simultaneous necessity of observance of obligatory requirements to quality and safety of medical aid, rational use of resources, the demand for formation of scientifically grounded approaches to labor productivity estimation in healthcare is realized by authors by means of development of an integrated index of labor productivity estimation. The present research can be considered in the development of the theory of labor productivity as applied to the branch of health care taking into account its orientation on rendering qualitative and safe medical aid. The offered by the author approach to the estimation of the given indicator allows to reflect not only quantitative (output, labor input) or cost estimation of labor productivity, but also takes into account complexity, intensity of work of the employees, and also an estimation of a degree of achievement of productivity (quality) of their activity. Its novelty is seen in the mutual conditionality of medical, social and economic evaluation of the effectiveness of the use of labor resources of the employees of medical organizations.
The article provides results of scientific research on problems of evaluating labour productivity of workers in medical institutions. Now we face a certain deficit of knowledge about possibilities and specificity of using calculations of labour productivity in sectors of social sphere, especially public health. The authors analyzed sources of home and foreign literature, normative documents for the period 2010–2019 dealing with this problem and practices of public health system functioning. For the research they used database of the Russian index of academic citing, the search system of full texts of academic publications Google Scholar, reference system ‘ConsultantPlus’ and e-resource eLIBRARY.RU. At the same time the authors analyzed public reports by authority representatives on issues of raising labour productivity in medical institutions, information of open internet-sources with the help of search engine ‘Yandex’. The research helped the authors formulate their own definition of labour productivity in respect to medical institutions’ work. The article enumerates factors affecting the labour productivity index, such as selection system, training and development of personnel, working environment and staff interaction, digitalization of personnel in medical organization, system of quality management, advanced managerial technologies.
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