The article analyzes the need to improve the mechanism of safety-oriented management of health care facilities in the context of decentralization of public administration. It is established that the system of safety-oriented management is a certain organizational process of formation and implementation of the necessary measures to ensure the effective functioning of the entity in the presence of systemic problems in the field of health care. The main goal of safety-oriented management is to ensure the stable and efficient operation of the medical institution and provide the population with quality and affordable medical services. The study found that the functioning of the health care system is not effective due to the existing differences in the organization of medical services in urban and rural areas. It is determined that the improvement of the mechanism of safety-oriented management of health care facilities should take place at three levels: at the managerial and organizational level, at the information and communication level, at the level of logistics. At each of the proposed levels, specific measures have been identified, the implementation of which will ensure the achievement of the main goal of safety-oriented management of health care facilities. In addition, the article proposes the formation of a conceptual model for improving the mechanism of safety-oriented management of health care facilities. It is determined that the main elements of this model are: the system as a whole, the resources of the health care institution, the process of providing medical services, the results of the institution and the consequences of the health institution.
The article develops and tests a new approach to assessing the management system flexibility of a textile enterprise and its economic security. A questionnaire with a list of statements characterizing the flexibility of the enterprise economic security system as a whole and its individual components is provided. Determining the flexibility of an enterprise economic security system depends on two types of parameters: 1) parameters characterizing flexibility of an economic security system as a whole; 2) parameters characterizing the flexibility of components of an economic security system. This approach is based on the interpretation of the results of an expert assessment and using the tools of economic and mathematical modeling allows to determine the level of flexibility of an economic security system in the range from 0 to 1. The definition of flexibility itself is not an end in itself, since the ability of an enterprise to react to threats of various levels depends on their intensity level. That is, it is expedient for the management of enterprises to take into account the actual level of flexibility, which allows to determine the most probable mechanism operation mode for enterprise ensuring economic security (forced, of increased activity, rational, reserve) in accordance with the level of flexibility of the economic security system.
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