Performance Indicator System for Medical Organizations: A Case of Moscow Polyclinics
https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;4-14
Abstract
Background. The performance assessment of medical organization’s activities has taken on great significance as the whole world tends to implement the model of value-based healthcare and the system of compulsory health insurance is focused on increasing the financial support of medical organizations.
Purpose. To analyze methodological approaches and to design a performance indicator system for medical organizations.
Materials and Methods. The author conducted the content analysis of research articles on the study topic published in the Russian Science Citation Index, and analyzed statistical and accounting data of Moscow polyclinics providing primary health care to the adult population from 2016 to 2021.
Results. The author analyzed the methodological approaches of Russian researchers and practitioners to assessing the performance of medical organizations and to choosing the relevant performance indicators. Based on a thorough approach to selection, a set of performance assessment indicators was created by analyzing the performance of Moscow polyclinics providing primary health care to the adult population from 2016 to 2021. The recommendation is to use the developed indicator system for rating medical organizations in order to improve management process and to achieve desired outcomes.
About the Author
Yu. V. Elbek
Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department
Russian Federation
Russian Federation
Yuliya V. Elbek – Researcher
9, Sharikopodshipnikovskaya ul., Moscow, 115088
References
1. Kurnakina N. V. Methodology of comprehensive assessment of the effectiveness of the medical organization for the year. Innovation and investment, 2017, vol. 2, pp. 137-140 (in Russian).
2. Ulumbekova G. E., Mokljachenko A. V. Indicators for evaluating the activities of medical organizations: international experience. ORGZDRAV: news, opinions, training. Vestnik VShOUZ, 2017, vol. 3, no. 9, pp. 23-34 (in Russian).
3. Musina N. Z., Omel’yanovskij V. V., Gostishchev R. V., Sukhorukikh O. A., Fedyaeva V. K., Sisigina N. N., Shchurov D. G. The concept of value-based healthcare. Pharmacoeconomics. Modern pharmacoeconomics and pharmacoepidemiology, 2020, vol. 13, no. 4, pp. 438-451. doi: 10.17749/2070-4909/farmakoekonomika.2020.042 (in Russian).
4. Budarin S. S., Vatolin D. O. About certain issues of practical application of rating of medical organizations. STAGE: economic theory, analysis, practice, 2022, vol. 5, pp. 83-97. doi: 10.24412/2071-6435-2022-5-83-97 (in Russian).
5. Tatarnikov M. A. Methodological problems of forming a system of performance indicators of medical organizations. Medical statistics and organizational work in healthcare institutions, URL: https://xn----7sbbahcmgafaski8a2afibqaixke4dxd.xn--p1ai/publ/medicinskaja_statistika/metodologicheskie_problemy_formirovanija_sistemy_pokazatelej_ehffektivnosti_dejatelnosti_medicinskikh_organizacij/28-1-0-423 (date of the application: 20.01.2023) (in Russian).
6. Yashina N. I., Khansuvarova E. A., Yashin K. S. Development of methodological aspects of evaluating the effectiveness of medical and preventive institutions. Manager, 2016, vol. 4, no. 62, pp. 26-33 (in Russian).
7. Lindenbraten A. L., Grishina N. K., Serdyukovskij S. M., Kolomijchenko M. E., Ludupova E. Yu. The basic principles of building a system of criteria and indicators for assessing the quality and effectiveness of medical activities. Bulletin of Semashko National Research Institute of Public Health, 2020, vol. 2, pp. 30-35. doi: 10.25742/NRIPH.2020.02.004 (in Russian).
8. Bogatova I. V. Organizational and methodological approaches to assessing the effectiveness of primary health care. Transbaikal medical bulletin, 2013, vol. 2, pp. 182-192 (in Russian).
9. Pavlov V. V., Suslin S. A., Galkin R. A., Sheshunova S. V. Modeling of final results in the quality management system of medical care. Healthcare manager, 2013, vol. 10, pp. 18-22 (in Russian).
10. Orlov A. E., Pavlov V. V., Suslin S. A., Vavilov A. V. Upravlenie kachestvom v zdravoohranenii: nauchnoprakticheskij opyt [Quality Management in Healthcare: Scientific and Practical Experience], Samara, IP Zuev Sergej Anatol’evich Publ., 2021, 269 р. (in Russian).
11. SMART – tekhnologiya postanovki tselej dlya ikh uspeshnogo dostizheniya [SMART – goal setting technology for their successful achievement]. Motivation of life, URL: https://lifemotivation.online/razvitie-lichnosti/lichnostnyj-rost/smart-tehnologiya-postanovki-tselej (date of the application: 20.01.2023) (in Russian).
12. Sulimova Е. А., Sharafutdinova E. E., Konysheva N. O. Problems of building goals using the SMART method and possible ways to solve them in modern society and organizations. Innovation and investment, 2019, vol. 8, pp. 227-229 (in Russian).
13. Ob organizatsii raboty po otsenke kachestva deyatel'nosti glavnyh vrachej (rukovoditelej) poliklinik (poliklinicheskih otdelenij), podvedomstvennyh Ministerstvu zdravoohraneniya Moskovskoj oblasti [On the organization of work to assess the quality of the activities of chief physicians (heads) of polyclinics (polyclinic departments) subordinate to the Ministry of health of the Moscow region], Decree of the Government of the Moscow region dated June 23, 2017, no. 502/19 (as amended on March 20, 2018). Consortium “Kodeks”: electronic fund of legal and normative-technical documents, URL: https://docs.cntd.ru/document/456072872 (date of the application: 20.01.2023) (in Russian).
14. Revina S. N., Kuz’mina N. M., Blinov S. V. Formation and implementation of a system of key performance indicators (KPIs) and assessment of the quality of medical services of the NUZ of JSC “Russian Railways” (on the example of the NUZ “Road Clinical Hospital at Samara Station of JSC «Russian Railways»”). Economic sciences, 2016, vol. 139, pp. 20-24 (in Russian).
15. Budarin S. S., Melik-Gusejnov D. V., Bojchenko Yu. Ya., Nikonov E. L. Methodological approaches to the formation of a rating assessment of the activities of medical organizations and healthcare systems in Russia and abroad. Problems of social hygiene, public health and the history of medicine, 2019, vol. 27, no. 4, pp. 459-463. doi: 10.32687/0869-866X-2019-27-4-459-463 (in Russian).
16. Gadaborshev M. I., Tsygankova S. M. Formation of a system of key indicators for evaluating the effectiveness and efficiency of medical organizations. Medicine and education in Siberia, 2013, vol. 2, p. 1 (in Russian).
Review
For citations:
Elbek Yu.V. Performance Indicator System for Medical Organizations: A Case of Moscow Polyclinics. City Healthcare. 2023;4(2):4-14. (In Russ.) https://doi.org/10.47619/2713-2617.zm.2023.v.4i2;4-14
Views:
238
Email this article 