Saratov JOURNAL of Medical and Scientific Research

Technology for optimizing medical decision-making

Year: 2020, volume 16 Issue: №4 Pages: 944-949
Heading: public health Article type: Original article
Authors: Korshever N.G., Pomoshnikov S.N.
Organization: Saratov State Medical University

The objective of the study is the development of optimization techniques for making management decisions in healthcare institutions. Material and Methods. We combined the research findings obtained earlier and interviewed two groups of healthcare managers (49 set the optimization principles for making management decisions, 79 tested the technology we designed). Methods of analytical, logical, sociological, content-analysis of official and medical documentation, flow charts, organizational experiment, statistical were used. Results. We established the optimization principles for making management decisions in healthcare institutions: goal orientation, system approach (isomorphism and multiparameter interaction), prospectivity, use of adequate criterial and diagnostic apparatus, flexibility, differentiation, competence, democratization. These enabled designing and testing of the optimization technology guided by the authors' automated multicriterial assessment of successfulness for the studied approach; it provided making and implementing the management decisions that were the most appropriate for achieving results of the medical institution (number of institutions) performance. Conclusion. The technology considered in the study enables setting the trend and implementing goal-oriented measures for optimization of the management decisions in healthcare institutions.

1. Gorodkova SA, Taskina EB. Features of management decisions in the health care system based on the principles of lean production. Transbaikal State University Journal 2019; 25 (5): 105-13.
2. Vyalkov Al, Skvirskaya GP. Logistics research in healthcare management. The principles and implementation road maps. Manager of Healthcare 2015; 22: 13-9.
3. Sidel'nikov SA. Scientific rationale for intersectoral collaboration on regional health issues. Saratov: Saratov State Medical University Publishing House, 2018; 252 p.
4. Korshever NG, Pomoshnikov SN, Dorovskaia Al. The assessment of successfulness of management decision-making in medical organizations. Problemy socialnoj gigieny zdravoohraneniya i istorii mediciny 2020; 28 (4): 600-4).
5. Korshever NG, Sidel'nikov SA, Pomoshnikov SN. Diagnostics in healthcare: in the development of the scientific apparatus (for example, medical organizations). Saratov: Saratov State Medical University Publishing House, 2018; 143 p.
6. Korshever NG, Pomoshnikov SN. Making management decisions in medical organizations: scientific rationale. Healthcare of the Russian Federation 2020; 64 (1): 14-21.
7. Pomoshnikov SN. The research of qualities that should be inherent in persons making management decisions in medical organizations. Symbol of Science 2020; 9: 89-92.
8. Mikhaylova YuV, Son IM, Golubev NA, et al. Innovative technologies in estimation of efficiency and activity efficacy of medical institutions of Stavropol region rendering primary health care. Kazan medical journal 2019; 100 (5): 810-5.
9. Nurbaeva G, Kabdueva G, Apeisova D. Lean manufacturing as one of the new management technologies in the healthcare system. Journal of Health Deevelopment 2019; 3 (32): 60-8.
10. Knyazyuk NF, Kitsul IS. The methodology of building an integrated management system of medical organizations. Moscow: Manager of Healthcare, 2013; 312 p.

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