Problems and current directions of further medium-term strategic planning for the development of the health care system of the Moscow Region: expert survey results

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Abstract

BACKGROUND: Modern strategic planning for the development of the health care system in the region involves regular monitoring of problem areas for the timely identification of emerging problems, as well as monitoring the effectiveness of measures designed to eliminate the identified problems. Based on this, within the framework of the 5th level of medical and sociological monitoring of the results of strategic planning for the development of regional health care, which involves studying the opinions of regional experts, a study was conducted focused on studying the main problems and prospects for the development of the health care system in the Moscow Region on the most important ones from the standpoint of its strategic planning directions.

AIM: To determine the degree of relevance of problems for the health care system of the Moscow Region and for the next medium-term strategic planning of measures for its development, as well as to evaluate the indicators from the standpoint of their significance, which will serve as the basis for compiling the archetype of the health care system in the territory of the municipal formation of the Moscow Region in order to adopt further management decisions, including taking into account municipal features.

MATERIALS AND METHODS: A survey was conducted of experts from among the heads of regional medical organizations of the Moscow Region, their deputies for the medical profile of activity, as well as the main freelance specialists of the Ministry of Health of the Moscow Region. A total of 126 people were interviewed using formalized structured interviews and questionnaires.

RESULTS: In the course of the study, a range of the most pressing problems of the health care system of the Moscow Region was determined today. In addition, activities were identified, the strategic planning of which is most relevant for the formation of the next medium-term program “Health of the Moscow Region”. The study also made it possible to streamline the list of indicators characterizing the archetype of the health care system in the territory of the municipality of the Moscow Region, according to the degree of their importance in making and implementing management decisions in the framework of medium-term strategic planning for health care development.

CONCLUSION: The study demonstrated the sustainability of some problems in the health care system of the Moscow Region that currently need to be addressed.

About the authors

Andrey V. Reshetnikov

Sechenov First Moscow State Medical University (Sechenov University)

Author for correspondence.
Email: reshetnikov_a_v@staff.sechenov.ru
ORCID iD: 0000-0001-9413-4859
SPIN-code: 6488-3251

MD, Dr. Sci. (Med.), Dr. Sci. (Soc.), Professor, Academician of the RAS

Russian Federation, Moscow

Konstantin E. Sobolev

Moscow Regional Research and Clinical Institute

Email: niisocmed@mail.ru
ORCID iD: 0000-0003-4779-8577

MD, Cand. Sci. (Med.)

Russian Federation, Moscow

Natalia S. Golikova

Moscow Medical University “Reaviz”

Email: nataliya_golikova@inbox.ru
ORCID iD: 0000-0003-1678-2628
SPIN-code: 1882-4099

MD, Cand. Sci. (Med.), Assistant Professor

Russian Federation, Moscow

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2. Fig. 1. Significance of indicators characterizing the archetype of the healthcare system in the territory of the Municipal Formation of the Moscow Region (average score).

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