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

Cover Page

Cite item

Full Text

Open Access Open Access
Restricted Access Access granted
Restricted Access Subscription Access

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

References

  1. Lenchuk EB, Filatov VI. Strategic planning as a tool to overcome Russia’s technological backwardness. Mir novoj èkonomiki. 2019;13(2):32–42. doi: 10.26794/2220-6469-2019-13-2-32-42
  2. Abramov VI, Andreev VD. Analysis of strategies for digital transformation of Russian regions in the context of achieving national goals. Public Administration Issues. 2023;(1):89–119. doi: 10.17323/1999-5431-2023-0-1-89-119
  3. Nazarov VP. Development of theoretical and methodological foundations of strategic planning. Alekseeva TA, editor. Moscow: KNORUS; 2022. (In Russ).
  4. Afinogenov DA, Kochemasova EYu, Sylvestrov SN. Strategic planning: challenges and solutions. Mir novoj èkonomiki. 2019;(2):23–31. doi: 10.26794/2220-6469-2019-13-2-23-31
  5. Evdokimova TR. Problems of strategic planning and economic management in modern Russia. Economics and Management: Research and Practice Journal. 2020;(3):20–26. doi: 10.34773/EU.2020.3.3
  6. Glazyev SYu. On the creation of systems of strategic planning and management of scientific and technological development. Innovations. 2020;(2):14–23. doi: 10.26310/2071-3010.2020.256.2.002
  7. Zaverskiy SM, Kiseleva ES, Kononova VYu, Plekhanov DA, Churkina NM. Strategic planning of economic development: international experience and applications for Russia. Vestnik IE RAN. 2016;(2):22–40.
  8. Lenchuk EB, Voitolovskii FG, Kuvalin DB. Strategic planning in public administration: experience, opportunities and prospects. Problemy prognozirovaniya. 2020;(6):46–55. (In Russ). doi: 10.47711/0868-6351-183-46-55
  9. Lipina SA, Belyaevskaya-Plotnik LA, Sorokina NYu. Strategic planning in Russia: opportunity and necessity of the application of foreign experience. Regional Economy. South of Russia. 2018;(1):44–52. doi: 10.15688/re.volsu.2018.1.4
  10. Solomatina EI. Strategic planning in health care. Economic Environment. 2017;(2):85–88.
  11. Chereshnev VA, Krivenko NV, Krylov VG. Comprehensive assessment of the efficiency and sustainability of the regional health care system. Economy of Regions. 2021;17(1):31–43. doi: 10.17059/ekon.reg.2021-1-3
  12. Volnukhin AV, Siburina TA. The management of professional personal potential of medical personnel. Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(1):147–152. doi: 10.32687/0869-866X-2021-29-1-147-152
  13. Volnukhin AV, Siburina TA, Knyazev AA. The development and enhancement of general medical practice as major condition of successful modernization of primary health care. Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(2):306–312. doi: 10.32687/0869-866X-2021-29-2-306-312
  14. Mihailova IuV, Siburina TA, Son IM, et al. The public opinion about health care: the main factors of increasing satisfaction of population with medical care. Problems of Social Hygiene, Public Health and History of Medicine. 2019;27(3):231–236. doi: 10.32687/0869-866X-2019-27-3-231-236
  15. Glazyev SYu. Strategic planning as an integrative feature in development management system. Ekonomicheskoe vozrozhdenie Rossii. 2021;(3):14–19. doi: 10.37930/1990-9780-2021-3-69-14-19
  16. Reshetnikov A, Prisyazhnaya N, Steger F, Pavlov SV, Vyatkina N. Features of social behavior and awareness of Moscow residents about COVID-19 at the beginning of the pandemic. Social Sciences. 2023;12(1):25. doi: 10.3390/socsci12010025
  17. Reshetnikov AV, Prisyazhnaya NV, Pavlov SV, Vyatkina NYu. Perception of the COVID-19 pandemic by Moscow residents. Sotsiologicheskie issledovaniya. 2020;(7):138–143. doi: 10.31857/S013216250009481-2
  18. Reshetnikov A, Frolova I, Abaeva O, et al. Accessibility and quality of medical care for patients with chronic noncommunicable diseases during COVID-19 pandemic. NPJ Prim Care Respir Med. 2023;33(1):14. doi: 10.1038/s41533-023-00328-9
  19. Reshetnikov A, Berdutin V, Zaporozhtsev A, et al. Predictive algorithm for the regional spread of coronavirus infection across the Russian Federation. BMC Med Inform Decis Mak. 2023;23(1):48. doi: 10.1186/s12911-023-02135-1
  20. Krom IL, Erugina MV, Eremina MG, Kovalev EP, Vlasova MV. Modern transformations of medicine space from medical care to a medical service. Bioethics. 2019;(1):27–29. doi: 10.19163/2070-1586-2019-1(23)-27-29
  21. Reshetnikov AV, Sobolev KE. Medical and sociological monitoring: a manual. Moscow: GEOTAR-Media; 2022. (In Russ).
  22. Reshetnikov AV, Sobolev KE. Conceptual model of organization of medical and sociological monitoring of the results of strategic planning for the development of regional health care (by the materials of the Moscow Region). Sociology of Medicine. 2022;21(1):5–15. doi: 10.17816/socm109235
  23. Tairova RT, Berseneva EA. The medical sociological monitoring as a strategic element of management of medical care quality. Problems of Social Hygiene, Public Health and History of Medicine. 2018;26(2):111–114. doi: 10.18821/08690866X-2018-26-2-111-114
  24. Grishina NK. The basic principles of the implementation of sociological monitoring programs in public health. Problems of Social Hygiene, Public Health and History of Medicine. 2011;(2):32–36.
  25. Latuha OA. Assessing the sustainability development of an organization. Science for Education Today. 2021;11(6):142–159. doi: 10.15293/2658-6762.2106.08
  26. Bravve YuI, Shchepin VO, Tolstova KS, Latukha OA. The modern approaches to rating of medical organizations on the basis of sustainable development of health care institution. Problems of Social Hygiene, Public Health and History of Medicine. 2021;29(5):1171–1178. doi: 10.32687/0869-866X-2021-29-5-1171-1178
  27. Lenchuk EB, Filatov VI. Strategic planning — the way toward sustainable development of the Russian economy. Ekonomicheskie i sotsial`nye peremeny: fakty, tendentsii, prognoz. 2018;11(4):35–47. doi: 10.15838/esc.2018.4.58.2
  28. Reshetnikov AV. Sociology of medicine. Moscow: GEOTAR-Media; 2022.

Supplementary files

Supplementary Files
Action
1. JATS XML
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).

Download (271KB)

Copyright (c) 2023 Eco-Vector

Creative Commons License
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
 


This website uses cookies

You consent to our cookies if you continue to use our website.

About Cookies