Organizational and economic aspects of standardization of processes in the healthcare system

Introduction. Nowadays standardization is a necessary tool for timely response to challenges and changes, the basis for the work on patient safety, contributes to the control of staff performance, minimizes the risks of medical care.

Objective. to reveal the managing and economic aspects of standardization of processes in the healthcare system and the correctness of the use of existing regulatory documents as an algorithm for the main processes at the level of structure, at the level of process, at the level of result.

Materials and methods. By conducting surveys and in-depth interviews, various opinions on the standards of medical care of various interviewed groups were collected: undergraduates of the HSE course “Management and Economics of Healthcare”, as well as groups of territorial fund of compulsory medical insurance medical experts and “high-level” experts.

Results. The materials of the sociological survey showed a lack of knowledge, uncertainty and unpreparedness of respondents on the application of standards in the planning and provision of medical care, which indicates a lack of understanding of the use of standardization mechanisms in improving medical care. At the same time, in-depth interviews with “high-level” experts show this management tool to operate.

Limitations. The research materials are limited to the results of a survey of two groups of respondents (78 people) conducted over the period from 09.2022 to 01.2023.

Conclusion. The standards can be successfully used in medical care planning, pricing, examinations, as well as training and training of medical personnel. In this regard, it should be concluded that there is a need for further training on the issues of professional development of a wide range of healthcare managers, as well as in the process of training specialists at all levels. As part of the recommendations, it is advisable to provide training for medical personnel on standardization issues, including connection with the examination of the quality and safety of medical care. To develop a methodological approach to improve and use the principle of standardization in the management and provision of medical care.

Compliance with ethical standards. the study was approved by the independent Ethics Committee of the N.A. Semashko National Research Institute of Public Health, Protocol No. 2 of 17/11/2021. All respondents signed an informed consent to participate in the study, and agreed to the publication of the results of sociological surveys.

Contribution of the authors:
Russkikh S.V. — the concept and design of the study, writing the text, compiling the list of references, collection and processing of material; statistical data processing;
Lindenbraten A.L. — concept and design of research, collection and processing of material;
Moskvicheva L.I. — writing the text, collecting and processing the material;
Vasilieva T.P. — concept and design of research;
Smbatyan S.M. — writing the text;
Gorbacheva N.А. — collection and processing of material.
All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment. The study had no sponsorship.

Conflict of interest. The authors declare no conflict of interest.

Received: June 22, 2023
Accepted: August 23, 2023
Published: November 3, 2023