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Regional medical clusters: An analysis of the initial development stage problems and the ways of solving them

Ovchinnikov E.N. Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics (RISC RTO), Kurgan, Russian Federation ( omu00@list.ru )

Stogov M.V. Russian Ilizarov Scientific Center for Restorative Traumatology and Orthopaedics (RISC RTO), Kurgan, Russian Federation ( stogo_off@list.ru )

Gorodnova N.V. Ural Federal University named after the First President of Russia B.N. Yeltsin, Yekaterinburg, Russian Federation ( prof.gorodnova@gmail.com )

Journal: Regional Economics: Theory and Pactice, #1, 2018

Importance In recent years, a rapid growth in the creation and development of regional medical clusters of various specializations has been observed in Russia. Some experience of organization and functioning of such clusters has been accumulated by now.
Objectives This article aims to analyze and assess the problems of initial development of regional medical clusters in the Russian Federation.
Methods For the analysis and assessment, we used the data from open periodicals and the Internet.
Results The assessment of available materials shows that the problems of the initial stage of development of regional medical clusters can be categorized into groups as organizational, personnel, and evaluation. The most common problems are the lack of personnel and the difficulties of the organization. The article proposes certain directions of solving these problems. The problem of development of criteria for evaluating the effectiveness of medical clusters is separately identified. Also, the article proposes basic quantitative criteria of assessing the efficiency of regional medical clusters on separate types of activity, realized within the cluster.
Conclusions and Relevance The review data can be used to assess the risks and prospects for the creation of new medical clusters. The proposed criteria can be used to assess the effectiveness of existing clusters. Further assessment of the functioning of medical clusters is also necessary in the future to solve the problems of cluster development in medicine.


Medical registers as a quality management tool: An analytical review

Ovchinnikov E.N. Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of Ministry of Healthcare of Russian Federation, Kurgan, Russian Federation ( omu00@list.ru )

Stogov M.V. Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of Ministry of Healthcare of Russian Federation, Kurgan, Russian Federation ( stogo_off@list.ru )

Chegurov O.K. Russian Ilizarov Scientific Center Restorative Traumatology and Orthopaedics of Ministry of Healthcare of Russian Federation, Kurgan, Russian Federation ( too16@rncvto.ru )

Journal: Economic Analysis: Theory and Practice, #8, 2016

Subject The article considers the issue of medical register maintenance.
Objectives The purpose of the study is to evaluate the efficiency of current medical registers, using a case of endoprosthesis replacement register maintenance, as an economical instrument of managing the medical institution, which provides for optimization and improvement of medical services quality.
Methods For analytical estimation purposes, we studied relevant data published in peer-reviewed journals and open registers materials from the Internet.
Results The analysis found out that the content of registers and their functions differ depending on the register level, i.e. national, regional, local, i.e. within one or two clinics. The register maintenance experience showed that regardless of the level, registers enable not only to follow up patient's condition after treatment, predict and monitor the efficiency and safety of the product, but also to assess the volume and structure of expenses during medical treatment. Medical registers provide cooperation in the patient–medical institution–manufacturer system, which helps reducing direct and indirect cost of treatment. Based on the analytical review, we identified main advantages of registers ensuring the said cooperation.
Conclusions Medical registers should be used as an instrument of quality management not only in an individual medical facility, but also in certain branches of the healthcare industry. The project for organization of the national register of endoprosthesis replacement should be initially based on the creation of regional registers, within the subjects of the Russian Federation.


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