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Regional Economics: Theory and Practice
 

The contract system of remuneration as a tool to manage the development of medical organizations in the constituent entities of the Russian Federation

Vol. 13, Iss. 47, DECEMBER 2015

PDF  Article PDF Version

Received: 3 June 2015

Accepted: 8 June 2015

Available online: 21 December 2015

Subject Heading: SOCIOECONOMIC POLICY

JEL Classification: 

Pages: 32-46

Molotkov Yu.I. Siberian Institute of Management, Branch of RANEPA, Novosibirsk, Russian Federation
molotkov@sapa.nsk.su

Totskaya E.G. Novosibirsk Municipal Polyclinic No. 16, Novosibirsk, Russian Federation
etockaya_glav@mail.ru

Importance The article studies the health-sector reform process and the implementation of a new contractual system of medical workers’ compensation, developed by the project team for medical organizations of the subjects of the Siberian Federal District. We studied various medical establishments of the District.
     Objectives We aimed to develop a new draft contract remuneration system, enabling the work of medical personnel and development of medical organizations at the level of the constituent entities of the Russian Federation.
     Methods For the study of the current system and formation of new approaches to remuneration in medical organizations, we used a structural and system analysis, participant observation, SWOT-analysis, statistics, the existing normative legal acts, and a functional modeling methodology.
     Results We have developed a draft of a new wage contract system for medical workers, algorithms, tools, and a target program to implement it in health organizations. Using the investigated medical organization case, we proved that the introduction of the contract system provided significant improvements in satisfaction of the population with the quality and availability of medical assistance and the enhancement of key indicative figures of the medical organization.
     Conclusions and Relevance We conclude that targeted management of the project’s implementation is a tool to achieve the desired forecast (project) indicators in health organizations. The proposed contract system can be used in all medical organizations of the constituent entities of the Russian Federation.

Keywords: healthcare, services, salaries, indicative, indices

References:

  1. Biryukova N.B. Innovatsionnye aspekty upravleniya sistemoi zdravookhraneniya sovremennoi Rossii. Natsional'naya praktika i mezhdunarodnyi opyt: monografiya [Innovative aspects of management of the health system of modern Russia. National practices and international experience: a monograph]. Moscow, Ekslibris-Press Publ., 2007, 216 p.
  2. Vyakina I.V., Aleksandrov G.A. Modernizatsiya Rossiiskoi ekonomiki: problemy i resheniya [Modernization of the Russian economy: problems and solutions]. Rossiiskoe predprinimatel'stvo = Russian Journal of Entrepreneurship, 2010, no. 8-2, pp. 19–23.
  3. Suverneva A.I. Effektivnyi kontrakt kak instrument povysheniya kachestva raboty i zarabotnoi platy [Effective contract as a tool to enhance the quality of work and wages]. Otdel kadrov gosudarstvennogo (munitsipal'nogo) uchrezhdeniya = The Human Resources Department of State (Municipal) Institution, 2013, no. 9, pp. 39–42.
  4. Seminga L. Oformlenie trudovykh otnoshenii pri vvedenii effektivnogo kontrakta [Registration of labor relations when introducing an effective contract]. Uchrezhdeniya kul'tury i iskusstva: bukhgalterskii uchet i nalogooblozhenie = Institutions of Culture and Art: Accounting and Taxation, 2013, no. 9, pp. 58–62.
  5. Mironov S.P., Arutyunov A.T., Egorova I.A. et al. Sravnitel'naya kolichestvennaya otsenka effektivnosti deyatel'nosti poliklinik Upravleniya delami Prezidenta Rossiiskoi Federatsii [A comparative quantification of the effectiveness of activities of the clinics of the Administrative Department of the President of the Russian Federation]. Kremljovskaya Medicina. Clinichesky Vestnik, 2008, no. 2, pp. 69–79.
  6. Starodubov V.I. Problemy transformatsii sushchestvuyushchikh sistem oplaty truda v tselyakh vnedreniya effektivnogo kontrakta v zdravookhranenie [Problems of transformation of the existing payment systems in order to implement the effective healthcare contract]. Manager Zdravoochranenia, 2013, no. 2, pp. 6–15.
  7. Starodubov V.I. Effektivnyi kontrakt v zdravookhranenii: vozmozhnosti i riski [Effective contract in healthcare: opportunities and risks]. Manager Zdravoochranenia, 2013, no. 3, pp. 6–15.
  8. Kadyrov F.N. Effektivnyi kontrakt v zdravookhranenii [An effective contract in healthcare]. Manager Zdravoochranenia, 2013, no. 2, pp. 66–77.
  9. Frolov S.P. Perekhodim na effektivnyi kontrakt [Adoption of the effective contract]. Rukovoditel' byudzhetnoi organizatsii = Head of the Budget Organization, 2014, no. 3, pp. 22–25.
  10. Gaifutdinova O.S. Innovatsionnaya ekonomika kak tsel' strukturnoi modernizatsii [Innovation economy as a goal of structural upgrading]. V mire nauchnykh otkrytii = In the World of Scientific Discoveries, 2010, no. 3-4, pp. 111–114.
  11. Golichenko O.G. Modernizatsiya i reformirovanie innovatsionnoi strategii Rossii: problemy i resheniya [Modernization and reform of the innovation strategy of Russia: problems and solutions]. Voprosy Ekonomiki, 2010, no. 8, pp. 41–53.
  12. Korol'kov V.E. Problemy gosudarstvennogo regulirovaniya investitsionnykh protsessov v sovremennykh usloviyakh rossiiskoi ekonomiki [Problems of the State regulation of investment processes in modern conditions of the Russian economy]. Biznes: Ekonomika. Marketing. Menedzhment = Business: Economy. Marketing. Management, 2008, no. 2, pp. 18–22.
  13. Vyalkov A.I., Kucherenko V.Z. Organizatsionno-metodicheskie aspekty snizheniya riskov v meditsinskoi praktike [Organizational and methodological aspects of risk reduction in medical practices]. GlavVrach = Chief Physician, 2006, no. 2. Available at: Link. (In Russ.)
  14. Ivanov A.V. Effektivnyi kontrakt: logika upravlencheskikh reshenii [An effective contract: the logic of management decisions]. Zdravookhranenie = Healthcare, 2013, no. 10, pp. 50–56.
  15. Kitsul I.S., Agafonova E.N., Aleshina L.L. et al. Sovershenstvovanie raboty meditsinskoi organizatsii na osnove sistemy sbalansirovannykh pokazatelei [Improving the work of medical organizations on the basis of balanced scorecard]. Zdravookhranenie = Healthcare, 2013, no. 10, pp. 50–56.
  16. Kitsul I.S., Novozhilov V.A., Bel'kova T.Yu. et al. Primenenie v LPU tekhnologii berezhlivogo proizvodstva [Applying the lean technology in medical preventive institutions]. Zdravookhranenie = Healthcare, 2012, no. 8, pp. 94–100.
  17. Leont'eva L.S., Orekhov S.A. et al. Sistemnyi podkhod k formirovaniyu organizatsionno-upravlencheskikh innovatsii v sfere zdravookhraneniya [A systems approach to the formation of organizational and managerial innovation in healthcare]. Integral, 2012, no. 2, pp. 12–13.
  18. Dorozhkina O.K. Strategicheskoe planirovanie innovatsionnogo razvitiya predpriyatiya [Strategic planning of the innovative development of the enterprise]. Rossiiskoe predprinimatel'stvo = Russian Journal of Entrepreneurship, 2011, no. 1-2, pp. 83–88.
  19. Rastorgueva T.I., Shchepin V.O. Perspektivnaya model' upravleniya chelovecheskimi resursami meditsinskogo uchrezhdeniya [A promising model of human resource management of a medical institution]. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny = Issues of Social Hygiene, Health and Medical History, 2009, no. 1, pp. 27–31.
  20. Nesterov S.E. Perekhod na effektivnyi kontrakt [Moving to the effective contract]. Oplata truda v gosudarstvennom (munitsipal'nom) uchrezhdenii: bukhgalterskii uchet i nalogooblozhenie = Remuneration in Public (Municipal) Institution: Accounting and Taxation, 2013, no. 11, pp. 18–28.

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