在克麦罗沃-库兹巴斯地区实施 "以病人为本 "的医疗保健发展方法:战略分析

Svetlana Badlo, Olga Tabashnikova
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引用次数: 0

摘要

要实现俄罗斯联邦保护人口、确保人民健康和福祉的战略目标,就必须建立一个有效的医疗保健系统,能够提供必要的医疗服务和技术,并对居民进行健康生活方式和疾病预防方面的系统培训。这就需要在制定战略的基础上向以患者为导向的医疗过渡,从而确保协调联邦、部门和地区旨在提高医疗质量和居民健康水平的计划。文章分析了联邦、地区和部门层面的立法、监管、组织文件和统计数据。作者对西伯利亚联邦区的医疗保健统计指标及其主体进行了动态分析;对战略制定方法进行了 OTSW 分析;对长期医疗保健发展目标进行了比较分析。确定了在向以患者为导向的医疗转型过程中应用战略规划和管理的适宜性;发现了不同层次战略之间的相互关系;确定了该地区医疗部门转型的战略目标及其有效实施的条件。作者考虑了在库兹巴斯地区的优势基础上实施以患者为导向的医疗发展战略的可能性,确定了无法实现战略目标的威胁和风险,并提出了减少这些威胁和风险的建议。文章肯定了在适当的优先事项范围内战略一致性和主动性的重要性;论证了库兹巴斯地区以患者为导向的医疗发展潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Implementation of Patient-Oriented Approach to the Health Care Development in Kemerovo Region – Kuzbass: Strategic Analysis
Achieving the strategic goals of the Russian Federation for preserving the population and ensuring the health and well-being of people requires an effective health care system that can provide necessary medical services and technologies and systematically train residents in healthy lifestyle and disease prevention. This necessitates a transition to patient-oriented medicine based on strategizing, which will ensure the coordination of federal, departmental and regional programs aimed at improving the medical care quality and the population health. The article analyses legislative, regulatory, organizational documents and statistical data at the federal, regional and departmental levels. The authors perform analysis of healthcare statistical indicators in the Siberian Federal District and its subjects in dynamics; OTSW analysis on the strategizing methodology; comparative analysis of long-term healthcare development goals. The expediency of applying strategic planning and management in the transition to patient-oriented medicine is established; interrelations between strategies of different levels are discovered; region’s strategic objectives for the healthcare sector transformation and the conditions for their implementation effectiveness are defined. The authors consider possibilities of implementing a strategy for the patient-oriented medicine development in Kuzbass on the basis of region’s strengths, identify the threats and risks of not achieving strategic objectives and formulate the proposals for their reduction. The article confirms the importance of strategies’ coherence and proactivity within the appropriate priorities; argues the potential for the patient-oriented medicine development in Kuzbass.
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