WAYS TO IMPROVE THE PROVISION OF MEDICAL SERVICES THROUGH THE USE OF MECHANISMS FOR MANAGING PERSONNEL CHANGES IN A HEALTHCARE INSTITUTION
DOI:
https://doi.org/10.32782/2226-2008-2024-6-13Keywords:
healthcare institution, improvement of medical services, change management, public healthAbstract
The article analyzes and systematizes approaches to defining the concepts of “changes”, “organizational changes” and “personnel changes” as scientific categories. The role of changes in personnel management and their significance in the actual use of healthcare institutions is substantiated. The characteristics of personnel changes are determined, and their relationship with the organizational development of a healthcare institution is substantiated. The components of personnel changes in healthcare institutions are studied. Quantitative changes in personnel potential are analyzed and the prerequisites for personnel changes in the healthcare sector are formed. Positions on changes in work with personnel of healthcare institutions in Ukraine are interpreted under legislative documents in the industry. The study is aimed to find and develop ways to improve the process of providing medical services. The authors concluded that a coordinated personnel policy in healthcare should be aimed at managing personnel development, promoting the effective use of personnel potential, increasing the social and professional mobility of medical personnel, and acting as a means for implementing the structural and technological restructuring of both a separate healthcare institution in a territorial community and the industry as a whole. The methodological basis of this study is the Theory of Change (ToC), which underlies the definition of management decisions to eliminate the causes of problems that impede progress effectively, and to choose a management approach, taking into account the comparative advantages of a healthcare institution, indicators of effectiveness, feasibility and uncertainty, which are part of any change process. According to this model, the critical criteria for quality control and assessment are plausibility, feasibility, and testability, with plausibility being fundamental.
References
Netudykhata KL, Pohromskyi VO, Mykhailova TM. Personnel diagnostics as a tool for assessing the effectiveness of personnel management in a healthcare institution. Efektyvna ekonomika. 2021; 8. (In Ukrainian). Available from: http://www.economy.nayka.com.ua/?op=1&z=9171 (access at: 05.10.2023).
Maimula H. Yaki zminy potribno vnesty do kadrovoi dokumentatsii pratsivnykiv ZOZ [What changes should be made to the personnel records of healthcare facility employees]. (In Ukrainian). Available from: https://emedsestra.expertus.com.ua/867036.
2023 Outlook for Health Care. Could margins/staffing stall progress to the Future of Health? Available from: https://www2.deloitte.com/us/en/blog/health-care-blog/2022/2023-outlook-for-health-care-could-margins-staffing-stallprogress-to-future-of-health.html.
Voehl Frank, Harrington, H. James. Change Management – Manage the Change or It Will Manage You. 2016. 390 p.
Knyazevych V, Radysh Y, Vasiuk N. Public policy of Ukraine in health care as organizational and legal system of ruling and management decisions. Investytsiyi: praktyka ta dosvid. 2015; 7: 105–110. (In Ukrainian). Available from: http://www.investplan.com.ua/?op=1&z=4365&i=20.
Hratsiotova HO, Yasinovska MO. Human Resources Management and Improvement of Human Resources Potential of Ukrainian Healthcare Institutions in the Context of European Integration. ECONOMICS: time realities. 2020; 52(6): 25–34. (In Ukrainian). Available from: https://economics.net.ua/files/archive/2020/No6/25.pdf.
Mykolaichuk IP, Kandahura KS. Managing personnel changes in the system of organisational development of an enterprise. Problemy ekonomiky ta upravlinnia. Visnyk Natsionalnoho universytetu «Lvivska politekhnika». 2019; 1: 112–120. (In Ukrainian). Available from: https://science.lpnu.ua/sites/default/files/journal-paper/2019/nov/19816/semi22019-114-122.pdf.
Sabetska T. Analiz kadrovoho zabezpechennia haluzi okhorony zdorovia Ukrainy [Analysis of the staffing of the healthcare sector of Ukraine]. Ekonomika ta suspilstvo. 2022. 40. (In Ukrainian). DOI: https://doi.org/10.32782/2524-0072/2022-40-26.
Informatsiia pro stan veryfikatsii zapysiv pro patsiientiv, medychnykh pratsivnykiv ta subiektiv hospodariuvannia (zaklady okhorony zdorovia, FOP, aptechni zaklady) v elektronnii systemi okhorony zdorovia [Information on the status of verification of records on patients, healthcare professionals and business entities (healthcare facilities, individual entrepreneurs, pharmacies) in the electronic healthcare system]. (In Ukrainian). Available from: https://edata.e-health.gov.ua/e-data/dashboard/data-verifications-esoz.
Stratehiia rozvytku systemy okhorony zdorovia do 2030 roku (2022). Proiekt 23 liutoho 2022 roku. Finalizovanyi ta pohodzhenyi chlenamy Mizhsektoralnoi robochoi hrupy z pytan rozrobky Stratehii rozvytku systemy okhorony zdorovia do 2030 roku. (In Ukrainian). Available from: https://moz.gov.ua/uploads/ckeditor/Стратегія/UKR%20Health%20Strategy%20Feb%2024.2022.pdf.
Tepliuk MA, Shapran OA. Tsilove oriientuvannia: pereosmyslennia systemy okhorony zdorovia Ukrainy [Targeting: rethinking the healthcare system of Ukraine]. Stratehiia ekonomichnoho rozvytku Ukrainy. 2023; 52: 58–71. (In Ukrainian). Available from: https://doi.org/10.33111/sedu.2023.52.058.071.
Hutsaliuk OM. Analysis of the state of staffing of the healthcare sector in Ukraine during the reform period. Visnyk ekonomichnoi nauky Ukrainy. 2019; 2: 110–114. (In Ukrainian). Available from: http://www.venu-journal.org/en/2019-237-19/.
Global strategy on human resources for health: Workforce 2030. WHO. 2020. Available from: https://www.who.int/publications/i/item/9789241511131.
Pro derzhavni finansovi harantii medychnoho obsluhovuvannia naselennia: Zakon Ukrainy vid 19.10.2017 № 2168-VIII (redaktsiia vid 09.09.2023). (In Ukrainian). Available from: http://zakon3.rada.gov.ua/laws/show/2168-19.
Deiaki pytannia oplaty pratsi pratsivnykiv derzhavnykh ta komunalnykh zakladiv okhorony zdorovia [Some issues of remuneration of employees of state and municipal healthcare institutions]: Resolution of the Cabinet of Ministers of Ukraine of 13 January 2023, No. 28. (In Ukrainian). Available from: https://zakon.rada.gov.ua/laws/show/28-2023-%D0%BF#Text.
Khudiakova A. Yak zaprovadyty systemu nematerialnoi motyvatsii pratsivnykiv [How to introduce a system of non-material motivation of employees. Management of a healthcare facility]. Upravlinnia zakladom okhorony zdorovia. 2023;6:17. Available from:https://egolovlikar.expertus.com.ua/10007210.
Uriad zapustyv elektronnu systemu BPR ta zoboviazav medsester nabyraty baly [The government has launched an electronic CPD system and obliged nurses to score points]. Posted: 2d Nov. 2023. (In Ukrainian). Available from: https://medplatforma.com.ua/news/69752-uryad-priynyav-postanovu-pro-zapusk-elektronnoi-sistemi-bpr.
Pro vnesennia zmin do Postanovy Kabinetu Ministriv Ukrainy vid 14 lypnia 2021 r. № 725 «Pro zatverdzhennia Polozhennia pro systemu bezperervnoho profesiinoho rozvytku medychnykh ta farmatsevtychnykh pratsivnykiv» [On Amendments to the Resolution of the Cabinet of Ministers of Ukraine of 14 July 2021 No. 725 ‘On Approval of the Regulation on the System of Continuing Professional Development of Medical and Pharmaceutical Workers’]: Postanova KMU vid 29 veresnia 2023 r. № 1036. (In Ukrainian). Available from: https://zakon.rada.gov.ua/laws/show/1036-2023-%D0%BF#Text.
Savina TV. Kadrove zabezpechennia sfery okhorony zdorovia v Ukraini: stan ta perspektyvy rozvytku [Staffing of the healthcare sector in Ukraine: status and prospects of development]. Investytsii: praktyka ta dosvid. 2017; 15: 94–98. (In Ukrainian). Available from: http://www.investplan.com.ua/pdf/15_2017/19.pdf.
Pro vnesennia zmin do Dovidnyka kvalifikatsiinykh kharakterystyk profesii pratsivnykiv [On Amendments to the Handbook of Qualification Characteristics of Occupations]: nakaz Ministerstva okhorony zdorovia Ukrainy vid 31 zhovtnia 2018 roku № 1977. «Okhorona zdorovia». Vypusk 78. (In Ukrainian). Available from: http://moz.gov.ua/article/ministrymandates/nakaz-moz-ukraini-vid-31102018--1977-pro-vnesennja-zmin-do-dovidnika-kvalifikacijnih-harakteristikprofesij-pracivnikiv-vipusk-78-ohorona-zdorovja/.
