Implementation of strategic planning in the practice of modern medical institution management: methodological and applied aspects

Authors

  • Alla Melnyk West Ukrainian National University
  • Leonid Radzvyliuk West Ukrainian National University

DOI:

https://doi.org/10.35774/visnyk2021.03.066

Keywords:

strategy, strategic planning, medical reform, organization of planning in a health care institution.

Abstract

Introduction. Dismantling of the old economic model of health care as a purely budget organization, which took place under the influence of medical reform in Ukraine, led to a new nature of economic relations, the need for work and development of hospitals as participants in a competitive environment, regional or local health services market, exacerbated the impact of opportunities and threats. Given the uncertainty and dynamism of change, this highlights the need for strategic planning primarily at the level of medical institutions that provide secondary and tertiary (specialized) care to determine priorities and focus resources on achieving their development goals, which requires attention to the scientific and methodological framework ensuring this task.

Purpose. The purpose of the article is to substantiate the need for strategic planning for the development of health care facilities in the context of medical reform and to develop recommendations for its implementation in their management.

Research methods. In the course of the research the following methods were used: induction and deduction, system analysis - to determine the components of strategic planning at the level of health care, PEST analysis - to identify factors influencing the development of health care and factors that indicate the need to implement strategic planning in the hospital management system, institutional and comparative analysis - to identify features of strategic planning models, SWOT-analysis, expert assessments - to assess the internal and external environment of the organization, setting goals and strategic priorities.

Results. Based on the analysis of the theoretical basis, the author’s approach to the interpretation of the essential characteristics of strategic planning of health care facilities is formed. The current state of the internal and external environment of health care facilities that provide secondary care in the context of health care reform in Ukraine is assessed, problems are identified. The planning system in medical institutions of this type is analyzed. The factors of actualization of the problem of implementation of strategic planning at the present stage are revealed and the necessity of its implementation in management of health care institutions is proved. Based on empirical evaluation conducted using the methods of expert collective commission, SPEIS-analysis, SWOT-analysis, the strengths and weaknesses of modern hospitals, opportunities and threats, the degree of probability and importance of the impact of opportunities and threats on the development of medical institutions, critical issues, the mission is specified, the main strategic goals and priorities are defined. An algorithm for the implementation of strategic planning in hospital management, a system of strategies and their content characteristics is proposed.

Perspectives. Further research is needed on organizational design related to the implementation of strategies of medical institutions, organization of strategies, overcoming resistance to changes related to the implementation of strategies, training staff to work in new conditions, the use of other management actions aimed at building a perfect mechanism strategic planning.

Author Biographies

  • Alla Melnyk, West Ukrainian National University
    Dr. of Economics, professor,Professor of the Department of Management, Public Administration and Personnel
  • Leonid Radzvyliuk, West Ukrainian National University
    Master student at the Educational Programme “Healthcare facility management”

References

Stratehichne planuvannia. Vikipediia [Strategic planning. Wikipedia]. URL: http:// uk.wikipedia.org/wiki/ stratehichne-planuvannia [in Ukrainian].

Svystovych, M. B. Sutnist ta osnovni poniattia stratehichnoho planuvannia [The essence and basic concepts of strategic planning]. URL: http://academy.gov.ua/ej 18/PDF/06/pdf [in Ukrainian].

Melnyk, A. (2020). Bahatorivneve stratehichne planuvannia v systemi instytutsiinykh mekhanizmiv upravlinnia v Ukraini [Multilevel strategic planning in the system of institutional mechanisms of management in Ukraine]. Visnyk Ternopilskoho natsionalnoho ekonomichnoho universytetu – Herald of Ternopil National Economic University, 2, 7-23 [in Ukrainian].

Podolchak, N. Yu. (2012). Strategic management [Stratehichnyi menedzhment]: navch. posib. Lviv: Vydavnytstvo Lvivskoi politekhniky. 400 p. [in Ukrainian].

Derzhavne ta rehionalne upravlinnia [State and regional administration] (2006): navch. posib.; za red. A. F. Melnyk. K.: Znannia. 420 p. [in Ukrainian].

Melnyk, A. F., Monastyrskyi, H. L., Dudkina O. P. (2006). Munitsypalnyi menedzhment [Municipal management]: navch. posib.; za red. A. F. Melnyk. K.: Znannia. 420 p. [in Ukrainian].

Mintzberg, H., Alstrend, B. and Lempel, J. (2001). Strategy safari: A guided tour through the wilds of strategic management. Piter. St. Petersburg. 336 p. [in English].

Bowman, C. (2001). Fundamentals of strategie management. Moscov: Finterss. 466 p. [in English].

URL: rusnauka.com/ 31-PRNT-2010/Economiecs/77663.doc.httm [in Russian].

Natsionalna stratehiia reformuvannia okhorony zdorovia Ukrainy [National Health Care Reform Strategy of Ukraine]. URL: https://uoz.cn.ua/strategiya.pdf [in Ukrainian].

Problemy diialnosti tsentriv nadannia administratyvnykh posluh na suchasnomu etapi reformuvannia systemy nadannia administratyvnykh posluh v Ukraini. Analitychna zapyska. Natsionalnyi instytut stratehichnykh doslidzhen [Problems of activity of the centers of rendering of administrative services at the present stage of reforming of system of rendering of administrative services in Ukraine. Analytical note. National Institute for Strategic Studies]. URL: http://webcache.googleusercontent.com/sea rch?q=cache:NNuoeGIzjOYJ:old2.niss.gov.ua/articles/2373/+&cd=1&hl=uk&ct=cln k&gl=ua [in Ukrainian].

Modernizatsiia menedzhmentu ta publichnoho upravlinnia v systemi okhorony zdorovia [Modernization of management and public administration in the health care system] (2020): monohrafiia; za nauk. red. d. e. n. Shkilniaka M. M., d.e.n. Zheliuk T. L. Ternopil: Krok. 560 p. [in Ukrainian].

Pro derzhavni finansovi harantii medychnoho obsluhovuvannia: Zakon Ukrainy vid 19.10.2017 r. № 2168-v. Redaktsiia vid 01.01.2021, pidstava - 1082-IX. [On state financial guarantees of medical care: Law of Ukraine of 19.10.2017 № 2168-

v. Edition from 01.01.2021, basis - 1082-IX]. URL: https://zakon.rada.gov.ua/laws/ show/2168-19#Text [in Ukrainian].

Erdmann, K., Shefer, V., Mundkhenke, E. (1996). Orhanyzatsyonnaia struktura pravytelstva y struktura upravlenyia [Organizational structure of government and management structure]. K. V. Deckers Verlag, Heidelberg. 106 p. [in Russian].

Melnyk, A., Bohach, Yu. (2020). Modernizatsiia orhanizatsiinoho mekhanizmu funktsionuvannia zakladiv vtorynnoho i tretynnoho rivniv okhorony zdorovia [Modernization of the organizational mechanism of functioning of secondary and tertiary health care facilities]. Visnyk Ternopilskoho natsionalnoho ekonomichnoho universytetu – Herald of Ternopil National Economic University, 4, 92-113 [in Ukrainian].

Adamyk ,V., Dyshkant, Yu. (2020). Modernizatsiia orhanizatsiinoi kultury zakladu okhorony zdorovia v umovakh medychnoi reform [Modernization of the organizational culture of the health care institution in the context of medical reform]. Ekonomichnyi analiz – Economic analysis, 4, 140-147 [in Ukrainian].

Published

2021-11-21

Issue

Section

ECONOMICS AND MANAGEMENT OF ENTERPRISESES

How to Cite

Melnyk, Alla, and Leonid Radzvyliuk. “Implementation of Strategic Planning in the Practice of Modern Medical Institution Management: Methodological and Applied Aspects”. Herald of Economics, no. 3, Nov. 2021, pp. 66-83, https://doi.org/10.35774/visnyk2021.03.066.

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