Modern mechanisms of municipal healthcare management

Ievgenii Andrieiev,Dmytro Tyshko,Serhii Petryk, Tatiana Ihnatova,Anton Kurbanov

AD ALTA-JOURNAL OF INTERDISCIPLINARY RESEARCH(2023)

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Abstract
The current status of municipal healthcare systems in most countries is marked by a multitude of issues, primarily of a systemic and organizational nature. Presently, a noticeable disparity exists between the treatment capacity of healthcare establishments and the scale and composition of illnesses in regional and district cities. Furthermore, there is a declining assurance of medical care provision for the populace, despite the increasing expansion of normative criteria for healthcare facilities. Moreover, the management of healthcare establishments continues to adhere to conservative practices, impeding the adoption of progressive models for medical care development. Additionally, the spatial differentiation of medical services remains inadequate. The objective of this article is to delineate and elucidate the characteristics of key mechanisms of municipal healthcare management across various countries worldwide. Additionally, this study endeavors to delineate the domains associated with risk management within the healthcare sector by examining diverse management approaches employed in the organization of medical institutions' operations. Methodology. Throughout the study, a combination of bibliographic and analytical methods was employed to examine the existing literature on municipal healthcare management. Additionally, the utilization of generalization, substantiation, and system-structural methods aided in the practical elucidation of crucial aspects of municipal healthcare management at both state and local levels. Results. Drawing upon the study findings, the author identifies the principal management models prevalent in the realm of healthcare institution management. These models are characterized, highlighting their key attributes, and the primary areas of risk management within the medical domain associated with these management models are delineated.
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Key words
Healthcare management at the local level, regulation of the healthcare industry, improvement of the healthcare network, healthcare risk management, hospital capacity, healthcare powers
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