rfhealthЗдравоохранение Российской ФедерацииHealth care of the Russian Federation0044-197X2412-0723Federal Scientific Center of Hygiene named after F.F. Erisman10.47470/0044-197X-2023-67-4-292-299ddtaxhrfhealth-1315Research ArticleОРГАНИЗАЦИЯ ЗДРАВООХРАНЕНИЯHEALTH CARE ORGANIZATIONОпыт оценки уровня менеджмента в медицинских организациях БразилииExperience of assessing the level of management in medical institutions in Brazilhttps://orcid.org/0000-0002-5481-3619АзеведоБеатриз МаркондесAzevedoBeatriz Marcondesnoemail@neicon.ruhttps://orcid.org/0000-0002-2136-321XСтоянЯков А.StoianYakov A.noemail@neicon.ruhttps://orcid.org/0000-0003-2668-7309БатуринаЛюдмила ИвановнаBaturinaLioudmila I.

Канд. филол. наук, доцент каф. иностранных языков, РТУ МИРЭА, 119454, Москва.

e-mail: baturina_l@yahoo.com

MD, PhD, Docent of the outpatient department of foreign languages of the MIREA — Russian Technological University, Moscow, 119454, Russian Federation.

e-mail: baturina_l@yahoo.com 

baturina_l@yahoo.comhttps://orcid.org/0000-0002-6011-3010КампосФред Л.CamposFred L.S.noemail@neicon.ruФедеральный университет Санта КатаринаБразилияFederal University of Santa CatarinaBrazilМедицинский институт ФГБОУ ВО «Орловский государственный университет»РоссияOrel State University, Medical instituteRussian FederationФГБОУ ВО «МИРЭА — Российский технологический университет»РоссияMIREA — Russian Technological UniversityRussian Federation202302092023674292299Copyright © Азеведо Б., Стоян Я.А., Батурина Л.И., Кампос Ф., 20232023Азеведо Б., Стоян Я.А., Батурина Л.И., Кампос Ф.Azevedo B., Stoian Y.A., Baturina L.I., Campos F.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.rfhealth.ru/jour/article/view/1315Введение

Введение. В современной литературе по менеджменту описаны различные подходы к измерению эффективности управления организационными структурами. В результате появилось множество трактовок и определений эффективности, методов и мер её измерения.

Цель

Цель. Настоящая статья является описанием опыта бразильских ученых Федерального университета Санта Катарина (UFSC) по разработке технологии оценки работы больниц Бразилии.

Материал и методы

Материал и методы. Использован метод анализа среды функционирования (Data Envelopment Analyses, DEA) — многоступенчатый количественный и качественный анализ.

Результаты

Результаты. Результатом исследования стала разработка конкретных положительных сценариев развития организационных структур больниц, участвовавших в исследовании. Работа практико-ориентирована, по количественным показателям чётко ранжирована. Российские коллеги участвовали в исследовании на стадии обсуждения полученных результатов. Выводы, к которым пришла рабочая группа бразильских и российских исследователей, представляются значимыми и для российских медицинских организаций.

Ограничение исследований

Ограничение исследований. Материалы ограничены результатами научных исследований Федерального университета Санта Катарина (Бразилия) и представляют собой достаточную референтную выборку, полученную в 2017–2019 гг.

Заключение

Заключение. Применение DEA лучше всего отражает операционную эффективность медицинских организаций. Получая результаты оценки эффективности, руководители больниц могут контролировать свои действия, а также сравнивать свои данные с показателями других участников рынка услуг в сфере здравоохранения. Являясь мощным инструментом управления, DEA позволяет оценивать и сравнивать организационные единицы медицинской организации, преобразуя информацию в единый индекс, который используется в качестве показателя относительной глобальной эффективности.

Соблюдение этических стандартов. Источники информации являются достоверными и актуальными, не имеют этических и социокультурных запретов. Исследование одобрено Федеральным университетом Санта Катарина (Бразилия) в качестве академического курса программы Master of business administration по менеджменту и соответствует этическим нормам университетского обучения в Бразилии (2018 г.).

Участие авторов

Участие авторов:Азеведо Б.М. — концепция, дизайн и проведение исследования, написание текста, составление списка литературы, статистическая обработка данных;Стоян Я.А. — обсуждение результатов исследования, написание текста;Батурина Л.И. — обсуждение результатов исследования, написание текста, организация международного сотрудничества, корреспонденция;Кампос Ф.Л. — сбор и обработка материала, статистическая обработка данных.Все соавторы — утверждение окончательного варианта статьи, ответственность за целостность всех частей статьи. 

Финансирование

Финансирование. Исследование не имело спонсорской поддержки. 

Конфликт интересов

Конфликт интересов. Авторы декларируют отсутствие явных и потенциальных конфликтов интересов в связи с публикацией данной статьи.

Поступила 29

Поступила 29.10.2022Принята в печать 15.12.2022Опубликована 30.08.2023

Modern management literature describes various approaches to measuring the effectiveness of managing organizational structures. As a result, many interpretations and definitions of efficiency, methods and measures for their measurement have appeared.

Objective

Objective. This article is a description of the experience of Brazilian scientists from the Federal University of Santa Catarina (UFSC) in developing a technology for evaluating the performance of hospitals in Brazil.

Material and methods

Material and methods. There were applied DEA (Data Envelopment Analysis) method, multi-stage quantitative and qualitative analysis, which can be useful in Russia.

Results

Results. The result of the study was the development of specific positive scenarios for the enhancement of the managing structures of the hospitals participating in the study. The work is practice-oriented, in terms of quantitative indicators being clearly ranked. Russian colleagues participated in the study at the stage of discussion of the results. The conclusions reached by the working group of Brazilian and Russian researchers are also significant for Russian medical institutions.

Research limitation

Research limitation. The materials are limited to the results of scientific research of the Federal University of Santa Catarina, Brazil, and represent a sufficient reference sample obtained in 2017–2019.

Conclusion

Conclusion. The use of DEA is an effective instrument to reflect the operational efficiency of medical institutions. Based on the results of performance evaluations, hospital managers can monitor their actions, as well as compare their own management system with other participants in the healthcare market. As a powerful management tool, DEA allows evaluating and comparing the managing units in a medical institution, transforming the information into a single index, being used as a measure of relative global performance.

Compliance with ethical standards. Sources of information are reliable, relevant and do not have ethical and socio-cultural prohibitions. The outcomes of the study was approved by the program of the academic university UFSC and complies with the ethical standards of management training in Brazil.

Contribution

Contribution:Azevedo B.M. — research concept, design, conducting research, compilation of the list of literature, statistical data processing;Stoian Ya.A. — discussing the results of the research, writing the text, editing;Baturina L.I. — discussing the results of the research, writing the text, editing, organization of international cooperation, corresponding author;Campos F.L.S. — collection and processing of material, statistical data.All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.

Acknowledgment

Acknowledgment. The study had no sponsorship.

Conflict of interest

Conflict of interest. The authors declare no conflict of interest.

Received

Received: October 29, 2022Accepted: December 15, 2022Published: August 30, 2023

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The authors declare that there are no conflicts of interest present.