Study of the opinion of the heads of executive bodies of the subjects of the Russian Federation in the sphere of healthcare on issues of management of risks impeding the development of the material and technical base of medical institutions

Introduction. The heads of executive authorities of the subjects of the Russian Federation (EASRF) in the field of health protection should be directly involved in the development of a risk management strategy aimed at updating and strengthening the material and technical component of medical institutions, thereby ensuring their effective functioning and stable development in the regions of the Russian Federation, including at all levels of management.

Purpose of the study. To study the opinion of the heads of the EASRF on risk management issues that hinder the development of the material and technical base of medical institutions.

Materials and methods. Seventy heads of the EASRF were interviewed. Research methods: sociological, mathematical, survey (questionnaire), analytical, content analysis, factor analysis, graphical analysis, descriptive statistics. Data processing was carried out using the licensed software SPSS 22.0.

Results: Heads of the EASRF of the Russian Federation were found to be aware of the factors (risks) that reduce the effectiveness of measures aimed at developing the material and technical base of medical institutions, and related to the violation of the deadlines for the preparation of design estimates (97.17%), an increase in the cost of construction due to the identification of works not provided for by the project (95.71%); non-compliance deadlines for commissioning of health facilities completed by construction (95.71%); poor quality of design work (91.43%); the need to review decisions during construction (77.14%), poor quality of construction work (51.43%). According to the heads of the EASRF, it is necessary to increase the level of knowledge and managerial competencies in personnel of medical institutions in planning and control during the preparation and conduct of construction works (98.57%), the participation of head physicians in the development of technical specifications for the construction of medical institutions. buildings of a specific medical institution (95.71%), assigning responsibility for the preparation of technical task to the head physician and his team (54.29%).

Research limitations. The study materials are limited to the results of a survey of one group of respondents (70 people), conducted from May to July 2024.

Conclusions. Achieving this goal directly depends on the ability of the heads of the Federal Penitentiary Service and head physicians to manage risks that impede the proper execution of work on the design, construction, and equipping with medical and technological equipment healthcare facilities used by medical institutions in providing medical services to the population.

Compliance with ethical standards. The study was approved by the Ethics Committee for the Expertise of Sociological Research in the Field of Public Health at the Federal Research Institute for Health Institution and Informatics of the Ministry of Health of the Russian Federation (Conclusion № 7a dated 08.05.2024). All respondents signed informed consent to participate in the study and gave consent to the publication of the results of the sociological survey.

Contribution of the authors:
Boenko E.А. — collection and processing of material, writing of text, compilation of bibliography, responsibility for the integrity of all parts of the article;
Khodakova О.V. — research concept and design, approval of the final version of the manuscript;
Shikina I.B. — research concept and design, collection and processing of material, statistical data processing, editing, approval of the final version of the manuscript.

Funding. The study had no sponsorship.

Conflict of interest. The authors declare the absence of any conflicts of interest regarding the publication of this paper.

Received: December 12, 2024 / Accepted: February 19, 2025 / Published: September 12, 2025

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