Preview

Health care of the Russian Federation

Advanced search
Open Access Open Access  Restricted Access Subscription Access

Financial risk management in a medical institution

https://doi.org/10.47470/0044-197X-2025-69-5-442-448

EDN: vnkoyo

Abstract

Introduction. Risk management in medical institutions plays a significant role in improving the availability and quality of healthcare. According to their characteristics, risks are divided into financial, such as budget deficit, inefficient use of resources, cost growth, etc., and non-financial, which are directly related to the provision of healthcare and patient safety. The study presents a systematic approach to financial risk management, including their analysis and development of plans for minimization, personnel training and implementation of information systems for monitoring and control. The importance of continuous monitoring and adaptation of risk management strategies in response to external and internal changes is noted.

Purpose. Analysis of the methodological foundations of financial risk management as applied to medical institutions.

Materials and methods. The study used system analysis when studying scientific reports devoted to risk management in medical institutions; comparative analysis when comparing the features of financial and non-financial risks; statistical analysis when processing data on the financing and activities of medical institutions.

Results. The study of risks and their features is an important step towards creating a sustainable healthcare system. Effective risk management allows ensuring financial stability, improve the quality of services provided and ensure long-term development in an unstable external environment in medical institutions.

Research limitations. When conducting research, there were restrictions on access to financial statements of medical institutions, but they did not have a significant impact on the preparation of the article.

Conclusions. Risk management helps to minimize the adverse consequences of both financial and non-financial risks, such as clinical errors, hospital infections, personnel problems, and reputational risks.

Compliance with ethical standards. The conclusion of the biomedical ethics committee is not required.

Funding. This article was prepared by the author within the framework of the research work “Development of methodological approaches to value-oriented healthcare (VOH) in the city of Moscow”.

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

Received: March 26, 2025 / Accepted: June 24, 2025 / Published: October 31, 2025

About the Author

Sergey S. Budarin
Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department
Russian Federation

DSc (Economy), leading researcher, Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department, Moscow, 115088, Russian Federation

e-mail: BudarinSS@zdrav.mos.ru



References

1. Reprintseva E.V. Analysis and Planning of Financial Support in Healthcare [Analiz i planirovanie finansovogo obespecheniya v zdravookhranenii]. Kursk; 2021. https://elibrary.ru/plgqwb (in Russian)

2. Hajiyeva A., Jarl J., Saha S. The effectiveness of quality management interventions in reducing hospital-associated infections in adult patients: A systematic literature review. Int. J. Infect. Dis. 2025; 154: 107837. https://doi.org/10.1016/j.ijid.2025.107837

3. Makic M.B.F., Stevens K.R., Gritz R.M., Wald H., Ouellet J., Morrow C.D., et al. Dashboard design to identify and balance competing risk of multiple hospital-acquired conditions. Appl. Clin. Inform. 2022; 13(3): 621–31. https://doi.org/10.1055/s-0042-1749598

4. Sisin Ye.I., Golubkova A.A., Kozlova I.I., Ostapenko N.A. Epidemiological risks and lessons from the first wave of new Coronavirus infection (COVID-19) in medical organizations. Epidemiologiya i infektsionnye bolezni. 2020; 25(4): 156–66. https://doi.org/10.17816/EID54401 https://elibrary.ru/yfecym (in Russian)

5. Nenadskaya S.A., Kovalev E.V., Erganova E.G., Leonenko N.V., Noskova O.A., Batashev V.V., et al. The risks of healthcare-associated infections in healthcare settings of the Rostov region. Meditsinskii vestnik Yuga Rossii. 2024; 15(1): 44–53. https://doi.org/10.21886/2219-8075-2024-15-1-44-53 https://elibrary.ru/rejisf (in Russian)

6. Spyropoulos A.C., Ageno W., Cohen A.T., Gibson C.M., Goldhaber S.Z., Raskob G. Prevention of venous thromboembolism in hospitalized medically ill patients: A U.S. perspective. Thromb. Haemost. 2020; 120(6): 924–36. https://doi.org/10.1055/s-0040-1710326

7. Gunderson C.G., Bilan V.P., Holleck J.L., Nickerson P., Cherry B.M., Chui P., et al. Prevalence of harmful diagnostic errors in hospitalised adults: a systematic review and meta-analysis. BMJ Qual. Saf. 2020; 29(12): 1008–18. https://doi.org/10.1136/bmjqs-2019-010822

8. Rodwin B.A., Bilan V.P., Merchant N.B., Steffens C.G., Grimshaw A.A., Bastian L.A., et al. Rate of preventable mortality in hospitalized patients: a systematic review and meta-analysis. J. Gen. Intern. Med. 2020; 35(7): 2099–106. https://doi.org/10.1007/s11606-019-05592-5

9. Lebedeva A.M., Bereznikov A.V., Berseneva E.A., Onufriychuk Yu.O., Shkitin S.O., Makarets N.V. Diagnostics errors as the reasons for the discrepancy between clinical and pathoanatomical diagnoses. Vestnik Rossiiskogo universiteta druzhby narodov. Seriya: Meditsina. 2022; 26(1): 88–95. https://doi.org/10.22363/2313-0245-2022-26-1-88-95 https://elibrary.ru/peyzwf (in Russian)

10. Kharisov A.M., Berseneva E.A., Bereznikov A.V., Shkitin S.O., Skiba Ya.B., Klimov Yu.A. Assessment of health center risks, related to medical care delivery in therapeutic departments. Vestnik sovremennoi klinicheskoi meditsiny. 2019; 12(3): 61–6. https://doi.org/10.20969/VSKM.2019.12(3).61-66 (in Russian)

11. Akinleye D.D., McNutt L.A., Lazariu V., McLaughlin C.C. Correlation between hospital finances and quality and safety of patient care. PLoS One. 2019; 14(8): e0219124. https://doi.org/10.1371/journal.pone.0219124

12. Sazanova G.Yu., Mirieva I.D., Yerugina M.V., Ponomarev A.D. Quality of medical care and financial management issues (review). Saratovskii nauchno-meditsinskii zhurnal. 2021; 17(4): 751–4. https://elibrary.ru/nygluh (in Russian)

13. Felemban R.M., Mohorjy D.K. The return on investment value of integrating the WHO patient safety curriculum in nursing diploma: forecasting case study. J. Taibah. Univ. Med. Sci. 2022; 17(6): 976–82. https://doi.org/10.1016/j.jtumed.2022.06.004

14. Beauvais B., Richter J.P., Kim F.S., Palmer E.L., Spear B.L., Turner R.C. A reason to renovate: The association between hospital age of plant and value-based purchasing performance. Health Care Manage. Rev. 2021; 46(1): 66–74. https://doi.org/10.1097/HMR.0000000000000227

15. Pascarella G., Rossi M., Montella E., Capasso A., De Feo G., Botti G., et al. Risk analysis in healthcare organizations: methodological framework and critical variables. Risk Manag. Healthc. Policy. 2021; 14: 2897–911. https://doi.org/10.2147/RMHP.S309098

16. Enumah S.J., Resnick A.S., Chang D.C. Association of measured quality with financial health among U.S. hospitals. PLoS One. 2022; 17(4): e0266696. https://doi.org/10.1371/journal.pone.0266696

17. Reprintseva E.V. Condition and problems of financial support of the Russian healthcare system. Azimut nauchnykh issledovanii: ekonomika i upravlenie. 2021; 10(1): 264–7. https://doi.org/10.26140/anie-2021-1001-0064 https://elibrary.ru/ticlar (in Russian)

18. Trifonov B.I. Financial and economic risks management in Russian health care system. Upravlencheskie nauki. 2022; 12(4): 63–75. https://doi.org/10.26794/2304-022X-2022-12-4-63-75 https://elibrary.ru/nysrsm (in Russian)

19. Zavrazhskii A.V. Features of risk classification in medical organizations. Teoreticheskaya i prikladnaya ekonomika. 2017; (3): 90–105. https://elibrary.ru/zneler (in Russian)

20. Koval D.S., Tishina A.O., Kharlanov V.A., Koposova O.V. The quality management system in medical practice and its norms in the health care organization. Forum molodykh uchenykh. 2020; 10(50): 253–6. https://elibrary.ru/hwculg (in Russian)

21. Grigoryan M.A. The use of information technology to control the financing of medical organizations. Innovatsii i investitsii. 2020; (4): 320–3. https://elibrary.ru/ynjzll (in Russian)

22. Goloshchapova L.V., Yakushina S.O. Financial risk management in the health sector and ways to minimize them. Vestnik Akademii znanii. 2019; 31(2): 278–80. https://elibrary.ru/vmhsix (in Russian)

23. Budarin S., Elbek Yu. Impact of resource management quality on access to health care. Vestnik Kazanskogo gosudarstvennogo agrarnogo universiteta. 2020; 15(3): 88–93. https://doi.org/10.12737/2073-0462-2020-88-93 https://elibrary.ru/gtsdss (in Russian)


Review

For citations:


Budarin S.S. Financial risk management in a medical institution. Health care of the Russian Federation. 2025;69(5):442-448. (In Russ.) https://doi.org/10.47470/0044-197X-2025-69-5-442-448. EDN: vnkoyo

Views: 17


ISSN 0044-197X (Print)
ISSN 2412-0723 (Online)