On applying “economical technologies” in children’s polyclinic

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Abstract

Objective. To analyze the work of children’s polyclinic within the framework of the projects “Economical Production”. An active prevalence and introduction of “economical production” concerns different spheres of human productive activities including office processes, service, management, social sphere and healthcare service.

Materials and methods. The project “Organization of entering stream of patients, visiting a district pediatrician at reception days for conditionally ill children” was realized as the first one aimed at improvement of work of children’s polyclinic.

Results. In April 2017, “economical technologies” in the sphere of community health protection were introduced in Perm Krai to improve the most problematic processes in the activity of polyclinics. “Economic technologies” help to raise the availability, quality and safety of medical care at the expense of creating optimal logistics of patients’ streams, organization of ergonomics of working space, effective use of medical technique and equipment. An important element of success regarding the “economical production” is involvement of workers in improvement of processes as well as devotion of the head of organization to design work. It was shown at the example of children’s polyclinic how the improvement projects were realized; the standards of the improved processes of other medical institutions were introduced.

Conclusions. One of improvement projects, its stages and the list of countermeasures for elimination of the causes of the revealed problems is described in details; the results of the other realized projects are presented. The major part of solutions regarding the improvement within the framework of “economical production” in the sphere of public healthcare are organizational and do not require additional material costs.

About the authors

E. A. Kochergina

E.A. Vagner Perm State Medical University

Author for correspondence.
Email: keaperm@mail.ru

Candidate of Medical Sciences, Associate Professor, Department of Pediatrics with Course of Outpatient Pediatrics

Russian Federation, Perm

R. N. Trefilov

National Medical Research Center for Therapy and Preventive Medicine

Email: keaperm@mail.ru

Candidate of Medical Sciences, physician-methodist

Russian Federation, Moscow

I. G. Shinkarik

City Children’s Clinical Hospital № 3 named after I.P. Koryukina

Email: keaperm@mail.ru

Chief Physician

Russian Federation, Perm

N. V. Minaeva

E.A. Vagner Perm State Medical University

Email: keaperm@mail.ru

MD, PhD, Professor, Deputy Rector for Educational Activity, Head of the Department of Pediatrics with Course of Outpatient Pediatrics

Russian Federation, Perm

References

  1. Р 56020-2020. State Standard Specification. Lean Production. Basic Thesis and Vocabulary. Мoscow: Standartinform 2020; 16 (in Russian).
  2. Adler Y.P, Shper V.L. Thrift is not a luxury but survival means. Foreword to the book by Womack, J., Jones, D “The lean Production. How to avoid the losses and achieve the prosperity of your company”,2004, available at: https://www.intalev.ru/library/articles/article.php?ID=5083 (in Russian).
  3. Passport of the foreground project “Establishment of a new model of a medical organization to provide primary health care”. Addendum to the Minutes of the Session of the Presidium of the Council of the President on strategic development and foreground projects on 26.07.2017 № 8. Consultant Plus, available at: http://consultant.ru (in Russian).
  4. Passport of the federal project “Development of the system of providing primary health care”. Addendum to the Minutes of the Session of the project committee on the national project “Health care” on 14.12.2018 № 3. Consultant Plus, available at: http://consultant.ru (in Russian).
  5. Yakovleva T.V., Kamkin Y.G., Karakulina Y.V. et al. Instructional Guidelines of the Ministry of Health of Russia “Realization of projects of improvement with the use of methods of lean production in primary health care organizations”. Мoscow: The Ministry of Health of the Russian Federation 2019 (in Russian).
  6. A list of errands on the realization of the Message of the President to the Federal Assembly on 20.02.2019 № 294, available at: http://www.kremlin.ru/acts/assignments/orders/59898 (in Russian).
  7. The report about the realization of the regional project “The Development of the system of primary health care” (Permsky Krai) on 31.12.2022, available at: https://minzdrav.permkrai.ru/upload/iblock/aa7/gqogtkjf1qu1rou 03ys5p1ik8kz3cy5y.pdf (in Russian).

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