Email this article Use of "Lean" Technologies in the Medical Examination of the Adult Population in the Ryazan Region
- Authors: Uspenskaya I.V.1, Selyavina O.N.1
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Affiliations:
- Ryazan State Medical University
- Issue: Vol 30, No 2 (2022)
- Pages: 159-166
- Section: Original study
- URL: https://journal-vniispk.ru/pavlovj/article/view/104844
- DOI: https://doi.org/10.17816/PAVLOVJ104844
- ID: 104844
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Abstract
INTRODUCTION: The medical examination of the adult population is an important mechanism to preserve the labor potential of the country through the early detection of diseases and prevention of premature mortality. The active involvement of citizens in preventive measures and an increase in the availability of medical examinations are vectors in increasing the coverage of the population. One of the mechanisms for increasing availability is the use of "lean" technologies, which was realized in the Ryazan region as part of the project "Optimization of the Medical Examination Process".
AIM: To evaluate the optimization of the medical examination of the adult population in the Ryazan region through the use of "lean" technologies.
MATERIALS AND METHODS: The project was implemented based on a multidisciplinary clinical hospital with high planned tasks for the coverage of the adult population indicated for medical examination. In the implementation of the project, problems in the organization of the medical examination of the adult population were identified, maps of the current state and the target state were compiled, solutions to each identified problem were proposed, and a 4-month schedule of measures was made.
RESULTS: The evaluation of the effectiveness of the project "Optimization of the Medical Examination Process" using "lean" technologies reduced the patient stay in the clinic by 1.7 times in the first stage of the medical examination and reduced the duration of this stage from 5 to 1.5 days. In the second stage, the total patient stay in the clinic was reduced two times, and the duration of this stage was reduced from 8 to 2 days. The throughput capacity of the pre-medical reception room of the medical prevention department increased from 48 to 100 people per day with a two-shift working schedule, which permitted fulfilling the planned annual tasks for medical examination by 100.0%.
CONCLUSION: The successful experience of the introduction of the "lean" production principles in the medical examination of the adult population demonstrated increased effectiveness and availability of preventive measures for the population in the region.
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##article.viewOnOriginalSite##About the authors
Irina V. Uspenskaya
Ryazan State Medical University
Author for correspondence.
Email: irinauspenskaya1958@yandex.ru
ORCID iD: 0000-0002-3163-5688
SPIN-code: 6094-2737
MD, Dr. Sci. (Med.), Professor
Russian Federation, RyazanOl'ga N. Selyavina
Ryazan State Medical University
Email: o.selyavina@mail.ru
ORCID iD: 0000-0001-7198-9176
SPIN-code: 8720-2880
Russian Federation, Ryazan
References
- Order of the Ministry of Health of the Russian Federation dated of 03 December, 2012 No. 1006n «Ob utverzhdenii poryadka provedeniya dispanserizatsii opredelennykh grupp vzroslogo naseleniya». Available at: https://docs.cntd.ru/document/902387264. Accessed: 2022 March 14. (In Russ).
- Order of the Ministry of Health of the Russian Federation dated of 03 February, 2015 No. 36an (ed. from 09 December, 2016) «Ob utverzhdenii poryadka provedeniya dispanserizatsii opredelennykh grupp vzroslogo naseleniya». Available at: https://docs.cntd.ru/document/420256200. Accessed: 2022 March 14. (In Russ).
- Order of the Ministry of Health of the Russian Federation dated of 26 October, 2017 No. 869n «Ob utverzhdenii poryadka provedeniya dispanserizatsii opredelennykh grupp vzroslogo naseleniya». Available at: https://docs.cntd.ru/document/542610982. Accessed: 2022 March 14. (In Russ).
- Order of the Ministry of Health of the Russian Federation dated of 13 March, 2019 No. 124n «Ob utverzhdenii poryadka provedeniya profilakticheskogo meditsinskogo osmotra i dispanserizatsii opredelennykh grupp vzroslogo naseleniya». Available at: https://docs.cntd.ru/document/554018402. Accessed: 2022 March 14. (In Russ).
- Order of the Ministry of Health of the Russian Federation dated of 27 April, 2021 No. 404n «On Approval of the Procedure for Conducting Preventive Medical Examination and Medical Examination of Certain Groups of the Adult Population». Available at: https://docs.cntd.ru/document/607124051. Accessed: 2022 March 14. (In Russ).
- Schepin OP. The role of dispensarization in decreasing of morbidity of population. Problemi Socialnoii Gigieni, Zdravoohranenia i Istorii Meditsini. 2015;23(1):3–7. (In Russ).
- Egorov VA, Drozdova LIu, Kalinina AM. Experience with lean technologies methods for prophylactic medical examination of certain adult population groups. Profilakticheskaya Meditsina. 2018;21(3):16 20. (In Russ). doi: 10.17116/profmed201821316
- Passport of the priority project “Creation of a new model of a medical organization providing primary health care”. Available at: https://docs.cntd.ru/document/456083934. Accessed: 2022 March 14. (In Russ).
- Uspenskaya IV, Manukhina EV, Selyavina ON. Preventative medical examination of the population: best practices. Spravochnik Vracha Obshchey Praktiki. 2018;(2):33–8. (In Russ).
- Uspenskaya IV, Manukhina EV, Selyavina ON. On Organization of Prophylactic Medical Examination of the Population. Glavvrach. 2019;(1): 60–6. (In Russ).
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