Rogachevskyi O. Ensuring the strategic management in the health care system in the context of global challenges: theory and methodology

Українська версія

Thesis for the degree of Doctor of Science (DSc)

State registration number

0521U101225

Applicant for

Specialization

  • 08.00.03 - Економіка та управління національним господарством

07-05-2021

Specialized Academic Board

Д 41.051.11

Odessa I. I. Mechnikov National University

Essay

The research is devoted to the formation of a conceptual framework and scientific substantiation of the theoretical and methodological basis, methodological provisions and recommendations for ensuring strategic management in the health care system in the context of global challenges, which will increase the level of intra-industry management based on multicomponent components. Scientific research is aimed at solving issues related to ensuring strategic management in the health care system through the concepts of the evolutionary paradigm of the functioning and development of the country's medical sphere. A methodology for ensuring competitiveness in the healthcare sector, taking into account the strategic potential and global challenges, is proposed, which provides a systematic study and a concept of strategic transformations in the healthcare sector. A conceptual model has been developed for ensuring the foresight methodology in the strategic development of the national healthcare industry, which allows visualization of possible trends in the development of the medical industry and its structural segments with the help of the socio-economic and innovation-technological components, with a focus on prospective periods of operation, achieving priority coordination and understanding between stakeholders. A mechanism for ensuring strategic management in the health care system has been developed, which produces a complex of adaptive interaction of coordinated components of an organizational, structural, functional, resource and methodological nature, aimed at permanently solving strategic problems in the medical field through the use of the regulatory and restraining basis of state regulation, taking into account market levers and regulators. A conceptual and methodological basis for intra-industry controlling in the healthcare sector is proposed. Scientific approaches to the configuration of the strategy for improving the functioning of the medical sphere in the national environment have been improved. The conceptual foundations of knowledge management in the strategic management system of the health care system have been formed, which are supplemented by components of interrelated elements and based on the method of adaptive structuring of intra-industry processes, determination of the main directions of information flows, training of qualified personnel capable of further training. The conceptual basis of strategic planning in the healthcare sector has been developed, which is complemented by the paradigm of multicomponent modeling of the parameters of the functioning and strategic development of the country's medical sector. Scientific approaches to the formation of the stages of strategic management of socio-economic components in the national health care system have been substantiated. The scientific foundations of monitoring in the system of strategic health management have been improved. The theoretical and methodological foundations of the target efficiency of the socio-economic system in the health care sector have been formed, providing for the typology of the socio-economic system in the health care sector, highlighting the socio-medical and economic efficiency. The conceptual and methodological support of strategic management in the health sector is proposed, which is a set of forms, principles, methods and tools of influence of the strategic management subject in the medical field on the corresponding management object to achieve a strategic goal, which is complemented by a structural and functional system of classification signs of intra-industry strategic priorities, which will ensure the system of strategic management in the health sector at the proper level.

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