its implementation, determine alternative options for managing the change and its consequences.
Medical organizations seeking to ensure long-term growth and stability should prepare their employees for frequent changes. Such organizations should set clear goals, as well as form a culture that will facilitate individual and group adaptation to changes. It is important to take a responsible approach to choosing a mechanism for managing changes in the healthcare system. It is the procedure for implementing changes that determines the success of improving the medical, social, and economic efficiency of a particular institution and the industry as a whole.
Key Aspect of Organizational Development and Change
Psychological Aspect
Medical institutions, like any organization, function, develop and interact in a certain environment. At the same time, a stable balance is always formed between the external environment of the medical institution and its internal characteristics. It is necessary to achieve a balance between the level of technology, management dynamics, communication psychology, personnel qualifications, organizational culture, financial success. With changes in the characteristics of the external environment (legislation, competitive environment, financial and economic conditions and psychological factors), the internal environment must also change to achieve their compliance and adequacy (Oreg & Berson, 2019).. In a certain environment, a system or an institution can function successfully and sustainably, the design of which is adequate to this environment. On this basis, the principle of adequate construction is determined.
To ensure the stability and efficiency of the system, its design must be adequate to the characteristics of the external environment. Thus, small and successful organizations must go through the stage of consolidation. In response to changes in the external environment, it is necessary to maintain or increase the efficiency and stability of the system, change its internal characteristics (structure and functions) and external structures (consolidation, creation of medical holdings). To do this, it is necessary to constantly identify and measure changes in the environment and develop appropriate recommendations on them.
Application of Change Quality Indicators
Indicators are numerical indicators that are used to obtain objective information about the quality of organizational changes. They indirectly reflect the quality of their main components: structure, processes and results. Indicators have actual and target values. The ratio of the actual indicator value to the target value, expressed as a percentage, is called the goal achievement index. Indicators of the quality of organizational changes in a medical institution should reflect the main characteristics of medical care. Thus, the effectiveness, safety, timeliness of the changes carried out is evaluated by some indicators (Stouten et al., 2018). Among them are the ability to meet the expectations and needs of the patient, the stability of the implementation of the treatment process and the result. In addition, it is advisable to evaluate the changes carried out in terms of adequacy, accessibility, continuity and continuity, as well as scientific and technical level.
The implementation of the strategic tasks facing the Institution requires the search for innovative management solutions. To do this, it is necessary to plan organizational changes that will increase the pace and volume of medical work, develop the technological level and human potential, and adequately respond to the social demand of society. For a comprehensive assessment and monitoring of all aspects of the life of a medical institution during the implementation of changes, it is necessary to select the most significant, integral indicators. Such indicators fully include quality indicators.
Designing Changes
Development Of the Concept and Business Plan
Preparation for changes in a medical institution should begin with the development of a concept and a business plan for its development project. The purpose of the concept will be to ensure the availability of medical care and increase the efficiency of medical services. Their volumes, types and quality should correspond to the level of morbidity and the needs of the population, as well as the advanced achievements of medical science. The implementation of the above-mentioned measures will be aimed at achieving the following results. First of all, it is a reduction in mortality from all causes and an improvement in the quality of medical care. In order to fully implement the chosen concept, it will be necessary to adopt a number of regulatory legal acts in relation to some issues. For example, it will be necessary to b
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