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JMBS 2019, 4(4): 171–176
https://doi.org/10.26693/jmbs04.04.171
Social medicine and organization of health care

Application of Variable Statistics Methods for Assessing the Medical Personnel Activity

Kriachkova L. V., Makhova I. B., Borvinko E. V., Kozyr A. A.
Abstract

In the conditions of health care reform, when approaches to the management of medical institutions change in order to magnify their autonomy, there is a need to introduce an adequate system of assessing medical personnel activity. Mandated assessment of medical personnel by comparing individual performance averages to external targets is standard practice in many health care systems. The purpose of the research was to study the possibilities of applying the methods of variation statistics to assessment of medical personnel at the present stage of transformation of the health care system. Material and methods. The possibilities of using classical statistical methods, variation statistics were evaluated using the analysis of the results of work of medical staff which were recorded by the information system of medical institutions. Historical, bibliographic and medical statistical methods were also used. Results and discussion. We found out that the basis of the medical personnel evaluation system is the interrelation of the three agreed groups of key indicators: business, labor behavior and performance. It is proved that changes in the health care system associated with improving its efficiency require the use of statistical estimates of quantitative and qualitative indicators of the work of medical personnel. The system of medical personnel assessment in a health care institution, based on a statistic approach, has a purpose to ultimately increase the labor efficiency of all categories of workers and the effectiveness of health care. The effectiveness of health system can be reached by cooperation of three main groups of participants, as follows medical service users (wide circle of population), health system managers and medical personnel. It is medical personnel who are able to work the way they can react on population’s requests fairly and effectively to get the best result. Assessment of medical staff provides for the comparison of certain elements of their work with the relevant standards, requirements, and parameters. This comparison can be most adequately carried out by statistical methods, starting with means of descriptive and variation statistics, and ending with complex technologies, for example, «Six Sigma». The «Six Sigma» is methodological improvement developed in the manufacturing industry and has been applied to healthcare. This concept provides a quality management system with many useful tools for managing quality. Conclusions. The study has showed that in the era of quantitative management, new approaches to management, when mathematical and statistical methods are widely used, formalized assessments of the activities of medical personnel can contribute to improving the efficiency of medical care.

Keywords: assessment of medical personnel, quantitative management, statistical methods

Full text: PDF (Ukr) 246K

References
  1. Biostatystyka [Biostatistics]. Za zag red VF Moskalenka. K: Knyga pljus; 2009. 184 р. [Ukrainian]
  2. Borisova EA. Ocenka i attestacija personala [Estimation and attestation of personnel]. Serija «Teorija i praktika menedzhmenta». SPb: Piter; 2002. 256 р. [Russian]
  3. Dzhoj-Mettjuz D, Megginson D, Sjurte M. Razvitie chelovecheskih resursov [Development of human capitals]. 3-e izdanie. M: Eksmo; 2006. 432 р. [Russian]
  4. Etapy vprovadzhennja reformy finansuvannja systemy ohorony zdorovja zakladamy PMD u 2018 roci: Zbirka materialiv metodologichnoi’ pidtrymky dlja zakladiv PMD [Stages of introduction of reform of financing of the system of health protection by establishments of primary medicare in 2018: Collection of materials of methodological support for establishments of primary medicare]. K: Proekt USAID «Pidtrymka reformy ohorony zdorovja»; 2018. 20 р. [Ukrainian]
  5. Zjukov O, Djachuk D, Marhon I. Sovremennye metody upravlenija kachestvom medicinskoj pomoshhi (koncepcija «shest sigm») [Modern methods of management by quality of medicare (conception is "six sigma-mesons")]. Glavnyj vrach. 2012; 5(133): 25-47. [Russian]
  6. Kolot AM, Solomarskyj IO. Motyvacija, stymuljuvannja j ocinka personalu [Motivation, stimulation and estimation of personnel]: navch posibnyk. K: KNEU; 2008. 224 р. [Ukrainian]
  7. Krushelnytska OV, Melnychuk DP. Upravlinnja personalom [Management a personnel]: Navchalnyj posibnyk. K: «Kondor»; 2003. 296 р. [Ukrainian]
  8. Lang TA, Sesik M. Kak opisyvat statistiku v medicine [How to describe statistics in medicine]. Rukovodstvo dlja avtorov, redaktorov i recenzentov. M: Prakticheskaja Medicina; 2011. 480 р. [Russian]
  9. Magura MI, Kurbatova M.B. Ocenka raboty personala. Podgotovka i provedenie attestacii [Estimation of work of personnel. Preparation and realization of attestation]. M: Biznes-shkola «Intel-Sintez»; 2002. 176 р. [Russian].
  10. Nakaz MOZ Ukrainy № 1977 vid 31.10.2018 "Pro vnesennia zmin do Dovidnyka kvalifikatsiinykh kharakterystyk profesii pratsivnykiv. Vypusk 78 «Okhorona zdorovia»" ["About making alteration to reference Book of qualifying descriptions of professions of workers. Producing 78 “Health Protection”]. Available from: http://moz.gov.ua/article/ministry-mandates/nakaz-moz-ukraini-vid-31102018--1977-provnesennja-zmin-do-dovidnika-kvalifikacijnih-harakteristik-profesij-pracivnikiv-vipusk-78-ohorona-zdorovja [Ukrainian]
  11. Rol’ upravlinnja kadrovymy resursamy u pokrashhenni rezultativ dijalnosti systemy ohorony zdorovja [A role of management skilled resources is in the improvement of results of activity of the system of health protection Ukraine]. Materialy Proektu JeS «Spryjannja reformi vtorynnoi medychnoi dopomogy v Ukraini». Kyiv; 2009. 72 р. [Ukrainian]
  12. Vynogradskyj MD, Beljajeva SV, Vynogradska AM. Upravlinnja personalom [Management a personnel]. K: Centr navchalnoi literatury; 2006. 501 р. [Ukrainian]
  13. Al-Qatawneh L, Abdallah AAA, Zalloum SSZ. Six Sigma Application in Healthcare Logistics: A Framework and A Case Study. J Healthc Eng. 2019; 2019: 9691568. doi:10.1155/2019/9691568
  14. Lee DK, In J, Lee S. Standard deviation and standard error of the mean. Korean J Anesthesiol. 2015; 68(3): 220–3. https://www.ncbi.nlm.nih.gov/pubmed/26045923. https://www.ncbi.nlm.nih.gov/pmc/articles/4452664. https://doi.org/10.4097/kjae.2015.68.3.220