Bulletin of Semashko National Research Institute of Public HealthBulletin of Semashko National Research Institute of Public Health2415-84102415-8429FSSBI «N.A. Semashko National Research Institute of Public Health»274710.25742/NRIPH.2024.02.007Обзорная статьяOn the issue of the main management approaches in healthcare in the first two decades of the XXI centuryMuslimovMuslim I.office@auz.clinichttps://orcid.org/0000-0001-9046-8157National Association of Healthcare Managers040620242394429042025Copyright © 2025,2025<p>In our country, the basic organizational approaches to healthcare development, formulated by Nikolai Aleksandrovich Semashko, remain in demand, the implementation of which ensured the sustainability of the public health system and the ability to quickly solve problems at various historical stages. Over the two decades of the XXI century, a basic set of scientifically based ideas about modern requirements for management in medical organizations has been formed and implemented. At the same time, today there is a need to improve the strategy for the development and management of medical organizations in the context of modern socio-economic, geopolitical changes and infectious and epidemiological risks.</p>healthcare developmentpublic and private medical organizationsmanagement approachesaccessibilityqualitysafetymanagementразвитие здравоохранениягосударственные и частные медицинские организацииуправленческие подходыдоступностькачествобезопасностьменеджмент1.Khabriev R.U., Lindenbraten A.L., Komarov Yu.M. The strategy for protecting public health as the basis of the state’s social policy. Problems of social hygiene, health care and history of medicine. [Problemy sotsialnoi gigieny, zdravookhraneniya i istorii meditsiny]. 2014;(3):3—5 (in Russian).2.3.Skvirskaya G.P., Volnukhin A.V. The main directions for improving activities in the field of public health and healthcare management in modern conditions in the Russian Federation. Modern problems of health care and medical statistics. [Sovremennyye problemy zdravookhraneniya i meditsinskoy statistiki]. 2020;(2):348—366 (in Russian).4.5.Baysarina I.E., Ibraev S.E. Experience in implementing and operating a risk management system in foreign medical organizations. Experimental and theoretical research in modern science: Collection of articles based on the materials of the LXXVI international scientific and practical conference. Novosibirsk, 2022;4(69):14—23 (in Russian).6.7.Timurzieva A.B. Problems of satisfaction with the interaction of patients and employees of a medical organization during the diagnostic and treatment process (review). Problems of social hygiene, health care and history of medicine. [Problemy sotsialnoi gigieny, zdravookhraneniya i istorii meditsiny]. 2022;30(6):1275—1282 (in Russian).8.9.Suslin S.A., Timyashev P.V., Sadreeva S.Kh. Patient satisfaction with medical care in outpatient settings. Modern problems of health care and medical statistics. [Sovremennyye problemy zdravookhraneniya i meditsinskoy statistiki]. 2022;(3):728—751 (in Russian).10.11.Dorofeev S.B., Babenko A.I. General methodological approaches to determining strategic positions in the formation of a healthy lifestyle of the population. Problems of social hygiene, health care and history of medicine. [Problemy sotsialnoi gigieny, zdravookhraneniya i istorii meditsiny]. 2017;25(1):7—13 (in Russian).12.13.Greer S.L. Labor politics as public health: how the politics of industrial relations and workplace regulation affect health. Eur J Public Health. 2018;28(3):34—37. DOI: 10.1093/eurpub/cky16314.15.Bakirova E.A., Berseneva E.A., Kitayeva E.A., Shigabutdinova T.N., Mingazova E.N. On the issue of the quality of medical care to the rural population of the Republic of Tatarstan (review). Public health and healthcare. [Obshchestvennoye zdorov'ye i zdravookhraneniye]. 2020;4(68):49—55 (in Russian).16.17.Kitaeva E.A., Bakirova E.A., Suetina T.A., Zainullin M.I., Khalikov I.R. A single preventive space for the prevention of non-communicable diseases and the formation of commitment to a healthy lifestyle. In the collection: Human health in the 21st century: a collection of scientific articles. Kazan, 2019;420—425 (in Russian).18.19.Nagibina Yu.V., Ibatov A.D., Zakharova L.A. Medical and social characteristics and quality of life of patients with coronary heart disease. Problems of social hygiene, health care and history of medicine. [Problemy sotsialnoi gigieny, zdravookhraneniya i istorii meditsiny]. 2017;25(2):84—87 (in Russian).20.21.Bobrovnitsky I.P., Prilipko N.S., Turbinsky V.V., Yakovlev M.Yu. Environment and public health: current issues in the organization of healthcare and medical education. Healthcare manager. [Menedzher zdravookhraneniya]. 2021;(1):5—14 (in Russian).22.23.Vigdorchik Ya.I. About motivation for a healthy lifestyle. Healthcare manager. [Menedzher zdravookhraneniya]. 2021;(8):54—60 (in Russian).24.25.Starodubov V.I., Salagai O.O., Soboleva N.P., Savchenko E.D. On the issue of strengthening and maintaining the health of workers at enterprises of the Russian Federation. Healthcare manager. [Menedzher zdravookhraneniya]. 2018;(10):31—39 (in Russian).26.27.Popov A.V., Zasypkin M.Yu., Minaev Yu.L., Supilnikov A.A., Sukhobrus E.A., TugushevM.T. Principles of quality management in a private medical company (using the example of the “IDK medical company”). Bulletin of the Medical Institute «Reaviz». [Vestnik meditsinskogo instituta «Reaviz»]. 2018;(4):123—127 (in Russian).28.29.Osmanov E.M., Manyakov R.R., Osmanov R.E., Zhabina U.V., Konyaev D.A., Agafonova Yu.V., Peshkova A.A. Medicine 4 “P” as the basis of a new healthcare system. Bulletin of Russian Universities. Mathematics. [Vestnik rossiyskikh universitetov. Matematika]. 2017;22(6):1680—1685 (in Russian).30.31.Petrova N.G. On unsolved problems of ensuring the quality of medical care. Bulletin of St. Petersburg University. Medicine. [Vestnik Sankt-Peterburgskogo universiteta. Meditsina]. 2018;13(1):83—90 (in Russian).32.33.Ulyanov Yu.A., Mingazova E.N., Zaripova E.M., MingazovR.N. Customer focus in medicine: a modern view of the problem. Healthcare manager. [Menedzher zdravookhraneniya].2021;(2):40—44 (in Russian).34.35.Gribanov Yu.I. Basic models for creating industry digital platforms. Issues of innovative economics. [Voprosy innovatsionnoy ekonomiki]. 2018;(2):223—234 (in Russian).36.37.Kadyrov F.N. “Other conditions” as a basis for payment for medical care provided. Part 1. Healthcare manager. [Menedzher zdravookhraneniya]. 2018;(2):71—78 (in Russian).38.39.Mazharenko V.A., Netseplyaev D.A. State and non-state medical organizations: the choice of citizens. Sociology of the city. [Sotsiologiya goroda]. 2010;(4):42—46 (in Russian).40.41.Ulyanov Yu.A., Zaripova E.M., Mingazova E.N. From patient-oriented medicine to 4P medicine: the semantic aspect of the trend. Healthcare manager. [Menedzher zdravookhraneniya].2020;(9):26—29 (in Russian).42.43.Kharisov A.M., Berseneva E.A., Bereznikov A.V., Efimov M.D., Shkitin S.O. On the issue of organizing internal quality control of medical care in medical organizations. Bulletin of Semashko National Research Institute of Public Health. [Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'ya imeni N.A.Semashko]. 2020;(2):4—15 (in Russian).44.45.Gololobova T.V., Shestopalova T.N., Kharlampidi M.P., Fatkhullina L.S., Khairullin R.N. Methodological principles for the formation of standard operating procedures. Problems of standardization in healthcare. [Problemy standartizatsii v zdravookhranenii]. 2018;(9—10):3—8 (in Russian).46.47.Lindenbraten A.L., Dubinin N.D., Farrakhova G.R., Yagudin R.Kh. Some aspects of the implementation of quality management systems for medical care. Practical medicine. [Prakticheskaya meditsina]. 2015;4—2(89):68—71 (in Russian).48.49.Sergeeva N.M. The procedure for introducing a quality management system into the activities of a medical organization. Karelian scientific journal. [Karel'skiy nauchnyy zhurnal].2017;3(20):134—136 (in Russian).50.51.Seregina I.F. Quality management system in healthcare: a fashionable trend or a requirement of the time. Quality management in healthcare. [Upravleniye kachestvom v zdravookhranenii]. 2014;(1):3—7 (in Russian).52.53.Artamonova G.V., Danilchenko Ya.V., Kryuchkov D.V., Karas D.V. Quality management system and working environment of a medical organization. Complex problems of cardiovascular diseases. [Kompleksnyye problemy serdechno-sosudistykh zabolevaniy].2018;(7):62—69 (in Russian).54.55.Lindenbraten A.L., Grishina N.K., Serdyukovsky S.M., Kolomiychenko M.E., Ludupova E.Yu. Basic principles for constructing a system of criteria and indicators for assessing the quality and effectiveness of medical activities. Bulletin of Semashko National Research Institute of Public Health. [Byulleten' Nacional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'ya imeni N.A.Semashko]. 2020;(2):30—35 (in Russian).56.57.Gaidarov G.M., Alekseeva N.Yu., Safonova N.G. Experience in organizing internal quality control of medical care (using the example of faculty clinics of ISMU. Acta biomedica scientifica.2017;2(3):63—69 (in Russian).58.30.PanovA.V., BykovskayaT.Yu. Modern approaches to improving the institution of paid medical services in Russia. Research and practice in medicine. [Issledovaniya i praktika v meditsine]. 2019;6(1):119—131 (in Russian).59.60.Sachek O.I., Beresten N.F., Tolmachev D.A., Oskov Yu.I. Availability and staffing of outpatient medical departments with functional diagnostic doctors in the Russian Federation and pilot regions in 2012—2016. Medical alphabet. [Meditsinskiy alfavit].2018;4(351):7—12 (in Russian).61.62.Belostotsky A.V., Gridnev O.V., Grishina N.K. Znachkova E.A. Current issues in the development of human resources in healthcare. Problems of social hygiene, health care and history of medicine. [Problemy sotsialnoi gigieny, zdravookhraneniya i istorii meditsiny].2016;24(4):230—235 (in Russian).63.64.Starodubov V.I., Ivanova M.A., Lyutsko V.V. Popova N.M., Tolmachev D.A. Expenses of working time of medical specialists to perform work related to ultrasound examinations. Russian medical journal. [Rossiyskiy meditsinskiy zhurnal]. 2017;23(6):288—291 (in Russian).65.66.Blanchfield B.B., Demehin A.A., Cummings C.T., Ferris T.G., Meyer G.S. The Cost of Quality: An Academic Health Center's Annual Costs for Its Quality and Patient Safety Infrastructure. Jt Comm J Qual Patient Saf. 2018;44(10):583—589. DOI: 10.1016/j.jcjq.2018.03.01267.68.Kadyrov F.N., Khairullina I.S. Outsourcing in healthcare. Part 1. Healthcare manager. [Menedzher zdravookhraneniya]. 2009;(8):58—65 (in Russian).