Conceptual approaches to changes’ management in public health organizations
This article considers levels of public health management, the new concept of WHO was defined concerning quality of public health quality. It analyzes the state of Russian public health system, unveils the system problems of the field’s management. This work also considers directions of Russian public health reformation. The paper analyzes positive tendencies and possible threats during the changes. The authors consider the mechanism of changes «bottom-upwards» from macro to meso and micro levels. At the same time the role of public health organizations is defined in the process of reformation, initiation possibility of strategic innovations integration on the basis of modern methods of strategic management, marketing and management accounting application. It suggests the author’s view of more perfect public health management system at level of the field (macro-level), dependence of its successful work from right organization at places, formation of changes mechanism at all the levels, starting from micro-level (in public health organizations). Organization of public health is presented as complicated, opened, soft, dynamic and adaptive system; the mechanism of input transformation is labor, financial and material resources; the mechanism of output is ready production as medical service. The authors formed goals, tasks, principles and stages of changes management integration in public health organizations. This article suggests theoretical and methodological statements about changes management in public health organizations, which are based on the synthesis of multi-level and integrative approaches; it can be considered as a basic for the management system improvement and creation of summarized synergetic effect of micro, meso and macro-levels, aimed at rising of medical, social and economic field’s efficiency.