Public Health
doi: 10.25005/2074-0581-2023-25-1-10-21
INTRODUCING A QUALITY MANAGEMENT SYSTEM IN A MEDICAL ORGANIZATION: SWOT ANALYSIS

I.V. Vinogradova1,2,, I.V. Petrov1,3,, N.E. Novosyolova1, A.A. Almukhametov4,5, F.S. Petrova3

1Perinatal Center, Yoshkar-Ola, Republic of Mari El, Russian Federation
2Department of Pediatrics, I.N. Ulyanov Chuvash State University, Cheboksary, Chuvash Republic, Russian Federation
3Department of Fundamental Medicine, Mari State University, Yoshkar-Ola, Republic of Mari El, Russian Federation
4Department of Public Health and Healthcare Organization, Kazan State Medical University, Kazan, Republic of Tatarstan, Russian Federation
5Scientific and Clinical Center for Precision and Regenerative Medicine, Institute of Fundamental Medicine and Biology, Kazan (Volga Region) Federal University, Kazan, Republic of Tatarstan, Russian Federation

Objective: To determine the strengths and weaknesses, opportunities and threats for the successful functioning of the Perinatal Center of the Republic of Mari El in the context of the development, implementation and maintenance of the quality management system

Methods: An anonymous survey was conducted among the staff of a medical organization in the amount of 59 people (the sample size was determined by the method of K.A. Otdelnova, p<0.05). The questionnaire included questions to assess the opinion of employees on possible strengths and weaknesses, as well as opportunities and threats for the institution. In addition to the suggested answers, the respondents could offer their own solutions to the problems. The results were processed using descriptive statistics.

Results: A SWOT analysis matrix was compiled, including strengths (orders of care, clinical recommendations (64.4%; CI 64.0-64.8), development and use of standard operating procedures, algorithms (59.3%; CI 58.9-59.8), work in medical and laboratory systems (50.8%; CI 50.4-51.3), quality control system, medical commission (42.4%; CI 41.7-43.1)) and weaknesses (weak material base (49.2%; CI 48.5-49.8), weak medical and laboratory systems (59.3%; CI 58.6-60.0 and 45.8%; CI 44.8-46.7, respectively)), opportunities (digital technologies (49.2%; CI 48.3-50.0), management commitment (62.7%; CI 62.5-62.9), employee training in quality control (50.8%; CI 50.5-51.2), request for quality and safety from patients (50.8%; CI 50.3-51.4), adherence to clinical guidelines (52.5%; CI 52.0-53.1)) and threats (medical system not functioning properly (67.8%; CI 67.1-68.5), regulatory framework for quality control (47.5%; CI 46.7-48.3) and races consumables (42.4%; CI 41.7-43.1)).

Conclusion: Threats (3 of medium significance) and opportunities (1 of medium significance, 4 of high significance), as well as weaknesses (3 of medium significance) and strengths (2 of high significance) for the successful functioning of a medical organization, which were taken into account in the standard "Guidelines for quality” and activity planning.

Keywords: Quality management system, medical organization, process management model, medical activity safety, SWOT-analysis.

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Authors' information:

Vinogradova Irina Valerievna,
Doctor of Medical Sciences, Chief Physician, Perinatal Center; Professor of the Department of Pediatrics, I.N. Ulyanov Chuvash State University
Scopus ID: 55560959500
SPIN-код: 2310-4456
Author ID: 842428
E-mail: roddom.glavvrach@mari-el.ru

Novosyolova Natalia Evgenievna,
Deputy Chief Physician for Clinical and Expert Work, Perinatal Center
Scopus ID: 57205327803
Researcher ID: AAH-9775-2019
ORCID ID: 0000-0002-2097-5679
SPIN-код: 1405-9154
Author ID: 825031
Е-mail: ilia.v.petrov@mail.ru

Almukhametov Artur Amirovich,
Assistant of the Department of Public Health and Healthcare Organization, Kazan State Medical University; Deputy Chief Physician for Clinical and Expert Work, Scientific and Clinical Center for Precision and Regenerative Medicine, Institute of Fundamental Medicine and Biology, Kazan (Volga Region) Federal University
ORCID ID: 0000-0003-3313-8877
Е-mail: novoselova_ne@mail.ru

Petrova Firuza Salavatovna,
Lecturer of the Department of Fundamental Medicine, Mari State University
Scopus ID: 57205334309
Researcher ID: AAS-1585-2020
ORCID ID: 0000-0003-3721-5649
SPIN-код: 4288-4364
Author ID: 1074740
Е-mail: firka_khusnullina@mail.ru

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Petrov Ilya Vladimirovich
Candidate of Medical Sciences, Associate Professor of the Department of Fundamental Medicine, Mari State University; Head of the Organizational and Methodological Department, Perinatal Center

424000, Russian Federation, Republic of Mari El, Yoshkar-Ola, Lenin Square, 1

Tel.: +7 (987) 1875644

E-mail: ilia.v.petrov@mail.ru

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