Risk assessment and modeling of facilities under Yerevan municipality by swot analysis method
The most important strategic direction of state policy in Republic of Armenia at the present stage is the reform of the primary health care (PHC) system. SWOT analysis is a framework used to evaluate a company’s competitive position by identifying.
| Рубрика | Менеджмент и трудовые отношения |
| Вид | статья |
| Язык | английский |
| Дата добавления | 13.11.2020 |
| Размер файла | 21,0 K |
Отправить свою хорошую работу в базу знаний просто. Используйте форму, расположенную ниже
Студенты, аспиранты, молодые ученые, использующие базу знаний в своей учебе и работе, будут вам очень благодарны.
Размещено на http://www.allbest.ru/
Risk assessment and modeling of facilities under Yerevan municipality by swot analysis method
Аkopyan L.A.
Mardiyan M.A.
Chopikyan A.S.
Dunamalyan R.A.
(Republic of Armenia)
Abstract
Akopyan Levon Акороу(ск - Deputy of Minister,
MINISTRY OF HEALTH OF REPUBLIC OF ARMENIA;
2Mardiyan Marine Araratovna - Doctor of Medical Science, Professor;
3Chopikyan Armine Samvelovna - PhD in Medicine, Lecturer;
4Dunamalyan Razmik Ashotovich - PhD in Medicine, Аssistant,
PUBLIC HEALTH AND HEALTHCARE ORGANIZATION DEPARTMENT, YEREVAN STATE MEDICAL UNIVERSITY, YEREVAN, REPUBLIC OF ARMENIA
The most important strategic direction of state policy in Republic of Armenia at the present stage is the reform of the primary health care (PHC) system. SWOT analysis is a framework used to evaluate a company's competitive position by identifying its strengths, weaknesses, opportunities and threats. The aim of our research was to study the possibility of using methods of strategic analysis in the management of a primary health care facilities. We have also assessed the risks of strategic and tactical levels. As a result, a risk assessment map has been developed that has allowed substantiating the risks of PHC. Keywords: SWOT-analysis, health facilities, primary health care, strategic planning.
ОЦЕНКА РИСКОВ И МОДЕЛИРОВАНИЕ УЧРЕЖДЕНИЙ ПЕРВИЧНОЙ МЕДИЦИНСКОЙ ПОМОЩИ ЕРЕВАНА МЕТОДОМ SWOT-АНАЛИЗА strategic direction reform
Акопян Л.А.1, Мардиян М.А.2, Чопикян А.С.3, Дунамалян Р.А.4
(Республика Армения)
1 Акопян Левон Акопович - заместитель министра,
Министерство здравоохранения Республики Армения;
2Мардиян Марине Араратовна - доктор медицинских наук, профессор;
3Чопикян Армине Самвеловна - кандидат медицинских наук, преподаватель;
4Дунамалян Размик Ашотович - кандидат медицинских наук, ассистент, кафедра общественного здоровья и организации здравоохранения, Ереванский государственный медицинский университет, г. Ереван, Республика Армения
Важнейшим стратегическим направлением государственной политики в Республике Армения на современном этапе является реформа системы первичной медицинской помощи (ПМП). SWOT-анализ - это структура, используемая для оценки конкурентной позиции компании путем определения ее сильных и слабых сторон, возможностей и угроз. Целью нашего исследования было изучение возможности использования методов стратегического анализа в управлении учреждениями ПМП. Мы также оценили риски стратегического и тактического уровней. В результате была разработана карта оценки рисков, которая позволила обосновать риски ПМП. Ключевые слова: SWOT-анализ, медицинские учреждения, первичная медицинская помощь, стратегическое планирование.
Introduction
Today, issues related to the organization of health care are quite acute. This is due to the fact that the reform of the health care system is one of the key areas of state policy in the social sphere. The main goal of this direction is to increase the availability and quality of medical services for the population. Today, medical science can be characterized by a vagueness of priorities, low innovative potential and an insufficiently developed system for integrating the results of scientific research into practical activity [1].
The most important strategic direction of state policy in Republic of Armenia at the present stage is the reform of the primary health care system. To increase the efficiency of activities, it is necessary to apply such methods that can assess both internal processes and determine the likely impact on the organization from the external environment [2-4].
The SWOT-analysis matrix for health care institutions includes all the information about the development and emergence of new diagnostic and treatment technologies, changes in the structure and composition of the organization, including the level of training of medical personnel. When conducting SWOT analysis, it is necessary to assess the competitive environment of the institution, including their material and technical equipment, professionalism and training of specialists. When conducting SWOT analysis, it is especially important to take into account the different ways of further development of the organization [5, 6].
SWOT analysis is a framework used to evaluate a company's competitive position by identifying its strengths, weaknesses, opportunities and threats. Specifically, SWOT analysis is a foundational assessment model that measures what an organization can and cannot do, and its potential opportunities and threats [7-9].
The aim of our research was to study the possibility of using methods of strategic analysis in the management of a primary health care (PHC) institution.
Material and Methods
SWOT analysis (or SWOT matrix) is a strategic planning technique used to help a person or organization identify strengths, weaknesses, opportunities, and threats related to business competition or project planning [1]. It is intended to specify the objectives of the business venture or project and identify the internal and external factors that are favorable and unfavorable to achieving those objectives. Users of a SWOT analysis often ask and answer questions to generate meaningful information for each category to make the tool useful and identify their competitive advantage. SWOT has been described as the tried-and- true tool of strategic analysis [2]. Strengths and weakness are frequently internally-related, while opportunities and threats commonly focus on the external environment. The name is an acronym for the four parameters the technique examines:
• Strengths: characteristics of the business or project that give it an advantage over others.
• Weaknesses: characteristics of the business that place the business or project at a disadvantage relative to others.
• Opportunities: elements in the environment that the business or project could exploit to its advantage.
• Threats: elements in the environment that could cause trouble for the business or project.
The degree to which the internal environment of the firm matches with the external environment is expressed by the concept of strategic fit. Identification of SWOTs is important because they can inform later steps in planning to achieve the objective. First, decision-makers should consider whether the objective is attainable, given the SWOTs. If the objective is not attainable, they must select a different objective and repeat the process.
SWOT analysis aims to identify the key internal and external factors seen as important to achieving an objective. SWOT analysis groups key pieces of information into two main categories:
1. Internal factors - the strengths and weaknesses internal to the organization.
2. External factors - the opportunities and threats presented by the environment external to the organization
Analysis may view the internal factors as strengths or as weaknesses depending upon their effect on the organization's objectives. What may represent strengths with respect to one objective may be weaknesses (distractions, competition) for another objective. The factors may include all of the 4Ps as well as personnel, finance, manufacturing capabilities, and so on.
Results and Discussion
With the help of SWOT analysis method was evaluated and analyzed the main risks PHC facility management system, which will improve the quality management system of medical care. The proposed model can be used to assess the targeted and effective use of resources.
An internal environment analysis was carried out to assess the strengths and weaknesses of PHC facilities. SWOT analysis was carried out by chief doctors of PHC providers guaranteed by the Department of Healthare of Yerevan Municipality. The criterion for inclusion was the length of service, professional qualifications, professional upgrading, and the fact that it enjoys great reputation in the system (Table 1).
Table 1. Modeling SWOT analysis components ofPHC facilities under the Municipality of Yerevan
|
Internal factors |
Strengths S Qualified specialists; S modern equipment; S guarantied patients; S multifunctional system of quality assurance; S necessary conditions for medical care providing; S state support; S creation of favorable image; S Comfortable location. |
Weaknesses S weak marketing policy; S deficit of state financial sources; S unfavorable saturation (equipments); S low level of medical care accessibility. |
|
|
Opportunities |
Threats |
||
|
S Expand the scope of services market; |
S Reducing the number of |
||
|
S State policy towards the growth of |
working-age population; |
||
|
public health sector investments; |
S Strengthening of competition |
||
|
tfl g |
S Increased demand for quality of |
field (increase of competitors in |
|
|
medical services, accessibility to patients; |
private sector); |
||
|
i |
S State policy on healthy lifestyle and |
S Low rating of medical |
|
|
03 B |
increased demand for patients; |
profession; |
|
|
X W |
S Accessibility of new medical services |
S Political instability, |
|
|
technology market; |
S Public financing discrepancy for |
||
|
S Establishing tax privileges in the |
guaranteed medical services; |
||
|
provision of medical services; S Relatively aging population. |
S Shortcomings in the legal field. |
We have been using SWOT analysis, a matrix of qualitative strategic analysis of the PHC framework. As a result of the review of all factors of the SWOT analysis of the PHC link, a decision has been adopted that is important for clarifying the PHC strategy and objectives.
The results of SWOT analysis of the PHC has substantiated that it is necessary to separate the sources of funding for the system, for example, increasing the volume of paid services, is a strong side for the assembled population, and the weakness factor of the insurance package (table 1).
After risk management analyzing of PHC, experts have given a quantitative assessment of these risks. For each risk management strategy, an initial assessment of the risk level (high, medium, low impact) has been performed. As a result of the matrix analysis of the risk status, we have come to the conclusion that political and economic risks have the most impact on the PHC management. For our quantitative risk analysis, we have developed two criteria for risk assessment, consequence and probability (Table 2).
Table 2. Quantitative assessment ofpossible risks and their consequences of the PHC facilities under the Municipality of Yerevan
|
Risk | Risk outcomes | Potential Risk |
|||
|
Internal risks |
|||
|
Risk associated with the availability of medical equipment |
Very high level of impact on the system |
Probability of risk materialization (25-50%) |
|
|
Risk associated with hygienic-epidemic situation of the system |
High impact degree on key activities |
Probability of risk materialization (up to 25%) |
|
|
Risk associated with the level of doctors' qualification |
High impact degree on key activities |
Probability of risk materialization (25-50%) |
|
|
Risk associated with the doctor's work schedule |
High level of impact on the system |
Probability of risk materialization (25-50%) |
|
|
Risks ighly adversely affecting the health of healthcare providers |
Main activity on high impact |
Probability of risk materialization (25-50%) |
|
|
Professional risks |
Limited effect on key activities |
Probability of risk materialization (25-50%) |
|
|
Medical risks associated with civil and legal liability |
High impact degree on key activities |
Probability of risk materialization (25-50%) |
|
|
Risk related to the use of medical equipment, medicines and medical supplies |
High impact degree on key activities |
Probability of risk materialization (25-50%) |
According to the survey data, 7 of risks having impacts on the main activity of the PHC network have a high impact (25-50%) and one low impact (up to 25%). According to the risk assessment of the likelihood of materialization of 1 risk involve up to 25%, and other risks remain 25-50 percent (Table 2).
Evaluating external and internal risks of PHC facilities under municipal administration, one can argue that there are no risks to the system's critical condition. We have also assessed the risks of strategic and tactical levels. As a result, a risk assessment map has been developed that has allowed substantiating the risks of PHC.
This approach allows having objective conclusions about key risks. An important conclusion is that existing high risks indicate that in the PHC facilities under the Yerevan Municipality have problems in ensuring efficiency of management system.
In the next stage of study, were assessed the management risks of the system (Table 3).
Table 3. Assessment of risk management ofPHC facilities under the Municipality of Yerevan is of great importance
|
Three most important risks |
"Importance" (10 points assessment system) |
"Management Efficiency" (10 points assessment system) |
"The Importance of a Negative Effect" |
|
|
1 |
2 |
3 |
4 (2-3) |
|
|
1 (85,4%) |
10 |
3 |
+7 |
|
|
2 (74,3%) |
9 |
2 |
+7 |
|
|
3 (65,4%) |
9 |
1 |
+8 |
Table 3 is complemented by answers to the following questions:
1. Is agree the strategic manager of PHC that these risks exist in the organization? (85.4%)
2. Is agree the strategic manager of PHC that these risks are important? (74.3%)
3. Is agree the strategic manager of PHC that these risks have a significant importance and significance? (65.4%)
4. Have organization a plan of risk management measures? (25.4%),
5. Do you find that the risk management is an integral part of management of the organization? (22.7%)
It was suggested to highlight the three most important risks. Each risk was assessed according to the Scale, "Importance," "Management Efficiency" and the difference between these two indicators, "Negative Effect". If "negative effect" is positive, it can be stated that there is insufficient risk management, and in the case of negative, there is a clear risk management.
Conclusion
Based on the results of the survey, the organizational-functional risk-management model of the PHC facilities under the municipality was developed. The model combines all the recommendations that have been developed within the framework of effective risk management. Within the framework of the model implementation a targeted risk management program has been developed.
Thus, the results of the survey revealed that the reduction of the risks from the risk of PHC in the suburban facilities of the Municipality of Yerevan is not as effective as there are critical indicators that indicate about instability of the existing system.
References /Список литературы
1. Klein F., Pelzer U., Schmuck R.B., Malinka T., Felsenstein M., Denecke T., Pratschke J. Surgery: a Single-Center Analysis of 3000 Consecutive Pancreatic Resections. J. Gastrointest. Surg., 2018. Sep. 04.
2. Issayev T., Masalimova A., Magzumova R. [SWOT-ANALYSIS OF PROFESSIONALPERSONAL COMPETENCE OF ECONOMISTS IN MEDICAL ORGANIZATIONS]. Georgian Med News, 2018. Mar; (276):1143-153.
3. Tang H., Huang W., Ma J., Liu L. SWOT analysis and revelation in traditional Chinese medicine internationalization. Chin Med., 2018;13:5.
4. S0rensen A., M0ller M.K., Andreassen P., Malling B. A SWOT analysis of how the youngest doctors perceive the formal Danish educational advisory programme. Dan Med J., 2018. Sep; 65(9).
5. Ansari M., Rassouli M., Akbari M.E., Abbaszadeh A., Akbari Sari A. Educational Needs on Palliative Care for Cancer Patients in Iran: A SWOT Analysis. Int J Community Based Nurs Midwifery, 2018. Apr.; 6(2):111-124.
6. Misbah S., Mahboob U. Strengths, weaknesses, opportunities, and threats analysis of integrating the World Health Organization patient safety curriculum into undergraduate medical education in Pakistan: a qualitative case study. J Educ Eval Health Prof., 2017; 14:35.
7. Yaqing G. The Service Quality Research from the Perspective of Fuzzy Evaluation Method // Management and Service Science (MASS), 2011 International Conference on. IEEE, 2011. Р. 1-3.
8. Peng F. et al. Exploring the Impact of Information System Introduction: The Case of an Australian Hospital Emergency Department //HICSS'2013 Proceedings of the 2013 46th Hawaii International Conference on System Sciences.,Washington:IEEE Computer Society, 2013. Р. 2525-2534.
9. Kaplan R.S. The balanced scorecard: comments on balanced scorecard commentarie //Journal of Accounting & Organizational Change, 2012. V. 8. № 4, Р. 539-545.
Размещено на Allbest.ru
...Подобные документы
Organizational structure of the company. Analysis of the external and internal environment. Assessment of the company's competitive strength. Company strategy proposal. Structure of implementation and creation of organizational structure of management.
дипломная работа [2,7 M], добавлен 19.01.2023Value and probability weighting function. Tournament games as special settings for a competition between individuals. Model: competitive environment, application of prospect theory. Experiment: design, conducting. Analysis of experiment results.
курсовая работа [1,9 M], добавлен 20.03.2016Critical literature review. Apparel industry overview: Porter’s Five Forces framework, PESTLE, competitors analysis, key success factors of the industry. Bershka’s business model. Integration-responsiveness framework. Critical evaluation of chosen issue.
контрольная работа [29,1 K], добавлен 04.10.2014Evaluation of urban public transport system in Indonesia, the possibility of its effective development. Analysis of influence factors by using the Ishikawa Cause and Effect diagram and also the use of Pareto analysis. Using business process reengineering.
контрольная работа [398,2 K], добавлен 21.04.2014Investigation of the subjective approach in optimization of real business process. Software development of subject-oriented business process management systems, their modeling and perfection. Implementing subject approach, analysis of practical results.
контрольная работа [18,6 K], добавлен 14.02.2016Description of the structure of the airline and the structure of its subsystems. Analysis of the main activities of the airline, other goals. Building the “objective tree” of the airline. Description of the environmental features of the transport company.
курсовая работа [1,2 M], добавлен 03.03.2013История SWOT-анализа, позволяющего выявить и структурировать сильные и слабые внутренние стороны фирмы, а также потенциальные возможности и угрозы, существующие во внешней среде. Основные направления развития SWOT-анализа, рекомендации по использованию.
презентация [194,7 K], добавлен 08.04.2015История разработки технологии и возможности SWOT-анализа. Технология проведения SWOT-анализа. Направления SWOT-анализа организации. Анализ внешней среды. Анализ внутренней среды. Количественный анализ.
реферат [30,8 K], добавлен 17.04.2006SWOT-анализ как инструмент стратегического менеджмента, его сущность и значение. Матрица первичного стратегического SWOT-анализа. SWOT–анализ и его роль на примере предприятия ОАО "Железногорский хлебозавод", анализ недостатков и путей совершенствования.
курсовая работа [353,3 K], добавлен 30.08.2011SWOT-анализ как один из самых распространенных видов анализа в стратегическом управлении на сегодняшний день. Рассмотрение и характеристика основных видов SWOT-анализа: свободный, смешанный. Понятие, состав и классификация материальных ресурсов.
курсовая работа [417,9 K], добавлен 25.10.2012Сущность разработки стратегий и их классификация. История развития SWOT-анализа как метода стратегического планирования. SWOT-анализ: этапы и процедура проведения. Выявление стратегических проблем ЗАО "ЭР-Телеком", их решение основе матрицы SWOT.
курсовая работа [104,3 K], добавлен 10.02.2014Методика проведения SWOT-анализа. Общая характеристика и оценка производственно-хозяйственной деятельности ОАО "Смолевичский молочный завод", выявление слабых и сильных сторон. Построение матрицы SWOT. Мероприятия по улучшению продукции предприятия.
курсовая работа [39,4 K], добавлен 21.01.2013Теоретические основы SWOT-анализа на предприятии, методика его проведения. Элементы внутренней и внешней среды. Регистрация данных для SWOT-анализа. Возможности SWOT-анализа на примере представительства в городе Уфе иностранной лизинговой компании.
курсовая работа [57,6 K], добавлен 09.07.2010Практический опыт проведения SWOT-анализа (на примере ООО "Изумруд"). Выбор предмета оценки и проблема недостатка информации. Случаи использования компаниями SWOT-анализа. Особенности стратегических решений и проведение общего анализа среды предприятия.
курсовая работа [44,1 K], добавлен 15.06.2015SWOT-матрица в виде таблицы. Пример проведения SWOT-анализа действующего предприятия телекоммуникационной отрасли ОАО "Яртелеком", г. Ярославль. Расширенная SWOT-матрица анализа ОАО "Яртелеком". Основные методы стратегического планирования на предприятии.
контрольная работа [30,5 K], добавлен 02.02.2010Влияние факторов макросреды и непосредственного окружения фирмы на положение компании в условиях жесткой конкуренции. Применение SWOT-анализа в процессе стратегического планирования. Определение сильных и слабых сторон внутренней структуры организации.
контрольная работа [54,8 K], добавлен 24.09.2014The impact of management and leadership styles on strategic decisions. Creating a leadership strategy that supports organizational direction. Appropriate methods to review current leadership requirements. Plan for the development of future situations.
курсовая работа [36,2 K], добавлен 20.05.2015Общая характеристика организации, ее миссия и структура целей. Порядок проведения SWOT-анализа и оценка его результатов. Анализ внутренней среды. Построение и реализация организационной структуры, определение проблем и трудностей, способы предупреждения.
контрольная работа [213,6 K], добавлен 24.11.2012Organizational legal form. Full-time workers and out of staff workers. SWOT analyze of the company. Ways of motivation of employees. The planned market share. Discount and advertizing. Potential buyers. Name and logo of the company, the Mission.
курсовая работа [1,7 M], добавлен 15.06.2013Характеристика деятельности ООО "Атлант-Сервис-Эфа" - сети магазинов бытовой техники "Людмила". Изучение стратегии компании и ее линейной организационной структуры. Особенности формирования торгового ассортимента товаров. Проведение swot-анализа фирмы.
отчет по практике [63,1 K], добавлен 02.02.2013
