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2009, vol. 137, br. 1-2, str. 63-72
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Strateško planiranje u visokospecijalizovanoj ortopedskoj ustanovi
Strategic planning in a highly specialized orthopaedic institution
aUniverzitet u Beogradu, Medicinski fakultet, Institut za ortopedsko-hirurške bolesti 'Banjica', Srbija bUniverzitet u Beogradu, Medicinski fakultet, Srbija cUniverzitet u Beogradu, Fakultet organizacionih nauka, Srbija dUniverzitet u Beogradu, Medicinski fakultet, KBC 'Dr Dragiša Mišović', Srbija
e-adresa: zvukasin@beotel.net
Sažetak
Uvod. Institut za ortopedsko-hirurške bolesti 'Banjica' u Beogradu pruža tercijarne zdravstvene usluge na nacionalnom nivou. Nakon decenija neprekidnog razvoja, tokom poslednjih godina, u uslovima velikih socijalnih i državnih promena, perioda tranzicije i raspada bivše Jugoslavije, došlo je do slabljenja Instituta. Cilj rada. Radi prevazilaženja krize, primenili smo moderne metode menadžmenta, kako bismo definisali probleme u vođenju ustanove i predložili odgovarajuće strategije oporavka. Metode rada. Sprovedena je anketa na 100 ispitanika (17,67%) zaposlenih u Institutu. Rezultati su obrađeni metodama deskriptivne statističke analize, PEST i SWOT analizom. Rezultati Ocenjen je uticaj političkih fluktuacija, starenja stanovništva, finansijskog modela i tehnološke zastarelosti. Ispitivani su brojni personalni i interpersonalni faktori: kvalitet medicinske usluge (3,59±0,76, skala 1-5), odnos između učesnika u procesu zdravstvene zaštite (3,39±0,78), uslovi rada (opisani kao neodgovarajući u 91% slučajeva), ljudski, finansijski i drugi resursi, profesionalna saradnja, stimulacija, konkurencija i mobing (zabeležen u 56% slučajeva), javno informisanje, ugled institucije (ocena 3,70±0,88) i PR aktivnosti (neprepoznate u 78% slučajeva). Skoro svi ispitanici (93%) su se izjasnili da na poslu ulažu maksimalni napor. Zaključak. Na osnovu rezultata istraživanja definisano je nekoliko strateških ciljeva. Oni obuhvataju jačanje naučnih aktivnosti, opštu orijentaciju ka specifičnim i ekskluzivnim patološkim stanjima i metodama lečenja, poboljšanje transparentnosti u rukovođenju ustanovom, uvođenje sistema stimulacije zaposlenih na osnovu kvaliteta, podršku promociji i PR aktivnosti Instituta.
Abstract
Introduction. The Institute for Orthopaedic Surgery 'Banjica' in Belgrade provides tertiary healthcare services on national level. After decades of constant development, a recent decline coincided with the decade of great social and governmental disturbance, the transition period after the dissociation of former Yugoslavia. Objective. In order to overcome the crisis, we used modern management methods to define problems in the institution management, and to propose appropriate strategies. Methods. A survey that included 100 employees (17.67%) was carried out, followed by descriptive statistical analysis, PEST and SWOT analyses. Results The impact of political fluctuations, ageing of population, financing model, obsolete medical technology was evaluated. Various personal and interpersonal factors were assessed: the quality of medical service (3.59±0.76, mark 1-5); relations among health service participants (3.39±0.78); occupational conditions (not good-91%); human, financial and other resources; professional cooperation, stimulation; rivalry and mobbing (declared in 56%); public informing, institution image (rank 3.70±0.88) and PR activities (new to 78%). 93% declared to give maximum effort at work. Conclusion. Using these results, we defined several strategic objectives. These include strengthening scientific activities, general orientation to specific and exclusive pathological conditions and treatment methods, improvement of management transparency, introduction of quality-based stimulation of workers, support of promotional and PR activities.
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