Contemporary trends in the economic sustainability of medical organizations
- Authors: Palevskaya S.A.1,2, Yakovlev G.I.1
-
Affiliations:
- Samara State Medical University
- N.A. Semashko National Research Institute of Public Health
- Issue: Vol 24, No 1 (2025)
- Pages: 67-76
- Section: HEALTH ECONOMICS
- URL: https://rjsocmed.com/1728-2810/article/view/641950
- DOI: https://doi.org/10.17816/socm641950
- EDN: https://elibrary.ru/HFLZVR
- ID: 641950
Cite item
Abstract
BACKGROUND: The ability of the national health system to fulfill government-mandated tasks in providing quality and affordable healthcare depends on the technical and economic stability of specialized organizations and their ability to effectively manage available funds and attract additional resources to improve the quality of their services. Significant challenges in the sustainable development of medical organizations may be effectively addressed through research and consideration of their distinctive structures and systems, as well as the content and specifics of their services, particularly those of a contemporary high-tech nature. Ensuring the proper quality of medical care at a level not inferior to the global standards necessitates the implementation of these strategies.
AIM: To examine the challenges associated with organizing economically efficient activities within national medical institutions, considering the factors influencing the development and implementation of their sustainable growth strategy. In addition, the study sought to analyze the operation of the healthcare system under conditions of adequate multi-channel organizational and financial support.
MATERIALS AND METHODS: The research methods include research and development in ensuring the economic efficiency of specialized institutions, their sustainable development in a changing environment, and the existing order and policy of pricing for paid medical services. In addition, methods of information analysis and synthesis, statistical grouping, and substantive economic interpretation of the reported data on the activities of specialized institutions were used.
RESULTS: The study identified trends in the economic activity of specialized organizations within the current development of the country’s healthcare system. It also examined issues of tariff policy and pricing for paid services, as well as the required profitability levels in specialized institutions. Furthermore, the study investigated the peculiarities and factors influencing the economic sustainability of medical organizations. Additionally, it demonstrated the multi-channel financing model of medical institutions, which depends on budget funds, income from paid services, and sponsorship. The economic peculiarities of pricing methods for provided services and prospective planning of medical institutions were primarily studied, focusing on the substantiation and execution of approved cost estimates and volumes of extrabudgetary financing. The recent guidelines for improving the economic efficiency of healthcare institutions in the provision of paid medical services include the harmonization of tariff pricing mechanisms with marketing methodologies. These guidelines also include a study of target market conditions, accompanied by a comprehensive normative justification of resource consumption across all categories comprising the cost of specialized paid services.
CONCLUSION: The necessity to enhance the efficiency of medical organizations is evident, as the prevailing trends do not adequately address the contemporary demands for upgrading their technical and organizational infrastructure and maintaining the highest standards of medical care.
Full Text

About the authors
Svetlana A. Palevskaya
Samara State Medical University; N.A. Semashko National Research Institute of Public Health
Email: s.a.palevskaya@samsmu.ru
ORCID iD: 0000-0001-9263-9407
SPIN-code: 9653-4322
MD, Dr. Sci. (Medicine), Professor
Russian Federation, Samara; MoscowGennady I. Yakovlev
Samara State Medical University
Author for correspondence.
Email: dmms7@rambler.ru
ORCID iD: 0000-0002-7507-3613
SPIN-code: 4263-9662
Dr. Sci. (Economics), Professor
Russian Federation, SamaraReferences
- Russian statistical yearbook 2022. Galkin SS, editor. Moscow: Federal State Statistik servise: 2022. 696 p. (In Russ.)
- Aukina AI, Dudenkov DA, Skachkova RV. Improving the methodology for assessing the economic feasibility of the cost of paid medical services. Innovative activity. 2023;(4):60. EDN: LOTDFW
- Kalashnikova IV, Portnoi VA. Analysis of the paid-medical-service market development. Financial analytics: problems and solutions. 2014;206(20):9–14. (In Russ.) EDN: SDVXXB
- Efimova OV. Analysis of sustainable development of the company: stakeholder approach. Economic Analysis: Theory and Practice. 2013;345(45):41–51.
- Gorbunova OA, Rudneva EI. Formation of a sales strategy for the services of a medical organization. Bulletin of the International Institute of Market. 2019;(2):24–30. EDN: RTQVZP
- Soklakova IV, Santalova MS, Kuzmina EYu, Pliev KhI. Features of the formation and development of the medical services market in the context of a pandemic. Economic systems. 2021;(3):88–94. doi: 10.29030/2309-2076-2021-14-3-88-94 EDN: BTMNOJ
- Kirilenko VV. Development of a medical organization: problems and solutions. In: Collection of scientific papers of the All-Russian scientific and practical conference with international participation "Preventive Medicine — 2019". Saint Petersburg: North-Western State Medical University named after I.I. Mechnikov; 2019. P. 209–215. EDN: NWQOOA
- Konoplyannik TM, Sergushenkova VYu. Minimizing budget risks is the next step towards sustainable development of the state system. Management accounting. 2024;(1):79–84. doi: 10.25806/uu1202479-84 EDN: NUTEPU
- Pertseva EYu. Implementation of corporate sustainability strategy through project management tools. Russian Journal of Project Management. 2013;2(2):16–21. doi: 10.12737/502 EDN: QCIVTX
- Tolkacheva EG. Sustainable development of an organization: scientific approaches to the definition. Consumer cooperation. 2023;1(80):26–30. EDN: IMKWIO
- Prisyazhnaya NV, Vyatkina NYu. Trajectories of a doctor’s professional development: a narrative interview. Part 2. Sociology of Medicine. 2024;23(1):33–60. doi: 10.17816/socm634498 EDN: PYTOAL
Supplementary files
