[Program-target method in hospital management].

Abstract

The experience gained in developing the system of targets for a number of urban multi-profile hospitals suggests an opportunity for using a programme-target method in the management of an inpatient facility. The Samashko All-Union Research Institute of Social Hygiene, Public Health Economics and Management has developed a system of programme-target management, consisting of relatively autonomous blocks: the identification of actually existing hospital problems; the elaboration of the conception of hospital development; the building of a tree of targets; the projecting of structures for hospital management; the elaboration and implementation of programmes. The identification of problems is based on the analysis of factographic tree of hospital targets. The analysis of the problem situation and possible ways of solving the problems allow to elaborate the conception of hospital development. In order to simplify the procedure for the building of a tree of targets the subdivision of targets into the targets-results, targets-processes and targets-objects is being introduced. On the basis of tree of targets the structure of management is being projected and programmes are being developed. The uniformity of methods used in this system makes it possible to presuppose the possibility of applying them at any institution and at any level of public health management.