Justification of Management and Financial Decisions to Increase the Adequate Provision with Medical Staff of the Cluster in the Sphere of Health Protection in the Baikal Region

Abstract

The importance of a sufficient level of staffing for the functioning and development of any cluster can hardly be overestimated. This is especially true when it comes to the cluster in the field of health care. The purpose of this article is to substantiate the need to make a number of managerial and financial decisions based on an analysis of the problems with the provision of medical personnel for a cluster in the field of health care in the Baikal region. The study, carried out with the help of a system-think-activity approach, made it possible to fix that the cluster in the field of health care in the Baikal region is experiencing a significant shortage of medical personnel. At the same time, the analysis revealed negative demographic trends in the region, combined with unsatisfactory indicators of the health of the population. It has been revealed that the programs adopted by the state authorities do not allow increasing to the required extent the provision of medical staff for the cluster’s organizations. The allocated volumes of public funding are insufficient, and the developed management decisions do not meet the challenges of the time. The proposals have been developed, using strategic management tools, aimed at leveling the weaknesses and reinforcing the advantages identified in the Baikal cluster in the field of health care. The proposals are aimed at using the opportunities that open up for a medicine thanks to modern information and communication technologies and to reorientation of the State policy to the use of national financial resources, primarily budgetary ones, as a result of revising theoretical approaches to the role of a State in the economy.

Concession as a Tool for the Implementation of Regional Investment Projects

“…Метелева и М.Э. Гусева [2] обосновали необходимые управленческие и финансовые решения по повышению обеспеченности медицинскими кадрами кластера в сфере охраны здоровья в Байкальском регионе. Г.М.…”

“…Заключение концессионных соглашений является общемировой практикой. В России основные аспекты коммерческой концессии были законодательно урегулированы в 2005 г., когда бы принят Федеральный закон № 115-ФЗ «О концессионных соглашениях» (далее -Закон № 115-ФЗ) 2 .…”