Financial management of state medical organizations
Abstract. The development of methods for analyzing financial stability and break-even management is an urgent task of the theory and practice of financial management of medical organizations (MO) in connection with their chronic underfunding. The purpose of the study is to develop new methodological approaches to financial management of public ministries to ensure a balance of funding and costs. The paper uses the concepts of financial management, namely the concepts of cash flow and the concept of alternative costs. Indicators of financial results and performance are excluded from the planning, management and analysis of the MO. Based on the operational analysis, the parameters for adjusting the structure of medical care, the volume of variable and fixed costs that can be implemented within the framework of strategic planning are obtained.
Keywords: finances of state medical organizations, cost structure of medical organizations, breakeven point of medical organizations
Highlights:
♦ when developing a financial management system for a medical organization, such a factor as ensuring the financial stability of a medical organization in conditions of scarce funding should be taken into account;
♦ the current financial management procedure does not provide for the development of levers that would ensure the break-even or profitability of the medical organization activities in the current and strategic period, in particular, the profitability of the type of medical care, service, as well as the structural unit or medical organization as a whole is not assessed;
♦ in our opinion, the balance of financial resources and costs in the provision of inpatient medical care in modern conditions of financial provision should be achieved by increasing the state order for medical services (by 17%, according to our estimates) while maintaining the number of personnel and other factors that affect fixed costs.
Elizaveta N. Valieva - Samara State University of Economics, Samara, Russia