Strategic analysis of the activities of state outpatient medical organisations

Since the entire healthcare system operates in a dynamically changing and unpredictable environment, it requires strategic management. In order to achieve a socio-economic outcome in the context of Russian healthcare, state outpatient clinics will be the most important, as most goals and objectives can be achieved in an outpatient setting.
The purpose of the study is a generalised assessment of the activities of all state outpatient medical institutions of the Russian Federation on key aspects of their activities in order to formulate a long-term development strategy for these institutions. 
This study uses the method of strategic analysis of the organisation's activities by means of PEST analysis. The PEST analysis was carried out with the participation of experts from various areas of the Russian Healthcare System.
The results of the study. On the basis of the literature studied, the main factors that can influence the activities of the state polyclinic have been identified. These factors were selected by the author from a total of 40 questions and submitted for assessment by health professionals. Experts assessed the level of influence of the factor and the likelihood of the factor occurring in a state outpatient facility. On the basis of the estimates, a PEST analysis table has been compiled for the activities of governmental outpatient institutions. A weight-adjusted estimate is also calculated for each factor and a table of the influence of the factors in descending order is compiled. On the basis of this analysis, the main directions for the development of state outpatient medical institutions were formulated. 
The practical application of the results is possible in the conditions of the state outpatient medical service of the Russian Federation, since the main points of the development direction are formulated. The economic aspect of this study is the effective economic functioning of an outpatient institution based on a scientific approach in the field of strategic management. 
The originality and significance of this study lies in the fact that it conducts a PEST analysis in relation to state outpatient institutions of the Russian Federation, which has not been done before. The main scientifically based directions for the development of state outpatient medical institutions are also formulated.

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