Healthcare economics is widely associated with the spread of conservative management methods, which are reduced mainly to the dominance of human resource management tools. This is due to the traditional perception by practitioners of the professional medical community of the medical industry as a predominantly social structure, rather than an economic system. Despite the scientific evidence of the presence of signs of economic system, many healthcare professionals continue to neglect the use of modern management tools. It seems that society’s demand for improving management methods requires a broader subject area of research and use of innovative management technologies. For the purposes of this work, the object of study is the field of practical healthcare – as a producer of medical services. The typologies of economic systems and management methods in the scientific works of various authors and their applicability to the medical industry are analyzed. Current health problems, new challenges of the post-pandemic period and the geopolitical situation affecting the process of providing medical services, the importance of basic resources that ensure the development of the system are identified. Considering the lack of significant success in the issues of managing the economy of Russian healthcare, the substitution of the development of new effective management methods with the introduction of only some improvements, the development of a systemic approach seems to be very relevant. The need to intensify efforts to find fundamentally new constructive management solutions was determined. A scheme of resource exchange in healthcare and a model of interaction in the provision of medical services was developed, directions for the application of systemic management tools aimed at ensuring the stability and integrity of healthcare as an economic system were proposed.
Oksana A. Kulikova (Tue,) studied this question.