Health Economics and Management Review
Permanent URI for this collectionhttps://devessuir.sumdu.edu.ua/handle/123456789/80820
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Item The USA medical insurance as a stimulating factor to increase labour efficiency(Sumy State University, 2023) Койбічук, Віталія Василівна; Койбичук, Виталия Васильевна; Koibichuk, Vitaliia Vasylivna; Khan, B.; Дрозд, Сергій Анатолійович; Дрозд, Сергей Анатольевич; Drozd, Serhii AnatoliiovychMedical insurance is critical for state labour efficiency. In many countries (including in the United States of America), it is tightly connected to labour, which makes workers have valid insurance policies for free and constant access to medical aid. That strongly secures workers’ health and their high performance. In state-supporting insurance cases, citizens have a common access to medical services (regardless of their employment type). Here, people can be provided with medical aid without worrying about any prices, which keeps their strong health and high productivity skills. Within employment-related medical insurance, it is employers who are fully responsible for their employees’ insurance. As a tangible financial business burden, it may keep workers close to their employment place itself: if resigned, they can lose good medical insurance at all. The medical insurance system is a key and decisive factor to raise labour efficiency. To achieve and secure it, governments should permanently develop affordable and reliable insurance systems. In our research, we chose the following indexes: coverage of state and private insurances, labour efficiency levels, national employment levels, life expectancy, healthcare costs (% of gross domestic product), healthcare costs by volume. We conducted the given study via data normalisation and regression modelling (backward data selection). We applied Multivariate Adaptive Regression Splines (MARS) as a regression-based method to describe non-linear variable relations. Among our engaged methods, there were also bibliography analysis, data processing, systematisation, comparison and logical generalisation. The current research results are relevant for politics and business. Politicians may use them in developing social-economic principles to improve medical insurance and labour efficiency. Enterprises can involve such information to define medical insurance payments for the health and labour efficiency increase among all types of employees in any countries.Item Conflict Management in Health Care Institutions(Sumy State University, 2021) Койбічук, Віталія Василівна; Койбичук, Виталия Васильевна; Koibichuk, Vitaliia Vasylivna; Dzwigol, H.; Stenko, S.Conflicts negatively affect the teamwork atmosphere. They lead to a deterioration of the psychological microclimate and reduce employability and deteriorate workers’ health. The authors noted that conflicts arise from different points of view, interests, manners, and management styles of conflict parties. Thus, an essential skill of any health care leader is the ability to prevent conflicts, reduce their negative consequences, resolve disputes, and create an atmosphere of mutual intelligibility. This study is devoted to conducting theoretical and practical research on conflict management in healthcare to form proposals for reducing the conflict level in healthcare institutions. The research uses methods of a systematic approach, sociological survey, testing, questionnaires, systematization, comparison, and logical generalization. The practical analysis of the conflict management process was carried out in the municipal non-profit enterprise of the Sumy Regional Council «Regional Diagnostic Center in Shostka». The study sample consists of ten doctors and ten nurses. This study conducted the following questionnaires: «Are you a conflicted person?»; «Assessment of patients’ conflict personality»; «Assessment of personality conflict»; «Assessment of balance in conflicts and propensity to nervous breakdowns», K. Thomas’ test «Identification of behaviors in conflict situations», A. Asinger’s methods of diagnosing aggression in the relationship. The findings showed that nurses are characterized by a higher level of personal conflict than doctors. Besides, in most conflict situations, health professionals prefer cooperation as a tactic of negotiation in conflicts. However, a third of conflict situations are characterized by the parties’ «opposition». The results showed that the most common conflict situations are the doctor-doctor and nurse-nurse. Conflicts between doctor-patient and nurse-patient occurred approximately equally. 75% of respondents indicated an average level of aggression. Based on the obtained results, to prevent and reduce the number of conflicts in health care institutions, the authors emphasized the importance of counseling and psychological work to resolve disputes, creating conditions for positive psychological relations between health professionals and patients, active use of information, communication, social-psychological, organizational technologies of conflict management.