The Experience of the Professor Rozanov V.N. Pushkin Clinical Hospital in Enhancing the Accessibility of High-Tech Medical Care

Manuylov V. M.
Doctor of Medicine, Professor, Chief Physician

Kravtsova M. V.
PhD (Economics), Leading Researcher

Tufanyan A. K.
MD, PhD, Head, Department for Traumatology

Shcherbyuk A. N.
Doctor of Medicine, Professor, Head, Scientific and Clinical Department

Professor Rozanov V.N. Pushkino Clinical Hospital, Pushkino, Moscow region, Russian Federation

Kravtsova Margarita Vladislavovna; e-mail: R-V-K-93@yandex.ru

None declared.

The study had no sponsorship.

The Professor Rozanov V.N. Pushkino Clinical Hospital plays a significant role in providing High-Tech Medical Care (HTMC) to the population of the Moscow Region. HTMC is the most costly component of specialized medical care, yet the demand for it is constantly growing. This study describes the organization of HTMC at the Pushkino Clinical Hospital. Statistical data are analyzed, and an assessment is provided of the application of the main methods and tools used for organizing HTMC delivery. Project management methods are employed to optimize workflow processes. An aspect model is used to determine cause-and-effect relationships in HTMC organization. The cost-utility analysis method is applied to evaluate treatment outcomes, with an example of calculating this coefficient for the «Traumatology and Orthopedics» profile provided. The use of relevant project management methods and tools is recommended for healthcare institution administrators to ensure a high standard of HTMC organization.

high-tech medical care, HTMC, project management, aspects model

10.29234/2308-9113-2025-13-3-99-113

1. GBUZ MO «Pushkinskaya bol'nica im. prof. Rozanova V.N.». Okazanie vysokotekhnologichnoj medicinskoj pomoshchi. 2025. [Professor Rosanov V.N. Pushkino Hospital. Provision of high-tech medical care. 2025.] Available at: https://prbmo.ru/departments Assessed: 09.05.2025. (In Russ.)

2. Gersonskaya I.V. Sistema zdravoohraneniya v Rossii: osnovnye problemy i vozmozhnye puti ih resheniya. [The healthcare system in Russia: the main problems and possible solutions.] Vestnik Chelyabinskogo gosudarstvennogo universiteta [Bulletin of Chelyabinsk State University] 2023; 3: 53-63. (In Russ.)

3. Karelova G.N. Vysokotekhnologichnuyu medpomoshch' v 2023 godu v Rossii poluchat do polutora millionov chelovek. [In 2023, up to one and a half million people in Russia will receive high-tech medical care.] Parlamentskaya gazeta [Parliamentary Newspaper] 02.02.2023 Available at: https://www.pnp.ru/social/galina-karelova-vysokotekhnologichnuyu-medpomoshh-v-2023-godu-v-rossii-poluchat-do-polutora-millionov-chelovek.html Assessed: 08.05.2025. (In Russ.)

4. Kolosnitsyna M.G., Sheiman I.M., Shishkin S.V. Ekonomika zdravoohraneniya. [Economics of healthcare.] Publishing House of the Higher School of Economics. Moscow, 2009. (In Russ.)

5. Krivykh E.A., Niyazova S.A., Tagirova D.A., Zhiganova M.I. Dinamika okazaniya vysokotekhnologichnoj medicinskoj pomoshchi na primere Okruzhnoj klinicheskoj bol'nicy goroda Hanty-Mansijska. [Dynamics of high-tech medical care on the example of the District Clinical Hospital of Khanty-Mansiysk.] Medicina. Sociologiya. Filosofiya. Prikladnye issledovaniya [Medicine. Sociology. Philosophy. Applied research] 2024; (4): 167-173. (In Russ.)

6. Lomtev M.A., Retivykh I.V. Sovershenstvovanie organizacii okazaniya vysokotekhnologichnoj medicinskoj pomoshchi v KGBUZ «Altajskij kraevoj kardiologicheskij dispanser». [Improving the organization of high-tech medical care in the Altai Regional Cardiological Dispensary.] Uchenye zapiski Altajskogo filiala Rossijskoj akademii narodnogo hozyajstva pri Prezidente Rossijskoj Federacii [Scientific Notes of the Altai Branch of the Russian Presidential Academy of National Economy] 2022; (2): 25-29. (In Russ.)

7. Naberezhnaya I.B. Okazanie vysokotekhnologichnoj medicinskoj pomoshchi trudosposobnym muzhchinam Astrahanskoj oblasti. [Rendering high-tech medical care to able-bodied men of the Astrakhan region.] Vestnik Ivanovskoj medicinskoj akademii [Bulletin of the Ivanovo Medical Academy] 2022; 27(1): 11-15. (In Russ.)

8. Naberezhnaya I.B., Zaharov D.A. Rol' oblastnyh uchrezhdenij v okazanii vysokotekhnologichnoj medicinskoj pomoshchi. [The role of regional institutions in providing high-tech medical care.] Sovremennye problemy zdravoohraneniya i medicinskoj statistiki [Modern problems of healthcare and medical statistics] 2022; (3): 664-678. (In Russ.)

9. Naberezhnaya I.B., Hodakova O.V., Zaharova U.D. Perechen' vidov vysokotekhnologichnoj medicinskoj pomoshchi: dinamika izmenenij v ramkah programmy gosudarstvennyh garantij. [List of types of high-tech medical care: dynamics of changes in the framework of the state guarantees program.] Sovremennye problemy zdravoohraneniya i medicinskoj statistiki [Modern problems of healthcare and medical statistics] 2024; (4): 285-296. (In Russ.)

10. Okushko N.B. Ocenka rezul'tativnosti medicinskoj pomoshchi. Metody ekonomicheskoj ocenki programm i proektov v sfere zdravoohraneniya. [Evaluation of the effectiveness of medical care. In: Methods of economic evaluation of programs and projects in the field of healthcare.] Kemerovo: SibformS, 2000: 60-68. (In Russ.)

11. Perhov V.I., Naberezhnaya I.B., Korhmazov V.T. Kvadrilemma vysokotekhnologichnoj medicinskoj pomoshchi: nauchno-tekhnicheskij progress, finansirovanie, kachestvo i pandemiya COVID-19. [The quadrilemma of high-tech medical care: scientific and technological progress, financing, quality and the COVID-19 pandemic.] Sovremennye problemy zdravoohraneniya i medicinskoj statistiki [Modern problems of healthcare and medical statistics] 2023; (1): 643-667. (In Russ.)

12. Reshetnikova Yu.S., Novikova T.S., Brynza N.S., Latysheva A.A. Okazanie vysokotekhnologichnoj medicinskoj pomoshchi naseleniyu Tyumenskoj oblasti. [Provision of high-tech medical care to the population of the Tyumen region.] Nacional'nyj vestnik medicinskih associacij [National Bulletin of Medical Associations] 2025; 2(1):11-16. (In Russ.)

13. Federal'nyj zakon ot 21.11.2011 № 323-FZ «Ob osnovah ohrany zdorov'ya grazhdan v Rossijskoj Federacii»: st. 34 Specializirovannaya, v tom chisle vysokotekhnologichnaya, medicinskaya pomoshch'. [Federal Law No. 323-FZ dated 11/21/2011 «On the Basics of Public Health protection in the Russian Federation»: Article 34 Specialized, including high-tech, medical care.] Available at: https://www.consultant.ru/document/cons­_doc­_LAW­_121895/26a9c2e6bcf2a14056e195cba899945e2f179b8a Assessed: 08.05.2025. (In Russ.)

14. Federal'nyj proekt «Razvitie seti nacional'nyh medicinskih issledovatel'skih centrov i vnedrenie innovacionnyh medicinskih tekhnologij». Ministerstvo zdravoohraneniya Rossijskoj Federacii. Federal project «Development of a network of national medical research centers and introduction of innovative medical technologies». Ministry of Health of the Russian Federation. Available at: https://minzdrav.gov.ru/poleznye-resursy/natsproektzdravoohranenie/nmits Assessed: 09.05.2025. (In Russ.)

15. Khang A., et al. Medical Robotics and AI-Assisted Diagnostics for a High-Tech Healthcare Industry. IGI Global. 2024; 458, doi: 10.4018/979-8-3693-2105-8.ch001

16. Ilin I., Levina A., Frolov K., Borremans A., Ershova A., Tick A., Averina M. Life-Cycle Contract as an Innovative Business Model for High-Tech Medical Organizations. Journal of Open Innovation: Technology, Market, and Complexity 2022; 8(4): 1-21, doi: 10.3390/joitmc8040207

17. Chakraborty I., Edirippulige S., Ilavarasan P.V. The role of telehealth startups in healthcare service delivery: A systematic review. International Journal of Medical Informatics 2023; 174: 1-10, doi: 10.1016/j.ijmedinf.2023.105048

18. Yoon T.J., Kim T.I. The Role of Advertising in High-Tech Medical Procedures: Evidence from Robotic Surgeries. Journal of Marketing 2022; 88(1): 97-115, doi: 10.1177/0022242922115105