Адрес: 101000, г. Москва, ул. Мясницкая, д.9/11, комн. 512
Тел.: +7 (495) 771 3244
Факс: +7 (495) 772 9590 * 11308
руководитель департамента — Клименко Андрей Витальевич
научный руководитель — Барабашев Алексей Георгиевич
заместитель руководителя департамента по развитию — Прокофьев Вадим Николаевич
This article investigates the role of boards in founder-managed firms with concentrated ownership in emerging markets. The literature frequently suggests that in this type of companies, boards have little influence on the corporate decision making. The article conducts a case study of AFK Sistema—a large Russian founder-managed firm with concentrated ownership. We observe that, contrary to the expectations, in this company, the founder provided real authority to the board, at the same time focusing on recruiting independent (mainly foreign) members. Based on this case, we argue that selectively empowering boards in this type of ownership setting could be beneficial for the firm: Selective empowerment is a source of intrinsic motivationfor the independent board members, making them proactively search for new projects and assist in their implementation on behalf of the firm. As a result, the company can overcome a number of important barriers in its development.
Integrated pathways are commonly seen as the way to strengthen service delivery in many countries. Russia has traditionally had a multilevel system of care that consists of facilities varying in terms of the complexity of cases treated. The attempts are currently made to strengthen this system with an emphasis on closer interaction between individual providers. The recent innovation is to establish a new intermediate level of inter-district specialty centers that serve the population of a few local areas and provide additional services. The early detection of new cases and their follow-up management have been activated as a part of a new model. It is piloted in a Russian region with the focus on the cases of benign prostate hyperplasia. The objective of the paper is to present the new model and to evaluate its first impact on urological service performance. The major findings include: 1) the growth of the new urological cases detected at the level of primary care and a gradual decline in the frequency of the most complicated and neglected cases; 2) the optimization of patients flows across the levels of service delivery – the rise in the utilization at the first levels of service delivery and the decline in the share of tertiary care; 3) the need for additional funding to treat the increased number of cases, with the first signs of slowing down this process; 4) a decrease in unit costs as the result of the changes in the structure of new cases, shifts in the utilization of care by the levels of service delivery. These trends are discussed with the focus on the identification of strengths and weaknesses of the new model, as well as the ways to ensure its sustainability. The major lesson learnt is that building a multilevel system of service delivery can be seen as the instrument of integration of care and efficiency savings for a country with limited financial resources for health. This process should go parallel with more profound changes in the health system, of which the most important is strengthening primary care, particularly coordination function of general practitioners.
В статье рассматриваются региональная диагностика как метод исследования социально-экономиеского пространства России, качество экономического пространства и его регионаьные различия, методы и инструменты устойивого развития регионов.
Российской системе здравоохранения присущ ряд коллизий между изменениями, происходящими с разной скоростью по трем направлениям: во-первых, в содержании государственных гарантий оказания медицинской помощи для российских граждан; во-вторых, в соотношении государственного и негосударственного финансирования здравоохранения; и, в-третьих, в организации оказания медицинской помощи, в том числе обусловленные появлением новых медицинских технологий. Будущее российского здравоохранения зависит от способов разрешения этих коллизий.