Expert Insight: Regional Best Practices in Healthcare Management

“Every Region of Russia Has Organizational Solutions to Be Proud Of” – A Conversation with Expert Pavel Mitroshin

In a recent interview, Pavel Mitroshin, Head of the Department for Cooperation with Regions at the Russian Research Institute of Health (RIH), shared insights into the Institute’s work across Russia’s regions in 2024. Over the past year, RIH experts conducted field assessments in 12 regions, including Khabarovsk Krai, Amur Oblast, Republic of Tatarstan, Tyumen Oblast, Nenets Autonomous Okrug, Republic of Dagestan, Mari El, Crimea, and newly integrated regions such as Donetsk and Lugansk People's Republics, Zaporozhye, and Kherson Oblasts.

Key Approaches to Regional Healthcare Assessment

• Data-Driven Regional Selection
  Regions were chosen based on mortality rates and an analysis of best practices. In 2024, RIH experts focused on studying high-performing regions to replicate and scale their successful healthcare models.
• Comprehensive Healthcare System Audit
  Experts conducted multi-stage assessments of healthcare organization at all levels, from rural health posts to specialized hospitals. The RIH methodology ensures a holistic evaluation of the system’s efficiency and helps pinpoint areas for improvement.
• Why Regional Work Matters
  Every Russian region has unique achievements that can benefit the entire national healthcare system.
• Tyumen Oblast successfully employs a project-based approach to implementing best practices.
• Republic of Crimea focuses on rational modernization of its medical infrastructure.
• Overcoming Challenges
  The primary obstacle remains limited time for on-site assessments. However, in-depth analysis and collaboration with local healthcare authorities allow RIH experts to deliver objective recommendations that can drive systemic improvements.

Strengthening Healthcare Through Regional Best Practices

By conducting comprehensive healthcare system audits (Learn more), RIH experts not only identify systemic inefficiencies but also highlight effective regional solutions that can be adapted and scaled nationwide.

• Enhancing decision-making for healthcare policymakers
• Optimizing medical infrastructure based on regional needs
• Ensuring a balance between national healthcare priorities and regional-specific solutions

The Future of Regional Healthcare Development

This work underscores a key insight: high-impact healthcare innovations are not exclusive to major cities—they emerge in every Russian region. RIH’s mission is to identify, refine, and promote these best practices, ensuring they become integral to national healthcare development and contribute to a stronger, more resilient healthcare system at all levels.

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