Asmens sveikatos priežiūros įstaigos specialistų darbo veikla: analizė metavaldymo kontekste

LTReikšminiai žodžiai: Naujasis viešasis valdymas; Metavaldymas; Asmens sveikatos priežiūros įstaiga; Naujoji viešoji vadyba; New public governance; Metagovernance; Health care institution; New public management.

ENMetagovernance formation process implies not only change, but also all kinds of organizations and levels of modernization reforms in the ideology of the consolidation, the leaders and staff of the initiative, creativity, which are necessary for innovative management of the preparation of decisions for the implementation, coordination, and advanced technologies assurance. Metagovernance stage of the formation of innovation management in the public sector’s success depends on the level of preparedness of organizations and their activities in identifying social barriers, risk, operational risk, formed under the objective and subjective factors. Theorists analysis of modern public administration – metagovernance – the time, says that even in the most advanced and modern management structures occur in unavoidable conflict situations, which are often the cause of hierarchical and market and networks management specifics. Metagovernance successful functioning, hierarchical management, market and networks interactions is today one of the most important of public management, improved forms of public governance conditions in the evolution. Empirical research has revealed that one of the most important new public management – metagovernance – indicators in many countries of institutions administration efforts to assess what the needs of the population and how patients evaluate services and medical staff quality. In comparison with 1996. survey results, this time doctors and nurses statistically significant difference over time on the medicine directly unrelated functions (subscriptions, referral is issued), which require significant time costs. Shortens the life of the patient visit time, decreases the number of patients to accept.As innovation in the public sector is directly linked with metagovernance elements decomposition of modern public management process change, organizational improvement and public structures of the efficiency of the public sector has not only seek to continuously promote innovation in management activities, but also strive to become the innovation leader in encouraging innovation and modernization process of the development across the public sector, including the health care system. [From the publication]