Abstract

Introduction: The paper presents the contribution of the principles of lean management to the system of preventive measures aimed at reducing the incidence of male workers of shipbuilding and ship repair enterprises in the Astrakhan region. The proven high level of value of Lean-medicine in increasing the economic efficiency of a medical organization is not the only advantage and the basis for its use in healthcare practice. No less valuable is the study of the medical effectiveness of using the principles of Lean-management in the implementation of preventive measures aimed at reducing the impact of professional risk factors on the health status of workers in the shipbuilding industry.

Objective: Implementation of Lean-management principles in marine and industrial medicine as an effective medical and social investment aimed at reducing the incidence rate and the number of days of temporary disability.

Methods: Data for analysis were extracted from medical histories of inpatients and medical records of outpatients of the Russian Southern District Medical Center for the period 2015 - 2017. We applied meth­ods of an expert examinations and mathematical modeling.

Results: An analytical model for assessing the influence of the principles of Lean-management on the effectiveness of the organization of medical care for male workers in shipbuilding and ship repair was built. A persistent reduction in the risk of developing professionally caused diseases by 25 - 30% and an increase in patient satisfaction with the quality of medical care provided was established. The implementation of the principles of Lean-management in the work of the clinic helped to significantly reduce the strength of the correlation between the factors of production hazards and the health of workers.

Conclusion: The introduction of the Lean-management principles in the work of the clinic allowed not only to optimize the work of this medical organization, increase staff satisfaction, reduce morbidity and the number of days of temporary disability, reduce financial costs, but also maintain the personnel potential in shipbuilding and ship repair enterprises in the Astrakhan region. 

Keywords: Prevention; Risk; Incidence; Lean-Management; Employees-Men in the Shipbuilding Industry

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