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Economic bases of innovative activity in public health services

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Table of contents

Introduction

1. Theoretical bases of the economic and legal substantiation of
realization of innovative activity

1.1 Economic bases of innovative activity

1.2 Legal bases of innovative activity

1.3 Working out and the analysis of the innovative project

2. The technique of the estimation of efficiency of the innovative
project

2.1 Existing technique of an estimation of the investment project

2.2 Offered model of an estimation of efficiency of the innovative
project

2.3 Comparison of standard and offered models of an estimation of
efficiency of the innovative project

3. The estimation of efficiency of the innovative project in public
health services

3.1 Estimation of efficiency of the innovative project by a standard
technique

3.2 Estimation of efficiency of the innovative project by an offered
technique

3.3 Comparison of estimations of efficiency of the innovative project on
standard and offered models

4. Management of the personnel of the scientific organizations

4.1 Personnel of the scientific organisations

4.2 Motivation of the personnel in the scientific organisations

4.3 Problem of a choice of the optimum schedule (mode) of work in the
scientific organisations

5. Bases of safety of ability to live

5.1 Legal bases of a labour safety

5.2 Planning of actions for a labour safety

The conclusion

The literature list

Introduction

In modern conditions successful activity of medical institutions is in
many respects defined by activity of economic service since the changes
which have occurred in all spheres of our society, could not lay aside
public health services. In the conditions of transition to the market
without strengthening of an economic orientation of activity of the head
it is difficult to count on stable work of establishment. So, is
precipitate to sign contracts, to enter new medical services and to make
other important decisions without corresponding economic examination. In
this connection for medical institutions there is actual a question of
the analysis and economic activities planning. Many of methods of
economic (especially financial) analysis are not new in itself, but
those are only in relation to public health services. Application
(adaptation) of these methods to features of concrete area? A problem
difficult enough, demanding the big work and qualification [12].

In the present degree work the innovative project of manufacture of
iatrotechnics on the basis of treatment-and-prophylactic establishment
will be considered. Offered in the given degree work to consideration
the innovative project is developed for a substantiation of manufacture
and realisation of the new medical device? The biotest?, intended for
diagnostics and treatment of many of disease on a method to the
developed R.Follem. This direction in medical branch has started to
develop only in the last some years, and its further expansion is
planned. Development of this direction has the big prospects in view of
that R.Follja’s method allows to treat many diseases, including
congenital, and medical institutions engaged in diagnostics and
treatment on R.Follja’s method which will be the basic buyers of the
device? The biotest?, can organise the activity in such a manner that
technology use would make notable profit.

Medical institutions, private clinics and simply separate doctors
constantly expand a field of the activity, all new and new services
render, and aspire to receive from them benefit. Device “Biotest” allows
to organise the whole medical office on research and treatment, helps
with many branches of medicine. For example R.Follja’s method is applied
in stomatology to diagnostics of compatibility of the material, seals
offered the patient and crowns, with its organism. The purpose of degree
work is the substantiation of expediency of introduction of the
innovative project on manufacture of the new device? The biotest?.

For achievement of this purpose in work following problems are solved:

1) to Describe the theoretical? Economic and legal? Bases of innovative
activity.

2) to develop own model of an estimation of efficiency of the innovative
project.

3) to spend the comparative description of standard and offered model of
an estimation of efficiency of the innovative project.

4) For the considered innovative project? Device manufactures? The
biotest?? To spend an efficiency estimation by both techniques, standard
and developed in the present degree work.

5) to consider the important questions concerning innovative activity,
such as questions of management of the personnel in the scientific
organisations and ability to live safety issues at realisation of
innovative activity. In the appendix to the present degree work the
Passport of the innovative project is resulted.

1. Theoretical bases of the economic and legal substantiation of
realization of innovative activity

1.1 Economic bases of innovative activity

Before to speak about the economic bases of innovative activity, we will
short describe the basic terms and the concepts connected with
innovative activity (in the field of public health services) [26].
According to a management of Fraskati (the document is accepted in 1993
in the Italian city of Fraskati) the innovation is defined as the end
result of the innovative activity which has received an embodiment in
the form of a new or advanced product (service), introduced on the
market, new or advanced technological process, or in the new approach to
social services. In other words the innovation (innovation) means result
of the creative activity directed on working out, creation and
distribution of new kinds of products, technologies, introductions of
new organizational forms etc. [31]. In this connection it is necessary
to consider the term an innovation as registration of result
fundamental, applied or experimental researches in any field of
activity, promoting development and increase of efficiency of this
activity [47]. Besides opinions of authors of various editions, in
terminology questions it is necessary to consider standard documents. So
in the project of the Federal law? About innovative activity and the
state innovative policy? Following definitions of concepts considered in
the present degree work [62] are given:? An innovation – the end result
of the creative activity which has received realisation in the form of
new either advanced production, or the new or advanced technological
process used in an economic turn;? Innovative activity? Creation of the
new or advanced production, the new or advanced technological process,
realised in an economic turn with use of scientific researches, workings
out, developmental works, or other scientific and technical
achievements;? The state innovative policy? The component of a social
and economic policy directed on development and stimulation of
innovative activity;? Venture innovative funds? The noncommercial
organisations established legal and (or) physical persons on the basis
of voluntary property payments and (or) voluntary investment in exchange
for a share in the share capital, the creations focused on financing,
development in manufacture of new kinds of production and (or) the
technologies connected with a high risk;? An infrastructure of
innovative activity? The organisations rendering subjects of innovative
activity of service, necessary for realisation of innovative activity.
In connection with the above-stated the central concept for the present
degree research? The innovative project? It is necessary to define as
follows. As the innovative project we will understand the introduction
business plan (manufactures and sales) innovative working out (the new
goods, service or technology). The business plan, in turn, is both a
substantiation of economic feasibility of introduction of an innovation,
and planning of actions for realisation of the project [46]. Following
kinds of activity concern innovative activity [63]: performance of the
research, developmental and technological works directed on creation of
new or advanced production, the new or advanced technological process,
realised in an economic turn; Carrying out of marketing researches and
the organisation of commodity markets of innovative products; creation
and development of an innovative infrastructure; preparation and
retraining of personnel for innovative activity; protection, transfer
and acquisition of the rights to objects of intellectual property both
the confidential scientific and technological information; realisation
of technological re-equipment and manufacture preparation; realisation
of tests, certifications and standardization of new processes, products
and products; the initial period of manufacture of new or advanced
production, application of new or advanced technology before achievement
of a standard time of recovery of outlay of the innovative project;
financing of innovative activity, including realisation of investments
into innovative programs and projects; other kinds of works which
necessary for realisation of innovative activity and are not
contradicting the legislation of the Russian Federation. Further from
the conceptual device we will pass to the description of the economic
bases of innovative activity. Above it was already told about necessity
of steadfast consideration of the questions connected with an economic
aspect of activity of treatment-and-prophylactic establishments. The
first, what it is necessary to note in this connection? This increase of
the importance of economic service in activity of the medical
institutions, connected with increase of the importance of financial
indicators. Other moment? This essential change last years character of
economic work, increase of its complexity and labour input? Complexity
and labour input of economic work in public health services is
connected, first of all, with expansion of sources of financing, various
principles of planning [40]. The Major factors influencing occurrence of
new directions in economic work of medical institutions, Changes in
public health services economic mechanism are following [53: 1]). 2) the
Computerization of establishments of public health services. 3) changes
of the status and the organizational-legal form of medical institutions,
their transformation into full managing subjects with the wide rights in
questions of the organisation of the work. One of the major kinds of
economic work traditionally is planning. In modern conditions its
relative density. However in modern conditions instead of charges of
medical institutions priority value starts to get costs planning on the
medical aid rendering, called to provide coordination of resources with
volumes of the rendered services, instead of quantity of capacities (the
areas, cots, states etc.) [20]. By consideration of new tendencies in
approaches to the analysis of economic activities of medical
institutions what varies not only toolkit of the economic analysis, but
also a methodological basis is essentially important? The economic
analysis of work of medical institution acts as the analysis of activity
of the independent and full managing subject, instead of simply consumer
of resources as it was earlier [39]. Rather new sphere of activity of
economic service is pricing. This problem has got the practical
importance in connection with introduction of a new economic mechanism
and obligatory medical insurance [35]. In the conditions of market
relations at an establishment of the sizes of a payment it is necessary
to consider a supply and demand both on a labour market, and in the
market of medical services [48].

1.2 Legal bases of innovative activity

Innovative activity is carried out according to the Constitution of the
Russian Federation and the Civil code of the Russian Federation. The
Project of the Federal law on innovations and innovative activity
Besides, prepares. To regulate innovative activity according to this Law
and laws accepted according to it and other standard legal certificates
of the Russian Federation, laws and other standard legal certificates of
subjects of the Russian Federation, and also the international contracts
of the Russian Federation, concerning innovative activity [64]. If the
Federal Law on innovative activity while exists only in the project in
many regions of Russia Regional laws on innovative activity [63]
operate. Regional laws on innovations and innovative activity and the
Project of the Federal law are under construction approximately on the
same structure, therefore for illumination of legal bases of innovative
activity it will be pertinent to state the maintenance and substantive
provisions of the Project of the Federal law on innovations and
innovative activity, having resulted the maintenance of this Project
[62]. We will consider substantive provisions of this Project. First of
all, in the Project it is supposed to consider following concepts: an
innovation? The end result of the creative activity which has received
realisation in the form of new either advanced production, or the new or
advanced technological process used in an economic turn; innovative
activity? Creation of the new or advanced production, the new or
advanced technological process, realised in an economic turn with use of
scientific researches, workings out, developmental works, or other
scientific and technical achievements; the state innovative policy? The
component of a social and economic policy directed on development and
stimulation of innovative activity; venture innovative funds? The
noncommercial organisations established legal and (or) physical persons
on the basis of voluntary property payments and (or) voluntary
investment in exchange for a share in the share capital, the creations
focused on financing, development in manufacture of new kinds of
production and (or) the technologies connected with a high risk; an
infrastructure of innovative activity? The organisations rendering
subjects of innovative activity of service, necessary for realisation of
innovative activity [63]. In the Project makes a reservation that
innovative activity is carried out according to the Constitution of the
Russian Federation, the Civil code of the Russian Federation, the
present Federal law and laws accepted according to it and other standard
legal certificates of the Russian Federation, laws and other standard
legal certificates of subjects of the Russian Federation, and also the
international contracts of the Russian Federation, concerning innovative
activity. If the international contracts of the Russian Federation
establish other norms, than provided by the present Federal law norms of
the international contracts [63] are applied. In the Project it is
noticed that following kinds of activity concern innovative activity:
Performance of the research, developmental and technological works
directed on creation of new or advanced production, the new or advanced
technological process, realised in an economic turn; carrying out of
marketing researches and the organisation of commodity markets of
innovative products; creation and development of an innovative
infrastructure; preparation and retraining of personnel for innovative
activity; protection, transfer and acquisition of the rights to objects
of intellectual property both the confidential scientific and
technological information; realisation of technological re-equipment and
manufacture preparation; realisation of tests, certifications and
standardization of new processes, products and products; the initial
period of manufacture of new or advanced production, application of new
or advanced technology before achievement of a standard time of recovery
of outlay of the innovative project; Financing of innovative activity,
including realisation of investments into innovative programs and
projects; other kinds of works which necessary for realisation of
innovative activity and are not contradicting the legislation of the
Russian Federation [63]. Subjects of innovative activity are legal
bodies, irrespective of the organizational-legal form and a pattern of
ownership, physical persons? Citizens of the Russian Federation, the
foreign organisations and citizens, and also persons without
citizenship. Subjects of innovative activity can carry out functions of
customers and (or) executors of innovative projects and programs,
investors, consumers of results of innovative activity, and also the
organisations serving innovative process and promoting development and
distribution of innovations [62]. The state according to the current
legislation guarantees to subjects of innovative activity: The state
support of innovative programs and the projects directed on realisation
of the state innovative policy; the state support of creation and
development of subjects of an infrastructure of innovative activity; the
state support to preparation, retraining and improvement of professional
skill of the shots which are carrying out innovative activity;
intellectual property protection, protection against an unfair
competition and monopolism; access freedom to the information on
priorities of the state innovative policy; freedom of distribution and
gathering of the information on innovative requirements and results of
scientific and technical and innovative activity, except for the
information containing state, office and the trade secret [64]. Public
organisations and associations in which charter innovative activity is
provided, can carry out on the competitive beginnings it at the expense
of means of the federal budget, budgets of subjects of the Russian
Federation and to get the state support. Public authorities of the
Russian Federation, authorities of subjects of the Russian Federation by
preparation of projects of standard legal certificates and programs in
the field of innovative activity can involve public organisations and
associations [62]. The basic form of relations between subjects of
innovative activity are the contracts (contracts) concluded according to
the current legislation of the Russian Federation [63].

The disputes arising at realisation of innovative activity, are
considered in an order established by the legislation of the Russian
Federation and the legislation of subjects of the Russian Federation
[62]. Public authorities in an order established by the legislation of
the Russian Federation and the legislation of subjects of the Russian
Federation, can stop or suspend innovative activity in cases of
spontaneous and other disasters, introductions of state of emergency in
territory of the Russian Federation, and also if continuation of
innovative activity can lead to infringement established by the
legislation of the Russian Federation and the legislation of subjects of
the Russian Federation of ecological, sanitary-and-epidemiologic and
other norms and rules, the rights and interests legal and physical
persons [62].

1.3 Working out and the analysis of the innovative project

By means of the innovative project the important problem on finding-out
and a substantiation of technical possibility and economic feasibility
of innovative activity dares. Despite a variety of projects, their
analysis usually follows some general scheme which includes the special
sections estimating commercial, technical, financial, economic and
????????th feasibility of the project. [49]. Essentially the essence of
the analysis of the innovative project consists in the answer to two
simple questions [52:

1]) whether we Can sell a product which is growing out of realisation of
the project?

2) whether we from it can receive sufficient volume of the profit
justifying the investment project? The analysis of efficiency of the
innovative project conditionally breaks on [52]: the market analysis,
the analysis of the competitive environment, working out of the
marketing plan of a product, maintenance of reliability of the
information used for the previous sections. As innovative projects are
carried out at already existing markets, in the project their
characteristic should be resulted. The marketing analysis should include
the analysis of consumers and competitors also. The analysis of
consumers should define consumer inquiries, potential segments of the
market and character of process of purchase. For this purpose the
developer of the project should carry out detailed research of the
market. Besides, it is necessary to carry out the analysis of the basic
competitors within the limits of market structure and restrictions, on
it influencing [29]. In drawing 1.1 the general sequence of the analysis
of the innovative project is presented. It is necessary to notice, what
the resolution used on the scheme? The project deviates? Has conditional
character. The project should be really rejected in the initial kind. At
the same time the project can be altered because of, for example, its
technical impracticability and the analysis of the modified project
should begin from the very beginning.

Let’s describe high lights of the analysis of efficiency of the
innovative project [37]. The technical analysis [37] Problem of the
technical analysis of the innovative project is:? Definition of the
technologies most suitable from the point of view of the purposes of the
project? The analysis of local conditions, including availability and
cost of raw materials, energy, a labour? Stock-taking of potential
possibilities of planning and project realisation. The technical
analysis is usually made by group of own experts of the enterprise with
possible attraction of narrow experts. Standard procedure of the
technical analysis begins with the analysis of own existing technologies
[51]. The rule of a choice of technology provides the complex analysis
of some alternative technologies and a choice of the best variant on the
basis of any aggregated criterion [56]. The financial analysis of [37]
investment projects Given section is the most volume and
labour-consuming. The general scheme of financial section of the
innovative project follows simple sequence [37]. 1) the Analysis of a
financial condition of the enterprise in preparation of the innovative
project. 2) the analysis of break-even of manufacture of principal views
of production. 3) the forecast of profits and monetary streams in the
course of realisation of the innovative project. 4) an estimation of
efficiency of the innovative project. We will stop short on key
questions of financial section of the innovative project. The financial
analysis of the previous work of the enterprise and its current position
usually is reduced to calculation and interpretation of the basic
financial factors reflecting liquidity, credit status, profitableness of
the enterprise and efficiency of its management. Usually it does not
cause difficulty. It is important to present also in financial section
the basic financial reporting of the enterprise for a number of previous
years and to compare the basic indicators on years [51]. The break-even
analysis includes regular work under the analysis of structure of the
cost price of manufacturing and sale of principal views of production
and division of all costs into variables (which change with change of a
volume of output and sales) and constants (which remain invariable at
change of a volume of output). The Main objective of the analysis of
break-even? To define a break-even point, i.e. a sales volume of the
goods which corresponds to zero value of profit. Importance of the
analysis of break-even consists in comparison of a real or planned gain
in the course of realisation of the investment project with a point of
break-even and the subsequent estimation of reliability of profitable
activity of the enterprise [27]. The Most responsible part of financial
section of the innovative project is actually its investment part which
includes [37]:? Definition of investment requirements of the enterprise
for the project? Establishment (and the subsequent search) sources of
financing of investment requirements? Estimation of cost of the capital
involved for realisation of the investment project? The forecast of
profits and monetary streams at the expense of project realisation? An
estimation of indicators of efficiency of the project. The most
difficult is the question of an estimation of a recoupment of the
project during its term of realisation [5]. The volume of monetary
streams which turn out as a result of project realisation should cover
size of the total investment taking into account a principle? Costs of
money in time?. Each new stream of money received in a year has the
smaller importance, than equal to it on size the monetary stream
received year earlier. As the characteristic measuring the time
importance of monetary streams, the norm of profitableness from
investment received acts during realisation of the investment project of
monetary streams [5]. The economic analysis [37] be integrated procedure
of an estimation of economic efficiency can it is presented in the form
of the following sequence [37: 1]) to Present results of the financial
analysis. 2) to make new classification of expenses and incomes from the
point of view of the economic analysis. 3) to translate financial values
in economic (they do not coincide because of discrepancy of the prices
and expenses for external and home market). 4) to Estimate cost of other
possibilities for use of resources and reception of the same product. 5)
to exclude all calculations on internal payments (as they do not change
the general riches of the country). 6) to Compare annual economic
streams of means with initial volume of the investment (it will be a
final analysis). The institutsionalnyj analysis of [37]
Institutsionalnyj the analysis estimates possibility of successful
performance of the investment project taking into account
organizational, legal, political and administrative conditions. This
section of the investment project is not quantitative and not financial.
Its main task? To estimate set of the internal and external factors
accompanying the investment project [37]. The estimation of internal
factors is usually made under the following scheme. 1) the analysis of
possibilities of industrial management. Well-known that bad management
in a condition to fill up any, even over the good project. Analyzing
industrial management of the enterprise, it is necessary to be focused
on following questions [37]:? Experience and qualification of managers
of the enterprise? Their motivation within the limits of the project
(for example, in the form of a share from profit)?

Compatibility of managers with the purposes of the project and the cores
ethical and project cultural values. The analysis of a manpower. A
manpower with which it is planned to involve for project realisation
should correspond to level of technologies used in the project [42]. The
analysis of organizational structure. The organizational structure
accepted at the enterprise should not brake project development. It is
necessary to analyse, as there is at the enterprise a decision-making
process and as distribution of responsibility for their performance is
carried out. It is not excluded that it is necessary to allocate
management of realisation of the developed investment project in
separate administrative structure, having passed from hierarchical to
matrix structure of management as a whole on the enterprise [51]. The
basic priorities in respect of the analysis of external factors are
mainly caused by a policy of the state in whom following positions [37]
are allocated for the detailed analysis:? Conditions of import and
export of raw materials and the goods? Possibility for foreign investors
to put means and to export the goods? Laws on work? Substantive
provisions of financial and bank regulation. This points in question are
most important for those projects which assume attraction of the western
strategic investor [37]. The analysis of risk [37]. The essence of the
analysis of risk consists in the following. Without dependence from
quality of assumptions, the future always bears in itself an uncertainty
element. The most part of the data necessary, for example, for the
financial analysis (elements of expenses, the prices, production sales
volume, etc.) Are uncertain. In the future forecast changes as to the
worst (profit decrease), and in the best are possible. The risk analysis
offers the account of all changes, both towards deterioration, and
towards improvement [48]. In the course of project realisation following
elements are subject to change: cost of raw materials and accessories,
cost of capital expenses, service cost, cost of sales, the prices and so
on. As a result of target parametre, for example profit, will be casual.
The risk uses concept of likelihood distribution and probability. For
example, the risk is equal to probability to get negative profit, that
is the loss. The wider range of change of factors of the project, the
?e??o is subject to risk the project [57]. As a rule, definitively
innovative project is made out in the form of the business plan. In this
business plan all questions listed above, as a rule, are reflected. The
business plan of the innovative project, first of all, should meet
requirements of that subject of innovative activity on which decision
the further destiny of the project [36] depends. So, in chapter 1 of
degree work theoretical bases of innovative activity in public health
services have been considered, and, the basic terminology is entered,
the economic reasons of innovations and legal maintenance of innovative
activity are described. From chapter 1 it is possible to draw a
conclusion, what a principal cause causing innovative activity in
economy in general and in public health services in particular? The new
market relations compelling each concrete enterprise to search
additional sources of financing. These economic bases in turn generate
the legislative base providing a legal field of innovative activity.

2. The technique of the estimation of efficiency of the innovative
project

2.1 Existing technique of an estimation of the investment project

Existing (standard, classical) the technique of an estimation of
efficiency of the innovative project includes [35:

1]) calculation of factor of the pure resulted cost (NPV);

2) calculation of an index of profitability of investments (PI);

3) calculation of internal rate of return or norm of profitability of
the investment (IRR);

4) decision-making on project realisation. We will describe each step of
this technique.

At the heart of process of acceptance of administrative decisions of
investment character the estimation and comparison of volume of
prospective investments and the future monetary receipts lie. As
compared indicators concern the various moments of time, a key problem
here is the problem of their comparability. To concern it it is possible
differently depending on existing objective and subjective conditions:
rate of inflation, the size of investments and generated receipts,
horizon of forecasting, a skill level of analysts etc. The international
practice of an estimation of efficiency of investments essentially is
based on the concept of time cost of money and is based on following
principles.

1) the estimation of efficiency of use of the invested capital is made
by comparison of a monetary stream (cash flow) which is formed in the
course of realisation of the investment project and the initial
investment. The project admits effective if return of the initial sum of
investments and demanded profitableness for the investors who have given
the capital is provided.

2) the invested capital no less than a monetary stream is resulted by
this time or by certain settlement year (which as a rule precedes the
beginning of realisation of the project).

3) Process of discounting of capital investments and monetary streams is
made under various rates of discount which are defined depending on
features of investment projects. At definition of the rate of discount
the structure of investments and cost of separate components of the
capital are considered. The essence of all methods of an estimation is
based on the following simple scheme: Initial investments at realisation
of any project generate monetary stream CF1, CF2…, CFn. Investments
admit effective if this stream is sufficient for? Return of the initial
sum of capital investments and? Maintenance of demanded return on the
invested capital. 1) calculation of factor of the pure resulted cost
(NPV) [29] Calculation of this factor is based on comparison of size of
the initial investment (IC) with a total sum of the discounted pure
monetary receipts generated by it during predicted term. As inflow of
money resources is distributed in time, it is discounted by means of
factor r, established by the investor independently, proceeding from
annual percent of return which he wants or can have on the capital
invested by it. Let’s admit, the forecast becomes that the investment
(IC) will generate during n years, revenues at a rate of CF1, CF2,
CF…. The general saved up size of the discounted incomes (PV) (Present
Value) and the pure resulted cost (NPV) (Net Present Value) Pays off.

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Where n? Quantity of the periods of time on which the investment, r is
made? Norm of profitableness (profitableness) from an investment. It is
obvious that if: NPV> 0 the project should be accepted; NPV 1 the project should be accepted; PI 0 the project should be accepted; NPV 1 the project should be accepted; PI

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