STAKEHOLDER-ORIENTED CONFLICT MANAGEMENT TECHNOLOGIES IN PROJECTS OF CREATING AND DEVELOPING A NETWORK OF MEDICAL INSTITUTIONS
Introduction. Based on the analysis, it was found that there is a need to develop tools for managing conflicts between stakeholders in projects for the creation and development of medical facilities. These projects are characterized by complex relationships between government agencies, medical staff, NGOs, patients, and investors, that have their own interests, contradicting each other. The main scientific and applied challenge is the lack of a structured approach to reconciling the interests of stakeholders, high level of conflict, lack of transparency in decision-making processes, and insufficient use of quantitative methods for assessing management effectiveness. The lack of tools for managing conflicts leads to delays in project implementation, inefficient use of resources, and dissatisfaction of stakeholders.Purpose. To substantiate the structure of the process of managing conflicts between stakeholders in projects for the creation and development of medical institutions, which will allow timely alignment of the interests of project stakeholders, reduce the level of conflicts, and ensure effective project implementation, taking into account the specifics of the medical sector.Methods. The study uses a systematic approach, which includes an analysis of scientific research on project management and conflicts in the medical field. Based on the methods of classification and generalization, the main indicators of the effectiveness of conflict management are identified, and approaches to planning and implementing conflict management processes are summarized. To analyze the relationships between the indicators, correlation analysis, construction of dependency graphs, and regression analysis was used. The practical part of the study is based on the example of projects of medical institutions in Lviv region, for which a quantitative assessment of the effectiveness of managing conflicts between stakeholders was carried out.Results. The main stakeholders of projects for the creation and development of medical institutions are identified. Seven main types of stakeholders were identified. Based on the analysis of their interests and contradictions, the structure of the process of managing contradictions and conflicts was substantiated, which consists of five management operations providing analysis of stakeholder interests, identification of potential contradictions and conflicts, planning of the process of managing contradictions and conflicts, implementation of the plan for managing contradictions and conflicts and determining the effectiveness of the process of managing contradictions and conflicts. The proposed structure enables reconciliation of the interests of stakeholders, reduce the number and level of conflicts, and ensure the effective implementation of projects for the creation and development of medical institutions. For the practical implementation of the substantiated process, the author quantifies eight indicators that provide an objective assessment of the effectiveness of managing conflicts between stakeholders in projects for the creation and development of medical institutions and the validity of decision-making. Based on the use of the developed toolkit, a quantitative assessment of medical projects implemented in the Lviv region was carried out. It was found that the conflict index of the projects ranged from 2.0 to 2.5, the level of risks - from 15% to 40%, the consolidated efficiency index - from 0.5 to 0.826, and the level of goal achievement - from 66.6% to 83.3%. The highest performance indicators were achieved in the outpatient clinic opening project, which indicates the effectiveness of stakeholder alignment.Conclusions and proposals. The obtained results indicate that the proposed structure of the conflict management process is an effective tool for aligning the interests of stakeholders and ensuring the successful implementation of projects for the creation and development of medical institutions. Implementation of this process structure will reduce the number of contradictions and the level of conflicts between stakeholders, optimize the use of resources, and increase their satisfaction. Further research is needed to integrate modern information technologies, such as artificial intelligence and intelligent decision support systems, into the process of managing stakeholder conflicts in healthcare facility creation and development projects.
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