Anti-crisis management in healthcare organizations: approaches and tools in the context of macroeconomic instability[Антикризисное Управление В Организациях Сферы Медицинского Обслуживания: Подходы И Инструменты В Условиях Макроэкономической Нестабильности]

Introduction. Macroeconomic instability has necessitated the transformation of approaches to anti-crisis management in the field of healthcare and equipment maintenance. Rising costs, disruption of supply chains and shortage of components require the development of adaptive approaches and tools that combine government regulation with market mechanisms. Methods. The research uses methods of comparative analysis of domestic and foreign anti-crisis man-agement practices, concepts of organizational resilience and risk management, economic and statistical methods; case analysis of successful practices. Purpose. To systematize methodological approaches to anti-crisis management in the field of healthcare and equipment maintenance, to evaluate the effectiveness of the tools used in a crisis and to develop recommendations for the development of market mechanisms of anti-crisis management. Results. Key anti-crisis measures have been identified: localization of production, zonal servicing, digitalization. A classification of approaches has been developed: institutional (government support), resource (import substitution), process (predictive analytics). Regional imbalances have been identified and recommendations for the development of market mechanisms for anti-crisis management have been proposed. Conclusions. Increasing the sustainability of medical organizations requires hybrid models that combine government regulation (GOST R standards, PPP programs); market instruments (competition of service providers, digital platforms); adaptation of international experience (circular economy, quality compliance control). A promising direction is the development of network clusters and an ecosystem of suppliers based on venture financing.