Problems of Social Hygiene, Public Health and History of MedicineProblems of Social Hygiene, Public Health and History of Medicine0869-866X2412-2106Joint-Stock Company Chicot92310.32687/0869-866X-2022-30-3-473-478Научная статьяThe strategic management of laboratory diagnostic service: analysis of organization modelsGoldbergA. S.goldarcadiy@gmail.comAleksandrovaO. Yu.-KitsulI. S.-The Federal State Budget Educational Institution of Additional Professional Education The Russian Medical Academy of Continuous Professional Education of Minzdrav of RussiaN. A. Semashko National Research Institute of Public Health1512202230347347818062022Copyright © 2022,2022The modern trends in health care (strategies of optimizing costs, value-oriented medical care) require systematic development of laboratory services for administrative territories. The study was carried out to provide support for decision-making by systematizing models of laboratory services on the basis of principles of systematic approach. Four basic models (centralization, outsourcing, horizontal integration, point-of-care) were analyzed. The study applied such research methods as analytical and strategic SWOT-analysis. The SWOT-analysis was implemented using list of standard characteristics for each model of laboratory service organization. Each model is distinguished by complex combination of strengths, weaknesses, lines of functioning and development. The availability of implementing particular model depends on delicate balance of opportunities and risks against the background of local characteristics of administrative subject. The dynamics of the social economic and infrastructural development of administrative subject can significantly affect effectiveness of model implementation. 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