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Finance and Credit
 

A methodology to evaluate the efficiency of public health financing in Russia

Vol. 24, Iss. 3, MARCH 2018

Received: 27 December 2017

Received in revised form: 15 January 2018

Accepted: 30 January 2018

Available online: 29 March 2018

Subject Heading: FISCAL SYSTEM

JEL Classification: H51, I18

Pages: 693—708

https://doi.org/10.24891/fc.24.3.693

Yashina N.I. National Research Lobachevsky State University of Nizhny Novgorod, Nizhny Novgorod, Russian Federation
sitnicof@mail.ru

ORCID id: not available

Emel'yanova O.V. National Research Lobachevsky State University of Nizhny Novgorod, Nizhny Novgorod, Russian Federation
okvladimirovna@mail.ru

ORCID id: not available

Malysheva E.S. Nizhny Novgorod State Medical Academy, Nizhny Novgorod, Russian Federation
kayash3@yandex.ru

ORCID id: not available

Pronchatova-Rubtsova N.N. National Research Lobachevsky State University of Nizhny Novgorod, Nizhny Novgorod, Russian Federation
pronat89@mail.ru

ORCID id: not available

Subject The article considers a methodology for evaluating the efficiency of State financing of health care in Russia.
Objectives The purpose of the study is to develop an aggregate standard index for performance evaluation of public health funding and determine the level of health system development in the subjects of the Russian Federation based on reported data for 2015.
Methods The study employs general scientific methods of comparison, analysis, synthesis, deduction, graphical and tabular representation of data that enable sound estimates and conclusions. We also aggregate indicators of the health system using a composite index with subsequent interpretation of obtained results.
Results We developed a standard index to assess the efficiency of public health financing in regions, determined the efficiency of public financing of the health care system in the subjects of the Russian Federation based on reported data for 2015. The paper presents a rating and classification of regions.
Conclusions The offered indicators and the composite index describe the main aspects of health functioning and financing in regions. This helps rank the subjects of the Russian Federation and use the results when making decisions about allocation of funds from the Federal government.

Keywords: health care, financing, cost effectiveness, system of indicators, composite index, rating

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