Mel'nikov R.M.Russian Presidential Academy of National Economy and Public Administration, Moscow, Russian Federation rmmel@mail.ru ORCID id: not available
Subject We provide a quantitative assessment of socio-economic efficiency of investment in the creation of perinatal centers under Russian conditions. Objectives The purpose is to study the impact of the program for creating high-tech children's perinatal centers in Russian regions on changes in maternal and infant mortality rates and social well-being. Methods We apply the regression analysis of panel data on infant and maternal mortality rates in Russian regions, which enables to assess the effect of commissioning a perinatal center while monitoring other factors, and compare the costs and benefits of investing in the creation of a perinatal center during the life cycle of the project. Results We show that the opening of high-tech children's perinatal centers in Russian regions as part of the implementation of the Health national project, resulted in a reduction in infant mortality rate by 10 percent and maternal mortality by 15 percent. The study reveals the effect of the learning curve, which is to improve the quality of work of the perinatal center's staff as experience with high-tech medical equipment is gained, and the contribution of the center to the decline in infant and maternal mortality in the region, as the useful life increases. Conclusions Solid investment in the implementation of the program for creating perinatal centers in the Russian regions as a whole are justified. However, the monetized benefits of this capital-intensive program are moderate.
Keywords: perinatal center, learning curve, human life value, health infrastructure, return on investment
References:
Yashina N.I., Grishunina I.A., Yashin K.S. [Methods for assessing the effectiveness of budget resource management in healthcare]. Ekonomicheskii analiz: teoriya i praktika =Economic Analysis: Theory and Practice, 2015, no. 21, pp. 15–24. URL: Link (In Russ.)
Yashina N.I., Khansuvarova E.A., Yashin K.S. [Improving the financial management of State healthcare institutions]. Ekonomicheskii analiz: teoriya i praktika =Economic Analysis: Theory and Practice, 2016, no. 5, pp. 85–98. URL: Link (In Russ.)
Yashina N.I., Malysheva S.A., Sevryukova A.N., Yashin K.S. [The development of methodological aspects of public health service finance in the Russian Federation]. Finansovaya analitika: problemy i resheniya = Financial Analytics: Science and Experience, 2017, vol. 10, iss. 6, pp. 600–613. (In Russ.) URL: Link
Yashina N.I., Emel'yanova O.V., Malysheva E.S., Pronchatova-Rubtsova N.N. [A methodology to evaluate the efficiency of public health financing in Russia]. Finansy i kredit = Finance and Credit, 2018, vol. 24, iss. 3, pp. 693–708. (In Russ.) URL: Link
Wright T.P. Factors Affecting the Cost of Airplanes. Journal of the Aeronautical Sciences, 1936, vol. 3, no. 4, pp. 122–128. URL: Link
Ratner S.V., Iosifov V.V. [Forecasting the environmental effects of diffusion of electric vehicle technologies based on the learning curve methodology]. Ekonomicheskii analiz: teoriya i praktika =Economic Analysis: Theory and Practice, 2017, vol. 16, iss. 4, pp. 782–796. (In Russ.) URL: Link
Nigmatulina D., Becker C. Is High-Tech Care in a Middle-Income Country Worth It? Economics of Transition and Institutional Change, 2016, vol. 24, iss. 4, pp. 585–620. URL: Link
Starodubov V.I., Sukhanova L.P. [New criteria of birth: Medical and demographical outcomes and organizational problems in obstetric services]. Menedzher zdravookhraneniya = Manager of Health Care, 2013, no. 12, pp. 21–29. URL: Link (In Russ.)
Wooldridge J.M. Econometric Analysis of Cross Section and Panel Data. Cambridge, Mass., MIT Press, 2010, 1096 p.
Heckman J.J., Lalonde R.J., Smith J.A. Chapter 31 – The Economics and Econometrics of Active Labor Market Programs. Handbook of Labor Economics, 1999, vol. 3, part A, pp. 1865–2097. URL: Link03012-6
Almond D., Doyle J.J., Kowalski A.E., Williams H. Estimating Marginal Returns to Medical Care: Evidence from At-Risk Newborns. Quarterly Journal of Economics, 2010, vol. 125, no. 2, pp. 591–634. URL: Link
Murphy K., Topel R. The Value of Health and Longevity. Journal of Political Economy, 2006, vol. 114, no. 5, pp. 871–904. URL: Link
Mrozek J., Taylor L. What Determines the Value of Life? A Meta-Analysis. Journal of Policy Analysis and Management, 2002, vol. 21, no. 2, pp. 253–270. URL: Link
Viscusi K., Aldy J. The Value of a Statistical Life: A Critical Review of Market Estimates Throughout the World. The Journal of Risk and Uncertainty, 2003, vol. 27, no. 1, pp. 5–76. URL: Link
Aganbegyan A.G. [What is the value of human life in Russia?]. Ekonomicheskaya politika = Economic Policy, 2014, no. 1, pp. 54–66. (In Russ.)
Kostakova S.I. [Valuation of human life: Approaches and methods]. Permskii finansovyi zhurnal = Perm Financial Review, 2017, no. 1, pp. 101–113. URL: Link (In Russ.)
Zubets A.N., Novikov A.V. [Quantitative assessment of the value of human life in Russia and in the world]. Finansy: teoriya i praktika = Finance: Theory and Practice, 2018, vol. 22, no. 4, pp. 52–75. URL: Link (In Russ.)
Boardman A., Greenberg D., Vining A., Weimer D. Cost-Benefit Analysis: Concepts and Practice. Cambridge University Press, 5th edition, 2018, 520 p.
