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ИД «Финансы и кредит»






Finance and Credit

Cash flow volatility monitoring for national security in healthcare

Vol. 29, Iss. 4, APRIL 2023

Received: 17 October 2022

Received in revised form: 3 March 2023

Accepted: 17 March 2023

Available online: 27 April 2023

Subject Heading: Financial system

JEL Classification: H5

Pages: 856–872


Aleksandr V. LARIONOV Lomonosov Moscow State University, Moscow, Russian Federation


Subject. This article examines operational indicators that help monitor healthcare.
Objectives. The article aims to develop and test a methodological approach to the creation of the theory of indicators, which can help assess the applicability of data for monitoring the state of healthcare.
Methods. For the study, I used control (Shewhart) charts developed in accordance with the requirements of GOST R ISO 7870-2-2015 – Statistical Methods. Control Charts. Part 2. Shewhart Control Charts.
Results. The article shows that information about the volatility of cash flows characterizes additional features reflecting the state of the object under study, namely healthcare.
Relevance. The results of the study can be used as part of the creation of a system for operational monitoring of healthcare in the Russian Federation. The developed methodological approach to the creation of the theory of indicators can be applied by authorities that use indicators in their activities. Further research can be aimed at expanding the number of operational health indicators, as well as developing a comprehensive theory of indicators.

Keywords: theory of indicators, public administration, public health, national security, volatility


  1. Ananchenkova P.I., Zudin A.B. [Operation problems of the Russian healthcare system in the context of the COVID-19 pandemic]. Trud i sotsial'nye otnosheniya = Labour and Social Relations, 2022, vol. 33, no. 4, pp. 89–99. URL: Link (In Russ.)
  2. Vasil'eva T.P., Larionov A.V., Russkikh S.V. et al. [Methodological approach to organizing public health monitoring in the Russian Federation]. Zdorov'e naseleniya i sreda obitaniya – ZNiSO = Public Health and Life Environment – PH&LE, 2022, vol. 30, no. 7, pp. 7–17. (In Russ.) URL: Link
  3. Agapova T.N., Il'nitskii N.A. [Challenges for modern system of maintenance and supply of regional health care]. Sotsial'nye i ekonomicheskie sistemy, 2021, no. 2, pp. 126–139. (In Russ.) URL: Link
  4. Turdyeva N., Tsvetkova A., Movsesyan L. et al. [Data of sectoral financial flows as a high-frequency indicator of economic activity]. Den'gi i kredit = Russian Journal of Money and Finance, 2021, vol. 80, no. 2, pp. 28–49. (In Russ.) URL: Link
  5. Maslennikov V.V., Larionov A.V. [Volatility of cash flows as an indicator of the state of the economy]. Bankovskoe delo = Banking, 2022, no. 8, pp. 36–44. (In Russ.) URL: Link
  6. Sisto R., García López J., Lumbreras M.J. et al. City Assessment Tool to Measure the Impact of Public Policies on Smart and Sustainable Cities. The Case Study of the Municipality of Alcobendas (Spain) Compared with Similar European Cities. In: Bisello A., Vettorato D., Ludlow D., Baranzelli C. (eds) Smart and Sustainable Planning for Cities and Regions. SSPCR 2019. Green Energy and Technology. Springer, Cham. URL: Link
  7. Bruner J.S. O gotovnosti k vospriyatiyu. V kn.: Psikhologiya poznaniya: Za predelami neposredstvennoi informatsii [On Perceptual Readiness. In: Beyond the Information Given: Studies in the Psychology of Knowing]. Moscow, Progress Publ., 1977, pp. 12–63. URL: Link
  8. Red'ko A.N., Shil'tsova T.A., Savchuk S.B. [Main socio-economic indicators of the current state of the health of the Russian Federation]. Nauchnyi vestnik Yuzhnogo instituta menedzhmenta, 2018, no. 1, pp. 52–56. URL: Link (In Russ.)
  9. Desideri I., Francolini G., Ciccone L.P. et al. Impact of COVID-19 on Patient–Doctor Interaction in a Complex Radiation Therapy Facility. Supportive Care in Cancer, 2021, vol. 29, pp. 2931–2937. URL: Link
  10. Belyaev I.I., Larionov A.V., Sil'vestrov S.N. [Assessment of the state of economic security in Russia using the example of the unemployment rate indicator: Fractal analysis method]. Problemy prognozirovaniya = Studies on Russian Economic Development, 2021, no. 2, pp. 34–42. URL: Link (In Russ.)
  11. Mikheev M.Yu., Prokof'ev O.V., Golubkova I.V. [Short-time series analysis method in Shewhart's control chart]. Trudy mezhdunarodnogo simpoziuma “Nadezhnost' i kachestvo”, 2019, vol. 2, pp. 304–307. (In Russ.)
  12. Guznov A.G. [Megaregulators of financial markets: comparative legal analysis (on the example of the Federal Republic of Germany and the Russian Federation)]. Vestnik Universiteta imeni O.E. Kutafina (MGYuA) = Courier of Kutafin Moscow State Law University (MSAL), 2014, no. 4, pp. 147–159. URL: Link (In Russ.)
  13. Lisitsyn Yu.P. [Introduction to the general theory of medicine]. Byulleten' Natsional'nogo nauchno-issledovatel'skogo instituta obshchestvennogo zdorov'ya imeni N.A. Semashko = Bulletin of Semashko National Research Institute of Public Health, 2012, no. S1, pp. 10–12. URL: Link (In Russ.)
  14. Lesina T.V., Tyutin D.V. [Development of methodologies for evaluating the effectiveness and efficiency in managing the quality of medical care]. Vestnik Evraziiskoi nauki, 2020, vol. 12, no. 2, p. 49. (In Russ.) URL: Link
  15. Golodnikova A.E., Tsygankov D.B., Yunusova M.A. [Potential of using “Nudge” concept in State regulation]. Voprosy gosudarstvennogo i munitsipal'nogo upravleniya = Public Administration Issues, 2018, no. 3, pp. 7–31. URL: Link (In Russ.)
  16. Peters E.E. Khaos i poryadok na rynkakh kapitala: Novyi analiticheskii vzglyad na tsikly, tseny i izmenchivost' rynka [Chaos and Order in the Capital Markets: A New View of Cycles, Prices, and Market Volatility]. Moscow, Mir Publ., 2000, 333 p.

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