Subject The article examines whether it is possible to improve the operation of the health care system in order to preserve human and labor capabilities, increase the sectoral contribution to sustainable socio-economic development of regions. Objectives The study designs a comprehensive methodological framework for evaluating the regional health care system so as to determine the attainability of medical and social targets, economic effects, sustainable operations in the sector, considering that neither Russian nor foreign research provides an integral view of health care efficiency. Methods The methodology is based on concepts of the systems economics, sustainable development. It also includes a multilevel and integrative approach and employs a set of methods, such as multivariate-comparative, deterministic-factorial, structural analyses, econometric modeling. Results We propose applying a comprehensive set of metrics to evaluate the regional health care system, including medical, social efficiency, indicators of sectoral economic efficiency. We analyzed the performance of regional health care systems in the Volga Federal District and Ural Federal District from 2013 through 2017 and identified respective achievements and challenges. The article sets out a non-linear model for the optimal combination of medical services so as to ensure the relative economic efficiency of the health care system. Conclusions and Relevance Relying on the study, we infer that the medical and social efficiency has a non-linear dependence on its finance, organizational forms and the regional health care system influence each other. The findings may be used by constituent entities of the Russian Federation to conduct an integral evaluation of the regional health care system, determine whether sectoral resources are effectively used and how the health care system develops.
Keywords: socio-economic system, sustainable development, regional health care system, efficiency, effectiveness
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