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National Interests: Priorities and Security
 

An integrated approach to assessing the efficiency of health financing in the Russian regions

Vol. 16, Iss. 12, DECEMBER 2020

Received: 17 September 2020

Received in revised form: 5 October 2020

Accepted: 22 October 2020

Available online: 15 December 2020

Subject Heading: SUSTAINABLE DEVELOPMENT OF ECONOMY

JEL Classification: I01, I13, I15, I18

Pages: 2264–2288

https://doi.org/10.24891/ni.16.12.2264

Krivenko N.V. Institute of Economics, Ural Branch of Russian Academy of Sciences (IE UB RAS), Yekaterinburg, Russian Federation
nvkrivenko@yandex.ru

https://orcid.org/0000-0002-3292-6460

Shipitsyna S.E. Perm State National Research University (PSU), Perm, Russian Federation
sv-in-sure@mail.ru

https://orcid.org/0000-0001-8610-756X

Subject. The article presents theoretical and historical considerations on the emergence of the contemporary healthcare system in Russia, developments in models and forms of public healthcare protection as public and economic constructs change.
Objectives. The study substantiates versatile methodological approaches to evaluating the efficiency of healthcare finance regionally.
Methods. Based on the integrated method of factor analysis, the methodological approach evaluates some components of efficiency, i.e. available budgetary finance and resources, social and medical efficiency. To evaluate each type of efficiency, we determines socio-economic, medical and demographic indicators split into blocks.
Results. We examined the model of the contemporary one-source finance of the Russian healthcare in regions and provided a detailed account of all cash flows and influx. The article analyzes the existing methodological approaches to evaluating the efficiency of healthcare finance, marks a wide spectrum of relevant issues pointed out by contemporary researchers. The technique was tested with the case of the healthcare systems in the Perm Krai, Sverdlovsk Oblast and Samara Oblast, and the comparative approach to evaluating the regional healthcare and the national indicators. Thus, we found critical points and challenging areas in the healthcare systems of the analyzable regions.
Conclusions and Relevance. The methodological approach to evaluating the efficiency of regional healthcare finance we propose is versatile and applicable to the constituent entities of the Russian Federation.

Keywords: healthcare, budgetary finance, available resource, social efficiency, medical efficiency

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