Akhmeduev A.Sh.Institute of Social and Economic Research of Dagestan Scientific Center of Russian Academy of Sciences, Makhachkala, Republic of Dagestan, Russian Federation achmeduev@mail.ru ORCID id: not available
Importance The article analyzes and assesses the present state of health care in Russia and its regions, discloses pending problems and underpins perspective directions of its reform, modernization and development. Objectives The aim is to perform a comprehensive research of the health care of Russia and compare it with foreign countries, define challenges, and justify the main areas of radical reform of its organizational and economic system. Methods The study draws on methods of logical and comparative statistical analysis. Results Recently, positive changes in indicators of health care development, health condition and life expectancy of the population have been observed in Russia. However, in terms of key performance indicators, the health care of Russia significantly lags behind developed countries. Further breakthrough development, radical reform and modernization of public health services should be viewed as major conditions to overcome a demographic crisis. Conclusions To raise the health care in Russia and its regions to the world standards, it is necessary to review the State program of the Russian Federation for health care development, study and use the best practices, provide for effective State regulation, reorient to comprehensive diagnostics, prevention and treatment of diseases at early stages. A burning issue is to improve the training and professional development of healthcare personnel. The paper defines areas of updating the remuneration system in the sector.
Keywords: health care, region, reforming, State guarantee, medical services
References:
Medvedev D.A. [A New Reality: Russia and Global Challenges]. Voprosy Ekonomiki,2015, no. 10, pp. 5–29. URL: Link (In Russ.)
Gimpel'son V. [Does the Russian economy need human capital? Ten doubts]. Voprosy Ekonomiki, 2016, no. 10, pp. 129–143. URL: Link (In Russ.)
Akhmeduev A.Sh., Rabadanova A.A. Strategicheskoe upravlenie social'no-jekonomicheskim razvitiem regiona [Strategic management of social and economic development of the region]. Moscow, Ekonomika Publ., 2013, 312 p. (In Russ.)
Chalmers L.M., Ashton T., Tenbensel T. Measuring and Managing Health System Performance: An Update from New Zealand. Health Policy,2017, vol. 121, iss. 8, pp. 831–835. URL: Link
Moore R., McClean S. Folk Healing and Health Care Practices in Britain and Ireland: Stethoscopes, Wands and Crystals. New York, Berghahn Books, 2010, 288 р.
Rochefort D.A., Donnelly K.P. Foreign Remedies: What the Experience of Other Nations Can Tell Us about Next Steps in Reforming U.S. Health Care. Routledge, 2012, 120 р.
Brennan V.M. Free Clinics: Local Responses to Health Care Needs. Baltimore, MD, The Johns Hopkins University Press, 2013., 271 р.
Fierlbeck K., Lahey W. Health Care Federalism in Canada: Critical Junctures and Critical Perspectives. Montreal, McGill-Queen's University Press, 2013, 280 р.
Volkov S.K. Social and Economic Disproportion of Development of Russian Territories. Regional and Sectoral Economic Studies, 2015, vol. 15, no. 2, pp. 137–144. URL: Link
Manning N., Tikhonova N. Health and Health Care in the New Russia. Farnham, Ashgate Publishing Ltd, 2009, 314 р.
Aganbegyan A. On Goals and Measures of Health Care Reform in Russia. Voprosy Ekonomiki,2014, no. 2, pp. 149–157. (In Russ.)
Kudelina O.V., Eremina S.L. [Regional Healthcare Effectiveness]. Ekonomika regiona = Economy of Region,2016, vol. 12, no. 1, pp. 211–225. URL: Link (In Russ.)
Zhuravleva T. [Does the Russian Government Pay a 'Fair' Wage? Review of Studies]. Voprosy Ekonomiki,2015, no. 11, pp. 62–85. Link (In Russ.)
Gimpel'son V.E., Luk'yanova A.L. [Working in the Budgetary Sector in Russia: Lucky Choice or Bad Fortune?] Ekonomicheskii zhurnal VShE = The HSE Economic Journal, 2006, vol. 10, iss. 4, pp. 557–589. URL: Link (In Russ.)
Sharunina A.V. [Are Public Sector Workers "Losers"? Estimation of the Public-Private Wage Gap in Russia]. Ekonomicheskii zhurnal VshE = The HSE Economic Journal,2013, vol. 17, iss. 1, pp. 75–107. URL: Link (In Russ.)
Naigovzina N.B., Konanykhina A.K., Kochubei A.V. [The tasks of training and continuous professional development of administrative managerial health personnel in the system of supplementary professional education]. Zdravookhranenie Rossiiskoi Federatsii = Public Health of the Russian Federation, 2016, no. 1, pp. 35–40. URL: Link (In Russ.)
Medvedev D.A. [Social and economic development of Russia: Finding new dynamics]. Voprosy Ekonomiki,2016, no. 10, pp. 5–30. URL: Link (In Russ.)
Shishkin S.V. [Russian health care system: Reforms or crisis?]. Zhurnal Novoi ekonomicheskoi assotsiatsii = Journal of the New Economic Association, 2014, no. 3, pp. 162–164. URL: Link (In Russ.)
Gontmakher E.Sh. [Health and Welfare: In Search of Balance of Interests]. Zhurnal Novoi ekonomicheskoi assotsiatsii = Journal of the New Economic Association,2015, no. 2, pp. 259–264. URL: Link (In Russ.)
Shishkin S., Potapchik E., Selezneva E. Private Health Care Sector in Russia: Present State and Development Prospects. Voprosy Ekonomiki,2013, no. 4, pp. 94–112. (In Russ.)
Kozlova O.A., Nifantova R.V., Makarova M.N. [Methods of the Assessment of Economic Losses Caused by the Mortality of the Population Employed in Regional Economy]. Ekonomika regiona = Economy of Region, 2017, vol. 13, iss. 2, pp. 511–523. URL: Link (In Russ.)
Krivenko N.V. [Management system of organizational and economic changes in health services]. Ekonomika regiona = Economy of Region,2013, no. 1, pp. 149–157. URL: Link (In Russ.)