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ИД «Финансы и кредит»






Regional Economics: Theory and Practice

Developing a region's economic security mechanism

Vol. 21, Iss. 11, NOVEMBER 2023

Received: 29 May 2023

Received in revised form: 7 July 2023

Accepted: 4 September 2023

Available online: 16 November 2023


JEL Classification: G17, H51, H53

Pages: 2029–2056


Evgenii V. GRADOBOEV Irkutsk State Medical Academy of Postgraduate Education (ISMAPgE) – Branch of Russian Medical Academy of Continuous Professional Education of Ministry of Healthcare of Russian Federation (RMACPE MOH Russia), Irkutsk, Russian Federation


Subject. This article discusses the role of healthcare in ensuring economic security.
Objectives. The article aims to develop a model for assessing the level of economic security in the region, taking into account the costs of providing medical care in various conditions.
Methods. For the study, I used a simulation approach based on the concept of mechanism design and game theory.
Results. The article finds the dependence between the content of the development strategies of medical organizations and the level of economic security of the region. The article presents a developed mathematical model that helps predict the level of economic security in the region and determine priorities in financing the healthcare system.
Conclusions. The article concludes that the probability of bankruptcy of private medical organizations is quite high, since the strategies chosen by them lead to the need to attract funding from extra-budgetary sources for all conditions of medical care.

Keywords: economic security, healthcare system, economic mechanism, healthcare financing, mechanism design


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ISSN 2311-8733 (Online)
ISSN 2073-1477 (Print)

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Vol. 21, Iss. 11
November 2023