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Regional Economics: Theory and Practice
 

Financial stability risks of the regional healthcare system: Assessment methodology and influencing factors

ISSUE 9, SEPTEMBER 2026

Received: 18 February 2026

Accepted: 28 March 2026

Available online: 30 September 2026

Subject Heading: SUSTAINABLE DEVELOPMENT OF REGIONS

JEL Classification: H51, H53, I13, I18, R58

Pages: 135-148

https://doi.org/10.24891/zzenxm

Ol'ga V. OBUKHOVA Russian Research Institute of Health, Moscow, Russian Federation
obuhova@mednet.ru

ORCID id: not available

Subject. Budget provision of the subjects of the Russian Federation, demographic burden on different population groups.
Objectives. Analysis of the conditions for ensuring the financial stability of the healthcare system in the regions of the Russian Federation.
Methods. General scientific research methods were applied.
Results. The stability of the healthcare financing system in the regions of the Russian Federation depends on the structure of the region's income. A method has been developed to assess the stability of this system, involving the use of a multiplicative function and taking into account a regional adjustment coefficient.
Conclusions. The presence of funding channels, which vary in how much they depend on external and internal factors, has a positive effect on the financial health of the healthcare sector.

Keywords: social guarantees, financial stability, health care economy, mandatory health insurance, territorial differentiation

References:

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  2. Liaropoulos L., Goranitis I. Health Care Financing and the Sustainability of Health Systems. International Journal for Equity in Health, 2015, vol. 14, iss. 1. DOI: 10.1186/s12939-015-0208-5
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  4. Obukhova O.V., Kadyrov F.N., Endovitskaya Yu.V. et al. [The program of state guarantees of free medical care to citizens for 2022: logic and basic provisions in the fight against coronavirus infection]. Menedzher zdravookhraneniya, 2022, no. 3, pp. 77–86. (In Russ.) EDN: RXDRVR
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ISSN 2311-8733 (Online)
ISSN 2073-1477 (Print)

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