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The socio-economic status and health-related quality of life relating to the public health in the industrial region: Evidence from the Karaganda Oblast of the Republic of Kazakhstan

Spankulova L.S. Narxoz University, Almaty, Republic of Kazakhstan ( Lazat.spankulova@narxoz.kz )

Kaneva M.A. Gaidar Institute for Economic Policy, Moscow, Russian Federation ( kaneva@iep.ru )

Journal: National Interests: Priorities and Security, #11, 2018

Subject The research analyzes the life quality and health of the Kazakh population living in the industrial region – the environmentally-challenged zone. The reseach draws upon the survey and opinion poll of the people living in the Karaganda Oblast in 2014.
Objectives The research quantifies how income disparity influences the contentedness with the health-related life quality, which contributes to an increase in the life expectancy.
Methods According to the principal hypothesis, there is a negative correlation between the income disparity and health-related life quality. To verify the hypothesis, we use the econometric modeling framework.
Results Based on results of logistic regressions of life quality and self-rated health assessment, the life quality of the Kazakh people depends on age, marital status, education, income, parenthood, personal housing conditions, dissatisfaction with life, health and financial status. In Kazakhstan, education and income have a positive impact on self-rated health assessment, thereby empirically corroborating theoretical assumptions of the Grossman model.
Conclusions and Relevance The regression models support the principal hypothesis since wealthier citizens reported on both a higher life quality and better health. Whereas the models of education and life satisfaction prove to be statistically significant, this verifies the principal hypothesis of the research. The findings can be used to outline a regional policy for health care and welfare in the Republic of Kazakhstan. Further research may pursue the verification of results from other regions of Kazakhstan.


Innovative development of Siberia and its factors defining (on the basis of method of main component)

Kaneva M.A. PhD in Economics, research fellow, Novosibirsk Economic Laboratory, Institute of Economy and Organization of Industrial Production of the Siberian Branch of the Russian Academy of Science, Novosibirsk ( mkaneva@gmail.com )

Journal: National Interests: Priorities and Security, #17, 2012

The analysis of innovation policies of Siberian region to reveal factors that determine policy priorities is presented in the article. For the solution of this task the factorial analysis is used. Regions with similar innovative profiles are grouped in separate clusters in a method of the clustered analysis. As the considered period were chosen 2007 and 2010 coinciding with the termination of the first and second stages of innovative development of national economy according to the project of the state strategy of development of science and innovations till 2020.


Variety of real options and making strategic decisions

Kaneva M.A. PhD, Institute of Economics and Industrial Engineering SB RAS, Novosibisk, Junior Research Fellow

Journal: Finance and Credit, #37, 2009

Not so long ago financial options were implemented at the financial market. The method quickly spread out. At the same time in the real sector options on nonfinancial assets emerged. The main thesis of the present article is that real option method is not an alternative to the NPV method but is a flexible addition to the risk management tools that enables managers to gain value from project management. Taking as example five real options: an announcement option, a growth option, an expansion option, an option to exit and an option to delay, we demonstrate how to manage risks of the investment projects and gain additional value.


Public-private partnerships in healthcare and the development directions in the Novosibirsk oblast

Kaneva M.A. Institute of Economics and Industrial Engineering, Siberian Branch of Russian Academy of Sciences, Akademgorodok, Novosibirsk, Russian Federation ( mkaneva@gmail.com )

Journal: Regional Economics: Theory and Practice, #1, 2016

Importance The article deals with the public-private partnerships as a form of realization of joint projects of State and business in healthcare.
Objectives The paper aims to review success stories on implementation of public-private partnership models in developed countries and in Russia, analyze the strengths and weaknesses of these models embedded, and develop certain recommendations for the further development of public-private partnership in the Novosibirsk oblast.
Methods The main method of research is the case study method. Also I used statistical and comparative analyses.
Results I analyzed certain models of public-private partnership operation of hospitals in the UK, Spain and Australia, and separately considered the Alzira model. I studied the Russian experience of introducing a mechanism of public-private partnerships in infrastructure projects, outsourcing projects, and major federal projects to create socially important products. I present my recommendations for the development of public-private partnership model in the Novosibirsk oblast on the basis of an analysis of the institutional environment and experience of concession agreements concluded in the past. I show that the Novosibirsk oblast can successfully implement the Alzira model when building a Cancer Center, and use the experience of the Perm Krai on outsourcing of ambulance services.
Conclusions and Relevance Public-private partnership contributes to the modernization of the healthcare industry at both the Federal and regional levels and also leads to an increase in the quality of services provided to the population. For effective use of public-private partnership in the Novosibirsk oblast, a coordinating body that monitors and evaluates public-private partnership projects over their life-cycle, should be established.


Socio-economic, behavioral and psychological determinants of the Russian population's self-reported health assessment

Kaneva M.A. Gaidar Institute for Economic Policy, Moscow, Russian Federation ( mkaneva@gmail.com )

Journal: National Interests: Priorities and Security, #6, 2016

Importance The paper explores a concept of self-reported health – a multidimensional indicator of population health that is directly related to mortality levels. This indicator is now widely applied in surveys on economic and health status in different countries.
Objectives The research revealed socio-economic, behavioral and psychological factors that affected self-reported health of the Russian citizens in 2014 and estimated their positive and negative effects on the self-reported health status.
Methods The research is based on econometric modeling, i.e. construction of three specifications of a logistic regression and estimation of model coefficients and levels of their significance.
Results The model confirms a positive effect of income, higher education, abstinence from smoking, physical activity, and life satisfaction on individual’s health status. In the mean time little control over life, sedentary lifestyle, older age, and single marital status may make respondents more probably assess their health status as poor.
Conclusions and Relevance To improve the population health, the government should influence socio-economic, behavioral and psychological determinants of self-rated health through a policy aimed at expansion of individuals' capabilities. These capabilities are education, guaranteed income, professional fulfillment, sports. When the government creates a favorable environment for living and development, individual health status will depend only on his/her own attitude and activities to improve it through education, healthy lifestyle and fulfillment. The findings can be used to formulate and implement respective governmental policies for improving population health.


Socio-economic factors determining the population participation in informal payment for medical care

Zasimova L.S. Gaidar Institute for Economic Policy, Moscow, Russian Federation ( zassimova@mail.ru )

Kaneva M.A. Gaidar Institute for Economic Policy, Moscow, Russian Federation ( mkaneva@gmail.com )

Journal: National Interests: Priorities and Security, #46, 2014

Importance The problem of informal payment for medical care, which has assumed the particular acuteness in the transition period of the Russian economy, remains relevant at present as well. The informal payments have a number of negative consequences: they reduce the health care system transparency; they also result in unequal treatment of medical personnel to those who can pay more informally and to those who are not able to carry out informal payments. The informal payments constitute a barrier to quality medical care.
     Objectives The purpose of the present study, which continues the study of the foreign and Russian economists, is the analysis of the causes and socio-economic factors that encourage the Russian citizens to carry out an informal payment for medical care in the current economic conditions. To achieve the target goals, we have analyzed the statistical and sociological data and have built three specifications of logistic regression to determine the specification of the individual characteristics of the people inclined to carry out informal payment.
     Methods The study showed that high incomes and availability of voluntary health insurance policy (VHIP) make the greatest contribution to the change in the probability of selection of an informal payment for out-patient treatment. At the same time, the likelihood of informal payment is practically not related with the individual characteristics of a person (gender, age, availability of children).
     Results Based on those calculations, we concluded that the informal payments for health care in our country is connected with the individual characteristics of a person, and with the organization of health care and the modern institutional environment, and the reduction of the size of the informal payment is only possible by modifying the system of health care arrangement in our country.
     Conclusions and Relevance The findings can be used when formulating the modernization directions and for Russian health care reform.


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