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Economic Efficiency of Innovational Models in Regional Health Care within the Implementation of the "Health" National Project

Kuznetsova N.L. Doctor of Medicine, Professor, Vice-Head Physician for Science ( knl@bk.ru )

Krivenko N.V. Candidate of Economics, Associate Professor, Vice-Head Physician for Economy, Munisipal Body Central City Clinical Hospital № 23, city of Yekaterinburg ( katyona@bk.ru )

Journal: National Interests: Priorities and Security, #2, 2009

The article defines ways of optimisation of expenses of medical institutions by means of advanced innovational technologies in medicine, management, economy. Their implementation together with usage of new advanced methods of treatment reducing the stay of the patient in the clinic, also promote faster recovery and gives significant emdical and economical benefits.


Rational combination of the state and market participation in public health services financing

Kuznetsova N.L. the deputy director on a science, The Ural scientific research institute of traumatology and orthopedics of V.D.Chaklina Rosmedtehnology ( knl@bk.ru )

Krivenko N.V. the assistant to the head physician on economy, the central city clinical hospital № 23, Ekaterinburg ( katyona@bk.ru )

Journal: National Interests: Priorities and Security, #17, 2010

Experience of the organization and public health services financing in the developed foreign countries is studied. It is shown, what by a principle «a golden section». A parity of expenses of the population and budgets close to the formula 0,38:0,62. Its use for definition of financial possibilities of the state on maintenance of the Territorial program of state guarantees of rendering of free medical aid is offered to the population which should be informed on a shortage level of financing and the sizes of necessary payments.


Opportunities for improving the healthcare performance to retain human capital and ensure socio-demographic security of the region

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

Journal: Economic Analysis: Theory and Practice, #9, 2018

Importance The article considers the demographic threats to Russia, opportunities to improve the efficiency of healthcare for retaining the human capital and strengthening the socio-demographic security of the region.
Objectives I analyze health indicators, the resource potential and function of the healthcare system, identify priorities in the sector development and opportunities to improve its efficiency at the macro and meso levels.
Methods The study employs methods of statistical analysis, micro-, meso- and macro analysis, multilevel and integrative approaches.
Results I review the resources of the Russian healthcare, trends in health indicators of the Russian Federation, the Ural Federal District, and the Sverdlovsk oblast. The analysis has revealed negative trends in the industry for recent years. The paper considers possibilities to increase the contribution of healthcare to human and labor potential retention at the macro and meso levels in conditions of reduced hospital stock, health facilities, and a decrease in financing.
Conclusions It is possible to increase the healthcare efficiency through improving the resource supply in the sector on the part of the government, and introducing innovations at all levels of management, including medical, organizational, information, and economic innovations. The paper, on the case of the healthcare of the Sverdlovsk oblast, proves that innovation contributes to improving the medical and demographic indicators, reducing losses at the level of the society, and strengthening the socio-demographic security of the entire region.


Evaluating the efficiency of health care as a factor of sustainable socio-economic development in the region

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

Ivanov V.M. Institute of Economics, Ural Branch of Russian Academy of Sciences, Yekaterinburg, Russian Federation ( vm_ivanov@mail.ru )

Kriventsova L.A. Institute of Economics, Ural Branch of Russian Academy of Sciences, Yekaterinburg, Russian Federation ( kriventsova.ran@yandex.ru )

Journal: National Interests: Priorities and Security, #12, 2019

Subject The article examines whether it is possible to improve the operation of the health care system in order to preserve human and labor capabilities, increase the sectoral contribution to sustainable socio-economic development of regions.
Objectives The study designs a comprehensive methodological framework for evaluating the regional health care system so as to determine the attainability of medical and social targets, economic effects, sustainable operations in the sector, considering that neither Russian nor foreign research provides an integral view of health care efficiency.
Methods The methodology is based on concepts of the systems economics, sustainable development. It also includes a multilevel and integrative approach and employs a set of methods, such as multivariate-comparative, deterministic-factorial, structural analyses, econometric modeling.
Results We propose applying a comprehensive set of metrics to evaluate the regional health care system, including medical, social efficiency, indicators of sectoral economic efficiency. We analyzed the performance of regional health care systems in the Volga Federal District and Ural Federal District from 2013 through 2017 and identified respective achievements and challenges. The article sets out a non-linear model for the optimal combination of medical services so as to ensure the relative economic efficiency of the health care system.
Conclusions and Relevance Relying on the study, we infer that the medical and social efficiency has a non-linear dependence on its finance, organizational forms and the regional health care system influence each other. The findings may be used by constituent entities of the Russian Federation to conduct an integral evaluation of the regional health care system, determine whether sectoral resources are effectively used and how the health care system develops.


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