+7 925 966 4690, 9am6pm (GMT+3), Monday – Friday
ÈÄ «Ôèíàíñû è êðåäèò»

JOURNALS

  

FOR AUTHORS

  

SUBSCRIBE

    
Regional Economics: Theory and Practice
 

Managing the effectiveness of the regional health system

Vol. 16, Iss. 2, FEBRUARY 2018

PDF  Article PDF Version

Received: 17 October 2017

Received in revised form: 7 November 2017

Accepted: 10 December 2017

Available online: 15 February 2018

Subject Heading: SOCIOECONOMIC POLICY

JEL Classification: I18, R58

Pages: 274–295

https://doi.org/10.24891/re.16.2.274

Lobkova E.V. School of Economics, Management and Environmental Studies of Siberian Federal University, Krasnoyarsk, Russian Federation
elenavalerin@yandex.ru

ORCID id: not available

Petrichenko A.S. OOO Kraevoi tsentr dental'noi implantatsii, Krasnoyarsk, Russian Federation
kcdi@list.ru

ORCID id: not available

Importance This article studies the mechanism of State health regulation and methods of management of efficiency of regional healthcare institutions.
Objectives The article aims to analyze the territorial health system in the context of the urgent need to optimize budget expenditures and address public health problems, as well as develop directions to improve the effectiveness of the regional health system of the Krasnoyarsk Krai.
Methods For the study, we used the method of index numbers and calculation of dynamics indicators using official statistics data.
Results We have developed and now present a system of indicators of regional health efficiency assessment, focused mainly on public health indicators and quality of medical services. We also offer our own version of the Luenberger observer modification adapted to the objectives of the regional health system analysis.
Conclusions and Relevance The article concludes that it is necessary to optimize the regional health system using the parameters of medical and social efficiency of the system. The proposed approach to assessing the effectiveness of regional health system can be used as a mechanism to develop recommendations for the management of the network of medical and prophylactic institutions of the region.

Keywords: regional health care system, indicators, effectiveness, treatment and prevention institution

References:

  1. Baranov A.A., Lapin Yu.E. [Formation of the State policy in public healthcare in the Russian Federation: problems and solutions]. Voprosy sovremennoi pediatrii = Questions of Modern Pediatrics, 2006, no. 6, pp. 5–7. URL: Link (In Russ.)
  2. Batievskaya V.B., Shabashev V.A. [Transformation of the government regulation of healthcare in Russia]. Vestnik Omskogo gosudarstvennogo universiteta. Ser. Ekonomika = Bulletin of Omsk State University. Ser. Economy, 2013, no. 2, pp. 66–72. URL: Link (In Russ.)
  3. Volkova N.S. [Modernizing the healthcare and improving the status of its institutions]. Zhurnal rossiiskogo prava = Journal of Russian Law, 2006, no. 4, pp. 54–61. URL: Link (In Russ.)
  4. Egorenkov D.A. [Effectiveness of public health sector management]. Vlast' = The Authority, 2012, no. 6, pp. 111–115. URL: Link (In Russ.)
  5. Komissarov I.A., Kozlovskikh N.V. [Social economic models of health care]. Vyatskii meditsinskii vestnik = Medical Newsletter of Vyatka, 2012, no. 4, pp. 33–35. URL: Link (In Russ.)
  6. Komyagin A.V. [Features of organizational-economic models of world and Russian public health services]. Vektor nauki TGU = Vector of Sciences. Togliatti State University, 2009, no. 6, pp. 43–48. URL: Link (In Russ.)
  7. Komyagin A.V. [Modern methods of management in system of public health services of Russia]. Vektor nauki TGU = Vector of Sciences. Togliatti State University, 2011, no. 1, pp. 102–105. URL: Link (In Russ.)
  8. Mikheeva D.G. [Analysis of the system of management of the policy and legal regulation in the sphere of health care]. Problemy sovremennoi ekonomiki = Problems of Modern Economics, 2010, no. 3, pp. 370–374. URL: Link (In Russ.)
  9. Pishchita A.N. [Healthcare legislation reform in the Russian Federation: key trends in the development of the Russian healthcare]. Vestnik Roszdravnadzora, 2015, no. 2, pp. 76–82. URL: Link (In Russ.)
  10. Ragozin A.V., Kravchenko N.A., Rozanov V.B. [The effectiveness of national health care system: does the applied model of health financing comply with objective national conditions?]. Zdravookhranenie Rossiiskoi Federatsii = Health Care of the Russian Federation, 2013, no. 5, pp. 3–8. URL: Link (In Russ.)
  11. Troitskaya N.L. [Social and economics model of modern Russia public health services]. Vestnik Tomskogo gosudarstvennogo universiteta = Tomsk State University Journal, 2009, no. 327, pp. 171–174. URL: Link (In Russ.)
  12. Khasanov F.Z. [Current problems of State health policy]. Izvestiya Saratovskogo universiteta. Novaya seriya. Seriya Sotsiologiya. Politologiya = Izvestia of Saratov University. New Series. Series: Sociology. Politology, 2011, vol. 11, no. 2, pp. 113–115. URL: Link (In Russ.)
  13. Cherepov V.M., Sobolevskaya O.V., Anan'ina L.G., Khmel' A.A. [The problems of modernization of public health in the Russian Federation (according to results of survey of specialists public health organizers)]. Zdravookhranenie Rossiiskoi Federatsii = Health Care of the Russian Federation, 2014, vol. 58, no. 1, pp. 56–57. URL: Link (In Russ.)
  14. Grinkevich L.S., Banin A.S. [Modern methods of managing healthcare organizations in Russia]. Vestnik Tomskogo gosudarstvennogo universiteta = Tomsk State University Journal, 2006, no. 292-I, pp. 105–113. URL: Link (In Russ.)
  15. Gryaznov A.N., Dyrin S.P., Rogov M.G. [Peculiarities of personnel administration in health facilities]. Kazanskii meditsinskii zhurnal = Kazan Medical Journal, 2006, vol. 87, no. 1, pp. 70–72. URL: Link (In Russ.)
  16. Kalashnikov K.N., Kalachikova O.N. [Accessibility and quality of medical service in the context of health care modernization]. Ekonomicheskie i sotsial'nye peremeny: fakty, tendentsii, prognoz = Economic and Social Changes: Facts, Trends, Forecast, 2014, no. 2, pp. 130–142. URL: Link (In Russ.)
  17. Olovyanishnikova I.V. [Management of public health services establishments in modern conditions of managing]. Vektor nauki TGU = Vector of Sciences. Togliatti State University, 2012, no. 1, pp. 181–184. URL: Link (In Russ.)
  18. Tel'nova E.A. [Quality of medical care as the main task of healthcare system]. Vestnik Roszdravnadzora, 2010, no. 5, pp. 4–9. URL: Link (In Russ.)
  19. Sheiman I.M., Shevskii V.I. [Health labor policy: comparative analysis of Russian and international developments]. Voprosy gosudarstvennogo i munitsipal'nogo upravleniya = Public Administration Issues, 2015, no. 1, pp. 143–167. URL: Link (In Russ.)
  20. Shchepin V.O. [The provision of population of the Russian Federation with basic personnel resource of public health care system]. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Public Health and History of Medicine, 2013, no. 6, pp. 24–28. URL: Link (In Russ.)
  21. Omel'yanovskii V.V., Maksimova L.V., Tatarinov A.P. [Key health system parameters]. Farmakoekonomika. Sovremennaya farmakoekonomika i farmakoepidemiologiya = PHARMACOECONOMICS. Modern Pharmacoeconomics and Pharmacoepidemiology, 2014, vol. 7, no. 2, pp. 51–56. URL: Link (In Russ.)
  22. Turenko T.A. [Methodical approaches to estimation of public health services effectiveness on the basis of official statistics]. Izvestiya IGEA = Bulletin of Baikal State University, 2013, no. 4, pp. 120–125. URL: Link (In Russ.)
  23. Yashina N.I., Artamonycheva E.V., Yashin K.S. [Improvement of methodological aspects of medical institutions' financial condition estimation for the purpose of implementation of the effect-oriented budget policy]. Izvestiya VUZov. Povolzhskii region. Obshchestvennye nauki = University Proceedings. Volga Region. Social Sciences, 2014, no. 3, pp. 163–178. URL: Link (In Russ.)
  24. Dyagileva N.V. [Efficiency of government health service expenditures]. Izvestiya Orenburgskogo gosudarstvennogo agrarnogo universiteta, 2014, no. 6, pp. 205–208. URL: Link (In Russ.)
  25. Molchanova M.Yu., Mel'nikov A.E. [Financial basis for reforming outpatient institutions]. Vestnik Permskogo gosudarstvennogo universiteta. Ser. Ekonomika = Perm University Herald. ECONOMY, 2011, no. 2, pp. 70–78. URL: Link (In Russ.)
  26. Ulumbekova G.E. [The justification of the level of public financing of health care to enhance health of population of the Russian Federation]. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Public Health and History of Medicine, 2013, no. 4, pp. 32–34. URL: Link (In Russ.)
  27. Ulumbekova G.E. [The health care system of the Russian Federation: conclusions, current challenges and solutions]. Vestnik Roszdravnadzora, 2012, no. 2, pp. 33–39. URL: Link (In Russ.)
  28. Kalashnikov K.N. [Health and economy of the region]. Problemy razvitiya territorii = Problems of Territory's Development, 2011, no. 1, pp. 61–66. URL: Link (In Russ.)
  29. Kalashnikov K.N. [Resource security of healthcare in Russia: issues of territorial differentiation]. Ekonomicheskie i sotsial'nye peremeny: fakty, tendentsii, prognoz = Economic and Social Changes: Facts, Trends, Forecast, 2015, no. 1, pp. 72–87. URL: Link (In Russ.)
  30. Shchepin O.P. [The regional aspects of health care development]. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Public Health and History of Medicine, 2014, no. 5, pp. 3–7. URL: Link (In Russ.)
  31. Shchepin O.P. [About development of public health of the Russian Federation]. Problemy sotsial'noi gigieny, zdravookhraneniya i istorii meditsiny = Problems of Social Hygiene, Public Health and History of Medicine, 2013, no. 5, pp. 3–7. URL: Link (In Russ.)
  32. Vinitskii D.V. [State-private partnership in Russian public health]. Sotsial'no-ekonomicheskie yavleniya i protsessy = Socio-Economic Phenomena and Processes, 2009, no. 4, pp. 24–27. URL: Link (In Russ.)
  33. Gracheva A.S. [Standardization of healthcare as part of the quality management system in healthcare]. Vestnik Roszdravnadzora, 2010, no. 5, pp. 16–21. URL: Link (In Russ.)
  34. Nikolyukina N.B., Kondrashova I.S. [Human resources in health care of modern Russia]. Sotsial'no-ekonomicheskie yavleniya i protsessy = Socio-Economic Phenomena and Processes, 2011, no. 10, pp. 157–161. URL: Link (In Russ.)
  35. Starchenko A.A. [The concept of health development: problems, shortcomings and proposals to modernize the system of compulsory health insurance]. Vestnik Roszdravnadzora, 2008, no. 4, pp. 20–25. URL: Link (In Russ.)
  36. Barros C., Menezes A., Vieira J. et al. An Analysis of Hospital Efficiency and Productivity Growth Using the Luenberger Productivity Indicator. IZA Discussion Papers, 2007, no. 2689, 14 p. URL: Link

View all articles of issue

 

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

Journal current issue

Vol. 22, Iss. 3
March 2024

Archive