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Comparing the efficiency of national healthcare systems

Vol. 15, Iss. 8, AUGUST 2019

Received: 5 June 2019

Received in revised form: 21 June 2019

Accepted: 14 July 2019

Available online: 15 August 2019

Subject Heading: SOCIAL SERVICES AND EDUCATION

JEL Classification: I15, I18, J13

Pages: 1495–1511

https://doi.org/10.24891/ni.15.8.1495

Molchanova E.V. Institute of Economics of Karelian Scientific Center of Russian Academy of Sciences (IE KarRC RAS), Petrozavodsk, Republic of Karelia, Russian Federation
molch@yandex.ru

ORCID id: not available

Subject The article reviews national healthcare systems with different models of medical aid and their design worldwide.
Objectives The research evaluates and compares the efficiency of national healthcare systems through the Global Burden of Disease Study. I also determine the most promising areas and aspects for public health preservation and improvement.
Methods The research is methodologically based on the philosophy of the Global Burden of Disease Study. The program refers to DALY (Disability Adjusted Life Years). The metric DALY = YLL + YLD for various diseases or health problems accounts for years lost due to ill health or early death (YLL) and years lost due to disability (excluding fatal cases, YLD).
Results I evaluated the efficiency of national healthcare systems in the countries having different medical aid schemes, including the Beveridge model (United Kingdom), Bismark model (Germany, Russia, Japan) and private healthcare system (USA). The article analyzes DALY in the analyzable group of countries and determines key causes of morbidity and mortality. I spotlight the development of Russia's healthcare system, emphasizing strengths and weaknesses of medical aid in the country.
Conclusions and Relevance The methodology of the Global Burden of Disease Study proved to be efficiency and can be used to compare and evaluate the public health. The findings can serve for preparing program documents to overcome demographic crisis and create new approaches to public health protection.

Keywords: demography, healthcare system, medical care

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