Subject The article deals with the study of the quality of health at the regional level, identifying the relationship between budget costs and the quantitative and qualitative indicators of the healthcare industry in the Russian Federation. Objectives The article aims to assess the quality of health in the regions through a cluster approach. Methods For the study, as the source data, we used data from the Federal State Statistics Service compendiums for each region of Russia. The analysis covers an array of data for 2006–2015. As well, we used the method of index numbers. To select clusters, we applied a variance test. Results In the course of the study, three cluster groups were identified for consideration. The analysis found no unequivocal correlation between qualitative and quantitative health indicators and health costs. Relevance The proposed clustering of the Russian Federation regions will make it possible to identify problems that impede quality improvement in healthcare.
Keywords: cluster analysis, index theory, healthcare quality
Motrich E.L., Naiden S.N. [Standard of living of the population and social potential in the Far East regions of Russia]. Uroven' zhizni naseleniya regionov Rossii = Standard of Living of the Population of the Regions of Russia, 2013, no. 1, pp. 18–24. (In Russ.)
Bhargava A., Jamison D.T., Lau L.J., Murray Ch.J.L. Modeling the Effects of Health on Economic Growth. Journal of Health Economics, 2001, no. 20, pp. 423–440. URL: Link
Ogungbenle S., Olawumi O.R., Obasuyi F.O.T. Life Expectancy, Public Health Spending and Economic Growth in Nigeria: A Vector Autoregressive (VAR) Model. European Scientific Journal, 2013, vol. 9, no. 19, pp. 210–235. URL: Link
Vandersteegen T., Marneffe W., Cleemput I., Vereeck L. The Impact of No-Fault Compensation on Health Care Expenditures: An Empirical Study of OECD Countries. Health Policy, 2015, vol. 119, iss 3, pp. 367–374. URL: Link
Blanco-Moreno A., Urbanos-Garrido R.M., Thuissard-Vasallo I.J. Public Healthcare Expenditure in Spain: Measuring the Impact of Driving Factors. Health Policy, 2013, vol. 111, iss. 1, pp. 34–42. URL: Link
Gilligan A.M., Skrepnek G.H. Determinants of Life Expectancy in the Eastern Mediterranean Region. Health Policy and Planning, 2015, vol. 30, iss. 5, pp. 624–637. URL: Link
Chetty R., Stepner M., Abraham S., Cutler D. et al. The Association Between Income and Life Expectancy in the United States, 2001–2014. Journal of American Medical Association, 2016, no. 4, pp. 1750–1766. URL: Link
Anderson G.F., Hussey P.S. Comparing Health System Performance in OECD Countries. Health Affairs, 2001, vol. 20, iss. 3, pp. 219–232. URL: Link
Filmer D., Pritchett L. The Impact of Public Spending on Health: Does Money Matter? Social Science & Medicine, 1999, vol. 49, iss. 10, pp. 1309–1323. URL: Link00150-1
Farag M., Nandakumar A., Wallack S. et al. Health Expenditures, Health Outcomes and the Role of Good Governance. International Journal of Health Care Finance and Economics, 2013, vol. 13, iss. 1, pp. 33–52. URL: Link
Rajkumar A.S., Swaroop V. Public Spending and Outcomes: Does Governance Matter? Journal of Development Economics, 2008, vol. 86, iss. 1, pp. 96–111. URL: Link
Marwân-al-Qays Bousmah, Bruno Ventelou, Mohammad Abu-Zaineh. Medicine and Democracy: The Importance of Institutional Quality in the Relationship between Health Expenditure and Health Outcomes in the MENA Region. Health Policy, 2016, vol. 120, iss. 8, pp. 928–935. URL: Link
Hartman M., Catlin A., Lassman D. et al. U.S. Health Spending by Age, Selected Years through 2004. Health Affairs, 2008, vol. 27, iss. 1, pp. 1–12. URL: Link
Barros P.P. The Black Box of Health Care Expenditure Growth Determinants. Health Economics, 1998, no. 7, pp. 533–544. URL: Link1099-1050(199809)7:63.0.CO;2-B
Roberts J. Sensitivity of Elasticity Estimates for OECD Health Care Spending: Analysis of a Dynamic Heterogeneous Data Field. Health Economics, 1999, vol. 8, iss. 5, pp. 459–472. URL: Link1099-1050(199908)8:5<459::AID-HEC454>3.0.CO;2-U
Gerdtham U.G., Søgaard J., Andersson F., Jönsson B. An Econometric Analysis of Health Care Expenditure: A Cross-Section Study of the OECD Countries. Journal of Health Economics, 1992, vol. 11, iss. 1, pp. 63–84. URL: Link90025-V
Murthy N.R.V., Ukpolo V. Aggregate Health Care Expenditure in the United States: Evidence from Cointegration Tests. Applied Economics, 1994, vol. 26, iss. 8, pp. 797–802.
Dormont B., Grignon M., Huber H. Health Expenditure Growth: Reassessing the Threat of Ageing. Health Economics, 2006, vol. 15, iss. 9, pp. 947–963. URL: Link
Lubitz J., Cai L., Kramarow E., Lentzner H. Health, Life Expectancy, and Health Care Spending Among the Elderly. The New England Journal of Medicine, 2003, vol. 349, iss. 11, pp. 1048–1055.
Crivelli L., Filippini M., Mosca I. Federalism and Regional Health Care Expenditures: An Empirical Analysis for the Swiss Cantons. Health Economics, 2006, vol. 15, iss. 5, pp. 535–541. URL: Link
Wang Z. The Determinants of Health Expenditures: Evidence from US State-Level Data. Applied Economics, 2009, vol. 41, iss. 4, pp. 429–435. URL: Link
Baltagi B.H., Moscone F. Health Care Expenditure and Income in the OECD Reconsidered: Evidence from Panel Data. Economic Modelling, 2010, vol. 27, iss. 4, pp. 804–811. URL: Link
Ang J.B. The Determinants of Health Care Expenditure in Australia. Applied Economics Letters, 2010, vol. 17, iss. 7, pp. 639–644. URL: Link
Breyer F., Felder S. Life Expectancy and Health Care Expenditures: A New Calculation for Germany Using the Costs of Dying. Health Policy, 2006, vol. 75, iss. 2, pp. 178–186. URL: Link
Fries J.F. Aging, Natural Death, and the Compression of Morbidity. The New England Journal of Medicine, 1980, vol. 303, iss, 3, pp. 130–135. URL: Link
Zweifel P., Felder S., Meiers M. Ageing of Population and Health Care Expenditure: A Red Herring? Health Economics, 1999, vol. 8, iss. 6, pp. 485–496. URL: Link1099-1050(199909)8:6<485::AID-HEC461>3.0.CO;2-4
Aisa R., Clemente J., Pueyo F. The Influence of (Public) Health Expenditure on Longevity. International Journal of Public Health, 2014, vol. 59, iss. 5, pp. 867–875. URL: Link
Getzen T.E. Population Ageing and the Growth of Health Expenditure. Journal of Gerontology, 1992, vol. 47, iss. 3, pp. 98–104.
Richardson J., Robertson I. Ageing and the Cost of Health Services. In: Policy Implications of the Ageing of Australia's Population, Conference Proceedings. Melbourne, Productivity Commission and Melbourne Institute of Applied Economic and Social Research, 1999.
Kleine A., Dellnitz A., Rödder W. Sensitivity Analysis of BCC Efficiency in DEA with Application to European Health Services. In: Huisman D., Louwerse I., Wagelmans A. (eds) Operations Research Proceedings 2013. Operations Research Proceedings (GOR (Gesellschaft für Operations Research e.V.)). Springer, Cham, 2014, pp. 243–248. URL: Link
Slavova T. A Rank Order and Efficiency Evaluation of the EU Regions in a Social Framework. Empirica, 2008, no. 35, pp. 339–367.
Zhgun T.V. [Building an integral measure of the quality of life of constituent entities of the Russian Federation using the principal component analysis]. Ekonomicheskie i sotsial'nye peremeny: fakty, tendentsii, prognoz = Economic and Social Changes: Facts, Trends, Forecast, 2017, vol. 10, iss. 2, pp. 214–235. (In Russ.) URL: Link
Glushanko V.S., Alferova M.V. [Efficiency of the Belorussian model of health care system and medicinal provision of population]. Vestnik farmatsii, 2016, no. 2, pp. 20–29. (In Russ.)