PROBLEMS OF ASSESSING THE HEALTH CARE  COSTS EFFECTIVENESS

Lyudmila Gorshkova

doi:10.22412/1995-042X-11-6-11

CSCSTI 71.37

PROBLEMS OF ASSESSING THE HEALTH CARE COSTS EFFECTIVENESS

Published in Services in Russia and abroad · Volume 11, Issue 6 · Pages 137–151 · Rubric: Social and economic aspects of development of branches, complexes, enterprises and organizations of a services sector

DOI: https://doi.org/10.22412/1995-042X-11-6-11

Received: 25.10.2017 Accepted: 26.07.2023 Language of publication: RUS

Authors

Lyudmila Gorshkova

Academic degree: doctor of economic sciences

AO "NIKIMT-Atomstroy" Russian Federation · Москва

ABSTRACT

Assessing the effectiveness of health care expenditure is a major economic task. The most important indicator to assess the effectiveness of health care costs is the expected life expectancy (ELE). Infant mortality is also closely related to DLE. The article substantiates the logarithmic model of the dependence of ELE from health care expenditure (per person for a particular year). Each country is represented by a point on the coordinate plane with an ordinate equal to the ELE in this country and an abscissa equal to the health care expenditure in it. The modeling logarithmic curve is taken as the theoret-ical threshold of the cost-effectiveness: the higher the curve is the point repre-senting the country, the more effective the health care costs in this country, and the lower the threshold curve, the costs are more unprofitable. It is shown that the dependence of ELE from GDP (or GRP by regions of Russia) is not so obvious: although there is a tendency to such a dependence, but with a large number of drop-out values. Despite the achievement of the highest average expected life expectancy in Russia in the country's history, it is significantly lower than in developed countries. The main causes of low expected life expectancy at birth are unsatisfactory health indicators, and as a result, high incidence and disability. Traumatism on the roads and suicides are one of the significant reasons for the low expected life expectancy in Russia and are significantly higher than similar indicators in other countries. The article shows the close correlation between the cost of health care per person and expected life expectancy. However, in the Russian Federation, the share of public expenditure in the structure of aggregate health expenditure is decreasing. Social insurance funds are more than half of the health care public expenditure. The author reveals considerable regional differences in health spending per person and average expected life expectancy. The article highlights the insufficient level of health care costs in Russia as a whole and in regions.

KEYWORDS

health care expenditure, spending efficiency, expected life expectancy

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1. Betin A.V., Lavrenchenko S.A. Teoretiko-grafovyy podhod k odnoy farmacevticheskoy zadache // Vysokie tehnologii, fundamental'nye i prikladnye issledovaniya v fiziologii, farmakologii i medicine. Sb. statey II mezhdunar. nauch.-prakt. konf. SPb.: Izd-vo Politehn. un-ta, 2011. T.2. S. 123-125.

2. Glushanko V.S., Alferova M.V. Effektivnost' belorusskoy modeli zdravoohraneniya i lekarstvennogo obespecheniya naseleniya // Vestnik farmacii. 2016. №2(72). S. 20-29.

3. Grischenko K.S. Sravnitel'nyy analiz faktorov, vliyayuschih na effektivnost' funkcioni-rovaniya sistemy zdravoohraneniya // Problemy ekonomiki i menedzhmenta. 2013. №1(17). S. 26-34.

4. Eremina S., Kudelina O. Effektivnost' sistemy zdravoohraneniya. Regional'nyy aspekt // Obschestvo i ekonomika. 2014. №4. S. 141-157.

5. Lavrenchenko S.A., Zgonnik L.V., Gladskaya I.G., Politikova N.A. Matematicheskie modeli monitoringa i kontrolya elektropotrebleniya s uchetom faktora sezonnosti // Servis v Rossii i za rubezhom. 2017. T. 11. Vyp. 5. S. 133-140. DOI:https://doi.org/10.22412/1995-042X-11-5-12.

6. Lavrenchenko S.A., Gladskaya I.G., Zgonnik L.V., Sumzina L.V. Umnyy energometr // Uprav-lenie kachestvom elektricheskoy energii: Mat. mezhdunar. nauch.-prakt. konf. M.: OOO «Centr poligraf. uslug Raduga», 2017. S. 177-184.

7. Lavrenchenko S.A., Gorshkova L.V., Lao Sh.S. Antagonisticheskie log-pary v social'no-gumanitarnyh naukah // Servis plus. 2017. T.11. №2. S. 87-101. DOI:https://doi.org/10.22412/1993-7768-11-2-11.

8. Lastochkina M.A. Effektivnost' zdravoohraneniya v zerkale modernizacii // Gumanitar-nye nauchnye issledovaniya. 2015. №5-2(45). S. 52-55.

9. Ragozin A.V., Kravchenko N.A., Rozanov V.B. Effektivnost' nacional'noy sistemy zdravo-ohraneniya: sootvetstvuet li ispol'zuemaya model' finansirovaniya zdravoohraneniya ob'ektivnym usloviyam strany // Zdravoohranenie Rossiyskoy Federacii. 2013. №5. S. 3-8.

10. Tatarkin A.I., Timashev S.A., Kozlova O.A., Makarova M.N. Ocenka faktornogo vliyaniya na srednyuyu ozhidaemuyu prodolzhitel'nost' zhizni naseleniya municipal'nogo obrazovaniya (na primere g. Ekaterinburga) // Mezhdunarodnyy zhurnal prikladnyh i fundamental'nyh issledovaniy. 2014. №9-2. S. 128-132.

11. Tuaeva L.A., Sugarova I.V. Effektivnost' rashodovaniya sredstv na sistemu zdravoohra-neniya // Terra Economicus. 2013. T.11. №3. S. 94-97.

12. Hafiz'yanova R.H., Burykin I.M., Aleeva G.N. Sravnitel'naya ocenka effektivnosti si-stem zdravoohraneniya razlichnyh stran // Vestnik Sankt-Peterburgskogo gosudarstvennogo universiteta. Ser. 11. Medicina. 2013. №2. S. 214-221.

13. Shil'manova A.M., Talapbaeva G.E., Halykova A.M. Ekonomicheskaya effektivnost' finan-sovyh resursov v sfere zdravoohraneniya // News of Science and Education. 2017. T.2. №2. S. 99-101.

14. Asandului L. The Efficiency of Healthcare Systems in Europe: A Data Envelopment Analysis Ap-proach. Procedia Economics and Finance. 2014. Vol.10. Pp. 261-268. DOI:https://doi.org/10.1016/S2212-5671(14)00301-3.

15. Grigoli F., Kapsoli J. Waste Not, Want Not: The Efficiency of Health Expenditure in Emerging and Developing Economies // IMF Working Paper. 2013. Vol.13/187. 26 p.

16. Medeiros J., Schwierz Ch. Efficiency estimates of health care systems // European Economy. Economic Papers. 2015. №549. Pp. 60.

17. Roth G.A., Forouzanfar M.H., Moran A.E., Barber R., Nguyen G., Feigin V.L., Naghavi M., Men-sah G.A., Murray C.J.L. Demographic and epidemiologic drivers of global cardiovascular mortality // New England Journal of Medicine. 2015. Vol. 372(14). Pp. 1333-1341. DOI:https://doi.org/10.1056/NEJMoa1406656.

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Gorshkova L. V. PROBLEMS OF ASSESSING THE HEALTH CARE COSTS EFFECTIVENESS // Services in Russia and abroad. 2017. no. 6. pp. 137-151. DOI: https://doi.org/10.22412/1995-042X-11-6-11. (Date of access 07.11.2026).

MLA

Lyudmila Gorshkova. "PROBLEMS OF ASSESSING THE HEALTH CARE COSTS EFFECTIVENESS." Services in Russia and abroad 11.6 (2017): 137-151. DOI: https://doi.org/10.22412/1995-042X-11-6-11.

APA

Gorshkova L. V. (2017). PROBLEMS OF ASSESSING THE HEALTH CARE COSTS EFFECTIVENESS. Services in Russia and abroad, 11(6), 137-151. https://doi.org/10.22412/1995-042X-11-6-11

Chicago

Lyudmila Gorshkova. "PROBLEMS OF ASSESSING THE HEALTH CARE COSTS EFFECTIVENESS." Services in Russia and abroad 11, no. 6 (2017): 137-151. https://doi.org/10.22412/1995-042X-11-6-11.

WIKI

{{cite journal | author = Gorshkova L. V. | title = PROBLEMS OF ASSESSING THE HEALTH CARE COSTS EFFECTIVENESS | journal = Services in Russia and abroad | year = 2017 | volume = 11 | issue = 6 | pages = 137-151 | doi = 10.22412/1995-042X-11-6-11 }}

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