Email this article Guaranteed healthcare financing and population health capital indicators in Russia
- Authors: Krivko L.V.1, Kolushkina E.V.1
-
Affiliations:
- First Sechenov Moscow State Medical University
- Issue: Vol 23, No 2 (2024)
- Pages: 162-173
- Section: HEALTH ECONOMICS
- URL: https://rjsocmed.com/1728-2810/article/view/634076
- DOI: https://doi.org/10.17816/socm634076
- ID: 634076
Cite item
Open Access
Access granted
Abstract
BACKGROUND: Healthcare financing is essential for achieving the Government's social objectives and ensuring the strategic maintenance of population health capital. The statutory health insurance (SHI) scheme accounts for more than 48% of guaranteed healthcare financing.
AIM: To analyze the relationship between basic integral indicators of population health capital and the level of healthcare financing provided by the SHI scheme.
METHODS: The study employed regression correlation analysis, time series analysis, and comparative analysis of quantitative and qualitative indicators.
RESULTS: As part of the SHI scheme in 2011–2022, healthcare financing showed significant underfunding and a reduced coverage of the population with timely and high-quality healthcare. Government expenditures as part of the SHI scheme are determined by the changes in the gross domestic product per capita. The amount of guaranteed healthcare expenditures does not directly determine the life expectancy, birth rate, or disability levels. The scale of financing as part of the statutory health insurance scheme only partially mediates the variation of such health capital indicators as natural population growth and general morbidity.
CONCLUSION: The absence of a clear positive correlation between SHI financing and health capital indicators during the 2011–2022 period highlights the need for improving the efficiency of resource allocation and the performance of healthcare processes.
Full Text
About the authors
Lyudmila V. Krivko
First Sechenov Moscow State Medical University
Author for correspondence.
Email: krivko.lv@yandex.ru
ORCID iD: 0009-0002-6853-6621
SPIN-code: 7233-0617
Dr. Sci. (Economics), Professor
Russian Federation, MoscowEkaterina V. Kolushkina
First Sechenov Moscow State Medical University
Email: pyatkina.96@mail.ru
ORCID iD: 0009-0002-0012-8824
Russian Federation, Moscow
References
- Healthcare in Russia. 2023: Statistical collection. Moscow: Rosstat; 2023 [cited 2024 May 27]. Available from: https://rosstat.gov.ru/folder/210/document/13218
- Shamshurina NG, Nikitina LYu. Application of clinical and economic analysis to justify the inclusion of non-invasive ventilation in the list of high-tech medical care. Sociology of Medicine. 2023;22(1):59–70. EDN: ODOTOX doi: 10/17816/socm531781
- World Bank country classifications by income level for 2024-2025. In: World Bank Blogs [Internet]. The World Bank Group; 2024 [cited 2024 June 01]. Available from: https://blogs.worldbank.org/en/opendata/world-bank-country-classifications-by-income-level-for-2024-2025
- Structure of income and expenses of the Federal Compulsory Medical Insurance Fund. In: FFOMS [Internet]. Moscow: Federal Compulsory Medical Insurance Fund; 2024 [cited 2024 April 18]. Available from: https://www.ffoms.gov.ru/upload/docs/2023/%D0%9E%D0%A2%D0%A7%D0%95%D0% A2_2022_18.05._2023.pdf
- Gorshkova LV. Problems of assessing the effectiveness of health care costs. Service in Russia and abroad. 2017;11(6):137–151. EDN: YLBXXW doi: 10.22412/1995-042X-11-6-11
- Khafil'yanova RKh, Burchkin IM, Aleeva GN. Comparative assessment of the efficiency of equation systems of different countries. Bulletin of Saint Petersburg University. 2013;11(2):214–221.
- Smailov BT, Andarova RK, Vechkizova EA. Cumulative nature of the efficiency of the healthcare system and applied models of its organization. Bulletin of Karaganda University. Series: Economics. 2021;102(2):108–119.
- Roth GA, Forouzanfar MH, Moran AE, et al. Demographic and epidemiologic drivers of global cardiovascular mortality. New England Journal of Medicine. 2015;372(14):1333–1341. doi: 10.1056/NEJMoa1406656
- Ulumbekova GE, Ginoyan AB, Kalashnikova AV, Alvianskaya NV. Healthcare financing in Russia (2021–2024). Facts and suggestions. Vestnik VSHOUZ. 2019;5(4):4–19. doi: 10.24411/2411-8621-2019-14001
- Bykova AV, Solodukhin KS. Problems of financial support for health care systems and distribution of investments in public health. Creative Economy. 2022;16(2):717–738. EDN: OLOKKH doi: 10.18334/ce.16.2.114188
- Chereshnev VA, Krivenko NV, Krylov VG. Comprehensive assessment of the effectiveness and sustainability of the regional health care system. Economy of the region. 2021;17(1):31–43 EDN: WXCMXS doi: 10.17059/ekon.reg.2021-1-3
- Murray CJ, Frenk J. A framework for assessing the performance of health systems. Bull World Health Organ. 2000;78(6):717–731.
- Kabanov VN. Assessing the effectiveness of public investments in increasing life expectancy. Economic and social changes: facts, trends, forecast. 2015(5):75–86. EDN: UYXFCF doi: 10.15838/esc/2015.5.41.5
- Belogay AYu. Analysis of state participation in healthcare financing in Russia. In: XVII International Conference "Russian Regions in the Focus of Change": Collection of Papers; 17–19 Nov 2022. Ekaterinburg: Azhur; 2023. Р. 1064–1070. EDN: OFXIVK
Supplementary files
