HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONS

Life expectancy to healthcare spending ratio differs significantly among the Russian regions. The differences could be explained with both non-discretionary factors and the regional management efficiency. The main aim of this article is to evaluate the efficiency of the regional healthcare in Russia...

Full description

Saved in:
Bibliographic Details
Main Authors: N. A. Avxentyev, V. M. Baydin, O. A. Zarubina, N. N. Sisigina, S. A. Kulkova
Format: Article
Language:Russian
Published: IRBIS LLC 2016-02-01
Series:Фармакоэкономика
Subjects:
Online Access:https://www.pharmacoeconomics.ru/jour/article/view/125
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1839584406602252288
author N. A. Avxentyev
V. M. Baydin
O. A. Zarubina
N. N. Sisigina
S. A. Kulkova
author_facet N. A. Avxentyev
V. M. Baydin
O. A. Zarubina
N. N. Sisigina
S. A. Kulkova
author_sort N. A. Avxentyev
collection DOAJ
description Life expectancy to healthcare spending ratio differs significantly among the Russian regions. The differences could be explained with both non-discretionary factors and the regional management efficiency. The main aim of this article is to evaluate the efficiency of the regional healthcare in Russia employing the formal methodological approach. We use three-step data envelopment analysis (DEA) in order to (1) calculate the technical efficiency scores for regional healthcare systems, (2) determine non-discretionary factors affecting the scores and (3) exclude the non-discretionary component from scores to asses the management efficiency. Using data for 76 Russian regions in 2006-2013 we found approx. 27% regional healthcare spending inefficient, which equals to real 269-435 billion rubles of inefficient spending annually.
format Article
id doaj-art-6e24fbbde6fa4fa6a81f0596d8adee9e
institution Matheson Library
issn 2070-4909
2070-4933
language Russian
publishDate 2016-02-01
publisher IRBIS LLC
record_format Article
series Фармакоэкономика
spelling doaj-art-6e24fbbde6fa4fa6a81f0596d8adee9e2025-08-03T19:49:34ZrusIRBIS LLCФармакоэкономика2070-49092070-49332016-02-0184102010.17749/2070-4909.2015.8.4.010-020108HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONSN. A. Avxentyev0V. M. Baydin1O. A. Zarubina2N. N. Sisigina3S. A. Kulkova4Russian Presidential Academy of National Economy and Public Administration, Moscow Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution, Nastasyinsky per., 3-2, Moscow, 127006, Russia. Tel.: +7(495)6997414Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution, Nastasyinsky per., 3-2, Moscow, 127006, Russia. Tel.: +7(495)6997414Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution, Nastasyinsky per., 3-2, Moscow, 127006, Russia. Tel.: +7(495)6997414Russian Presidential Academy of National Economy and Public Administration, Moscow Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution, Nastasyinsky per., 3-2, Moscow, 127006, Russia. Tel.: +7(495)6997414Research Financial Institution of the Ministry of Finance of the Russian Federation, Federal State Budget Institution, Nastasyinsky per., 3-2, Moscow, 127006, Russia. Tel.: +7(495)6997414Life expectancy to healthcare spending ratio differs significantly among the Russian regions. The differences could be explained with both non-discretionary factors and the regional management efficiency. The main aim of this article is to evaluate the efficiency of the regional healthcare in Russia employing the formal methodological approach. We use three-step data envelopment analysis (DEA) in order to (1) calculate the technical efficiency scores for regional healthcare systems, (2) determine non-discretionary factors affecting the scores and (3) exclude the non-discretionary component from scores to asses the management efficiency. Using data for 76 Russian regions in 2006-2013 we found approx. 27% regional healthcare spending inefficient, which equals to real 269-435 billion rubles of inefficient spending annually.https://www.pharmacoeconomics.ru/jour/article/view/125government spending efficiencylocal program of state guaranteesregional economydata envelopment analysis
spellingShingle N. A. Avxentyev
V. M. Baydin
O. A. Zarubina
N. N. Sisigina
S. A. Kulkova
HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONS
Фармакоэкономика
government spending efficiency
local program of state guarantees
regional economy
data envelopment analysis
title HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONS
title_full HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONS
title_fullStr HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONS
title_full_unstemmed HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONS
title_short HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONS
title_sort healthcare spending efficiency in russian regions
topic government spending efficiency
local program of state guarantees
regional economy
data envelopment analysis
url https://www.pharmacoeconomics.ru/jour/article/view/125
work_keys_str_mv AT naavxentyev healthcarespendingefficiencyinrussianregions
AT vmbaydin healthcarespendingefficiencyinrussianregions
AT oazarubina healthcarespendingefficiencyinrussianregions
AT nnsisigina healthcarespendingefficiencyinrussianregions
AT sakulkova healthcarespendingefficiencyinrussianregions