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...
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IRBIS LLC
2016-02-01
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Series: | Фармакоэкономика |
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Online Access: | https://www.pharmacoeconomics.ru/jour/article/view/125 |
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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 |