Comparative assessments of the effectiveness of health care and health saving institutions in Russian regions

Abstract

The relevance of the study is related to the global controversy about the indicators of "impact on the determinants of health and reduction of health inequalities" proposed by the WHO European Committee in the framework of the policy "Health 2020". The aim of the work is to test the hypothesis that the level of development of formal and informal norms and rules, established in the spheres of health care and health saving and at their intersections, affects the quantitative and qualitative characteristics of health of an individual, groups of people, the population as a whole, and also significantly determines the regional differentiation of the analysed parameters. Based on the results of the evaluation of the effectiveness of the functioning of health care and health-saving institutions using the DEA (Data Envelopment Analysis) method, the assumption about the influence of the level of development of health care and health-saving institutions on the dynamics of preservation and accumulation of health capital of senior citizens was confirmed. The novelty of the study is the use of DEA methodology "at the input" - resource indicators characterising health care and health saving in the Russian Federation in the regional aspect, and at the output - subjective assessments of satisfaction of the elderly with the work of the analysed institutions. Proposals on transformations necessary to improve the effectiveness of health care and health-saving institutions as an important condition for reducing regional inequality in health for the elderly citizens are formulated.