| In the section | Articles |
| Title of the article | Spatial Deformation of the Public Health System Effectiveness |
| Pages | 107-121 |
| Author 1 | Maria Anatolyevna Gritsko Candidate Economics, Research Fellow. Economic Research Institute FEB RAS 153 Tikhookeanskaya Street, Khabarovsk, Russia, 680042 This email address is being protected from spambots. You need JavaScript enabled to view it. |
| Author 2 | Ekaterina Olegovna Kolbina Candidate Economics, Research Fellow Economic Research Institute FEB RAS 153 Tikhookeanskaya Street, Khabarovsk, Russia, 680042 This email address is being protected from spambots. You need JavaScript enabled to view it. |
| Abstract | Using official statistics the authors assess the performance of the public health system in the context of federal districts of the Russian Federation. The study shows that despite the highest level of funding among all federal districts, effectiveness of the public health system in the Far Eastern district remains the lowest in the country, both in absolute terms and measured by rates of their changes. Low efficiency rate can be explained when various constraints are taken into account: demographic, socio-economic and spatial. Among the demographic constraints the authors point towards high mortality rate of working-age males in the region that is highest among all districts, especially in preventable diseases. Under the socio-economic limitations the authors understand low affordability of medical services for the population of almost all subjects of FEFD. Spatial constraints include low population, settlements and road network densities due to historical patterns of settlement. The analysis suggests that, firstly, ignoring the restrictions forms a distorted view of the actual situation in this sector; and secondly, the use of a single healthcare model for all regions reduces affordability and spatial accessibility of medical services for the population, prevents achievement of public health targets and efficient use of public funds. |
| Code | 314:332 |
| DOI | 10.14530/se.2013.4.107-121 |
| Keywords | ♦ The public health system effectiveness ♦ life expectancy ♦ infant mortality ♦ mortality of able- bodied men ♦ restrictions’ system ♦ affordability ♦ spatial accessibility |
| Download | SE.2013.4.107-121.Gritsko.pdf |
| For citation | Gritsko M.A., Kolbina E.O. Spatial Deformation of the Public Health System Effectiveness. Prostranstvennaya Ekonomika = Spatial Economics, 2013, no. 4, pp. 107-121. DOI: 10.14530/se.2013.4.107-121. (In Russian). |
| References | 1. Aganbegyan A.G. How Long to Live and to be Healthy. Eco – Eco, 2011, no. 10, pp. 5–13. (In Russian). 2. Bochkareva V.K. Reformation of the Health Care System and Ensuring Equal Access to Free of Charge Health Services. Eco – Eco, 2011, no. 10, pp. 13–35. (In Russian). 3. Volkova E. The Shadow Market in State Medical Institutions and Medical Tourism Hamper the Development of Private Medicine in the Far East. Available at: http://www.zrpress.ru/health/dalnij-vostok_08.10.2013 (accessed 09 October 2013). (In Russian). 4. The Ministry of Finance of the Russian Federation. Available at: http://info.minfin.ru/foms.php (accessed 23 September 2013). (In Russian). 5. Assessment of Health Systems from the Position of the World Health Organization. Zdravookhranenie [Healthcare], 2009, no. 11. Available at: http://www.zdrav.ru/articles (accessed 17 September 2013). (In Russian). 6. Potapchik E.G., Selezneva E.V., Shishkin S.V. Accessibility of Medical Care for the Population (Based on Monitoring of Economic Developments in Health System): Working paper WP8/2011/11. Moscow: State University – Higher School of Economics, 2011, 36 p. (In Russian). 7. The Programme of State Guarantees of Free Provision of Health Care in 2013 and for the Planned Period 2014 and 2015: approved by Government Resolution of 22 October 2012 8. № 1074. Available at: http://government.ru/docs/7594 (accessed October 2013). (In Russian). 9. Rusinova N.L., Panova L.V. Access to Health Care: Methodological Approaches and Basic Measures. Zhurnal Sotsiologii i sotsialnoy Antropologii - The Journal of Sociology and Social Anthropology, 2002, no. 4, pp. 147–163. (In Russian). 10. Rural Health in Russia in 2012: statistical collection. Ministry of Health of the Russian Federation. Available at: http://www.rosminzdrav.ru/docs/mzsr/stat/47 (accessed October-November 2013). (In Russian). 11. Smirnova A. Travels for Health. Travel Russian News – Travel Russian News, 2013, 22 October. Available at.: http://www.trn-news.ru/articles/3649 (accessed October 2013). (In Russian). 12. Tebin N. Medical Tourism. Meditsinskaya Gazeta [Medical newspaper]. Available at: http://www.mgzt.ru/article/1961/ (accessed October 2013). (In Russian). 13. Federal State Statistics Service. Available at: http://www.gks.ru (accessed July – September 2013). (In Russian). 14. Sharabchiev Yu.T. The Economic Model and the Reform of Health Care: Experience of the Organization of Various Health-Care Management Systems. Meditsinskie Novosti [Medical News], 2006, no. 6, pp. 61–68. Available at: http://www.mednovosti.by/journal.aspx?article=590 (accessed 15 August 2013). (In Russian). 15. Sheyman I.M. Theory and Practice of Market Relations in Healthcare. Moscow: State University – Higher School of Economics, 2008, 318 p. (In Russian). 16. Shishkin S., Potapchik E., Selezneva E. Private Health Care Sector in Russia: Present State and Development Prospects. Voprosy Ekonomiki [Economic Issue], 2013, no. 4, pp. 94–112. (In Russian). 17. World Health Organization. World Health Statistics reports. Available at: http://www.who.int/gho/publications/world_health_statistics/en/index.html (accessed September 2013). |
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