Effects of the transformations in the regional healthcare system: contribution to saving the population health
Research Article
Acknowledgments
The article was carried out in accordance with the research plan of the Institute of Economics of the Ural Branch RAS.
How to Cite
Krivenko N.V., Vasilyeva A.V. Effects of the transformations in the regional healthcare system: contribution to saving the population health. Population. 2025. Vol. 28. No. 1. P. 153-167. DOI: https://doi.org/10.24412/1561-7785-2025-1-153-167 (in Russ.).
Abstract
The relevance of studying the changes in the healthcare system aimed at saving the population health, preserving human potential and labor potential of the population, is due to demographic challenges to Russia: a decrease in the birth rate, an increase in the demographic burden, etc. The scientific significance of the study lies in development of methodological approaches that consider the healthcare system as a profitable industry, in contrast to the existing approaches that define it as a costly industry, proposal of the author’s approach, which allows us to identify «bottlenecks» in the activities of the regional healthcare system by areas and services, determine development priorities and evaluate the effects of the measures aimed at preventing and reducing morbidity, mortality and disability of the population. The author’s approach was tested using the example of implementing measures in the regional healthcare system of Sverdlovsk oblast aimed at improving the population health. Based on utility theory using the gross regional product (GRP) per capita indicator, the effects of measures aimed at improving population health in Sverdlovsk oblast are assessed. Assessment of the effect of increasing life expectancy at birth in Sverdlovsk oblast in value terms was based on the concept of «weak sustainability» using the Human Development Index. The implementation of innovative transformations by services in the healthcare system of Sverdlovsk oblast shows achievement of high medical, social, and economic effects, helps to improve the level of health of the region’s population, reduce losses of the working population. There are substantiated the directions of healthcare development that are most effective from the standpoint of restoring health and prolonging the life of the population of the region, as well as contributing to raising the efficiency of the regional healthcare system.
Keywords:
region, population health, healthcare, economic effect, GRP
References
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6. Voskolovich N.A. Osobennosti formirovanija dostupnosti meditsinskih uslug v uslovijakh novoj ekonomicheskoj real’nosti [Features of the formation of medical services availability in the new economic reality]. Narodonaselenie [Population]. 2024. Vol. 27. No. 1. P. 166–177. DOI: 10.24412/1561-7785-2024-13-166-177 (in Russ.)
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8. Krivenko N.V., Epaneshnikova D.S., Krylov V.G., et al. Effektivnost’ sistemy zdravoohraneniya kak factor ustojchivogo sotsial’no-ekonomicheskogo razvitiya regionov [Effectiveness of the Healthcare System as a Factor in Sustainable Socio-Economic Development of Regions]. Ekaterinburg. Institut ekonomiki Ural’skogo otdeleniya RAN [Institute of Economics of the Ural Branch RAS]. 2020. 235p. (in Russ.)
9. Korobitsyn B.A., Kuklin A.A., Manzhurov I.L., Nikulina N.L. Stoimostnaya otsenka izmeneniya ozhidaemoj prodolzhitelnosti zhizni, osnovannaya na ispolzovanii indeksa razvitiya chelovecheskogo potentsiala [Valuing of human life on the basis of Human Development Index]. Ekonomika prirodopolzovaniya [Economy of Natural Resources]. 2012. No. 6. P. 103–111. (in Russ.)
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13. Krivenko N.V., Tsvetkov A.I. Effektivnost finansirovaniya zdravookhraneniya dlya obespecheniya ekonomicheskoj bezopasnosti regiona [Efficiency of funding healthcare for ensuring economic security of a region]. Ekonomika regiona [Economy of Regions]. 2018. Vol. 14. No. 3. Р. 970–986. DOI: 10.17059/2018-3-20 (in Russ.)
14. Klupt M.A. Sovremennyje demograficheskije i ekonomicheskije protsessy v Rossii: statisticheskij analiz vzaimosvyazi [Contemporary demographic and economic processes in Russia: a statistical analysis of their interaction]. Voprosy statistiki [Statistical Issues]. 2024. Vol. 31. No 5. Р. 57–67. DOI: 10.34023/2313-6383-2024-31-5-57-67 (in Russ.)
15. Krivenko N.V., Kuklin A.A., Averyanov O. Yu. Mezhdistsiplinarnost’ v zdravookhranenii: vklad v obespechenije sotsial’no-demograficheskoj bezopasnosti regiona [Interdisciplinary approach in healthcare: the contribution to maintaining socio-demographic security of a region]. Izvestiya Ural’skogo gosudarstvennogo ekonomicheskogo universiteta [Bulletin of the Ural State University of Economics]. 2017. No. 6(74). P. 5–20. DOI: 10.29141/2073-1019-2017-74-6-1 (in Russ.)
Article
Received: 08.08.2024
Accepted: 28.03.2025
Citation Formats
Other cite formats:
APA
Krivenko, N. V., & Vasilyeva, A. V. (2025). Effects of the transformations in the regional healthcare system: contribution to saving the population health. Population, 28(1), 153-167. https://doi.org/10.24412/1561-7785-2025-1-153-167
Section
SOCIO-ECONOMIC PROBLEMS OF RUSSIAN REGIONS
