Regulation of inter-regional differences of the Russian Federation regions in the context of national projects «Healthcare» and «Demography»

Research Article
How to Cite
Gabdullin N.M., Kirshin I.A., Shulaev A.V. Regulation of inter-regional differences of the Russian Federation regions in the context of national projects «Healthcare» and «Demography». Living Standards of the Population in the Regions of Russia. 2020. Vol. 16. No. 3. P. 59-69. DOI: https://doi.org/10.19181/lsprr.2020.16.3.5 (in Russ.).

Abstract

The subject of the study is the inter-regional differences in the state of public health and the demographic situation in the Russian Federation regions. The theoretical aspect of the subject is determined by the development of priorities of the Russian healthcare development strategy aimed at alignment of regional differences in the levels of healthcare development in the Russian Federation regions. The empirical aspect of the subject is to identify interregional differences in the state of public health and the demographic situation in the Russian Federation regions by using the EM cluster analysis method (Expectation Maximization). The method was implemented in the integrated development environment RStudio. The official statistics from Rosstat for the period 2014–2018 were used as the initial dataset. The purpose of the study is justifying the regulation of inter-regional differences of the Russian Federation regions. As a result of clustering, nine homogeneous clusters of the Russian Federation regions were identified. The main characteristics of the formed clusters are determined. Among the priorities of the RF healthcare development strategy are as follows: implementation of a unified tariff policy in the system of compulsory medical insurance; ensuring the balance of territorial compulsory medical insurance programs within the framework of the basic programme of compulsory medical insurance through financial security based on a single per capita standard; development of telemedicine, providing prompt remote consultation of leading experts in the provision of medical care, regardless of the territorial location of the patient and the doctor; ensuring the implementation of distance education courses and continuing education programs for medical workers; rationalization of the distribution of resources and capacities of medical organizations based on a three-tier system of medical care; development of regional public health centres. The results of this study can be used to develop federal and territorial programs for socioeconomic development, formulate a strategy for the development of healthcare at macro- and meso- levels, and optimize decisions of regional authorities regarding population policy.
Keywords:
inter-regional differences, regulation, government guarantees for the provision of medical care, national projects, human capital, healthcare, labour productivity, a cluster analysis, demography

Author Biographies

Nail M. Gabdullin, Kazan Federal University, Kazan, Russian Federation
Ph.D., Associate Professor
Igor A. Kirshin, Kazan Federal University, Kazan, Russian Federation
Doctor of Economics, Professor
Aleksey V. Shulaev, Kazan Federal University, Kazan, Russian Federation
Vice-rector for interaction with educational and production bases and clinical work, MD, professor

References

Migranova L.A., Toksanbaeva M.S. Human Potential of the Population of the Russian Regions: Level and Dynamics of Development (Part One). Living Standards of the Population in the Regions of Russia. 2018. Vol. 14. No. 2. P. 47-59. DOI: 10.24411/1999-9836-2018-10014

World Bank Group. Proekt razvitija chelovecheskogo kapitala. 2018 [online]. Accessed 14.03.2020 URL: https://openknowledge.worldbank.org/, svobodnyj

Tatarkin A.I. Regional targeting of the economic policy of the Russian Federation as an institution of regional spatial development. Economy of Region. 2016. No.1. P.9-27. DOI: 10.17059/2016-1-1

Caselli, F. Accounting for Cross-Country Income Differences. In Handbook of Economic Growth, Vol. 1A, edited by Philippe Aghion and Steven N. Darlauf. Amsterdam: Elsevier., 2004. – PP.679-741. DOI: 10.1016 / S1574-0684 (05) 01009-9

Feenstra, R. C., Inklaar R., Timmer M.P. The Next Generation of the Penn World Table. American Economic Review. 2015.105(10). P. 3150-3182. [online]. Accessed: 16.04.2020. URL: www.ggdc.net/pwt DOI: 10.1257/aer.20130954

Gabdullin, N., Kirshin, I. Forecasting of the human capital accumulation impact on the labour productivity dynamics in the Russian Federation. Economic and Social Development (Book of Proceedings), 54th International Scientific Conference on Economic and Social Development. 2020. P. 285-293.[online]. Accessed: 14.05.2020. URL: http://www.esdconference.com

Human Capital Project. The World Bank. 2018. [online].Accessed: 10.04.2020. URL: https://www.worldbank.org/en/publication/human-capital

Kraay, A. Methodology for a World Bank Human Capital Index [online]. Accessed: 10.05.2020 URL: http://documents.worldbank.org/curated/en/300071537907028892/pdf/WPS8593.pdf, svobodnyj DOI:10.1596/1813-9450-8593

Krueger, D. Macroeconomic Theory. [online]. Accessed:14.03.2020 URL: https://ssc.wisc.edu/~aseshadr/econ714/MacroTheory.pdf

The Changing Wealth of Nations 2018: Building a Sustainable Future. Washington, DC: World Bank. [online]. Accessed 14.03.2020 URL: https://openknowledge.worldbank.org/handle/10986/29001 DOI:10.1596/978-1-4648-1046-6

Lucas, R.E. What Was the Industrial Revolution? Journal of Human Capital. 2018. Vol.12. No2. P.182-203. DOI: 10.3386/w23547

Mulligan, C.B., Sala-i-Martin, X. Measuring Aggregate Human Capital. Journal of Economic Growth. 2000. Vol. 5(3). PP. 215-252. DOI: 10.3386/w5016

The changing nature of work. International Bank for Reconstruction and Development / The World Bank 1818 HStreet NW, Washington, DC 20433/ 2019. – P. 58. DOI: https://doi.org/10.1108/00197850310487322

David N. Well, Accounting for the Effect Of Health on Economic Growth, The Quarterly Journal of Economics. Vol.122, Issue 3. 2007. P. 1265–1306. https://doi.org/10.1162/qjec.122.3.1265
Article

Received: 15.05.2020

Accepted: 14.08.2020

Citation Formats
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APA
Gabdullin, N. M., Kirshin, I. A., & Shulaev, A. V. (2020). Regulation of inter-regional differences of the Russian Federation regions in the context of national projects «Healthcare» and «Demography». Living Standards of the Population in the Regions of Russia, 16(3), 59-69. https://doi.org/10.19181/lsprr.2020.16.3.5