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HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONS

https://doi.org/10.17749/2070-4909.2015.8.4.010-020

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Abstract

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. 

About the Authors

N. A. Avxentyev
Russian 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)6997414
Russian Federation

research fellow of Regional reforms research center of Applied economic research institute of Russian academy of national economy and public administration and junior research fellow of Perspective financial planning, macroeconomic analysis and financial statistics center, Financial research institute.



V. M. Baydin
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)6997414
Russian Federation

assistant researcher of Fiscal policy centre, Financial research institute.



O. A. Zarubina
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)6997414
Russian Federation

junior research fellow of Financial and strategic management centre, Financial research institute 



N. N. Sisigina
Russian 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)6997414
Russian Federation

research fellow of Institute for social analysis and forecasting, Russian academy of national economy and public administration, junior researcher of Tax policy center, Financial research institute 



S. A. Kulkova
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)6997414
Russian Federation

assistant researcher of Financial and strategic management centre, Financial research institute. 



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For citation:


Avxentyev N.A., Baydin V.M., Zarubina O.A., Sisigina N.N., Kulkova S.A. HEALTHCARE SPENDING EFFICIENCY IN RUSSIAN REGIONS. FARMAKOEKONOMIKA. Modern Pharmacoeconomic and Pharmacoepidemiology. 2015;8(4):10-20. (In Russ.) https://doi.org/10.17749/2070-4909.2015.8.4.010-020

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