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Quality of accessibility vs quality accessibility of medical service in Russia: Measurement issues 俄罗斯医疗服务可及性质量与可及性质量:测量问题
Pub Date : 2023-04-07 DOI: 10.29141/2658-5081-2023-24-1-6
Mikhail A. Safarov
One element of human capital that determines the prospects of national economic growth is population health. This is a multivariate concept and therefore, there can be distortions in estimating its level depending on the chosen metrics. The efficiency of the health care system as an indirect indicator of a nation’s health is often measured through composite indicators of the medical service quality and accessibility. Nonetheless, in the conditions of limited resources such evaluation may not reflect the actual situation. The paper aims to discuss the problems related to the balance in the quality and accessibility of medical service in Russia. Methodologically, the research relies on classical macroeconomics. The method is the analysis of series of socioeconomic indicators collected from Russian statistics for 2012–2021. The findings point to the existence of a normative and positive approaches to measuring the efficiency of the health care system based on the composite evaluation of the two parameters: the medical service quality and accessibility. The authors prove that such methodological ideology is erroneous, and suggest evaluating relative indicators that illustrate the ratio between the two parameters. The case of one of such ratios – a relative evaluation of the number of physicians, hospital beds and diseases per group – allowed obtaining the assessment of the labour productivity. According to the conclusions, the accessibility of the medical service in Russia is decreasing, which however, does not lead to the improvement of its quality.
决定国民经济增长前景的人力资本要素之一是人口健康。这是一个多变量的概念,因此,根据所选择的度量,在估计其水平时可能存在扭曲。卫生保健系统的效率作为一个国家健康状况的间接指标,通常通过医疗服务质量和可及性的综合指标来衡量。但是,在资源有限的情况下,这种评价可能不能反映实际情况。本文旨在探讨与俄罗斯医疗服务质量和可及性平衡有关的问题。在方法上,该研究依赖于经典宏观经济学。该方法是对俄罗斯2012-2021年统计数据中收集的一系列社会经济指标进行分析。研究结果表明,基于医疗服务质量和可及性这两个参数的综合评价,存在一种规范和积极的方法来衡量卫生保健系统的效率。作者证明了这种方法思想是错误的,并建议评估说明两个参数之间的比率的相关指标。其中一种比率——对每一群体的医生、医院床位和疾病数量的相对评估——允许对劳动生产率进行评估。根据结论,俄罗斯医疗服务的可及性正在下降,但这并没有导致医疗服务质量的提高。
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引用次数: 0
Economic well-being: Semantic environment and research contexts at a municipal level 经济福祉:城市层面的语义环境和研究背景
Pub Date : 2023-01-12 DOI: 10.29141/2658-5081-2022-23-4-3
E. Belousova
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引用次数: 0
System resilience of industry to the sanctions pressure in industrial regions: Assessment and outlook 工业区工业对制裁压力的系统弹性:评估与展望
Pub Date : 2023-01-12 DOI: 10.29141/2658-5081-2022-23-4-2
V. Akberdina
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引用次数: 0
Evolution of the Russian innovation system: Narratives and the impact on economic growth 俄罗斯创新体系的演变:叙述及其对经济增长的影响
Pub Date : 2023-01-12 DOI: 10.29141/2658-5081-2022-23-4-1
V. Volchik, E. Maslyukova, Sophia A. Panteeva
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引用次数: 0
Allocation of a resource portfolio in a group of industrial enterprises 一组工业企业资源组合的配置
Pub Date : 2023-01-12 DOI: 10.29141/2658-5081-2022-23-4-5
S. Orekhova, I. Butakov
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引用次数: 1
Efficiency of customer loyalty programmes in the food retail industry 食品零售行业顾客忠诚度计划的效率
Pub Date : 2023-01-12 DOI: 10.29141/2658-5081-2022-23-4-6
V. Kovalev, Kseniya Novikova, E. Antineskul
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引用次数: 0
The moral paradigm: Reconciliation of efficiency and justice principles in regulatory decision-making 道德范式:监管决策中效率与公正原则的协调
Pub Date : 2023-01-12 DOI: 10.29141/2658-5081-2022-23-4-7
I. Rakhmeeva, K. Chernyshev
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引用次数: 0
System spatial method for assessing an industrial cluster’s impact on the regional socioeconomic development 评估产业集群对区域社会经济发展影响的系统空间方法
Pub Date : 2023-01-12 DOI: 10.29141/2658-5081-2022-23-4-4
T. Mirolyubova, D. Koshcheev
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引用次数: 1
World-class universities and technological development: Unanswered questions 世界一流大学与科技发展:未解之谜
Pub Date : 2022-10-05 DOI: 10.29141/2658-5081-2022-23-3-3
E. Balatsky, N. Ekimova
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引用次数: 0
Industrial growth and specialisation: The impact of the government support tools 产业增长与专业化:政府支持工具的影响
Pub Date : 2022-10-05 DOI: 10.29141/2658-5081-2022-23-3-5
E. Starikov, M. Evseeva, I. Naumov
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引用次数: 0
期刊
Journal of New Economy
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