Effectiveness of Reforming the Budget Network in the Health Sector in the 2010s
Over the last decade, the health care system in Russia has carried out significant reforms: changes in the budget network regulation, the introduction of financing standards, the May Decree No. 597 implementation regarding specific categories medical organizations employees’ salaries, the transition...
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| Format: | Article |
| Language: | Russian |
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Government of the Russian Federation, Financial University
2020-11-01
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| Series: | Мир новой экономики |
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| Online Access: | https://wne.fa.ru/jour/article/view/282 |
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| author | I. A. Sokolov I. N. Filippova |
| author_facet | I. A. Sokolov I. N. Filippova |
| author_sort | I. A. Sokolov |
| collection | DOAJ |
| description | Over the last decade, the health care system in Russia has carried out significant reforms: changes in the budget network regulation, the introduction of financing standards, the May Decree No. 597 implementation regarding specific categories medical organizations employees’ salaries, the transition to single-channel financing. At the same time, the results are ambiguous: against the background of noticeable optimization achievements, while maintaining the indicators of surgery operations performed, and patients served, there was an increase in the overall mortality rate in the country. This study aims to evaluate the effect of health care reforms in the 2010s. The data envelopment analyses (DEA) used to estimate the government regional health sector efficiency to reveal the most and the least efficient regions. Then the factors with the most significant impact on the resulting performance indicator are identified. Among such factors, the organizational and legal structure of the region budget network and the transition to single-channel financing dummy variable are analysed. The results show that the transformation of institutions into autonomous ones according to the Federal law 83-FZ did not have a positive impact on the efficiency of the regional health care system. At the same time, the transition to single-channel funding has had some positive effects, which, however, has not been sustainable over time, and therefore more research is needed after the later periods’ data accumulation. Although the changes had some impact on the performance of the budget network institutions, they did not solve the fundamental problems of the health system, such as chronic underfunding and regional differentiation. |
| format | Article |
| id | doaj-art-3db3b8a2a00c4472904eb9ca5e6e21ca |
| institution | DOAJ |
| issn | 2220-6469 2220-7872 |
| language | Russian |
| publishDate | 2020-11-01 |
| publisher | Government of the Russian Federation, Financial University |
| record_format | Article |
| series | Мир новой экономики |
| spelling | doaj-art-3db3b8a2a00c4472904eb9ca5e6e21ca2025-08-20T03:18:55ZrusGovernment of the Russian Federation, Financial UniversityМир новой экономики2220-64692220-78722020-11-0114110812210.26794/2220-6469-2020-14-1-108-122272Effectiveness of Reforming the Budget Network in the Health Sector in the 2010sI. A. Sokolov0I. N. Filippova1Institut of macroeconomic research, Russian Foreign Trade Academy of Ministry of economic development; Institute of Applied Economic Research, RANEPAGaidar Institute of Economic Policy; Faculty of Economics, Lomonosov Moscow State UniversityOver the last decade, the health care system in Russia has carried out significant reforms: changes in the budget network regulation, the introduction of financing standards, the May Decree No. 597 implementation regarding specific categories medical organizations employees’ salaries, the transition to single-channel financing. At the same time, the results are ambiguous: against the background of noticeable optimization achievements, while maintaining the indicators of surgery operations performed, and patients served, there was an increase in the overall mortality rate in the country. This study aims to evaluate the effect of health care reforms in the 2010s. The data envelopment analyses (DEA) used to estimate the government regional health sector efficiency to reveal the most and the least efficient regions. Then the factors with the most significant impact on the resulting performance indicator are identified. Among such factors, the organizational and legal structure of the region budget network and the transition to single-channel financing dummy variable are analysed. The results show that the transformation of institutions into autonomous ones according to the Federal law 83-FZ did not have a positive impact on the efficiency of the regional health care system. At the same time, the transition to single-channel funding has had some positive effects, which, however, has not been sustainable over time, and therefore more research is needed after the later periods’ data accumulation. Although the changes had some impact on the performance of the budget network institutions, they did not solve the fundamental problems of the health system, such as chronic underfunding and regional differentiation.https://wne.fa.ru/jour/article/view/282healthcareefficiency estimationdeadata envelopment analysesreformsbudget network |
| spellingShingle | I. A. Sokolov I. N. Filippova Effectiveness of Reforming the Budget Network in the Health Sector in the 2010s Мир новой экономики healthcare efficiency estimation dea data envelopment analyses reforms budget network |
| title | Effectiveness of Reforming the Budget Network in the Health Sector in the 2010s |
| title_full | Effectiveness of Reforming the Budget Network in the Health Sector in the 2010s |
| title_fullStr | Effectiveness of Reforming the Budget Network in the Health Sector in the 2010s |
| title_full_unstemmed | Effectiveness of Reforming the Budget Network in the Health Sector in the 2010s |
| title_short | Effectiveness of Reforming the Budget Network in the Health Sector in the 2010s |
| title_sort | effectiveness of reforming the budget network in the health sector in the 2010s |
| topic | healthcare efficiency estimation dea data envelopment analyses reforms budget network |
| url | https://wne.fa.ru/jour/article/view/282 |
| work_keys_str_mv | AT iasokolov effectivenessofreformingthebudgetnetworkinthehealthsectorinthe2010s AT infilippova effectivenessofreformingthebudgetnetworkinthehealthsectorinthe2010s |