MONITORING OF REGIONAL HEALTH CARE SYSTEMS EFFICIENCY: METHODOLOGICAL FOUNDATIONS AND EMPIRICAL RESULTS
| Main Author: | TatyanaN.Russkikh*, ViktoriyaI.Tinyakova, Elena N.Kamyshanchenko, Svetlana G.Gorelik, Laura L.Avidzba |
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| Format: | Article |
| Bahasa: | eng |
| Terbitan: |
, 2018
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| Subjects: | |
| Online Access: |
https://zenodo.org/record/1304355 |
Daftar Isi:
- Effective management of the health care system involves comparative analysis of the efficiency of its subsystems at various levels of its regional subsystems. In this paper, the authors propose their own original methodology for typology building upon various efficiency components using fuzzy clustering procedures. Efficiency analysis of regional health care subsystems is based on the three-dimensional approach: structure - process of health care delivery - outcome of the health care delivery.The method includes selection of a system of statistical efficiency indicators, preliminary graphic analysis of sample data using the principal component method, building of typological groups of regions in terms of efficiency level based on fuzzy clustering procedures and development of an efficiency map. The most important task for the national health care policy is to reduce the death rate of the population from cardiovascular diseases. On this account, the article pays special attention to the problem of analyzing the efficiency of health care subsystems from the perspective of circulatory diseases. We have constructed typologies and ratings of constituent units in the Central Federal District and analyzed the efficiency of regional health care systems by the structure – outcome synthetic categories. This method is primarily intended for state and municipal authorities, since the results obtained from its use should serve as guidelines for the development of a policy aimed at improving health care efficiency. Key words: Monitoring, health care system, efficiency, typology, rating