2019 № 8 Evaluation of the effectiveness of health care in the constituent entities of the Russian Federation using the Bloomberg methodology
A point assessment of healthcare systems efficiency of the regions of the Russian Federation is conducted on the
basis of methodological approaches of Bloomberg international rating agency using Minmax method, according to which the higher life expectancy is, the more efficient healthcare system is. The highest score according to the assessment result was given to Tyumen oblast with life expectancy of 72,1 years and minimal healthcare expenditures both per capita and in share of gross regional product. The leaders in the size of state expenditures on healthcare per capita are Magadan and Sakhalin oblasts, Kamchatka krai, the Republic of Sakha (Yakutia), accordingly reaching 80th, 77th, 78th and 72nd position on the rating. The city of Moscow reached 6th place, while surpassing the city of St. Petersburg by 19 positions, mostly because of higher life expectancy. The study showed that the variability of life expectancy in the context of the regions of the Russian Federation is about 15 times less than the indicators of health expenditure. The authors argue that since the health care system in Russia is predominantly state-owned, any estimates of economic efficiency are conditional, since only a competitive economy can be effective.