Issue page

DOI: 10.47026/2499-9636-2023-3-45-58

Serebryakova T.Yu., Gayfullin A.N.

Assessment of the functioning of health care in the Republic of Tatarstan in 2005–2021

Keywords: health care, morbidity, socio-economic indicators, result of activity

The Republic of Tatarstan is located in the Volga Federal District and occupies one of the last places in the ranking in terms of the number of hospital beds per 10,000 people. It should also be noted unfavorable data on the number of medical staff, the number of people per place in the hospital, the number of receptions per shift. At the same time, the region is characterized by good socio-economic indicators in the field of health. Among them, the main ones are not only stable data on morbidity and mortality, but also the conditions for financing health care. The above requires research to assess these trends. The purpose of the study is to assess the factors influencing the health indicators of the Republic of Tatarstan. Materials and methods. In the course of studying theoretical and practical provisions, general scientific methods of cognition were used: comparison, abstraction, synthesis, induction and deduction, as well as methods of statistical analysis. The information base of the study was the data of the Ministry of Finance of the Russian Federation on the use of the consolidated budgets of the Russian Federation and its subjects, as well as indicators of the development of healthcare, transport, etc. published on the Rosstat website. The results of the study. Despite a significant reduction in the number of hospitals, medical personnel, and beds in rural areas, the Republic of Tatarstan manages to maintain morbidity and mortality rates at the same level with a slight increase during the pandemic. This was facilitated by the involvement of the population in sports, as well as alternative ways of providing medical services to rural residents. New health care services are favored by good transport accessibility of district and regional centers, conditions created in them for the provision of medical care to rural residents. New methods of providing curative and preventive care are being actively used, for example, through the use of mobile teams, remote consultations, as well as redirecting patient flows to district and regional centers. Financing of health care has not always been at a sufficient level, but in recent years it has improved, which positively characterizes the state of health care in the republic. Conclusions. The Republic of Tatarstan is characterized by good socio-economic indicators in the field of healthcare. The reduction in the number of medical institutions did not adversely affect the morbidity and mortality rates of the population of the republic. To a certain extent, this is due to the developed transport network, which contributes to the provision of assistance by mobile teams, as well as the redirection of the flow of cases to district and regional centers. Financing of health care has improved in recent years, which has also contributed to the success of the functioning of medical institutions.

References

  1. Baranov D.N. Sovremennoe sostoyanie i napravleniya transformatsii zdravookhraneniya v Rossiiskoi federatsii [Current Status and Directions of Transformation of Healthcare in the Russian Federation]. Vestnik Moskovskogo universiteta im. S.Yu. Vitte. Ser. 1. Ekonomika i upravlenie, 2018, no. 2(25), pp. 69–76.
  2. Dannye ob ispolnenii konsolidirovannykh byudzhetov sub”ektov Rossiiskoi Federatsii [Data on the execution of the consolidated budgets of the constituent entities of the Russian Federation]. In: Minfin Rossii: ofits. sait [Ministry of Finance of Rus-sia: website]. Available at: https://minfin.gov.ru/ru/perfomance/regions/operational/analysis (Access Date: 2023, June 15).
  3. Zdravookhranenie v Rossii [Healthcare in Russia]. In: Rosstat: ofits. sait [Rosstat: website]. Available at: https://rosstat.gov.ru/folder/210/document/13218 (Access Date: 2023, June 15).
  4. Konsolidirovannyi byudzhet Rossiiskoi Federatsii [Consolidated Budget of the Russian Federation]. In: Minfin Rossii: ofits. sait [Ministry of Finance of Russia: website]. Available at: https://minfin.gov.ru/ru/statistics/conbud (Access Date: 2023, June 15).
  5. Kusmagambetova E.S., Parkhomov E.A. Razvitie zdravookhraneniya kak osnovy formirovaniya sotsial’noi sfery sel’skikh territorii [Development of Health Care as a Basis for the Formation of the Social Sphere of Rural Areas]. Mezhdunarodnyi nauchnyi vestnik (Vestnik Ob”edineniya pravoslavnykh uchenykh), 2019, no. 3(23), pp. 50–53.
  6. Mingaleev G.F., Pogorel’tsev V.I., Fattakhov Kh.I. Organizatsiya protsessov v uchrezhdeniyakh zdravookhraneniya v usloviyakh byudzhetnogo finansirovaniya [Organization of processes in health care institutions in the context of budget financing]. In: Sbornik nauchnykh trudov Vserossiiskoi meditsinskoi nauchno-prakticheskoi konferentsii «Razvitie rossiiskogo zdravookhraneniya na sovremennom etape» (Murmansk, 28 marta 2013 g.) [Collection of scientific papers of the All-Russian Medical Scientific and Practical Conference “Development of Russian Health Care at the Present Stage” (Murmansk, March 28, 2013)]. Moscow, Adamant”” Publ., 2013, pp. 60–65.
  7. Naselenie [Population]. In: Tatarstanstat: ofits. sait [Tatarstanstat: website]. Available at: https://16.rosstat.gov.ru/naselenie (Access Date: 2023, June 15).
  8. Mingaleev G.F., Trutnev V.V., Roshchin D.O. et al. Problemy primeneniya IT-tekhnologii v meditsine [Problems of using IT technologies in medicine]. In: Sbornik nauchnykh trudov Vserossiiskoi meditsinskoi nauchno-prakticheskoi konferentsii «Razvitie rossiiskogo zdravookhraneniya na sovremennom etape» (Murmansk, 28 marta 2013 g.) [Collection of scientific papers of the All-Russian Medical Scientific and Practical Conference “Development of Russian Health Care at the Present Stage” (Murmansk, March 28, 2013)]. Moscow, Adamant Publ., 2013, pp. 66–71.
  9. Regiony Rossii. Sotsial’no-ekonomicheskie pokazateli [Regions of Russia. Socio-economic indicators]. In: Rosstat: ofits. sait [Rosstat: website]. Available at: https://rosstat.gov.ru/folder/210/document/13204 (Access Date: 2023, June 15).
  10. Sel’skie territorii Rossiiskoi Federatsii [Rural areas of the Russian Federation]. In: Rosstat: ofits. sait [Rosstat: website]. Available at: https://rosstat.gov.ru/statistics/transport (Access Date: 2023, June 15).
  11. Transport [Transport]. In: Rosstat: ofits. sait [Rosstat: website]. Available at: https://rosstat.gov.ru/statistics/transport (Access Date: 2023, June 15).
  12. Tsyrenov B.D. Problemy i puti sovershenstvovaniya sotsial’nogo obespecheniya sel’skikh territorii (na primere meditsinskikh uchrezhdenii Respubliki Buryatiya) [Problems and ways of improving social welfare of rural areas (on the example of medical institutions of the Republic of Buryatia)]. Ekonomika: vchera, segodnya, zavtra, 2017, vol. 7, no. 3A, pp. 154–161.
  13. Shcherbakov D.V. Perspektivnye napravleniya deyatel’nosti organov upravleniya zdravookhraneniem po resheniyu problem kachestva meditsinskikh uslug v sel’skikh raionakh Omskoi oblasti [Promising areas of activity of health authorities to solve the problems of quality of medical services in rural areas of the Omsk region]. In: Sbornik nauchnykh trudov Vserossiiskoi meditsinskoi nauchno-prakticheskoi konferentsii «Razvitie rossiiskogo zdravookhraneniya na sovremennom etape» (Murmansk, 28 marta 2013 g.) [Collection of scientific papers of the All-Russian Medical Scientific and Practical Conference “Development of Russian Health Care at the Present Stage” (Murmansk, March 28, 2013)]. Moscow, Adamant”” Publ., 2013, pp. 168–172.

About authors

Serebryakova Tatyana Yu.
Doctor of Economics Sciences, Professor, Department of Economics, Cheboksary Cooperative Institute (branch) of the Russian University of Cooperation, Russia, Cheboksary (serebrtata@yandex.ru; ORCID: https://orcid.org/0000-0003-3823-8447)
Gayfullin Airat N.
Post-Graduate Student, Department of Economic Security, Finance and Accounting, Russian University of Cooperation, Russia, Mytishchi (airat--vrach@mail.ru; )

Article link

Serebryakova T.Yu., Gayfullin A.N. Assessment of the functioning of health care in the Republic of Tatarstan in 2005–2021 [Electronic resource] // Oeconomia et Jus. – 2023. – №3. P. 45-58. – URL: https://oecomia-et-jus.ru/en/single/2023/3/5/. DOI: 10.47026/2499-9636-2023-3-45-58.