О.V. Obukhova
Federal Research Institute for Health Organization and Informatics of Ministry of Health and Social Development of the Russian Federation, Moscow

Summary. Aim of the study is to substantiate implementation of world-wide adopted statistical instruments for processing and analysis of information on the spending of volumes and directions of finance resources in public health. Analysis of such information is indispensable for the assessment of efficiency of public health of Russia, including its program tasks in combating socially related diseases.

Comparative evaluation of the capabilities of certain techniques of statistical analysis that were widely used in foreign practice was performed. It included evaluation of the system of national accounts, national accounts for public health, national sub-accounts, techniques of assessment of national expenses associated with HIV-AIDS.

This study proved that certain instruments of official statistics are indispensable for the routine and trustworthy monitoring of expenditure in public health. So, a statistical reporting Form No.62 entitled “Information on rendering and funding medical care to the population” was designed and introduced with the purpose of proper institutionalization of accounts in public health of the Russian Federation and for constant supervision of expenditure here. With the help of this Form allows to estimate the efficiency of rendered medical care, first of all gratuitous one, and the operation of executive authorities of constituent territories of the Russian Federation.

Domestic implementation of world-wide adopted approaches to the appreciation of expenditure for socially related diseases, such as HIV-infection and tuberculosis, proved to be well grounded. It helped to determine on the priority of distribution of financial means within the framework of certain programs and measures to fight the spread of these diseases, to provide adequacy of record-keeping for the expenditure, and to take into account the optimization of funding distributed among all concerned parts, to substantiate certain methods of state control and regulation of the processes of fulfilling of all these programs and measures.

Keywords. Health economics, national accounts system, system of health accounts, cost-effectiveness, economic monitoring.

References

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