Guseva N.K., German S.V.
Nizhny Novgorod State Medical Academy, Nizhny Novgorod
Summary. Besides its humanitarian aspect health loss
has an economic one as well. The scale of economic losses due to
disability should be taken into account while planning and monitoring
implementation efficiency of the state programs aimed at improving
social and economic well-being of differently-abled people and
population in general both at the regional and federal levels.
The aim of the study was to estimate economic losses due to adult disability in the Nizhni Novgorod region in 2002-2012.
Methods and data. For the first time ever the economic
losses due to adult disability were estimated and evaluated in the
Nizhni Novgorod region for 2002-2012 using “Methods for estimating
economic losses due to mortality, morbidity and disability” approved by
the Order of The Ministry of Economic Development, Ministry of Health
and Social Development, Ministry of Finance, and the Federal State
Statistics Service as of 10.04.2012 N192/323í/45í/113. The authors
extend their gratitude to the Nizhni Novgorod Division of the Pension
Fund of the Russian Federation and the Ministry of Economics of the
Nizhni Novgorod region for information support and assistance in
collecting the required research data.
Results. In 2008-2012, business population of the
Nizhni Novgorod region reduced by 3.46%. In this situation, against the
background of increased workforce deficit, the differently-abled people
are considered as an important labor reserve. In 2002-2012, the
under-produced gross regional product due to adult disability increased
by 4.38 times, while expenditures for disability pension increased by
5.28 times. The overall damage due to adult disability accounted for
more than 15% of the gross regional product.
Conclusions. About 90% of the total economic losses due
to adult disability in the Nizhni Novgorod region were accounted for by
the severe disability – I and II groups. The increased share of the III
group in the structure of economic losses due to disability coupled
with the growing number of this cohort suggests, among other things, low
effectiveness of activities aimed at professional rehabilitation of the
differently-abled people at a regional level.
Scope of application. The obtained results can be used
to develop federal and regional programs of social development, to plan
activities aimed at disability prevention and improved rehabilitation of
the differently-abled people.
Keywords: population disability; economic losses; damage assessment; disability pension; gross regional product.
References
-
Gadzhiev R.S., Agalarova L.S Assessment of economic losses caused by
primary disability of the adult population with circulatory diseases who
are under the care of district therapeutics. Ekonomika zdravookhraneniya 2009; (3): 41-46.
-
Dmitriev V.I., Oshchepkova E.V., Khal'fin R.A., Kakorina E.P.,
Solomonov A.D., Kur'yanov A.K., et al. Methods for calculating health
social and economic efficiency from implementation of the programs aimed
at population health protection (by an example of circulatory
diseases), approved by the MoH&SD of the RF of 2005, March 14.
[Internet ] [cited 2013 Nov 22]. Available from: http://base.consultant.ru/cons/cgi/online.cgi?req=doc;base=EXP;n= 373049;dst=0.
-
Karetnikova V.M., KarpovaL.V., Petrun'ko I.L. Socioeconomic factors of
primary disability caused by respiratory diseases in Irkutsk region. Sibirskiy meditsinskiy zhurnal 2009; 90 (7): 180-183.
-
Convention on the Rights of Persons with Disabilities. Resolution
61/106 of the UN General Assembly of December 13, 2006.[ Internet ]
[cited 2014 Jan 15]. Available from: http://www.un.org/en/ga/search/view_doc.asp?symbol=A/RES/61/106&Lang=E.
-
Kontsevaya A.V., Kalinina A.M., Koltunov I.E., Oganov R.G.
Socioeconomic losses from acute coronary syndrome in the Russian
Federation. Ratsional'naya farmakoterapiya v kardiologii 2011; 7.(2): 158-166.
-
Concept to improve the state system of health and social examination
and rehabilitation of the disabled. [Internet ] [cited 2014 Jan 15].
Available from: http://www.google.ru/url?sa=t&rct=j&q=&esrc=s&frm=1&source=web&cd=1&ved=0CCkQFjAA&url=http%3A%2F%2Fwww.rosmintrud.ru%2Fdocs%2Fmzsr%2Fhandicapped%2F3%2Fmsword&ei=OavVUvzIB8a44ATG_IGYAw&usg=AFQjCNH_3K381LpTdLP1D3Vnwb5E8WqoA&bvm=bv.59378465,d.bGE&cad=rjt.
-
Mavlikaeva Yu.A., Podluzhnaya M.Ya. Economic assessment of labor
potential losses caused by population disability at a regional level. Ekonomika zdravookhraneniya 2010; 150: 23-26.
-
Methodology for calculating economic losses caused by population
mortality, morbidity and disability; approved by the Regulation of the
Ministry of Economic Development. Ministry of Health and Social
Development, Ministry of Finance, and Rosstat of Russia
¹192/323n/45n/113 of April 10, 2012. [Internet ] [cited 2013 Nov 22].
Available from: http://docs.cntd.ru/document/ 902344829.
-
Nemstsveridze E.Ya. Methodical approaches to assessing economic losses caused by population disability in Moscow region. Sotsial'nye aspekty zdorov'ya naseleniya [series online] 2012 [cited 2013 Nov 22]; 25 (3). Available from: http://vestnik.mednet.ru/content/view/406/30/lang,ru/.
-
Nizhniy Novgorod region: statistical yearbook, 2012. [Internet] [cited 2013 Nov 10]. Available from: http://www.nizstat.sinn.ru/BD/BD/Forms/AllItems.aspx.
-
Obukhova O.V. International statistical tools in assessing the efficiency of national health care system. Sotsial'nye aspekty zdorov'ya naseleniya [series online] 2012 [cited 2013 Nov 24]; 24 (2). Available from: http://vestnik.mednet.ru/content/view/394/30/lang,ru/.
-
Oganov R.G., Kontsevaya A.V., Kalinina A.M. Economic losses due to cardiovascular diseases in the Russian Federation. Kardiovaskulyarnaya terapiya i profilaktika 2011; 10 (4): 4-9.
-
Basic indicators of population health and health care facility activity
in Nizhniy Novgorod region. Statistical book. V.A. Minchenko, L.E.
Varenova, editors. Nizhniy Novgorod. 2006. 230p.
-
Basic indicators of population health and health care facility activity
in Nizhniy Novgorod region. Statistical book. A.A. Konovalov, L.E.
Varenova, editors. Nizhniy Novgorod. 2010. 230 p.
-
Basic indicators of population health and health care facility activity
in Nizhniy Novgorod region. Statistical book. A.A. Konovalov, L.E.
Varenova, editors. Nizhniy Novgorod. 2013. 230 p.
-
Prediction for socioeconomic development of Nizhniy Novgorod region for
2013 and up to 2015. [Internet] [cited 2013 Nov 10]. Available from: http://minec.government-nnov.ru/?id=13304.
-
Prokhorov B.B., Shmakov D.I. Cost assessment of statistical life and economic damage caused by health losses. Problemy prognozirovaniya 2002; (3): 125-135.
-
“On concept of long-term socioeconomic development of the Russian
Federation for the period up to 2020”, Regulation of the Government of
the Russian Federation of November 17, 2008 N 1662-ð (ed. 2009 Aug 08).
[Internet] [cited 2014 Feb 09]. Available from: http://www.consultant.ru/document/cons_doc_LAW_90601/ .
-
“On the state program of the Russian Federation “Barrier free
environment” for 2011-2015”, Regulation of the Government of the Russian
Federation of November 26, 2012 N 2181-ð. [Internet] [cited 2014 Feb
09]. Available from: http://www.consultant.ru/document/cons_doc_LAW_138297/.
-
Starodubov V.I., Son I.M., Leonov S.A., Sterlikov S.A., Gazheva A.V.,
Shebaev G.A. Results of assessing some efficiency indicators for health
care faculties in 2010. Social'nye aspekty zdorov'ja naselenija [series online] 2013 [cited 2013 Nov 24]; 29(1). Available from: http://vestnik.mednet.ru/content/view/452/30/lang,ru/.
-
Trifonova N.Ju., Nemscveridze Je.Ja., Rusakov N.I., Fesenko V.V.
Prediction of disability as a component of health and social study. Sovremennye problemy nauki i obrazovanija [Internet] 2012 [cited 2013 Nov 24]; (4). Available from: www.science-education.ru/104-6864.
-
Jefros L.A. Assessment of economic efficiency and labor potential of
the disabled after coronary artery bypass surgery (using the “cost-lost
of profits” approach). Menedzher zdravoohranenija 2013;(2): 43-51.
Views: 20565
|