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

1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.
7. 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.
8. 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.
9. 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/.
10. Nizhniy Novgorod region: statistical yearbook, 2012. [Internet] [cited 2013 Nov 10]. Available from: http://www.nizstat.sinn.ru/BD/BD/Forms/AllItems.aspx.
11. 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/.
12. 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.
13. 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.
14. 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.
15. 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.
16. 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.
17. Prokhorov B.B., Shmakov D.I. Cost assessment of statistical life and economic damage caused by health losses. Problemy prognozirovaniya 2002; (3): 125-135.
18. “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/ .
19. “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/.
20. 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/.
21. 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.
22. 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.

Write Comment

Please keep the topic of messages relevant to the subject of the article. Personal verbal attacks will be deleted. Please don't use comments to plug your web site. Such material will be removed. Just ensure to *Refresh* your browser for a new security code to be displayed prior to clicking on the 'Send' button. Keep in mind that the above process only applies if you simply entered the wrong security code.
Name:
E-mail
Comment:
Code:*