Государственная отраслевая политика и эффективность государственной службы (на примере отрасли здравоохранения)

Abstract

The purpose of the article is to assess the effectiveness of the implementation of public sectoral policy on the example of public healthcare in comparison with the development of the civil service system in this sector. We use the methodology of factor analysis, i. e. economic-statistical methods, regression-correlation analysis, principle component analysis, as well as the historical-comparative method, which allows tracing long-term trends in the development of the sector and the sectoral civil service system.We collected a large array of empirical data describing the development of public healthcare and civil service in the healthcare administration during the period of political transit in Russia. For the first time, we have studied the development of national healthcare beginning with the crisis of the Socialist policy in the mid-1980s and up to the present time. We offer new methodology for calculating indices, which makes it possible to simultaneously evaluate the efficiency of the sectoral development and the sectoral bureaucracy, based on objective statistical data.The consistent pattern exists of conformity in the development of the public healthcare sector and the civil service system. At the same time, we proved that during post-Soviet years did not occur in the real development of healthcare in Russia: the sector entered a protracted crisis and only in the very last period returned to the initial level, but at a very slow rate. We concluded that the healthcare system is currently developing at a faster pace than the civil service system that manages it. The level of organization and staffing in the public healthcare apparatus basically meets the needs of the current development, but does not contribute to the formation of a strategic sectoral policy.