Abstract

The article considers modern demographic trends, in the conditions of medical care cost increasing and aging of the population. The expediency of studying aspects of health care efficiency is justified. The relationship and mutual influence of changes in the country’s economy and changes in the health care system are revealed. The problems of preserving the health of the population are considered comprehensively, taking into account the influence of environmental factors, behavioral factors and attitudes to human health, the effectiveness of public policy implementation and the effectiveness of the health system. An integrative model for evaluating the effectiveness of regional health care is proposed based on an integrated approach aimed at improving the population health and ensuring social and demographic security of the region. The integrative model is adapted on the example of the Sverdlovsk region. In dynamics for 2008-2018, improved medical and demographic indicators and high effects were achieved as a result of comprehensive measures to neutralize factors that have a negative impact on the health of the population, promotion and implementation of healthy lifestyle, strengthening state support for the industry, and the successful functioning of regional health care.

Highlights

  • The main demographic trend in recent decades has been the "aging of the population" - a pronounced trend of increasing the share of older citizens in the age structure of almost all countries of the world

  • From 1950 to 2050, the share of the elderly population in the world will increase by 3.1 times, in developed countries - by 3.4 times and in Russia - by 4.6

  • A number of recent studies have not found a relationship between labor productivity and age [3]

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Summary

Introduction

The main demographic trend in recent decades has been the "aging of the population" - a pronounced trend of increasing the share of older citizens in the age structure of almost all countries of the world. From 1950 to 2050, the share of the elderly population in the world will increase by 3.1 times, in developed countries - by 3.4 times and in Russia - by 4.6. Contrary to the stereotype, an increase in age does not necessarily entail a decrease in labor productivity. This is indicated by studies of the cognitive abilities of the elderly people [4]. If the quality of human capital remains at a high level in older age, this has a positive impact on labor productivity, as well as reduces expenditures on other social programs [2]. In the context of the continuing trend of population aging, research on the effectiveness of the health system, which has a direct impact on the preservation of human potential and ensuring the longevity of the population at the regional level, is of scientific interest

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