The level of medical care accessibility in Russia: Regional differentiation

Abstract

The need to consider economic risks and respond to demographic challenges pushes the issues of creating and maintaining the quality of regions’ human potential, as well as saving population health to the research agenda. The aim of the study is to investigate the resourcing of regional health care systems in Russia in order to determine the level of medical care accessibility. Methodologically, the paper relies on the concepts of systems and regional economics, labour economics. The study applies time series and comparative analyses, as well as index, score-rating methods, composite coefficients calculation. The data is the socioeconomic and health care statistics by federal districts for 2005–2022 taken from the Federal State Statistics Service of the Russian Federation. The paper finds that regions differ in terms of the level of the medical care accessibility. Reportedly, the Ural Federal District ranked high for the efficiency of regional health care systems in 2021, which, according to the analysis, is due to the developed systems of preventive and emergency care. Conversely, the Siberian and Far Eastern Federal Districts were at the bottom of the ranking because of the deficit of physicians in emergency departments and scarce health care financing. The findings may underlie the development of measures on the improvement of health care resourcing, management, and efficiency both at national and regional levels.