Assessment of the relationship between the state of health care infrastructure and macroeconomic parameters of socio-economic development
https://doi.org/10.21869/2223-1552-2026-16-2-146-158
Abstract
Relevance. Achieving the goals of advancing socio-economic development of the Russian Federation requires priority attention to maintaining and strengthening the health of the working-age population. Interdisciplinary scientific analysis aimed at developing guidelines for the development of the healthcare system that are adequate to the tasks of implementing priority national projects is becoming an urgent scientific task.
The purpose is conducting a statistical analysis and assessing the relationship between the macroeconomic characteristics of a constituent entity of the Russian Federation and the availability of medical care.
Objectives: to analyze the regional dynamics of socio-economic indicators of the development of a constituent entity of the Russian Federation; to assess the current state of the healthcare system and identify priority areas for its development.
Methodology. The research is based on a comprehensive approach that integrates quantitative and qualitative methods of statistical analysis. The information support is based on Rosstat data.
Results. As a factor controlled by the regional government, which has a direct impact on achieving the national goals of "population conservation" and "sustainable and dynamic economy", the "Capacity of outpatient clinics, visits per shift per 10,000 people" is used, which determines the level of access to medical care. Econometric models have been built using the example of the Samara Region to assess the impact of this factor on key indicators of the region's level of development: life expectancy, GRP per capita, and labor productivity. The analysis of the mutual influence of the listed indicators allowed us to conclude that there is a strong dependence between them. In the future, based on the data obtained, a digital model can be built that serves as the basis for preparing scenarios for the development strategy of the region, while the list of controlled indicators (national goals) and their influencing factors can be significantly expanded.
Conclusions. The correct prioritization of achieving national goals should be carried out comprehensively, taking into account the interests of not only healthcare, but also other sectors of the economy. In addition to diagnosing the current state of the region, the study provides a practical basis for developing management decisions on strategy formation.
About the Authors
A. E. OrlovRussian Federation
Andrey E. Orlov, Doctor of Sciences (Medical), Associate Professor, Professor at the Department of Healthcare Organization, Public Health and Management
89 Chapaevskaya Str., Samara 443099
V. K. Chaadaev
Russian Federation
Vitaly K. Chaadaev, Doctor of Sciences (Economics), Associate Professor, Member of the Academic Council, Research Institute of Social Systems
1/1 Ramenskiy Blvd., Moscow 119607
References
1. Klepach A.N. The role of human capital in improving the quality and dynamics of the russian economy. Vestnik Rossijskoj akademii nauk = Bulletin of the Russian Academy of Sciences. 2024;(94):97–106. (In Russ.) https://doi.org/10.31857/S0869587324020023.
2. Orlova E.V. Labour productivity management using health factors: Technique and models. Upravlenets = The Manager. 2020;(11):57–69. (In Russ.) https://doi.org/10.29141/2218-5003-2020-11-6-5.
3. Aganbegyan A.G. Human Capital and Its Main Component – the «Knowledge Economy» Sphere as the Main Source of Socio-Economic Growth. Ekonomicheskie strategii = Economic Strategies. 2017;(4):6–21. (In Russ.)
4. Kaur S., Kiran R., Sharma R. Healthcare Expenditure, Health Outcomes and Economic Growth: A Study of BRICS Countries. Millennial Asia. 2024. Available at: https://journals.sagepub.com/doi/10.1177/ 09763996241266393 (accessed 23.01.2026). https://doi.org/10.1177/09763996241266393.
5. Demidova O.A., Kayasheva E.V., Demyanenko A.V. Government spending on healthcare and economic growth in Russia: A regional aspect. Prostranstvennaya Ekonomika = Spatial Economics. 2021;(17):97–122. (In Russ.) https://dx.doi.org/10.14530/se.2021.1.097-122.
6. Kaneva M.A., Untura G.A. Regional growth rates dependence on healthcare spending: threshold regression estimation. Regional'naya ekonomika: teoriya i praktika = Regional Economics: Theory and Practice. 2022;(2):355–381. (In Russ.) https://doi.org/10.24891/re.20.2.355.
7. Karpovich Yu.V., Zhukova O.A. Evaluation of healthcare system`s impact on economic growth (case study of the Russian Federation). Nauka Krasnoyar'ya = Krasnoyarsky Science. 2025;(14):7–30. (In Russ.) https://doi.org/10.12731/2070-7568-2025-14-1-275.
8. Khabriev R.U., Kolomiychenko M.E. The comparative analysis of health care systems. Problemi socialnoi gigieni, zdravookhranenia i istorii meditsini = Problems of Social Hygiene, Public Health and History of Medicine. 2024;(32):4–10. (In Russ.) https://doi.org/10.32687/0869-866X-2024-32-1-4-10.
9. Varaksin A.N., Maslakova T.A., Shalaumova Yu.V. Simple and multiple linear regression in medical and ecological investigations: approaches based on primary data and on data of moving average. Ekologicheskie sistemy i pribory = Ecological Systems and Devices. 2023;(1):3-16. (In Russ.) https://doi.org/10.25791/esip.1.2023.1346.
10. Nekipelov A.D. On the issue of economic growth and economic development. Zhurnal ekonomicheskoj teorii = Russian Journal of Economic Theory. 2013;(4):10–11. (In Russ.)
11. Cook R.D., Weisberg S. Residuals and Influence in Regression. New York: Chapman and Hall; 1982. 230 p.
12. Kudelina O.V., Eremina S.L. Regional Healthcare Effectiveness Ekonomika regiona = Economy of Region. 2016;(12):211–225. (In Russ.) http://doi.org/10.17059/2016-1-16.
13. Volkova O.A. Smirnova E.V. Improvement of organizational approaches to regular medical checkup service in the metropolitan healthcare system. Problemi socialnoi gigieni, zdravookhranenia i istorii meditsini = Problems of Social Hygiene, Public Health and History of Medicine. 2020;(28):1094– 1100. (In Russ.) http://doi.org/10.32687/0869-866X-2020-28-s2-1094-1100.
14. Chakroun M. Health and economic growth: new evidence from a panel threshold model. Cogent Economics and Finance. 2024; (12). https://doi.org/10.1080/23322039.2024.2331010.
15. Ivanova S.N. Public health and health care development in the regions of Russia. Siberian Journal of Life Sciences and Agriculture. 2021;(13):47–63. (In Russ.) https://doi.org/10.12731/2658-6649-2021-13-2-47-63.
16. Belov V.I. Labor productivity as a tool for increasing economic growth and social well-being of Russian citizens. Upravlencheskoe konsul'tirovanie = Administrative Consulting. 2020;(8):123–131. (In Russ.) https://doi.org/10.22394/1726-1139-2020-8-123-131.
17. Krivenko N.V. Raising the level of the regional healthcare development. Narodonaselenie = Population. 2021;(24):122–133. (In Russ.) https://doi.org/10.19181/population.2021.24.4.10.
18. Uskova T.V., Babich L.V. Effective use of human capital in the context of sustainable development of the region. Regionologiya = Regionology. 2021;(29):820–839. (In Russ.) https://doi.org/10.15507/2413-1407.117.029.202104.820-839.
19. Voskolovich N.A. Features of the formation of medical services availability in the new economic reality. Narodonaselenie = Population. 2024;(27):166–177. (In Russ.) https://doi.org/10.24412/1561-7785-2024-1-166-177.
20. Orlova E.R., Bocharova I.E., Kozenko T.E., Fedotova A.M. The main trends of digitalization in the field of healthcare. Informacionnye tekhnologii i vychislitel'nye sistemy = Journal of Information Technologies and Computing Systems. 2023;(2):18-26. (In Russ.) https://doi.org/10.14357/20718632230202.
Review
For citations:
Orlov A.E., Chaadaev V.K. Assessment of the relationship between the state of health care infrastructure and macroeconomic parameters of socio-economic development. Proceedings of the Southwest State University. Series: Economics. Sociology. Management. 2026;16(2):146-158. (In Russ.) https://doi.org/10.21869/2223-1552-2026-16-2-146-158
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