Aleksandra Grigor'evna Polyakova

Оценка Эффективности и Результативности Системы Здравоохранения (Evaluating the Effectiveness and Efficiency of the Health System)

Keeping pace of development of the Russian health care system requires improving the efficiency of spending. In developed countries, an important role in this task plays a multilevel system of evaluation and control of cost-effectiveness and results of operations of the health system and its individual members, supported by the use of evaluation findings in political and administrative decisions in the health sector, financial incentives and information support of participants in the evaluation. Effective today in Russia, the system for monitoring the effectiveness of the health system is largely a formality and does not meet modern political tasks. The most acute problems in assessing the effectiveness of the country include the lack of evaluation of individual elements, first of all, health technology assessment; the poor quality of data collected, the weak development of mechanisms for the implementation of evaluation results, in particular, the development of public policies promoting health care providers, informing the public about the quality of services provided. The aim of the present work is the development of basic mechanisms for assessing the efficiency and effectiveness of the Russian health care system, taking into account the best international and domestic experience.

Анализ Устойчивости Институциональных Реформ На Региональном Уровне (Analysis of Stability of Institutional Reforms at the Regional Level)

Russian Abstract: В работе определена функциональная роль институтов и институциональных механизмов развития социально-экономических систем, а также идентифицированы факторы устойчивости региональной институционализации. На базе пилотного региона выявлены и оценены наиболее перспективные институциональные практики и предложены пути обеспечения их устойчивости к внешним шокам.English Abstract: In this paper we determine the functional role of institutions and institutional mechanisms for the development of socio-economic systems, as well identify the factors of sustainability of the regional institutionalization. On the basis of the pilot region the most promising institutional practices and ways to ensure their resilience to external shocks are identified and evaluated.