Received: 2019-10-16  |  Accepted: 2020-04-11  |  Published: 2020-06-30

Title

Estimation the effectiveness of public governance of the health system in the context of sustainable development


Abstract

The article is devoted to assessing the effectiveness of public administration of the health system, taking into account the medical reforms carried out in post-socialist countries in the context of sustainable development. During the study, the authors revealed that one of the main problems in achieving the sustainable development goal - “ensuring a healthy lifestyle and promoting well-being for all at any age” is the lack of a sound methodology for assessing the effectiveness of public administration reforms in the healthcare system. On the example of the Republic of Kazakhstan, a comprehensive analysis of the effectiveness of the health system was carried out, based on data from medical and demographic indicators, financing indicators, as well as an integrated indicator of assessing the effectiveness of the health system - the expected life expectancy of the population. Based on economic and mathematical methods in management, a forecast of the expected life expectancy of the population was carried out; the results of forecast calculations show that in the medium term, the indicator of the expected life expectancy of the population will have a slight upward trend. As the main recommendations for improving the effectiveness of public administration of the health system in transformational economies, the authors substantiated the need to determine the key parameters of a unified methodology for assessing the effectiveness of the health system. The use of a unified system of healthcare performance indicators makes it possible to assess the degree to which goals have been achieved to increase the efficiency of resource use and ensure a high level of quality and accessibility of medical services.


Keywords

efficiency, public administration, health care system, sustainable development, life expectancy, health care expenses, health financing


JEL classifications

H10 , I18


URI

http://jssidoi.org/jesi/article/587


DOI


Pages

3309-3320


Funding


This is an open access issue and all published articles are licensed under a
Creative Commons Attribution 4.0 International License

Authors

Aymagambetov, Yerkara
Karaganda Economic University of Kazpotrebsoyuz, Karaganda, Kazakhstan https://www.keu.kz
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Grazhevskaya, Nadezhda
Taras Shevchenko National University of Kyiv, Kiev, Ukraine http://www.knu.ua
Articles by this author in: CrossRef |  Google Scholar

Тyngisheva, Ainur
Karaganda Economic University of Kazpotrebsoyuz, Karaganda, Kazakhstan https://www.keu.kz
Articles by this author in: CrossRef |  Google Scholar

Journal title

Entrepreneurship and Sustainability Issues

Volume

7


Number

4


Issue date

June 2020


Issue DOI


ISSN

ISSN 2345-0282 (online)


Publisher

VšĮ Entrepreneurship and Sustainability Center, Vilnius, Lithuania

Cited

Google Scholar

Article views & downloads

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References


Bloomberg: Ranking of the countries of the world on the effectiveness of health systems in 2016. Center for Humanitarian Technologies. Retrieved from: https://gtmarket.ru/news/2016/10/08/7306

Search via ReFindit


Cylus, J., Papanicolas, I., Smith, P. C. 2016. Health system performance: ways to increase the value of quantification as a tool for policy makers and policy makers. Health Policy Series, No. 46.Cylus J, Papanicolas I, Smith PC, editors. Copenhagen (Denmark): European Observatory on Health Systems and Policies.

Search via ReFindit


Grazhevskaya, N., Aymagambetov, E., Tyngisheva, A. 2019. Comparative analysis of the functioning and development of healthcare systems in Ukraine and Kazakhstan. News of the Kyiv National University of Taras Shevchenko. Economy, 1(202), 13 -19.

Search via ReFindit


Grazhevskaya, N.I. Tyngisheva, A.M. 2018. Priority areas for the implementation of state policy in the field of health. Bulletin of the Karaganda Economic University, 3(50), 21-24.

Search via ReFindit


Komekbayeva, L., Legostayeva, A., Tyan, O., Orynbassarova, Y. 2016. Government Measures for Economic Support in the Conditions of a Floating Exchange Rate of the National Currency. Journal of Advanced Research in Law and Economics, 11(7), 2227-2237.

Search via ReFindit


Maxim, L., Diaconu, C., Maxim, A. 2015. The Evolution Of The Medical System And Health Status In Romania After The Collapse Of Communism. CES Working Papers, 7(2A), 555-565.

Search via ReFindit


National Health Accounts of the Republic of Kazakhstan review of health care expenditures for 2010-2016 https://www.oecd.org/countries/kazakhstan/national-health-accounts-of-kazakhstan-9789264289604-en.htm

Search via ReFindit


Nazarova, V.V., Borisenkova, K.A. 2017. Assessment of the effectiveness of the healthcare system in Russia. Scientific and Practical Journal "Population", 4, 119-134.

Search via ReFindit


Official site of the World Health Organization. http://www.who.int/features/qa/28/en/

Search via ReFindit


Organizational and financial mechanism of public management of the health care system in foreign countries. Reports of the National Academy of Sciences of the Republic of Kazakhstan. 2019. (1), 59 -68.

Search via ReFindit


Popescu, L. G. 2015. Analysis of National Health Strategy 2014-2020. Theoretical and Applied Economics, 4(605), 177-188 http://store.ectap.ro/articole/1143

Search via ReFindit


Rakhimbekova, A.E. 2015. Competitiveness of medical organizations in the Republic of Kazakhstan: theory, assessment of the level and direction of increase. Abstract of the dissertation.

Search via ReFindit


Ryskulova, M.R. 2017. Actual issues of public administration of the healthcare system of Kazakhstan. Bulletin of the National Academy of Sciences of the Republic of Kazakhstan, 4, 8-17.

Search via ReFindit


Statistical collections "Health of the population of the Republic of Kazakhstan and the activities of health organizations" 2013-2017. Retrieved from: http://www.rcrz.kz/index.php/en/statistika-zdravookhraneniya-2

Search via ReFindit


Strategic plan Strategic plan of the Ministry of Health of the Republic of Kazakhstan for 2017-2021. Retrieved from: http://dsm.gov.kz/ru/pages/strategicheskiy-plan-ministerstva-zdravoohraneniya-respubliki-kazahstan-na-2017-2021-gody

Search via ReFindit


Temekova, Z.M., Ishkanova, A.B. 2018. The use of NHA data for effective state-wide expenditure planning in the implementation of OSMS. Analytical report of the Republican Center for Health Development of the Republic of Kazakhstan.

Search via ReFindit


The current state of the healthcare system of the Karaganda region. 2019. Bulletin of the Karaganda University, 2(94), 11-17.

Search via ReFindit


The Law of the Republic of Kazakhstan "On Compulsory Social Health Insurance". 2018. 208-VI. Retrieved from: https://online.zakon.kz/document/?doc_id=32908862

Search via ReFindit


The State Health Development Program of the Republic of Kazakhstan "Densaulyk" for March 2016-2019. 2019. Retrieved from: http://adilet.zan.kz/rus/docs/U1600000176

Search via ReFindit


Yemelina, N.K. 2015. Textbook "Data Analysis and Economic Forecasting". KEUK.

Search via ReFindit