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Efficiency of health care expenditures: assessing the experience of Vologda Oblast

The study analyzes present approaches applied to assess how effective the expenditures for public health care are. We show that the techniques based on nothing but assessment of the resource components have some defects as they fail to allow for social effects. To overcome this shortage, we recommend the technique which is of 5-years practice in the Vologda Oblast, and which compounds the financial and demographic analysis. We present the results of our economic analysis made by applying such technique

Duganov M. D. mduganov@rambler.ru

Shabunova А. A. aas@vscc.ac.ru

Kalashnikov K. N. konstantino-84@mail.ru

Keywords: Vologda Oblast health care public expenditures assessment methods efficiency