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Comparative Analysis of Municipal Healthcare Efficiency Using the DEA Method: The Case of Sverdlovsk Region

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  • Svetlana V. Begicheva
  • Elena G. Kalabina
  • Dmitry M. Nazarov

Abstract

The primary task of government bodies responsible for the formation and implementation of health policy is to ensure the availability and quality of medical care, subject to the efficient use of resources in each constituent entity of the Russian Federation. However, territorial differences in the distribution and use of resources can lead to differences in the efficiency of medical organizations. The relevance of the study is due to the need to assess these differences in order to develop measures to optimize the functioning of municipal health care systems. The aim of the study is to conduct a comparative analysis of the efficiency of municipal health care systems in the Sverdlovsk region from 2012 to 2021 in order to identify problems associated with ensuring equal access to quality medical care in the region and caused by territorial inequalities in the distribution and use of health care resources. The hypothesis of the study suggests that the efficiency of municipal health care systems demonstrates significant territorial differences and is characterized by relative stability over time, with the exception of periods of crisis. The efficiency assessment was performed using the Data Envelopment Analysis (DEA) method. The visualization of the research results was carried out using cartograms. The information base of the research was the annual reports of the Medical Information and Analytical Center of the Sverdlovsk Region. The research sample was compiled on the basis of open data on the resources and activities of medical institutions of 56 municipalities for the period from 2012 to 2021. During the study, disproportion in the distribution and use of resources by medical institutions of municipalities were identified. Differences in the efficiency of medical institutions of municipalities were determined, groups of relatively efficient and inefficient municipal healthcare systems were identified, and for the latter, potential opportunities for optimizing the use of resources while maintaining the current level of medical services were calculated. The results of the study confirm the stability of territorial differences and can be used in developing strategies to improve the efficiency of municipal healthcare management.

Suggested Citation

  • Svetlana V. Begicheva & Elena G. Kalabina & Dmitry M. Nazarov, 2025. "Comparative Analysis of Municipal Healthcare Efficiency Using the DEA Method: The Case of Sverdlovsk Region," Journal of Applied Economic Research, Graduate School of Economics and Management, Ural Federal University, vol. 24(2), pages 491-527.
    • Handle: RePEc:aiy:jnjaer:v:24:y:2025:i:2:p:491-527
    DOI: https://doi.org/10.15826/vestnik.2025.24.2.017
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    References listed on IDEAS

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    1. Bruce Hollingsworth, 2008. "The measurement of efficiency and productivity of health care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 17(10), pages 1107-1128, October.
    2. R. D. Banker & A. Charnes & W. W. Cooper, 1984. "Some Models for Estimating Technical and Scale Inefficiencies in Data Envelopment Analysis," Management Science, INFORMS, vol. 30(9), pages 1078-1092, September.
    3. Aida S. Omir & Aksana Zh. Panzabekova & Azimkhan A. Satybaldin, 2023. "Evaluating the Financial Efficiency of the Healthcare System: A Three-Stage DEA Model Analysis," R-Economy, Ural Federal University, Graduate School of Economics and Management, vol. 9(4), pages 353-365.
    4. Nikolaos Oikonomou & Yannis Tountas & Argiris Mariolis & Kyriakos Souliotis & Kostas Athanasakis & John Kyriopoulos, 2016. "Measuring the efficiency of the Greek rural primary health care using a restricted DEA model; the case of southern and western Greece," Health Care Management Science, Springer, vol. 19(4), pages 313-325, December.
    5. Robert Stefko & Beata Gavurova & Kristina Kocisova, 2018. "Healthcare efficiency assessment using DEA analysis in the Slovak Republic," Health Economics Review, Springer, vol. 8(1), pages 1-12, December.
    6. Mikhail A. Safarov, 2023. "Quality of accessibility vs quality accessibility of medical service in Russia: Measurement issues," Journal of New Economy, Ural State University of Economics, vol. 24(1), pages 126-141, April.
    7. Charnes, A. & Cooper, W. W. & Rhodes, E., 1978. "Measuring the efficiency of decision making units," European Journal of Operational Research, Elsevier, vol. 2(6), pages 429-444, November.
    8. José Cordero Ferrera & Eva Cebada & Luis Murillo Zamorano, 2014. "The effect of quality and socio-demographic variables on efficiency measures in primary health care," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(3), pages 289-302, April.
    9. Katarzyna Miszczynska & Piotr Marek Miszczyński, 2021. "Measuring the efficiency of the healthcare sector in Poland – a window-DEA evaluation," International Journal of Productivity and Performance Management, Emerald Group Publishing Limited, vol. 71(7), pages 2743-2770, March.
    10. Sebastian Kohl & Jan Schoenfelder & Andreas Fügener & Jens O. Brunner, 2019. "The use of Data Envelopment Analysis (DEA) in healthcare with a focus on hospitals," Health Care Management Science, Springer, vol. 22(2), pages 245-286, June.
    11. Andreas Behr & Katja Theune, 2017. "Health System Efficiency: A Fragmented Picture Based on OECD Data," PharmacoEconomics - Open, Springer, vol. 1(3), pages 203-221, September.
    12. Marcos Pereira Estellita Lins & Sergio Orlando Antoun Netto & Maria Stella Castro Lobo, 2019. "Multimethodology applied to the evaluation of Healthcare in Brazilian municipalities," Health Care Management Science, Springer, vol. 22(2), pages 197-214, June.
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    JEL classification:

    • C61 - Mathematical and Quantitative Methods - - Mathematical Methods; Programming Models; Mathematical and Simulation Modeling - - - Optimization Techniques; Programming Models; Dynamic Analysis
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality

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