Healthcare Effectiveness as a Wellbeing Factor. Workforce

Abstract

Wellbeing of citizens is a multifactorial and a multi-aspect process. One of the key aspects is health. Despite the fact that health depends on the healthcare system on 15-20% only, it is vital to improve its efficiency. Authors highlight that, on the one hand, healthcare as social-economical system must be targeted on citizens’ health improvement, and on the other hand, it must obey economic processes. Modernization and reforming of healthcare system demand effectiveness increase of all types of resources in this context; but authors imply that the key ones are the workforce resources. A conducted monitoring of Russian Federation citizens’ health on several diseases as well as an evaluation of Russian Federation workforce resources usage through 2003-2013 (level of an institution (federal, regional, municipal), provision, staff ratio (physicians and nurses), its correspondence to staff schedule, qualifications level, etc. were used as the criteria) and also a comparison of federal districts healthcare system effectiveness (using Minmax method) did not show synonymous dynamics.Increase in staff usage effectiveness is a factor of healthcare system effectiveness raise, which is a factor of citizens wellbeing improving.