Improving the Efficiency of the National Healthcare as Oriented Sustainable System. The Socio-Economic Aspects and Environmental Issues

  • Bakhytzhan SMAILOV Buketov Karagandy University, Kazakhstan
  • Roza ANDAROVA Buketov Karagandy University, Kazakhstan
  • Gulvira AKYBAYEVA Buketov Karagandy University, Kazakhstan
  • Yelena GORDEYEVA Buketov Karagandy University, Kazakhstan
  • Sagynysh MAMBETOVA Buketov Karagandy University, Kazakhstan
  • Nikolay GELASHVILI Buketov Karagandy University, Kazakhstan

Abstract

Based on a review of existing approaches, the article substantiates the nature of medical services as a mixed public good in relation with the sustainability of our society. In this regard, the typology of the modern healthcare sector is investigated on the basis of detailing the theoretical constructs underlying the applied models in response to their organizational mechanism.


It is established that the target of all applied models of organization of the healthcare system is to search for optimal productivity. Medical efficiency of healthcare generates organizational effectiveness of therapeutic measures, social efficiency – the accessibility to medical services, economic efficiency – resource efficiency, environmental efficiency – overall sustainability of the healthcare system.


The findings of this research outline that the ideal model of the healthcare system, besides the fact that should have a high medical, social and economic efficiency, should also be an environmentally oriented sustainable system which will allow healthy life also for the next generations.

References

[1] Adams, J., Bartram, J., and Chartier, Y. 2008. Essential Environmental Health Standards in Health Care. World Health Organization. ISBN: 978-9241547239. Available at: https://apps.who.int/iris/handle/10665/43767
[2] Akhinov, G.A., and Zhiltsov, E.N. 2018. Economics of Public Sector. Moscow: Infra-M, 345 p.
[3] Amiraev, R.U. 2017. The effectiveness of medical services in medical rehabilitation institutions. Bulletin of the Kazakh National Medical University, 4: 427-431.
[4] Andarova, R., et al. 2016. Eurasian Economic Union: Potential, Limiting Factors, Perspectives. International Journal of Economic Perspectives, 3(10): 13-23.
[5] Bajayo, R. 2018. Building community resilience to climate change through public health planning. Health Promot J Austr, 23(1): 30–36.
[6] Becker, M.H. 1974. The Health Belief Model and Personal Health Behavior. Health Education Monographs, 2: 324- 508. DOI: https://doi.org/10.1016/S0160-7995(80)80012-8
[7] Borisov, K.N., and Zadvornaya O.L. 2018. Healthcare reforms in Germany: Pros and cons. International Health, 3: 20-27.
[8] Burpee, H., and McDade, E. 2021. Comparative analysis of hospital energy use: Pacific Northwest and Scandinavia. HERD, 8(1): 20–44. DOI: https://doi.org/10.1177/193758671400800104
[9] Chartier, Y., et al. 2019. Safe Management of Wastes from Health Care Activities. 2nd Edition, Geneva: World Health Organization. 224p. Available at: http://www.searo.who.int/srilanka/documents/safe_management_of_wastes_from_healthcare_activities.pdf
[10] Chevreul, K., Durand-Zaleski, I., Bahrami, S., Hernández-Quevedo, C., and Mladovsky, P. 2020. France: Health System Review. Health Systems in Transition, 12: 1-291.
[11] Chung, J.W., and Meltzer, D.O. 2019. Estimate of the carbon footprint of the US health care sector. JAMA, 302(18): 1970-2. DOI: https://doi.org/10.1001/jama.2019.1610
[12] Culyer, A.J., and Newhouse, J.P. 2020. Handbook of Health Economics. Elsevier, New York, 1(A): 645-706.
[13] Cunliffe, D., et al. 2021. Water safety in buildings. World Health Organization. Available at: http://apps.who.int/iris/bitstream/10665/76145/1/9789241548106_eng.pdf
[14] Davis, K., Sean, K., and Stremikis, K. 2018. Mirror, mirror on the wall. How the indicators of the US healthcare system are compared internationally. Moscow: GEOTAR - Media, 117 p. Available at: https://collections.nlm.nih.gov/master/borndig/101635001/Mirror%20mirror%20on%20the%20wall%202014%20update.pdf
[15] Enthoven, A.S. 2018. History and principles of managed competition. Health Issues, 12: 24-48. DOI:http://dx.doi.org/10.1377/hlthaff.12.suppl_1.24
[16] Figueiras, J. 2018. Health systems, health and well-being: Assessing the arguments for investing in health systems: a reference document. The European Ministerial Conference of the World Health Organization on Health Systems: "Health systems - health - well-being", Tallinn (Estonia), 25 - 27: 75.
[17] Gordeeva, E., Esengeldin, B., and Khussainova, Z. 2017. State programming of innovation development of economy: Macrostructural priorities, institutional and economic specification. Journal of Advanced Research in Law and Economics, 6(28): 1767-1778. DOI: https://doi.org/10.14505/jarle.v8.6(28).12
[18] Grossman M. 2017. On the concept of health capital and the demand for health. The Journal of Political Economy, 2 (80): 223-255. DOI: https://doi.org/10.1086/259880
[19] Guardino, S. 2018. Waste Anesthetic Gases. Encyclopedia of Occupational Health and Safety. Geneva: International Labor Organization. 112p. Available at: http://www.iloencyclopaedia.org/part-xvii-65263/health-care-facilities-and-services/165-chemicals-in-the-health-care-environment/waste-anaesthetic-gases
[20] Hafizyanova, R.H., Burykin, I.M., and Aleeva, G.N. 2018. Comparative assessment of the effectiveness of health systems in different countries. Bulletin of St. Petersburg University, 11(2): 214-221.
[21] Kadyrov, F.N. 2017. Economic Methods of Evaluating the Effectiveness of Medical Institutions. Moscow: Publishing house "Health Manager", 496 p.
[22] Kaplan, S., Sadler, B., Little, K., Franz, C., and Orris, P. 2019. Can sustainable hospitals help bend the health care cost curve? Washington, DC: The Commonwealth Fund. Available at: http://www.commonwealthfund.org/Publications/Issue- Briefs/2012/Nov/Sustainable- Hospitals.aspx
[23] Khalfin, R.A., and TajievI, Ya. 2018. Health organization in the USA. Part 1. Health Care Manager, 9(12): 74-79. Available at: http://cyberleninka.m/article/n/organizatsiya-zdravoohraneniya-v-ssha-chast-1
[24] Kimball, A.M. 2018. The US healthcare system: A comparative study. Healthcare management in Russia and the USA: Experience and problems. Novosibirsk: NGAEiU, 50-64 p.
[25] Klimov, F.V. 2020. Classification of the most famous healthcare systems of developed countries. Healthcare Abroad, 5: 101-102.
[26] Kucherenko, V.Z., and Danishevsky, K.D. 2020. The most well-known healthcare systems in developed countries. Health Economics, 7: 5-12.
[27] Leontiev, I.L., and Makhinova, N.V. 2018. Features of the modern healthcare management system. Proceedings of the Ural State University of Economics, 2(7): 97-104.
[28] Maslova, O.P. 2018. Evaluation of the effectiveness of medical services based on resource potential. Samara, 142 p.
[29] Minyaev, V.A., and Vishnyakov, N.I. 2017. Public Health and Healthcare. Moscow: MEDpress-inform, 656 р.
[30] Musgrave, R., and Peacock, A. 1967. Classics in the Theory of Public Finance. London, Macmillan. 238p.
[31] Nagrebetsky, A. 2018. Reforming the German Healthcare System - from Good to Better. Health of Ukraine, 208p. Available at: http://health-ua.com/article/1668.html
[32] Naylor, C., and Appleby, J. 2019. Environmentally sustainable health and social care. Scoping review and implications for the English NHS. Journal of Health Services and Research Policy, 18(2): 114–121. DOI:https://doi.org/10.1177/1355819613485672
[33] Orlova, E.M., and Sokolova, O.N. 2018. The Category of Efficiency in the Healthcare System. Fundamental Research, 78p.
[34] Peacock, S., Chan, C., Mangolini, M., and Johansen, D. 2019. Techniques for Measuring Efficiency in Health Services, Productivity Commission Staff Working Paper, 132p.
[35] Ponomarenko, E.V. 2018. Economics and Finance of the Public Sector. Moscow: INFRA-M, 377 p.
[36] Ragozin, A., Kravchenko, N. A., and Rozanov, V. B. 2018. Comparison of national health systems of countries using "insurance" and "budget" financing models. Healthcare, 12: 30-39.
[37] Reshetnikov, A.V., Alekseeva, V.M., Galkin, E.B., and Efimenko, S.A. 2017. Economics of Healthcare. Moscow: GEOTAR - Media, 272 p.
[38] Rustagi, N. and Singh, R. 2020. Mercury and health care. Indian J Occup Environ Med., 14(2): 45–48. DOI:https://doi.org/10.4103/0019-5278.72240
[39] Sadovnichy, V.A., Grigorieva, N.S., and Chubarova, T.V. 2017. From tradition to innovation. Healthcare reforms in the modern world. Moscow: Ekonomika, 286 p.
[40] Sagan, A., and Thomson, S. 2018. Voluntary health insurance in Europe: country experience. Copenhagen, WHO Regional Office for Europe on behalf of the European Observatory on Health Systems and Policies. 136p.
[41] Saltman, R.B., and Figueiras, J. 2018. Reforms of the healthcare system in Europe. Analysis of modern strategies. Moscow: GEOTAR - Media, 432 p.
[42] Senior, K. 2021. What does a moratorium on private medical insurance mean? Netdoctor, 16(12): 30-36.
[43] Shamshurina, N.G. 2018. Indicators of Socio-Economic Efficiency in Healthcare. Moscow: ICFER, 317 p.
[44] Shcherbakova A.A. 2018. Institutional aspects of innovative development of healthcare. Problems of Territorial Development, 4 (78): 46-57.
[45] Shvets, Yu. 2018. Theoretical and methodological approaches to determining the effectiveness of medical services. Bulletin of the Voronezh State University of Engineering Technologies, 4: 308-313. DOI:https://doi.org/10.20914/2310-1202-2018-4-308-313
[46] Surmach, M. Yu., and Tishchenko, E.M. 2019. Methodology of research and evaluation of the social effectiveness of the health care system (on the example of the reproductive health of young people). Journal of Grodno State Medical University, 1: 102-106.
[47] Taraskina, A.V., and Zurnadzhiants, Yu. A. 2018. Modern problems of analytical substantiation of the activities of a healthcare institution. Questions of Economics, 19(109): 6-16.
[48] Thomson, S., Foubister, Т. and Mossialos, E. 2019. World Health Organization. Regional Office for Europe. European Observatory on Health Systems and Policies. Financing health care in the European Union: challenges and policy responses. 415p. Available at: https://apps.who.int/iris/handle/10665/326415
[49] Toleuuly, A., et al. 2020. Features of e-commerce risk management in modern conditions. Academy of Strategic Management Journal, 1(19): 1-6.
[50] Turenko, T.A. 2018. Methodological approaches to assessing the effectiveness and efficiency in the health care system based on official statistics. Proceedings of the Irkutsk State Academy of Economics, 4:120-125.
[51] Vishnyakov, N.I. 2018. Public Health and Healthcare. Moscow: MEDpress-inform, 880 p.
[52] Vrangbaek, K. 2015. The Danish Health Care System. The Commonwealth Fund International Health Care Systems. Available at: http://international.commonwealthfund.org/countries/denmark/
[53] Vyalkov, A.I. 2018. Evaluation of the Effectiveness of Medical Organizations. Moscow: GEOTAR - MED, 112.
[54] Weisz, U., Haas, W., Pelikan, J.M., and Schmied, H. 2021. Sustainable hospitals: a socio-ecological approach. GAIA Ecological Perspectives for Science and Society, 20(3): 191–198.
[55] Yakobson, L.I. 2017. Public Sector Economics. Moscow: Yurayt, 558 p.
[56] Yusufov, M. 2020. Social components of private entrepreneurship in healthcare (US experience). Society: Politics, Economics, Law, 1(7): 5-18. Available at: http://dom-hors.ru/rus/files/arhiv_zhurnala/pep/6-2020-1/yusufov.pdf
[57] Guide to the Healthcare System in England. 2018. Available at: https://www.gov.uk/government/publications/guide-to-the-healthcare-system-in-england
[58] Official resource of Ranking the countries of the world on the effectiveness of healthcare systems. 2021.
[59] Patient protection and affordable care act (ACA). 2020. 111th United States Congress. Washington, D.C.: United States Government Printing Office, Public Law, 111-148.
[60] Preamble to the Constitution of the World Health Organization as adopted by the International Health Conference. 1946. Official Records of the World Health Organization, 2, 100 p.
[61] World Health Organization. 2020. Medical Waste. Geneva: WHO. Available at: http://www.who.int/mediacentre/factsheets/fs253/ru/
[62] World Health Organization. 2020. Mercury in health care. Policy Paper. Geneva. Available at: http://www.who.int/water_sanitation_health/medicalwaste/mercurypolpap230506.pdf
Published
2022-09-02
How to Cite
SMAILOV, Bakhytzhan et al. Improving the Efficiency of the National Healthcare as Oriented Sustainable System. The Socio-Economic Aspects and Environmental Issues. Journal of Environmental Management and Tourism, [S.l.], v. 13, n. 5, p. 1425 - 1442, sep. 2022. ISSN 2068-7729. Available at: <https://journals.aserspublishing.eu/jemt/article/view/7211>. Date accessed: 22 dec. 2024. doi: https://doi.org/10.14505/jemt.v13.5(61).18.