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Substantiation of a set of actual tasks of increasing the socio-economic efficiency of domestic healthcare

https://doi.org/10.29030/2309-2076-2026-19-3-277-297

Abstract

The purpose of the study is to identify and substantiate a set of objectives aimed at improving the efficiency of the Russian healthcare system. To achieve this goal, an analysis of current scientific publications devoted to healthcare system development was conducted, along with the use of interim results from the sociological study «Long and Active Life».

The article presents the authors’ approach to the formation of an optimal set of strategic healthcare development objectives, based on the separate consideration of the medical, social, and economic dimensions of healthcare efficiency. SWOT analysis was employed as the main research tool, making it possible to identify and systematize the opportunities, threats, strengths, and weaknesses of the Russian healthcare system across each of the efficiency dimensions under consideration. Based on the analysis, key strategic objectives were formulated and substantiated, the implementation of which is expected to contribute to the further improvement of the healthcare system and enhance its overall performance.

The findings demonstrate that most of the identified development priorities are consistent with the provisions of the Healthcare Development Strategy of the Russian Federation through 2030, confirming their relevance and practical significance, while several other substantiated objectives represent promising directions for the future development of the sector. The scientific novelty of the study lies in the comprehensive substantiation of a system of priority healthcare development objectives through the integration of theoretical analysis, the SWOT approach, and empirical data obtained from a sociological survey.

About the Authors

N. L. Bondarenko
Clinical Hospital No. 85 of the Federal Medical-Biological Agency of Russia
Russian Federation

Natalia L. Bondarenko – candidate of medical sciences, chief physician, chief external specialist in therapy and general medical practice of the FMBA of Russia

Moscow



I. V. Tokareva
Clinical Hospital No. 85 of the Federal Medical-Biological Agency of Russia; Russian University of Cooperation
Russian Federation

Irina V. Tokareva – postgraduate student at the Department of economics majoring in «regional and sectoral economics», Head of the development, marketing and business communications service

Moscow

Mytishchi



M. V. Klochko
The Russian Presidential Academy of National Economy and Public Administration
Russian Federation

Maria V. Klochko – Ph.D. in economic sciences, a lecturer, the general director of LLC «Art of Intelligence» and the consulting group «Influence Technologies»

Moscow



References

1. Zagorulko A.M. Methodology for Forming a Mechanism to Improve the Socio-Economic Efficiency and Quality of Services in Healthcare Organizations, Doctoral Dissertation in Economic Sciences. Saint Petersburg, 2006. (In Russ.).

2. Olesov A.E. Socio-Economic Efficiency of Healthcare Subsystems: Methodology for Monitoring, Analysis, and Planning. Saint Petersburg : Publishing House of St. Petersburg State University of Economics, 2009. (In Russ.).

3. Gololobova T.A. Socio-economic efficiency of medical services: a resource-based approach. Social’no-gumanitarnye znaniya = Socio-humanitarian knowledge. 2025;(1):163-166. (In Russ.).

4. Modeling and forecasting of public health and health management strategies / A.I. Vyalkov [et al.]. Voronezh : Istoki, 2001. (In Russ.).

5. On the Strategy for the development of healthcare in the Russian Federation for the period up to 2030 : Decree of the President of the Russian Federation dated 08.12.2025 No. 896. URL: https://www.garant.ru/products/ipo/prime/doc/413121153. (In Russ.).

6. A large-scale program to upgrade the healthcare infrastructure is being launched in Russia. URL: https://rexamed.ru/media/news/v-rossii-startuet-masshtabnaya-programmapo-obnovleniyu-infrastruktury-zdravookhraneniya/. (In Russ.).

7. From the laboratory to the patient: how Russia is implementing new medical technologies. URL: https://ria.ru/20251125/tekhnologii-2057190811.html. (In Russ.).

8. Management system of a human-centered medical organization. General requirements: national. Russian standard GOST R 71549-2024 : approved and put into effect by order of the Federal Agency for Technical Regulation and Metrology dated 01.08.2024 No. 1017-st. URL: https://docs.cntd.ru/document/1306887073?ysclid=mtq8x7ryh4490206890. (In Russ.).

9. The head of the Ministry of Health reported how many doctors are in short supply in Russia. URL: https://www.rbc.ru/society/25/02/2025/67bd95d09a79471fb60513de. (In Russ.).

10. The Russian Ministry of Health has reported the share of worn-out medical equipment in regional state clinics. URL: https://medvestnik.ru/content/news/V-Minzdrave-RF-nazvalidolu-iznoshennogo-medoborudovaniya-v-gosklinikah-regionov.html. (In Russ.).

11. Results of the questionnaire survey «Long active life», commissioned by FSBI KB No. 85 of the FMBA of Russia in 2025-2026. URL: https://vlijanie.ru/stati/active-live /?ysclid=mtq957g58w275701303. (In Russ.).


Review

For citations:


Bondarenko N.L., Tokareva I.V., Klochko M.V. Substantiation of a set of actual tasks of increasing the socio-economic efficiency of domestic healthcare. Economic Systems. 2026;19(3):277-297. (In Russ.) https://doi.org/10.29030/2309-2076-2026-19-3-277-297

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ISSN 2309-2076 (Print)