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Private Health Expenditures in Russian regions: Determinants and Consequences

Nikolay A. Avxentyev (), Valery M. Baydin (), Olga A. Zarubina () and Natalya Sisigina
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Nikolay A. Avxentyev: Russian Presidential Academy of National Economy and Public Administration, Moscow 119571, Russia
Valery M. Baydin: Financial Research Institutå, Moscow 127006, Russia
Olga A. Zarubina: Financial Research Institutå, Moscow 127006, Russia

Authors registered in the RePEc Author Service: Nikolay Avksentyev

Finansovyj žhurnal — Financial Journal, 2016, issue 6, 20-35

Abstract: Private health expenditures in Russia (38–48% of total health expenditures, depending on the source) significantly exceed OECD countries level (27%). High private spending, in turn, affects healthcare system performance. The paper analyzes determinants and consequences of private health spending in Russian regions. The authors use data on 80 Russian regions during 2006–2014 and apply panel data models to analyze determinants and consequences of private health expenditures. The authors found that private and public health expenditure are complimentary in Russia: 1% increase in public health spending results in 0,17% increase in private health expenditures. The latter also increase with wealth, income inequality and prevalence of healthy and active population. The optimal level of private health expenditures is 34–40 %, but it might be overestimated because the authors did not consider public health expenditures at the federal level.

Keywords: healthcare; private health expenditures; life expectancy; health spending efficiency (search for similar items in EconPapers)
JEL-codes: I13 I14 (search for similar items in EconPapers)
Date: 2016
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