2.2.1 The New Global Challenges to Health and Life Expectancy

Research Area 2. Demography and Active Ageing  → Research Program 2.2 Contemporary Global Health and Life Expectancy Challenges

Project period

2020-2025

Context of Research Project within a Subject of Human Capital

The significant improvement of the health of the population, including increasing life expectancy and ensuring active longevity are needed to increase the country's human capital. The priority interests of the research project The New Global Challenges to Health and Life Expectancy are the impact of global development trends on health and responses to these challenges of the health system in the context of the second epidemiological transition and increased risks of pandemics

Project Aim

Identifying the main potentials of the healthcare system for the growth of life expectancy in Russia at a faster pace than the global one

Project Objectives:

1. Analyzing the impact of global development trends on health status of the population and the healthcare system in the context of the second epidemiological transition and increased risks of viral pandemics
2. Identifying the structural changes in the Russian healthcare system necessary to ensure the second epidemiological transition, and analyzing the impact of organizational and economic  factors (such as the organization of healthcare management, the digitalization of healthcare, the possibility of expanding consumer choice and the development of competition) on these  changes
3. Analyzing the reasons for the continued dominance of inpatient care in the Russian healthcare system, identifying factors of the recurring shortage of medical personnel in the state healthcare system and the possibilities of their neutralization, and determination of the impact of changes in the ratio of free and paid medical care and the level of financial protection of patients on the healthcare development
4. Creating scenarios for the technological development of the Russian healthcare system for the period up to 2030

Key Findings

2020

A conceptual and methodological framework has been elaborated for assessing the impact of global development trends on health, health-saving behavior, the healthcare system, and a comparative analysis of the dynamics of structural changes in the healthcare system in Russia and in countries that have faced the second epidemiological transition

2021

A comparative analysis of structural changes in the health systems of countries with developed economies that have passed the second epidemiological transition and Russia, which is at the beginning of such a transition, has been carried out. The changes in the structure of the resource provision of healthcare, in the ratio of various types of medical care, in the organizational and technological structure of the healthcare system, the functions and methods of interaction of its elements, the organization of healthcare management have been considered. The reasons for the differences in structural changes in Russian healthcare have been revealed. The directions and mechanisms of structural changes in the healthcare system necessary to ensure the second epidemiological transition have been determined

2022

The impact of healthcare digitalization on structural changes in the provision of medical care in developed economies and in Russia has been analyzed. It has been revealed that tangible effects can be obtained only as a result of the systemic transformation of the industry. It should be based on managerial organizational and methodological strategies and change management strategies.

A new methodological approach to the development of scenarios for healthcare technological development has been proposed.

2023

A new trend in the development of healthcare systems in the world has been identified and analyzed – the development of hybrid forms of interaction between medical organizations combining competition and cooperation, especially in the hospital sector, two schemes of such a combination have been identified and described. This result has great potential for developing ideas about the prospects for institutional transformation of the interaction of medical care providers.

Alternative schemes for a hybrid combination of competition and cooperation in the activities of medical organizations.

Publications

1. Report Inequality in Health Care (RU) Authors: A. Bykov, M. Krasilnikova, O. Ponkratova, N. Rakuta, S. Shishkin; National Research University Higher School of Economics, Distributed Research Group Network of Inequality Researchers. — Moscow: HSE, 2021.
2. Report Structural Changes in Healthcare: Trends and Outlook (RU) Authors: S. Shishkin, I. Sheiman, V. Vlasov, E. Potapchik, S. Sazhina; National Research University Higher School of Economics, Moscow: HSE, 2022.
3. Shishkin S. et al. (2022)  Structural changes in the Russian health care system: do they match European trends? //Health Economics Review. – 2022. – Т. 12. – №. 1. – P. 29. doi 
4. Sheiman I. (2022) Health workforce policy in the Russian Federation: How to overcome a shortage of physicians? //Frontiers in Public Health. – 2022. – Т. 10. – С. 1023845. doi

Conferences

XXII April International Scientific Conference on Economic and Social Development (Moscow, Russia, April 4-22, 2021):
- Special Round Table ‘Demographic and Social Factors of Active Longevity (15/04/2021)

International conference New Challenges of Demographic, Epidemiological and Medical-Technological Development: Search for New Models of Healthcare Development (Moscow, Russia, December 15, 2021)

XXIII Yasin (April) International Scientific Conference on Economic and Social Development (Moscow, Russia, April 5-22, 2022):
- Special Round Table Structural Changes in Healthcare: Trends and Prospects (06/04/2022)

International Conference "Development of Health Insurance: Results, Challenges, prospects" (online, December 14, 2023)