Оценка эффекта увеличения расходов на здравоохранение и объема продаж алкоголя на здоровье населения России

Журнал Новой экономической ассоциации. 2023. № 3(60). С. 66–78.

Т. В. Коссова, Е. В. Коссова, М. А. Шелунцова

This article aims to estimate the effect of government healthcare expenditures on the health of the Russian population. This effect is compared to the effect of alcohol overconsumption on the indicator of health. Population health is measured with an indicator of life expectancy at birth for men and women in the urban and rural area. The database is the regional statistics of the Federal State Statistics Service of Russia as well as the information on the expenditures of the budgets of the territorial funds of compulsory medical insurance for the period from 2005 to 2020. We estimate panel data models with fixed effects and check the robustness of results with semi-parametric regression. For the first time, Russian long-term macro data were used to quantify that the effect of alcohol overconsumption on life expectancy is twice as large as the effect of government spending on healthcare. The model used in the analysis enables us to present estimates of health losses that occurred in 2020. This is an average of one and a half years of life for residents of urban areas and a little less than a year for residents of rural areas.

Keywords: Россия, Russia, здоровье населения, ожидаемая продолжительность жизни при рождении, life expectancy at birth, socio-economic factors, социально-экономические факторы, population health, healthcare expenditures, расходы государства на здравоохранение