Guaranteed healthcare financing and population health capital indicators in Russia

BACKGROUND: Healthcare financing is essential for achieving the Government's social objectives and ensuring the strategic maintenance of population health capital. The statutory health insurance (SHI) scheme accounts for more than 48% of guaranteed healthcare financing. AIM: To analyze the relationship between basic integral indicators of population health capital and the level of healthcare financing provided by the SHI scheme. METHODS: The study employed regression correlation analysis, time series analysis, and comparative analysis of quantitative and qualitative indicators. RESULTS: As part of the SHI scheme in 2011–2022, healthcare financing showed significant underfunding and a reduced coverage of the population with timely and high-quality healthcare. Government expenditures as part of the SHI scheme are determined by the changes in the gross domestic product per capita. The amount of guaranteed healthcare expenditures does not directly determine the life expectancy, birth rate, or disability levels. The scale of financing as part of the statutory health insurance scheme only partially mediates the variation of such health capital indicators as natural population growth and general morbidity. CONCLUSION: The absence of a clear positive correlation between SHI financing and health capital indicators during the 2011–2022 period highlights the need for improving the efficiency of resource allocation and the performance of healthcare processes.