On the use of the Malmquist index to assess the effectiveness of the functioning of district and municipal medical institutions in the Region

Subject of research: the activities of health care institutions of the Khanty-Mansiysk Autonomous Okrug (KhMAO – Yugra) in providing medical services to the population in the period from 2013 to 2021. Purpose of research: analysis of the dynamics of the medical efficiency of the functioning of health care institutions (HCI) of the Khanty-Mansiysk Autonomous Okrug – Yugra using the Malmquist index together with the data envelopment analysis (DEA method). Methods and objects of research: the medical efficiency of these institutions was assessed using the DEA method. Multiplicative decomposition of the Malmquist index assesses the level of influence on the medical efficiency of technological changes in the subject area, the work of HCI management and changes in their scale. Main results of research: it has been established that changes in patient treatment technologies have the greatest impact on the dynamics of the medical efficiency of HCI. The scale of HCI and the efficiency of their management are not so critical, which is due to the specifics of the territorial organization of the healthcare system. The use of the Malmquist index allows us to evaluate both the medical effectiveness of health care institutions and to identify carriers of “best practices” in terms of the implementation of medical technologies and the management of health care institutions.