Estimation the effectiveness of public governance of the health system in the context of sustainable development

Abstract

The article is devoted to assessing the effectiveness of public administration of the health system, taking into account the medical reforms carried out in post-socialist countries in the context of sustainable development. During the study, the authors revealed that one of the main problems in achieving the sustainable development goal-“ensuring a healthy lifestyle and promoting well-being for all at any age” is the lack of a sound methodology for assessing the effectiveness of public administration reforms in the healthcare system. On the example of the Republic of Kazakhstan, a comprehensive analysis of the effectiveness of the health system was carried out, based on data from medical and demographic indicators, financing indicators, as well as an integrated indicator of assessing the effectiveness of the health system-the expected life expectancy of the population. Based on economic and mathematical methods in management, a forecast of the expected life expectancy of the population was carried out; the results of forecast calculations show that in the medium term, the indicator of the expected life expectancy of the population will have a slight upward trend. As the main recommendations for improving the effectiveness of public administration of the health system in transformational economies, the authors substantiated the need to determine the key parameters of a unified methodology for assessing the effectiveness of the health system. The use of a unified system of healthcare performance indicators makes it possible to assess the degree to which goals have been achieved to increase the efficiency of resource use and ensure a high level of quality and accessibility of medical services.