The social sphere plays an important role in the socio-economic development of the developed countries. The achievement of a high level of education, healthcare, science and culture promotes the economic growth and welfare of the population. Recently, however, the Russian researchers do not pay sufficient attention to the new models of the social services. In this regard, the research of the efficiency of healthcare as a major branch of the social sphere is relevant. Under the conditions of deteriorating socio-demographic situation in Russia, an important component ensuring economic security at the level of the country and regions is the preservation of human potential. This challenge is possible to address, on the one hand, due to an increase in spending on healthcare. On the other hand, it is possible due to progressive transformations of the medical care. Such transformations will increase in return of financial investments and the effectiveness of healthcare services. The purpose of the study is to create an assessment model of healthcare performance as well as of the efficiency of financial investments in the healthcare services using the methods of statistical, system and multivariate analysis as well as economic and mathematical modelling. We define the multicriteria character of the efficiency in healthcare connected with multiple cost-benefit ratios while achieving medical, social, economic effects. We propose a multi-factor dynamic model, integrated indicator of performance, and integral indicator of cost-effectiveness. To test the model, we chose one of the priority directions of the healthcare development — fight against tuberculosis, as it is a threat for socio-demographic and economic security of a region. We have assessed the efficiency of funding and performance indicators on the example of tuberculosis service of the Sverdlovsk region. We have received a positive dynamics of medico-demographic indicators as well as a high economic effect. We have proved the possibility to increase the socio-demographic and economic security of a region achieving medical, social and economic efficiency in the healthcare. This contributes to the preservation of human and labour potential, as well as economic growth. The results of the research can be applied in the healthcare system to adequately assess the performance of medical organizations taking into account the specificity of diseases and the efficiency of financial investments as well as the contribution to the socio-demographic and economic security of à region.

A breakthrough in innovations largely depends on the quality of human potential. In the context of demographic threats for economic security of the region, the national project “Healthcare” has prepared measures for reducing the mortality of the working age population, including mortality from cancer. However, the costs of cancer detection and treatment, as well as social costs of temporary disability are later compensated by reduced mortality losses and increased contribution of the labour potential to gross regional product (GRP). During the research we applied systematic and integrative approaches, methods of comparative and statistical analysis using modern IT solutions. The research is based on the data from oncology services of Tyumen and Sverdlovsk regions. The organizational and medical innovations in Tyumen region, including modern diagnostics on the basis of radiological centre, have increased the detection rate of malignant neoplasm. Moreover, these innovations have significantly reduced the number of cancer-related deaths in comparison with the national average value. In 2017, this indicator per 100 thousand was 112.78 in the Russian Federation, while in Tyumen region it was 90.04. For the period from 2013 to 2017, improvements in diagnostics and quality of the oncology service in Sverdlovsk region contributed to a higher detection of various diseases, longer treatment in the hospital and at home, which did not allow achieving economic effects by reducing costs. However, these measures have led to significant reduction of damage from working age population mortality. An indicator of “multidimensional economic effect in health care” is calculated as the sum of various types of effects. Its value demonstrates compensation for costs incurred at certain stages of medical assistance with the effects resulting from preservation of human potential by reducing mortality. Our forecast shows that medical and demographic indicators of the oncology service of the Sverdlovsk region will improve by 2022. Such improvements will result from constructing and equipping the centre of nuclear medicine and the proton centre in the framework of the public-private partnership in Sverdlovsk region healthcare. The results of the study can be applied for an objective assessment of health care and its contribution to the regional economy.