V. Sautkina (firstname.lastname@example.org),
Primakov National Research Institute of World Economy and International Relations, Russian Academy of Sciences (IMEMO), 23, Profsoyuznaya Str., Moscow, 117997, Russian Federation
In recent years, the effectiveness of national health systems has provoked wide-ranging public discussions. The rapid increase in the cost of medical services around the world has significantly exacerbated the problem of effectiveness of previously established health systems. As new priorities emerge, the need to search for innovative approaches to the medical industry and health services development, which can significantly reduce financial costs and increase their efficiency, broadens the problem field of health system research. Today, public health has become a space that requires managerial, institutional and political solutions to ensure the coordination of social and market interests. Currently, the market for new medical services is growing rapidly, but where is the money to increase the financing of high-tech medical care for poor citizens to be found? The article considers these problems within the framework of the cluster model as a possible institutional solution to promoting innovation in the public health realm. The analysis of the results of the clusterization strategy in the medical sphere of the European Union countries shows that health care clusters can be innovative tools for harmonizing public interests and particular interests of a purely economic nature. However, a number of factors impede the realization of such potential in practice. This is due to the lack of comprehensive programs for its development, which should coordinate the efforts of the main stakeholders – the State and local authorities, private companies, researchers and medical staff. Developing of “science cities” (“naukogrady”) as special areas where conditions for promoting international medical clusters are favorable for meeting public demands, market interests and innovative research can be an effective part of this agenda in Russia. The example of the science city of Troitsk shows that a developed infrastructure, a concentration of highly trained specialists and a conducive social environment constitute significant advantages for implementation of cluster programs.
Acknowledgements. The article was prepared in the framework of the project “Formation of Polycentric World Order. Risks and Prospects for Russia”, program of Presidium of the Russian Academy of Sciences №. 22 “Analysis and Forecast of New Global Challenges and Opportunities for Russia”.
EU, Russia, innovative medical technologies, localization, health economics, international medical clusters
1. Porter M. Mezhdunarodnaya konkurentsiya. Konkurentnye preimushchestva stran [International Competition. Competitive Advantages of Countries]. Moscow, Alpina Pablisher, 2017. 947 p.
2. Swords J. Michael Porter’s Cluster Theory as a Local and Regional Development Tool: The Rise and Fall of Cluster Policy in the UK. Local Economy: The Journal of the Local Economy Policy Unit, 04.03.2013. Available at: http://journals.sagepub.com/doi/abs/10.1177/0269094213475855 (accessed 09.08.2018).
3. Rodrik D. One Economics, Many Recipes: Globalization, Institutions, and Economic Growth. Princeton, University Press, 2007. 279 p. Available at: https://press.princeton.edu/titles/8494.html (accessed 09.08.2018).
4. Porter M.E. The Competitive Advantage of Nations. New York, Free Press, 1990, March–April, pp. 73-93. Available at: http://www.economie.ens.fr/IMG/pdf/porter_1990_-_the_competitive_advantage_of_nations.pdf (accessed 09.08.2018).
5. Ketels Ch. Clusters, Cluster Policy, and Swedish Competitiveness in the Global Economy. Available at: https://www.hhs.se/contentassets/f51b706e1d644e9fa6c4d232abd09e63/clustersclusterpolicyswedishcompetitivenessd6e53822.pdf (accessed 09.08.2018).
6. Rychen F., Zimmermann J.-B. Clusters in the Global Knowledge Based Economy: Knowledge Gatekeepers and Temporary Proximity. Available at: https://pdfs.semanticscholar.org/e920/9bd8f5cadd8c20cc460ca0d68811b4c686e9.pdf (accessed 09.08.2018).
7. First European Cluster Policy Forum. Available at: https://www.interregeurope.eu/clusterfy/news/news-article/2756/firsteuropean-cluster-policy-forum/ (accessed 09.06.2018).
8. Romaniuk P., Holecki T., Woźniak-Holecka J. Using New Instruments of Clustering Policy in the Health Care System. The Case of Poland. Available at: https://www.frontiersin.org/articles/10.3389/fphar.2016.00177/full (accessed 07.07.2018).
9. Adany R., Kosa K., Sandor J., Papp M., Furjes G. General Practitioners’ Cluster: A Model to Reorient Primary Health Care to Public Health Services. Available at: https://www.ncbi.nlm.nih.gov/pubmed/23882116 (accessed 08.08.2018).
10. Klein T., Banga B., Martelli A. The Seven Most Important Medtech Clusters in Europe. Available at: https://www.mddionline.com/seven-most-important-medtech-clusters-europe-0 (accessed 06.06.2018).
11. Levin I.B. “Industrial’nye okruga” kak al’ternativnyi put’ industrializatsii [“Industrial Districts” as an Alternative Way of Industrialization]. Mirovaya ekonomika i mezhdunarodnye otnosheniya, 1998, no. 6, pp. 117-126.
12. Poter M., Ketels Ch., Delgado M., Bryden R. Competitiveness at the Crossroads: Choosing the Future Direction of the Russian Economy. Available at: https://www.hbs.edu/faculty/Publication%20Files/Russia_Competitiveness_Crossroads_Dec2007_2423559d-9d53-4b95-b206-28d6208f851a.pdf (accessed 11.08.2018).
13. Zharkova N.N. Integratsiya klastera i osoboi ekonomicheskoi zony kak instrument realizatsii Kontseptsii 2020 [Integration of a Cluster and a Special Economic Zone as a Tool for Implementing the Concept 2020]. Ekonomika, predprinimatel’stvo i pravo, 2017, no. 2, pp. 95-102.
14. Peregudov S.P., Semenenko I.S. Korporativnoe grazhdanstvo: kontseptsii, mirovaya praktika i rossiiskie realii [Corporate Citizenship: Concepts, World Practice and Russian Realities]. Moscow, Progress–Traditsiya, 2008. 448 p.
15. Map of Clusters of Russia. 1993–2018. HSE, Russian Cluster Observatory. Institute for Statistical Studies and Economics of Knowledge (In Russ.) Available at: http://aerospaceforum.ru/presents/%D0%93%D0%BE%D0%BB%D0%B0%D0%BD%D0%B4%20%D0%9C.%D0%AE.,%20%D0%98%D0%A1%D0%98%D0%AD%D0%97%20%D0%9D%D0%98%D0%A3%20%D0%92%D0%A8%D0%AD.pdf (accessed 21.08.2018).
16. Proskurnin S.D. Perspektivy razvitiya naukogradov kak territorii intensivnogo nauchno-tekhnologicheskogo razvitiya [Prospects for Development of Science Cities as Areas of Intense Scientific and Technological Development]. Regional’naya economika i upravlenie: elektronnyi nauchnyi zhurnal, 2017, no. 1(49). Available at: https://eee-region.ru/article/4909/ (accessed 11.08.2018).
17. Investments in Russian Medical Industry Reached 50 Billion Rubles. GMP news, 20.04.2017. Available at: https://gmpnews.net/2017/04/investments-in-russian-medical-industry-reached-50-billion-rubles/ (accessed 12.08.2018).
18. Bayer Plans to Increase the Share of Its Localized Products in Russia. GMP news, 25.05. 2018. Available at: https://gmpnews.net/2018/05/bayer-plans-to-increase-the-share-of-its-localized-products-in-russia/ (accessed 12.08.2018).
19. Milovidov V. Sovety yuzhnogo soseda [Tips of the Southern Neighbor]. Gorodskoi ritm, 11.04.2018, no. 14(680).
20. Kamenskii A. Zachem v Troitske sozdayut 3D-tipografiyu [Why Create a 3D Printing House in Troitsk] Available at: https://vademec.ru/article/momentnyy_dvor/ (accessed 12.07.2018).
21. Innovative Medicine in Troitsk: want or not? Troitskii variant – Nauka, 06.06.2017, no. 2 (984) (In Russ.)
Registered in system SCIENCE INDEX