Paradigm of economic culture of health care

Introduction. For effective management of the economic sphere in health care, it is important to understand the essence and patterns of development of its economic culture.Purpose of the study — to propose a methodological basis for the paradigm of the economic culture of health care.Materials and methods. The study is theoretical and methodological. In the course of the study, the following methods were used: bibliographic and scientometric analysis, historical and legal analysis, expert assessments, expert survey. Scientometric analysis of publications was carried out in the volume of databases of library systems “e-library” and “cyberleninka” with a depth of 10 years. Data processing was carried out using applied software with the calculation of average and relative values, statistical errors.Results. The analysis showed the problem points in the economic culture of health care to be: the level of economic literacy of medical workers and management personnel of medical institutions; inadequate health financing; high level of economic and reputational losses; low job satisfaction and investment activity. The potential of economic literacy of medical workers and management personnel of medical institutions in public health care is 65.5%, in private health care — 71.5%.Research limitations. In the study of economic culture, a survey of thirty experts was conducted, which is a sufficient reference sample.Conclusion. The obtained data allowed us to formulate the main provisions of the paradigm of economic culture in healthcare: formation of a new economic consciousness in the healthcare sector; formation of a current level of economic competencies; creation of investment-attractive conditions and traditions of new economic behavior in healthcare; formation of a system for forecasting and preventing the risks of reputational losses and losses of economic information based on digital technologies.Compliance with ethical standards. The study was approved by the Ethics Committee of the IvSMU of the Ministry of Health of Russia (Protocol № 3 of 09/13/2024). All respondents signed an informed consent to participate in the study.Contribution of the authors: Mushnikov D.L. — concept and design of the study, writing the text; Korsunov P.P., Yatsyna I.V. — collection and processing of the material, statistical processing, writing the text. All authors are responsible for the integrity of all parts of the manuscript and approval of the manuscript final version.Acknowledgment. The study had no sponsorship.Conflict of interest. The authors declare no conflict of interest.Received: March 26, 2025 / Accepted: April 7, 2025 / Published: April 30, 2025

economic culture, health care, economic literacy