Kazan medical journalKazan medical journal0368-48142587-9359Eco-Vector9977910.17816/kazmj99779Research ArticleConceptual framework for assessing quality and efficiency in health careKomarovYu. M.info@eco-vector.com151219886964584602901202229012022Copyright © 1988, Eco-Vector1988<p>In our country during this period, spending on health care in relation to national income grew slowly, which led to a decrease in the corresponding share from 6.1% in 1960 to 4.6% in 1986. As of 1988, spending on health care was defined as 21.7 billion rubles, which is only 4.9% of national income. For comparison, in other economically developed countries this value reaches 8-12% of their gross national product.</p>Kazan Medical archiveКазанский медицинский архив