REMEDIUMREMEDIUM1561-59362658-3534Joint-Stock Company Chicot175810.32687/1561-5936-2024-28-3-280-285Original ArticleQualitative research of health as a values in residents of a mega cityShvetsYuriy Yu.yyshvets@fa.ruResearch Institute of Healthcare Organization and Medical Management, Moscow, RussiaV. A. Trapeznikov Institute of Control Sciences of the RAS, Moscow, Russia15122024328028516102025Copyright © 2024,2024This study examines the assessment of the health of residents of megacities within the Russian healthcare system. Using advanced analytical techniques, including cluster analysis, correlation, robust analysis, and decision trees, we explore the multifaceted relationship between health values and socioeconomic factors. Our results highlight a number of factors that have a greater impact on population health. Moreover, the distribution of health investments shows a pronounced bias towards more developed regions, exacerbating inequalities in health outcomes. Decision tree analysis further identifies economic stability, access to clean water, and adoption of digital health services as key determinants of life expectancy.value-based healthcarehealthhealthcare systemdigitalizationrobust managementценностно-ориентированное здравоохранениездоровьесистема здравоохраненияцифровизацияробастное управление1.Omelyanovsky V. V., Musina N. Z., Gostishchev R. V. et al. The concept of value-based healthcare. Pharmacoeconomics. Modern Pharmacoeconomics and Pharmacoepidemiology. 2020;13(4):438–451.2.Klimenko A. V., Slashchev I. S. Cluster data analysis. Bulletin of Science. 2019;(1):159–163.3.Anparasan A., Lejeune M. Resource deployment and donation allocation for epidemic outbreaks. Annals of Operations Research. 2019;283(1):9–32.4.Dombrovsky V. S., Musina N. Z., Melnikova L. S. Value-based procurement of medical devices. Medical technologies. Evaluation and selection. 2020;(2)9–17.5.Alekseev M. A. Theoretical approaches to understanding uncertainty. Problems of economic science and practice: collection. scientific works. 2017;(3):8–14.6.Alekseev M. A., Freidina E. V. Methodological foundations for the development of the theory of robust management of economic systems. Society and economy: development problems. 2017;(2):19–39.7.Zuenkova Yu. A., Kicha D. I., Izyurov L. N. Experience in implementing a value-based approach in oncodermatological practice. Pharmacoeconomics. Modern pharmacoeconomics and pharmacoepidemiology. 2022;15(2):250–258.8.Burnhope E., Waring M., Guilder A. et al. A systematic approach towards implementing value-based health care in heart failure: understandings from retrospective analysis methods in South London. Health Serv. Manag. Res. 2020;35(1):37–47.9.Eriskin L. Preference modeling in sorting problems: multiple criteria decision aid and statistical learning perspectives. Journal of Multi-Criteria Decision Analysis. 2021;28(5-6):203–219.10.Khichar S., Midha N., Bohra G. K. et al. Healthcare resource management and pandemic preparedness for COVID-19: a single center experience from Jodhpur, India. International Journal of Health Policy and Management. 2020;9(11):493–495.