IDEAS home Printed from https://ideas.repec.org/p/rnp/wpaper/031807.html
   My bibliography  Save this paper

Improving of the Systems of Organization and Payment of Ambulatory Medical Care
[Совершенствование Систем Организации И Оплаты Амбулаторной Медицинской Помощи]

Author

Listed:
  • Omelyanovsky, Vitaly (Омельяновский, Виталий)

    (Russian Presidential Academy of National Economy and Public Administration (RANEPA))

  • Avxentieva, Maria (Авксентьева, Мария)

    (Russian Presidential Academy of National Economy and Public Administration (RANEPA))

  • Zheleznyakova, Inna (Железнякова, Инна)

    (Russian Presidential Academy of National Economy and Public Administration (RANEPA))

  • Ignatyeva, Victoria (Игнатьева, Виктория)

    (Russian Presidential Academy of National Economy and Public Administration (RANEPA))

  • Tyurina, Irina (Тюрина, Ирина)

    (Russian Presidential Academy of National Economy and Public Administration (RANEPA))

Abstract

At present ambulatory-policlinic institutions of domestic healthcare system works inefficiently thereby forming excessive workload for higher levels of system. The particular result of inefficient work of primary health care level is the transfer to inpatient services the treatment of some diseases and conditions for which effective health care could be provided by outpatient services. The paper presents estimation of financial losses from unjustified hospital admissions and recommendations for preventing such losses. The recommendations are based on the results of policy of strengthening primary healthcare in foreign countries analysis and the data from experts in domestic health care system survey.

Suggested Citation

  • Omelyanovsky, Vitaly (Омельяновский, Виталий) & Avxentieva, Maria (Авксентьева, Мария) & Zheleznyakova, Inna (Железнякова, Инна) & Ignatyeva, Victoria (Игнатьева, Виктория) & Tyurina, Irina (Тюрина, И, 2018. "Improving of the Systems of Organization and Payment of Ambulatory Medical Care [Совершенствование Систем Организации И Оплаты Амбулаторной Медицинской Помощи]," Working Papers 031807, Russian Presidential Academy of National Economy and Public Administration.
    • Handle: RePEc:rnp:wpaper:031807
    as

    Download full text from publisher

    File URL: https://repec.ranepa.ru/rnp/wpaper/031807.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. David Gill & Victoria Prowse, 2014. "Gender differences and dynamics in competition: The role of luck," Quantitative Economics, Econometric Society, vol. 5, pages 351-376, July.
    2. Dourgnon, Paul & Naiditch, Michel, 2010. "The preferred doctor scheme: A political reading of a French experiment of Gate-keeping," Health Policy, Elsevier, vol. 94(2), pages 129-134, February.
    3. David A. Fleming & David G. Abler & Stephan J. Goetz, 2010. "Agricultural trade and poverty in Chile: a spatial analysis of product tradability," Agricultural Economics, International Association of Agricultural Economists, vol. 41(6), pages 545-553, November.
    4. Diego A. Vera Cossio, 2011. "Agriculture and Rural Employment Agricultural in Bolivia," Development Research Working Paper Series 10/2011, Institute for Advanced Development Studies.
    5. John C. Langenbrunner & Cheryl Cashin & Sheila O’Dougherty, 2009. "Designing and Implementing Health Care Provider Payment Systems : How-To Manuals," World Bank Publications - Books, The World Bank Group, number 13806, December.
    6. Klock, Mark & Thies, Clifford F. & Baum, Christopher F., 1991. "Tobin's q and measurement error: Caveat investigator," Journal of Economics and Business, Elsevier, vol. 43(3), pages 241-252, August.
    7. repec:dau:papers:123456789/12227 is not listed on IDEAS
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gill, David & Prowse, Victoria & Vlassopoulos, Michael, 2013. "Cheating in the workplace: An experimental study of the impact of bonuses and productivity," Journal of Economic Behavior & Organization, Elsevier, vol. 96(C), pages 120-134.
    2. Sophie Massin & Antoine Nebout & Bruno Ventelou, 2018. "Predicting medical practices using various risk attitude measures," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(6), pages 843-860, July.
    3. Thomas Buser, 2016. "The Impact of Losing in a Competition on the Willingness to Seek Further Challenges," Management Science, INFORMS, vol. 62(12), pages 3439-3449, December.
    4. Georganas, Sotiris & Tonin, Mirco & Vlassopoulos, Michael, 2015. "Peer pressure and productivity: The role of observing and being observed," Journal of Economic Behavior & Organization, Elsevier, vol. 117(C), pages 223-232.
    5. Ludwig, Sandra & Fellner-Röhling, Gerlinde & Thoma, Carmen, 2017. "Do women have more shame than men? An experiment on self-assessment and the shame of overestimating oneself," European Economic Review, Elsevier, vol. 92(C), pages 31-46.
    6. Takeuchi, Ai & Veszteg, Róbert F. & Kamijo, Yoshio & Funaki, Yukihiko, 2022. "Bargaining over a jointly produced pie: The effect of the production function on bargaining outcomes," Games and Economic Behavior, Elsevier, vol. 134(C), pages 169-198.
    7. Balafoutas, Loukas & Sutter, Matthias, 2019. "How uncertainty and ambiguity in tournaments affect gender differences in competitive behavior," European Economic Review, Elsevier, vol. 118(C), pages 1-13.
    8. Marcos-Martinez, Raymundo & Measham, Thomas G. & Fleming-Muñoz, David A., 2019. "Economic impacts of early unconventional gas mining: Lessons from the coal seam gas industry in New South Wales, Australia," Energy Policy, Elsevier, vol. 125(C), pages 338-346.
    9. Chen, Chun & Dong, Weizhen & Shen, Jay J. & Cochran, Christopher & Wang, Ying & Hao, Mo, 2014. "Is the prescribing behavior of Chinese physicians driven by financial incentives?," Social Science & Medicine, Elsevier, vol. 120(C), pages 40-48.
    10. Yanchen Liu & Yingchun Chen & Xueyan Cheng & Yan Zhang, 2020. "Performance and Sociodemographic Determinants of Excess Outpatient Demand of Rural Residents in China: A Cross-Sectional Study," IJERPH, MDPI, vol. 17(16), pages 1-14, August.
    11. John, June Park, 2017. "Gender differences and the effect of facing harder competition," Journal of Economic Behavior & Organization, Elsevier, vol. 143(C), pages 201-222.
    12. Klock, Mark & Baum, Christopher F. & Thies, Clifford F., 1996. "Tobin's Q, intangible capital, and financial policy," Journal of Economics and Business, Elsevier, vol. 48(4), pages 387-400, October.
    13. Brandts, Jordi & El Baroudi, Sabrine & Huber, Stefanie J. & Rott, Christina, 2021. "Gender differences in private and public goal setting," Journal of Economic Behavior & Organization, Elsevier, vol. 192(C), pages 222-247.
    14. Johnsen, Åshild A. & Finseraas, Henning & Hanson, Torbjørn & Kotsadam, Andreas, 2023. "The malleability of competitive preferences," Journal of Behavioral and Experimental Economics (formerly The Journal of Socio-Economics), Elsevier, vol. 104(C).
    15. Czibor, Eszter & Claussen, Jörg & van Praag, Mirjam, 2019. "Women in a men’s world: Risk taking in an online card game community," Journal of Economic Behavior & Organization, Elsevier, vol. 158(C), pages 62-89.
    16. Gill, David & Prowse, Victoria, 2019. "Measuring costly effort using the slider task," Journal of Behavioral and Experimental Finance, Elsevier, vol. 21(C), pages 1-9.
    17. Camilleri, Carl & Jofre-Bonet, Mireia & Serra-Sastre, Victoria, 2018. "The suitability of a DRG casemix system in the Maltese hospital setting," Health Policy, Elsevier, vol. 122(11), pages 1183-1189.
    18. Doerrenberg, Philipp & Duncan, Denvil & Zeppenfeld, Christopher, 2015. "Circumstantial risk: Impact of future tax evasion and labor supply opportunities on risk exposure," Journal of Economic Behavior & Organization, Elsevier, vol. 109(C), pages 85-100.
    19. Thomas Buser, 2016. "How does the Gender Difference in Willingness to Compete evolve with Experience?," Tinbergen Institute Discussion Papers 16-017/I, Tinbergen Institute.
    20. Azmat, Ghazala & Petrongolo, Barbara, 2014. "Gender and the labor market: What have we learned from field and lab experiments?," Labour Economics, Elsevier, vol. 30(C), pages 32-40.

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:rnp:wpaper:031807. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: RANEPA maintainer (email available below). General contact details of provider: https://edirc.repec.org/data/aneeeru.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.