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The economic consequences of reorganizing hospital services in Bishkek, Kyrgyzstan


  • Andrew Street
  • Jane Haycock


Kyrgyzstan gained independence from the Soviet Union in 1991 and has since been thrown into severe financial crisis. All public sector funding has been significantly reduced and international aid agencies are supporting the government in rebuilding the economy. The health sector requires a radical overhaul and a major part of this process involves rationalization of existing facilities, particularly in the capital Bishkek, where 26 secondary and tertiary hospitals support a population of approximately 800 000 people. This paper describes the development of a plan for rationalization with particular emphasis on the economic aspects of the process. This involved calculating future hospital requirements by modelling a variety of policy options, ranging from changes to clinical practice to hospital closures. The model generates estimates of resource requirements at each hospital, from which the costs falling on the health budget and patients are derived. Copyright © 1999 John Wiley & Sons, Ltd.

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  • Andrew Street & Jane Haycock, 1999. "The economic consequences of reorganizing hospital services in Bishkek, Kyrgyzstan," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 53-64, February.
  • Handle: RePEc:wly:hlthec:v:8:y:1999:i:1:p:53-64
    DOI: 10.1002/(SICI)1099-1050(199902)8:1<53::AID-HEC394>3.0.CO;2-W

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    References listed on IDEAS

    1. Andrew Street & Andrew Jones & Aya Furuta, 1997. "Cost-sharing and pharmaceutical utilisation in Russia: evidence from a household survey," Working Papers 155chedp, Centre for Health Economics, University of York.
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    Cited by:

    1. World Bank, 2014. "Kyrgyz Republic Public Expenditure Review Policy Notes : Health," World Bank Other Operational Studies 19313, The World Bank.

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