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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
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    References listed on IDEAS

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    1. 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.
    2. Diego A. Vera Cossio, 2011. "Agriculture and Rural Employment Agricultural in Bolivia," Development Research Working Paper Series 10/2011, Institute for Advanced Development Studies.
    3. 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, April.
    4. 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.
    5. 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.
    6. repec:dau:papers:123456789/12227 is not listed on IDEAS
    7. 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.
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