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


  • 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))


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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    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
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