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

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...

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Bibliographic Details
Published inIDEAS Working Paper Series from RePEc
Main Authors Omelyanovsky, Vitaly, Avxentieva, Maria, Zheleznyakova, Inna, Ignatyeva, Victoria, Tyurina, Irina (Тюрина, И
Format Paper
LanguageEnglish
Published St. Louis Federal Reserve Bank of St. Louis 01.01.2018
Subjects
Health care policy
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Summary: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.