Совершенствование Систем Организации и Оплаты Амбулаторной Медицинской Помощи (Improving of the Systems of Organization and Payment of Ambulatory Medical Care)

61 Pages Posted: 17 Mar 2018 Last revised: 16 Apr 2018

Vitaly Omelyanovsky

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

Maria Avxentieva

Russian Presidential Academy of National Economy and Public Administration (RANEPA) - Institute of Applied Economic Research

Inna Zheleznyakova

Russian Presidential Academy of National Economy and Public Administration (RANEPA), Moscow Campus, Institute of Applied Economic Research, Students

Victoria Ignatyeva

Russian Presidential Academy of National Economy and Public Administration (RANEPA) - Institute of Applied Economic Research

Irina Tyurina

Russian Presidential Academy of National Economy and Public Administration (RANEPA) - Institute of Applied Economic Research

Date Written: March 12, 2018

Abstract

Russian Abstract: В настоящее время амбулаторно-поликлиническое звено отечественной системы здравоохранения работает недостаточно эффективно, формируя повышенную нагрузку на более высокие уровни системы. Результатом неудовлетворительной работы первичного звена, в частности, становится перенос в стационарные условия лечения ряда заболеваний и состояний, эффективная медицинская помощь при которых могла быть оказана в амбулаторных условиях.

В работе представлены оценка экономических потерь, вызванных необоснованными госпитализациями, и рекомендации по их предотвращению. Теоретической основой для разработки рекомендаций послужили результаты анализа международного опыта усиления первичного звена и данные опроса экспертов в области отечественного здравоохранения.

English 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

Note: Downloadable document is in Russian.

Suggested Citation

Omelyanovsky, Vitaly and Avxentieva, Maria and Zheleznyakova, Inna and Ignatyeva, Victoria and Tyurina, Irina, Совершенствование Систем Организации и Оплаты Амбулаторной Медицинской Помощи (Improving of the Systems of Organization and Payment of Ambulatory Medical Care) (March 12, 2018). Available at SSRN: https://ssrn.com/abstract=3139650 or http://dx.doi.org/10.2139/ssrn.3139650

Vitaly Omelyanovsky (Contact Author)

Russian Presidential Academy of National Economy and Public Administration (RANEPA) - Moscow Campus ( email )

Moscow
Russia

Maria Avxentieva

Russian Presidential Academy of National Economy and Public Administration (RANEPA) - Institute of Applied Economic Research ( email )

Russia

Inna Zheleznyakova

Russian Presidential Academy of National Economy and Public Administration (RANEPA), Moscow Campus, Institute of Applied Economic Research, Students ( email )

Moscow
Russia

Victoria Ignatyeva

Russian Presidential Academy of National Economy and Public Administration (RANEPA) - Institute of Applied Economic Research ( email )

Russia

Irina Tyurina

Russian Presidential Academy of National Economy and Public Administration (RANEPA) - Institute of Applied Economic Research ( email )

Russia

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