2018/12/17 by Vadim E. Vyaznikov · 1 citation
Medicine · Social Sciences · Decision Sciences · #Healthcare Systems and Public Health #Economic and Technological Developments in Russia #Economic, Social, and Public Health Issues in Russia and Globally
paper · pdf · doi:10.15405/epsbs.2018.12.168
openalex publication_date 2018/12/17 · openalex created_date 2025/10/10 · openalex updated_date 2026/08/04
The article describes innovation policies in the world healthсare management system. The current state of healthcare system control and financing is analyzed. The issues of restructuring of hospitals in developed countries are analyzed. Modern approaches to the structure of hospitals are analyzed. Differentiation of hospitals by types of diseases treated, diagnostics and treatment intensity and inpatient performance status which is a basis for restructuring is analyzed. In-patient care and hospitals financing methods are analyzed. Practices of healthcare system financing based on the global budget approach and clinical and statistical groups are described. The history of diagnostic related groups system development is described. The application of the system as a hospital financing method (Prospective Payment System – PPS) is analyzed. Hospital financing methods based on the real volume of activities are described as well. The system of diagnosis related groups as an accurate treatment cost calculation method is analyzed. Using Irkutsk oblast hospitals transformation as an example, Russian hospital reforming methods are suggested. Hospital structure transformation is described based on the analysis of in-patient groups. Based on the world experience and author’s research results, recommendations on Russian healthcare system reformation are suggested. Treatment cost and financing volume calculation methods are assessed.