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Budget losses due to the interregional redistribution of emergency medical service patients: economic assessment and ways of reducing them

E.I. ZatsarinnayaFederal State Budgetary Educational Institution of Higher Education «Russian Economic University named after G. V. Plekhanov», Moscow, RussiaLyudmila V. GoloshchapovaRussian Economic University after G.V. Plekhanov
2026

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This article examines the problem of interregional redistribution of hospitalizations of the Moscow region to medical facilities in Moscow via emergency medical services. This problem is one of the most acute, but it is often underestimated from an economic point of view in the healthcare sector of the region. Differences in the rates of compulsory medical insurance (CHI) and the high proportion of hospitalizations in Moscow hospitals lead to significant additional financial obligations for the capital's healthcare system. The authors of the article conducted a detailed analysis of the current situation and presented reasonable proposals for optimizing the process, as well as specific measures to reduce budget losses. They emphasize the importance of an integrated approach to solving the problem in order to increase the efficiency of using budget funds and improve the quality of medical care.

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