The economic consequences of reorganizing hospital services in Bishkek, Kyrgyzstan
研究了吉尔吉斯斯坦比什凯克市26家医院的重组计划，通过模型模拟不同政策选项（如改变临床实践或关闭医院）来估算资源需求和成本，为决策者提供经济依据。
Kyrgyzstan gained independence from the Soviet Union in 1991 and has since been thrown into severe financial crisis. All public sector funding has been significantly reduced and international aid agencies are supporting the government in rebuilding the economy. The health sector requires a radical overhaul and a major part of this process involves rationalization of existing facilities, particularly in the capital Bishkek, where 26 secondary and tertiary hospitals support a population of approximately 800000 people. This paper describes the development of a plan for rationalization with particular emphasis on the economic aspects of the process. This involved calculating future hospital requirements by modelling a variety of policy options, ranging from changes to clinical practice to hospital closures. The model generates estimates of resource requirements at each hospital, from which the costs falling on the health budget and patients are derived.