# **C. Estimating direct health care costs associated with the provision of medical care related to tobacco-related diseases**

The direct health care costs related to treatment of tobacco-related diseases include costs of medical care provided in outpatient facilities, hospitals, and day-care hospitals for patients with the following diseases:

- Diabetes

- Cardio-vascular disease

- Respiratory disease

- Cancer, and

- TB

When calculating direct health care costs related to cases associated with smoking, the following were used:

- Tariffs calculated in accordance with the guidelines for paying per DGR-based completed treatment case, 2017 version<sup>13</sup> ;

- Official data from statistical surveys forms:

- No 7 "Information about malignant neoplasms", table 2000 "Information on newly diagnosed malignant neoplasms"

- No 12 "Information on the number of diseases registered with patients living in the area served by a medical organization"<sup>14</sup>

- No 14 “Information on performance of health facilities providing inpatient health care”

- No 14 DC “Information on performance of health facilities providing inpatient health care in day-care hospitals”

- Standards of financial costs calculated for the Ministry of Health of the Russian Federation based on the Ministry of Finance methodology, for tuberculosis;

- Standards of financial costs for high-tech medical care according to the Order of the Government of the Russian Federation of 19.12.2016 N 1403 “About the Program of the state guarantees of free rendering medical care to citizens for 2017 and for planning period 2018 and 2019";

- Number of cases of high-tech medical care in 2017;

- Values of the relative risk (RR) of smoking-related disease based on scientific publications, the results of scientific research available in open sources of information;

- Correction factor to the cost of outpatient visit according to the Letter of the Ministry of Health of the Russian Federation of 23.12.2016 No 11-7/10/2-8304 "On the formation and economic justification of the territorial program of state guarantees of free provision of medical care to citizens for 2017 and the planning period of 2018 and 2019;

- Ratio of outpatient visits in the completed outpatient case according to the Letter of the Ministry of Health of the Russian Federation of 23.12.2016 No 11-7/10/2-8304 "On the formation and economic justification of the territorial program of state guarantees of free provision of medical care to citizens for 2017 and the planning period of 2018 and 2019;

- Average standards of financial costs per unit of volume of medical care according to the Order of the Government of the Russian Federation of 19.12.2016 No 1403 “About the program of the state

> 13 Letter No. 11-7 / 10 / 2-8080 of the Ministry of Health of the Russian Federation, FMHIF #13572 / 26-2 / and dated November 21, 2012, "On Guidelines for Medical Care Payments using MHI Proceeds" (Calculation Methodology).

> 14 Ordinance of Rosstat of July 21, 2016 #355 "On the approval of statistical tools for the organization of federal statistical surveys in public health by the Ministry of Health of the Russian Federation.”

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