Managing patient flow in primary and outpatient care before hospital admission

General Medicine, 2026, 28(1), 45-50.

G. Yanchev¹, N. Grigorov², E. Pashkuleva-Dermendzhieva², P. Lazarov²

¹Department of Medical Computer Equipment and Communication Systems”
²Clinic of Internal Diseases, Military Medical Academy – Sofia

Abstract. Managing patient flow in outpatient care is a key factor in the efficiency of the healthcare system. The article explores the main challenges in coordinating between primary care and hospital treatment, as well as the best practices and models for optimization. It highlights integrated health networks, multidisciplinary teams, telemedicine, and preven­tive programs. Guidance is provided to general practitioners for better patient flow management. The article aims to support the development of sustainable solutions to reduce unnecessary hospitalizations and improve health outcomes.

Key words: outpatient care, patient flow, primary health care, hospital admission, health system coordination, telemedicine, best practices

Address for correspondence: Eng. Georgi Yanchev, e-mail: ianchev@vma.bg