Recently the indicators characterizing health state development of population in Armenia have undergone various negative and structural changes.

To soften the negative influence of indicators in 2011 “Child's Health State Certificate” program was implemented. Consequently sharp rise of the number of served cases was detected.

To abolish the existing defects funding of completed cases and appropriate payment provision should be done in outpatient service.

Mandatory conditions for completed cases are diagnosis, appropriate laboratory, instrumental investigations, treatment prescription, approprate supervision, treatment outcome: cure, amelioration, medical treatment referral absence during the sequential 5 days with the same diagnosis.

Usage of the mentioned mechanism will make direct and visible connection between the amounts of services provided by doctors and received salary, which will boost doctors' work efficiency and make conditions to reduce groundless referrals to medical institutions.