Developers interpret the bill as a progressive. With the example of some articles seem justified. In him, in particular, includes provisions on donation and transplantation of human organs and tissues, on the conduct and termination of resuscitation (euthanasia is prohibited), the handling of medical devices and medical waste. In addition, as highlighted during the roundtable Deputy Minister of Health and Social Development Veronika Skvortsova, the bill introduces a single order and standards for medical care for specific diseases. Here we must clarify that "orders" – a broader concept – the algorithm imply that aid: its stages, the competence of medical staff, equipment clinics. A "standard" (they asked to approve at the federal level) should be directly regulate the healing process. "Treatment is carried out on clinical protocols and guidelines. The collective experience of leading experts will on the basis of these documents to establish standards of care in the most important and common diseases, selecting from the minutes of the necessary elements – diagnostic techniques, therapeutic medical services, medicines, medical devices – and pointing out the average rate of demand for each item in the relevant disease cohort "- explained Skvortsova. The project also establishes a mandatory accreditation for medical and pharmaceutical workers on the basis of common requirements, as is customary, for example, in the U.S.. The mistakes have to meet the license. And the answer will be all the followers of Hippocrates, from district health centers in the state to traditional healers, whose activity is also reflected in the new document. True, the specified Skvortsova, the first accredited physicians will in the country until 2017, when the university will release first-year of 2011. Of innovations, which are supposed to be felt immediately after the adoption of the document, it is noteworthy art. 69, which prohibits physicians receive from pharmaceutical companies and pharmacies gifts, money, payment for entertainment and recreation. Prohibits even participate "in the entertainment, parties and other events held at the expense of those organizations." Doctors can not be (both in written and oral) to conclude with them an "agreement on the appointment or recommendations to patients' specific drugs, and prescribe the forms," equipped with information of advertising nature. " But, despite some advantages of the bill, experts believe that taking it early. "Now it is unclear even conceptually, that it wants to present", – said deputy chairman of the formulary committee Ros iyskoy Academy of Medical Sciences, MD, Professor Pavel Vorobiev. Paying attention to particulars (of course, important), the developers, in his opinion, lost sight of conceptual positions like that, how to persuade young professionals to work in the system. "Salaries – stunningly miserable, – stated Vorobiev (Moscow, it should be noted, stands apart from this problem). – It's hard to imagine how people survive in these conditions. Graduates medvuzov not motivated to go into medicine today no. " And, in fact, are only some 50-60%. According to a State Duma deputy from the Communist Party, Vladimir Kulikov, "the initial rate of college graduates in the Russian health care – four or five thousand." And the "average salary of medical workers (excluding part-time), – he added – 50% of the average for the economy – that is, 10 thousand. " Personnel who "decide everything" today, according to Kulikova, 50% are made up of people of retirement and retirement age. "Factor-time – 1.4 to 1.6 – continued the deputy. – 90% say chronic fatigue. Ratio of doctors and nurses have one of the worst: one to two. Often a doctor is a reception, which means that 50% of the time they spend filling out the patient's history. " "As a result of medical errors – he reminded – in the year in Russia, killing over 10 thousand patients." In this case, said Kulikov, "forward-looking personnel policy of the draft law says nothing." He warned that "without solving the question of motivation Medical Corps 'officials' pre-fail the implementation of this project." Forecast seasoned member of the regular portion of grim statistics. For example, said that "in the countryside over the past 20 years to close half of district hospitals: it was 4,800 in 1990, in 2008, left 2500. Outpatient capacity decreased by 20%. Doctors there are four times less than in the city. And 70% of them – the retirement age. " And all this – with the overall aging infrastructure, equipment and technology. According to the study of the formulary committee of Medical Sciences, voiced Professor Vorobyev, "Infrastructure health deteriorated by 60-80%. Age of buildings – from 40 to 100 years. Many hospitals are located in the stables at the barracks, in homes. " "What is modernization? – Outraged Vorobyov, the deputy minister heard the speech Skvortsova. – What are we talking about? These buildings must be destroyed and in their place put the other. " He drew attention to the problems of institutional health care. Is not, in his words, "industrial, railway, military medicine. Somewhere you can survive, but somewhere, such as in military towns, there are no other medicine. People there are just out of medical helpand ". Vorobiev and reminded about the problems of prison medicine, in which "everything" except the elimination of TB pandemic, "awful", "prisoners were dried grass and herbs these are treated. Drugs do not. " Detailed account of the free medicines that are only 5-7% of the population, the market of counterfeit drugs, which "the state does not control," the smuggling of expensive pills and vials that "all who frequently travels abroad, carry in their pockets to friends and friends ", and Badakhshan, which became a" national calamity ". According to the president of the League of patients' rights Saversky Alexander, list all deficiencies does not make sense, "the project is not completed at the very core." "He claimed to be to build a system of relations in health care for years to come, and was supposed to play the role of the concept. But since there is no concept of – sorry expert – many questions still remain. It is as if the patient was treated with the wrong pill. " During the roundtable, Deputy Minister of Health spoke about the harmonious conceptual apparatus, which every day prior to the second reading of polishing a group of experts. However, the draft law "On protection of health" until there was no place for the term "health". "As guarded, then?" – Saversky interested, here is another referring to an incident from developers. The concept of "patient" in the document is treated as "an individual who receives medical services or has applied for the provision of health services regardless of his condition or disease." Petty, of course, but all the same: whether to treat a patient man, who suffered a heart attack in the street? Also still not clear we have paid medical or not. According Saversky, "as opposed to the Constitution, which says, where health care is provided free of charge, we are told not where it is and how much." According to the Health Ministry, 75% of Russians will receive medical services free of charge – at the expense of local government. A toll on the patient simply "entitled." We can not offer them "instead of, or the program of state guarantees the free provision of medical care to citizens." Well. "A chest x-ray for pneumonia – is a paid service or free? – Asks Saversky. – Your doctor may listen to the patient after diagnosis and without X-rays …. " Another issue of unsolved – a multi-channel funding system. As she was born the idea of the law "On local self-government." As the problem has become stronger in the pages of the new project. "A patient today can be paid in five or six sources simultaneously. Hence all the chief doctors and doctors in general are now engaged in devising ways of earning and totally engaged in the provision of copperQing aid ", – said vice-chairman of the formulary committee RAMS. What should I do? In response to today decided only the Communists. Kulikov proposes to solve the problem, increasing the volume of injections in health care cost. Due to corruption in government orders, due to additional revenues from the country's oil and gas exports, by introducing a progressive income tax, luxury tax, a monopoly on the implementation of exclusive products. And to top it off – put the squeeze on oligarchs by nationalizing the energy complex. Similarly, one can dream of, like, pressing the button unanimously "for" the first reading, all 315 edinorosov listen to the frustration of physicians and beneficiaries of their services in the second and third. At that stage, which made it to the new project, the concept does not change. "Patients" are now able to rely on cosmetic corrections. Daria Mironova
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