Hospital revolution

Anonim

While with the state of health of Muscovites, and with the level of medicine, we are not all smooth. According to the social supports, only 61% of Muscovites are satisfied with the quality of medical care in the capital. The total mortality rate is 26% higher than in the old European countries, and infant mortality - 5% higher than in the new EU countries. At the same time, 40% of hospitals and clinic of the city are worn out at least 60%, and only 37% of medical institutions comply with the standards of equipping by medical equipment. The efficiency of polyclinic care is extremely low. "In the world, 70% of people receive assistance in an outpatient polyclinic link, and 30% in hospitals. We have everything on the contrary. Up to half of the patients of our hospitals could be treated at home, "said Leonid Probnikov, head recently.

The program, which, as the deputy head of the metropolitan health department, Nikolai Plavunov, told the deputy head of the metropolitan health department, the city of Nikolay Plavunov, the city's government has already taken as a basis. The program is divided into eight subroutines. The first, "formation of an effective medical care system" provides for the emergence of a single information space in urban healthcare institutions. In addition, a goal is to reduce the level of duration of hospitalizations (on average - up to 9.5 days per patient) and increase the efficiency of using a kainy fund of urban hospitals. For example, in five years, the average annual employment of the bed in urban hospitals will reach 320 days a year (today - 311 days). The number of patients treated according to standards, the authorities intend to bring up to 100% (today is 75.1%). And the level of availability of high-tech medicine is up to 95%. Thanks to all measures taken, the average life expectancy of Moskvich will reach 76.5 years in 2016 (today - 73.5 years). As for the ambulatory care system, it will become a multi-level. The primary patients will take the district polyclinics of the 3rd level - here will provide first aid and, if necessary, send for complex surveys to the inter-dertestorial polyclinics of the 2nd level. But the 1st level will present district clinical diagnostic centers, where it will be possible to undergo a complex diagnosis (for example, magnetic resonance therapy). "We will have at least 5 computer tomographs for each administrative district," the head of the Commission on Health and Public Health, Moscow City Duma Lyudmila Stebenkova.

The purpose of the Specialized Medical Assistance subprogramme is a decrease in mortality from cardiovascular, oncological diseases, as well as improving the situation with tuberculosis, the main pedestals of which are illegal migrants today. For example, the subprogramme provides for the construction of new vascular centers and the emergence of 12 round-the-clock compounds on angiography.

The subprogramme "Maternity and childhood" provides for the creation of new perinatal centers, an increase in the number of high-tech medical care (the main centers of its provision will be the Filatovskaya hospital, the hospital. Saint Vladimir and Morozovskaya hospital). The authorities intend to provide mothers of warranty in hospitals along with children. Women's consultations want to unite with the maternity hospitals - so that the future mother could have been observed from the first days of pregnancy from doctors who will take childbirth and have access to high-tech diagnostic methods that reveal the malformations of the fetus development in the early pregnancy.

The subprogramme "Health of the Older Generation" implies the discovery of special geriatric centers in Moscow, whose patients will be people over 60 (there, as promised in the Department, the attitude towards senic diseases will be more attentive). By 2016, 44.3% of representatives of this age group will be covered by dispensarization. As Floavun told, such attention to representatives of the older generation authorities are given for the first time. It is assumed to phased retraining of urban therapists in the specialty "Geriatry" (prevention and treatment of elderly diseases) and the creation of geriatric cabinets in each clinic.

A separate subprogramme - "medical support of disabled" is devoted to people with disabilities. Among the tasks, including to achieve full provision of disabled sanatorium-resort treatment and free medicines.

The "Healthy Lifestyle" subprogramme implies the further development of the health centers and prophylaxis departments in the polyclinics. The authorities intend to come up with how to stimulate employers to force their employees to follow health. "By 2016, we will bring coverage of the population with preventive inspections to 96%, the tasks of early detection of cancer, especially breast cancer and prostate cancer, as well as diabetes and hypertension," says Floatov.

The personnel support of medicine, which is devoted to the subprogramme "Development of Human Potential" is also dedicated. Today in Moscow the oversupply of obstetrician-gynecologists and urologists, despite the fact that there is not enough neonatologists, ray diagnostic and anesthetics specialists and anesthetics specialists. Preparation of scarves started at the Moscow Faculty of Second Honey. In addition, the city creates a single diagnostic center for radiation diagnosis, whose specialists will advise the doctors around the clock from the districts and districts. And recently, the Mayor Sergei Sobyanin instructed to create the Institute for Doctors' Qualification Institute for Devrav.

Professor Floavun notes that to track the growth of Muscovites' satisfaction with the quality of health care will be through questionnaire surveys (a questionnaire for visitors to the clinic and hospitals is now being developed), as well as by exit-pools.

Read more