On preferential medicines, high-tech medical care quotas and other urgent problems of Russian health care in this article.
Content
State budget - and it was trimmed by financing some germograms. What
Waiting for those whose quality of life depends on
social programs? Journalists are divided by the Minister of Health and Social Development Tatyana Golikova.
- Often you have to hear that patients are poorly provided with preferential drugs. It is impossible to bring order in this area?
- Drug Equipment was particularly acutely criticized in 2007. Despite the fact that there were no problems with money for these purposes. The problem was to organize the process.
- Now she is left?
- With Ordregrels to one degree or another we will face! No state decisive to the problem of medicinal support has not found a solution that satisfies everyone. We work on improving our system: Starting from January 1, 2008. They returned a significant part of the authority to ensure drugs to the level of regions, because they can respond more to the existing situation with changes in the contingent categories of citizens who have preferential provision. Only this and reduced the level of criticism and complaints.
Often in the press we encounter publications in which, with reference to the authorities of the constituent entities of the Russian Federation, information contains the fact that the provisional of drug leave in 426 rubles is established. on man. This standard really exists, but it is intended for transfer to the regional budget, and not to fix leave for a particular person. Moreover, we have recently been listed to all regions in addition to the money that they already have, another 10 billion. rub. Only for the current year. With a prudent organization of the process, the problem must be closed.
- If the money you allocate is enough, and people still do not get the volume of medicines that need, in their opinion, where they can complain?
- First of all - to the regional authorities. In addition, there is a supervisory service, jumped by our ministry. People can contact us.
- At one time, professors and academicians said that there are good domestic equipment and drugs. But the ministry has an interest in expensive foreign procurement.
- Interest and even commitment exclusively to Western drugs and we have no technique. Moreover, now the Ministry of Industry, which is enshrined in the development of the medical industry, together with our ministry develops a strategy of its development to 2020. It is emphasis on the development of domestic production. We can't buy domestic drugs in large volumes, because some items simply do not. And the questions of medical equipment institutions will now solve themselves - what and for how much exactly to buy. We will allocate money and follow the observance of legislation.
The only thing we will remain during 2008., - Providing drugs and vaccination of the population, these are two major centralized purchases. Everything else since 2009. will be submitted and on execution of institutions or regional authorities.
How to eradicate bribery and increase quotas
- Tatyana Alekseevna, Frankly: Will it turn out that the clinics and state cersis will turn into commercial not only because of informal shares, but simply bribes, but now already because of the official position?
- We are working on «Health Development Concept» up to 2020. Its important element will, of course, the organization and financing of the medical assistance itself. Receiving additional money from the patient doctors, of course, must be eradicated. But this is possible only with the change in the provision of medical care in general.
The cost of each service must be recorded so that in the future it is paid for the treated patient. A person must be able to choose a medical institution and insurance organization. In our today's understanding, it looks more like voluntary insurance when a person himself pays and goes to be treated. Now it is important that these civilized elements are transferred to the publicist when the state will pay medical services for a particular citizen. But this is not the situation that can be solved in a short time. We must gradually start it to implement at least so that people are not confused.
- We are constantly faced with the fact that a more or less serious operation in Russia cannot do. Either come back on quotas: they say, we have only 10 quotas, and you are eleventh, we cannot help you sell an apartment to save the child.
- Question Quotas - Money Question. We very seriously increased financial support for high-tech assistance. Three years ago there were 7 billion in the federal budget. rub. Next year will be 28 billion. rub. And this is not counting regional funds. In today's plans of the government there is a landmark - to provide 80% of those needing 2012. Now we create an information system in order to promptly respond to the situation and reduce the waiting time for complex operations. After all, the doctor sends to a well-known institution without knowing that there may be a little promoted clinic, where they can provide the necessary assistance at the same high level.
