What Was, What Will Be: The Ministry Of Health Spoke About The State Of The Industry And Plans For The Future

What was, what will be: the Ministry of Health spoke about the state of the industry and plans for the future

In Svetlogorsk, chaired by Vladimir Putin, a meeting of the Presidium of the State Council was held on the tasks of the regions in the field of healthcare. According to the head of the Ministry of Healthcare Veronika Skvortsova, the country has formed "a single national patient-oriented system that unites the entire medical potential of the country." Mednews publishes a summary of the minister's report.

Photo: kremlin.ru /

On the last day of October in Svetlogorsk, chaired by Vladimir Putin, a meeting of the Presidium of the State Council was held on the tasks of the subjects of the Russian Federation in the field of healthcare. According to the head of the Ministry of Healthcare Veronika Skvortsova, the country "has undergone serious transformations aimed at the formation of a single national patient-oriented system that unites the entire medical potential of the country." Mednews publishes a summary of the report of the Minister of Health.

Three-tier model

A three-tier regional health model was developed and implemented. To provide emergency specialized care in life-threatening conditions during the "golden hour", a second - interdistrict - level was created. Today, there are more than 1200 angioneurological and cardiological vascular centers, 1500 trauma centers, which has made it possible to reduce the mortality rate from strokes and combined injuries by more than 2 times since 2008 (from myocardial infarction - by 18%). The third level of the system was formed - 836 head regional organizations, which led to an increase in the volume of HMP by 5.3 times. Including, 94 perinatal centers have been created to coordinate regional obstetric care systems.

In 2014–2016, for the first time since the Soviet period, the requirements for the placement of primary health care infrastructure were revised. The result was a gradual restoration of rural medicine: more than 2.4 thousand new rural medical facilities were put into operation. Since 2019, 6 federal projects of the National Projects "Healthcare" and "Demography" have been launched, aimed at improving the work of primary care.

What needs to be done:

By the end of this year, at least 390 FAPs will be built. By 2022, within the framework of the National Project, it is planned to purchase another 1,300 mobile diagnostic complexes to provide medical care to residents of sparsely populated areas. A large-scale revision of the primary health care infrastructure, layouts and capacities is planned with an assessment of the deterioration of buildings, equipment and vehicles and the compilation of lists of facilities requiring new construction, reconstruction, overhaul, and re-equipment.

Digitalization

Since 2014, the number of medical organizations using medical information systems has increased 7 times to 15.5 thousand.Electronic medical records and the exchange of medical documents, including prescriptions and disability certificates, electronic doctors' schedules and remote appointments, automated workers have been introduced places of medical workers.

What needs to be done:

Now it is necessary to ensure that these systems comply with the approved uniform requirements. The creation of a unified digital circuit of the National Healthcare System, including all the necessary subsystems: routing and control of patient flows, dispatching of medical auto and air transport, drug supply, laboratory and instrumental research is planned until 2022. Maximum program: creation of a system of multilevel telemedicine consultations and remote diagnostics and monitoring of the health status of patients from risk groups.

Personnel for primary care

Mechanisms were introduced to secure staff at workplaces: accreditation as a mechanism for admitting university graduates to primary health care (cancellation of internship - ed.); targeted training of specialists, the efficiency of which has increased to 90%; programs "Zemsky doctor / Zemsky paramedic", which brought more than 34 thousand young specialists to rural medicine, increasing the rate of provision of rural population with doctors by 21%.

What needs to be done:

The Ministry of Health revised the rules for competitive admission to residency, giving advantages to specialists with experience of work in primary care. The number of target places for specialist programs will be increased to at least 70% and residency - up to 100%.

To reduce the deficit of nurses, the number of budget places in regional medical colleges will be increased by at least 30% of the deficit.

Regional programs for the modernization of primary care will contain measures for social support of health workers, primarily, housing, and the development of a mentoring system.

The quality of medical care

Since 2012, mandatory procedures for the provision of medical care by profile, national clinical guidelines for major diseases, and criteria for the quality of medical care have been developed and implemented. Professional standards for 58 medical specialties have been approved. The educational programs of universities have been updated, 105 simulation training centers have been launched, 2,700 interactive educational modules for distance education have been introduced, which are posted on the Federal Portal of Continuous Professional Education of the Ministry of Health. In addition, in order to provide methodological and advisory support, a network of leading national medical research centers has been formed since 2016, which supervise the specialized divisions of the regions and provide round-the-clock telemedicine assistance.including through diagnostic reference centers.

What needs to be done:

in 2020, a large-scale implementation of the first intelligent vertically-integrated information system for the oncology profile will begin, designed to bring quality and continuity management of medical care and support of medical decisions to a new level. Similar systems will be developed for the main medical profiles and implemented until 2023.

State Council results

The main result of the State Council is the instruction to the government to allocate an additional 550 billion rubles for the modernization of primary health care over the next 5 years. The state will increase funding for the healthcare sector and in general, Russian President Vladimir Putin said at a meeting with the public of the Kaliningrad region following the meeting. “If this year we have 3.7 percent of GDP, then next year it will already be 4.1 percent of GDP. In many countries it is more than 4%, but there the tax burden is also higher,”Putin stressed.