In The City - For Money, In The Countryside - Nothing At All: ONF Checked The Availability Of Medical Care In Russia

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In The City - For Money, In The Countryside - Nothing At All: ONF Checked The Availability Of Medical Care In Russia
In The City - For Money, In The Countryside - Nothing At All: ONF Checked The Availability Of Medical Care In Russia

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In the city - for money, in the countryside - nothing at all: ONF checked the availability of medical care in Russia

Many rural medical institutions in Russia do not even have thermometers and blood pressure monitors, and it is almost impossible to find a little more complex medical equipment. In urban areas, patients are increasingly forced to pay for diagnostic procedures, delaying their waiting times. Such data were published by the ONF, which monitors the availability of medical care in the country.

In the city - for money, in the countryside - nothing at all: ONF checked the availability of medical care in Russia
In the city - for money, in the countryside - nothing at all: ONF checked the availability of medical care in Russia

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Many rural medical institutions in Russia do not even have thermometers and blood pressure monitors, and it is almost impossible to find a little more complex medical equipment. In urban areas, patients are increasingly forced to pay for diagnostic procedures, delaying their waiting times. Such data were published by the ONF, which monitors the availability of medical care in the country.

Not in the village

The organization's activists monitored the availability of medical care in rural areas, where one fourth of the country's population lives. In particular, the equipment of rural medical institutions was checked for compliance with the standards established by the Russian Ministry of Health. In total, 2.3 thousand medical organizations were checked - medical outpatient clinics and paramedic points. Of these, in accordance with the standards, no more than 20% are equipped with medicines and medical equipment. So, in 38% of the checked medical organizations there are no safes for storing medicines, in 10% - refrigerators, 7% - tonometers, 5% - thermometers, 2% - phonendoscopes. In 40% of medical institutions, incomplete sets of crutches were found.

The worst is the situation in FAPs: among them, no more than 15% are equipped in accordance with the standards of the Ministry of Health. The rarest equipment here turned out to be an automatic defibrillator (there is no device for restoring the heart rate in 77% of FAPs), an express analyzer of blood cholesterol levels (not in 70%) and an oxygen inhaler (not in 68%).

Among medical outpatient clinics, 25% meet the requirements of the Ministry of Health. The least common were an electric sterilizer, an oxygen inhaler and portable express blood cholesterol analyzers, and a portable ventilator. In most cases, there are no test systems for detecting various diseases.

The ONF has created an interactive “Map of the availability of medical care” in small settlements, within the framework of which activists conduct monitoring and raids on rural medical organizations. Based on the results of this work, a public report on the availability and quality of medical care in small settlements will be prepared.

Not in the city

In city state institutions, the volume of paid medical services remains at a high level. Four thousand medical workers, including almost 3.5 thousand doctors from 85 regions of the Russian Federation, took part in the survey, which was conducted in November by the ONF and the Health Foundation. The majority of respondents (58%) believe that the share of paid medicine in public medical institutions increased in 2018. 7% of health workers hold the opposite opinion, and 35% did not notice any changes. To the question "are you aware of cases of imposing copayments in the provision of medical care under the compulsory medical insurance?" 20% answered in the affirmative.

In addition, many doctors reported non-compliance with the waiting times for diagnostic tests approved by the program of state guarantees for free medical care. Thus, 53% of the respondents claim that the waiting times for X-ray (including mammography), ultrasound and functional examinations are not met, and 59% say that they have to wait more for computed and magnetic resonance imaging and angiography.

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