Tatarstan to revive air medical service
Tatarstan Minister of Health Marat Sadykov: about plans and projects of the ministry for the year 2019
Tatarstan Minister of Health Marat Sadykov summed up the results of the year at a press conference on 25 December. It was held in the children's polyclinic of the Republican Clinical Hospital in Azino. The venue was chosen for a reason — as a vivid example of successful modernization of children's medical institutions. The correspondent of Realnoe Vremya attended the annual conference.
Fasten your seat belts, we are taking off
The press conference as usual started with a video presentation — a film about air medical service, which is reviving in Russia, in which Tatarstan is actively involved. Marat Sadykov reminded that in 2017 the republic has already been given an Ansat air medical helicopter:
''The air medical fleet of the republic now consists of an Ansat helicopter, Robinson helicopter and Mi-8 helicopter. The Robinson is not used to transport patients, but to allow our specialists to fly to the districts for consultations. We plan to use two Ansat helicopters. What amount will be allocated by the Russian government will become known after December 30.''
''We have completed the unique two-year programme of modernization of the primary care,'' the minister reported. ''By the end of the year, 187 polyclinics have been commissioned and equipped with new equipment and furniture in Tatarstan. Our pride is the large-scale modernization of children's polyclinics, which we started much earlier than other regions of the country.''
Next thing in the agenda, as it turned out, is the modernization of psychiatric clinics in Kazan that have long been in need of updating, where mentally ill people are kept in conditions of not even the past, but of the century before last:
''The legendary Republican clinical psychiatric hospital celebrates its 150th anniversary in 2019. A programme for the modernization of mental health service in the building has already been prepared. Everything will be carried out in stages, it is necessary to systematically build its work. First of all, it is necessary, to put it mildly, to improve the conditions, in which people work. On the psychiatric policlinic on Butlerov Street, the money has already been allocated, the works begin in 2019.''
The first and only
The words about the ''first'' and ''only'' region were heard during the press conference several times. For example, it turned out that in 2018 Tatarstan became the only region in the Volga Federal District where the positive natural population growth was preserved. That is, we still give birth more than die. Against the background of the general aging of the population, there is something to be proud of.
Besides, Tatarstan was the first in Russia by the issuance of electronic sick leave certificates. Those who faced with their registration at the beginning of the digitalization of the process remembers what difficulties arose from the accounting department, and now there are still those who come back to hospital registration and complain that their certificates are ''wrong''. However, such cases are becoming fewer.
In 2018, a number of high-tech operations were carried out in Tatarstan, which previously had not been done in regional clinics. For example, Marat Sadykov said that the Interregional Сlinical and Вiagnostic Сentre (ICDC), Kazan city hospital No. 7, Almetyevsk medical unit of Tatneft JSC and City Emergency Hospital in Naberezhnye Chelny now use the innovative method of aortic endoprosthesis, which allows to reduce the duration of the patient's stay in the clinic by an average of 5,5 days and the duration of the patient's stay in the intensive care unit by an average of 3,7 days.
From data collection to quality treatment
Not the first, but among the first 20 regions of Russia, Tatarstan has started drawing up passports of health of all regions of the republic. Marat Sadykov stressed that this is not an end in itself, he explained to the correspondent of Realnoe Vremya that the purpose of documentation is to identify the characteristics and causes of morbidity, and later — the development of comprehensive programmes for the prevention of certain diseases peculiar to the region.
According to the Financial University under the Government of the Russian Federation, Kazan this year has been among the fifteen leading cities by the quality of medical care. Other fourteen are Moscow, St. Petersburg, Surgut, Balashikha, Tyumen, Yekaterinburg, Sochi, Petrozavodsk, Yoshkar-Ola, Khimki, Cheboksary, Yakutsk, Volzhsky and Cherepovets.
The minister reported that next year the ministry plans to ''continue the development of health informatization and the introduction of telemedicine.''
Help to cancer patients will become closer
The implementation of a pilot project in the field of oncology will continue next year. In order to increase the availability of specialized cancer care in Almetyevsk, it has been laid the basis of the future radiological building, which will reduce the flow of patients to Kazan, taking over the treatment of residents of the north-east of Tatarstan.
''Despite the increase in the incidence of tumors, for 9 months of 2018, compared to the same period of 2017, we noted a decrease in the mortality of the working-age population of Tatarstan from cancer,'' Marat Sadykov cautiously rejoiced. ''The indicator for 9 months of 2018 amounted to 69,5 per 100,000 population.''
Persuasion is also a treatment
One of the important directions of work the ministry considers to be… propaganda. And it's not about campaigning for healthy lifestyle, although this, as the minister of health told the correspondent of Realnoe Vremya, is also an important task. But it is very important, he said, to systematically conduct interdepartmental work to reduce the number of those who refused the set of social services in favour of monetary compensation. After all, the more people choose money, the less money is left for the purchase of expensive drugs for beneficiaries.
''Over the past five years, ''refusers'' from benefits decreased by 7 per cent, and this allowed us to maintain this year the lowest rate of refusals in the Volga Federal District — 66,9 per cent (the average for the Volga Federal District — 82,5),'' the minister cautiously rejoiced.
According to the minister, the implementation of national projects, repair and bringing hospitals to standards that provide comfort for patients, the development of geriatric service and rehabilitation direction are also planned for 2019.