National project “Healthcare. State program of the Russian Federation "health development" National Health Project
Announced by the President of the Russian Federation Vladimir Putin in 2005 as part of the implementation of four national projects.
Goals and objectives of the project:
1. Strengthening the health of the population of Russia, reducing the level of morbidity, disability, and mortality.
2. Increasing the availability and quality of medical care.
3. Strengthening primary health care, creating conditions for the provision of effective medical care at the prehospital stage.
4. Development of a preventive direction of health care.
5. Meeting the needs of the population in high-tech medical care.
The main directions of the priority national project in the field of healthcare include:
Primary health care , which provides for the following activities: training and retraining of general (family) practitioners, local general practitioners and pediatricians; an increase in wages for primary health care workers, feldsher-midwife stations and ambulances; strengthening the material and technical base diagnostic service outpatient clinics, emergency medical care, antenatal clinics; prevention of HIV infection, hepatitis B and C, detection and treatment of HIV-infected people; additional immunization of the population within the framework of the national vaccination schedule; introduction of new screening programs for newborns; additional medical examination of the working population; providing medical care to women during pregnancy and childbirth in state and municipal health care institutions.
Providing the population with high-tech medical care: increase in the provision of high-tech medical care; construction of new centers of high medical technologies, training of highly qualified doctors and paramedical personnel for these centers.
In 2008, the national project "Health" included new measures aimed at reducing the mortality of the population of the Russian Federation from manageable causes and maintaining the labor potential of the country:
Improving the organization of medical care for victims of road traffic accidents, which will help to reduce the death rate due to traffic accidents by 2,700 cases annually, as well as reduce disability to the level of 8,000 cases per year. As part of this direction, it is planned to equip 1,130 state and municipal institutions healthcare with ambulance vehicles (610 units) and medical equipment (4,182 units).
Improving medical care for patients with cardiovascular diseases will ensure a 1.3-fold reduction in mortality from cardiovascular diseases (from 325 to 250 cases per 100,000 population). As part of this direction, it is planned to create regional vascular centers for minimally invasive surgery in healthcare institutions of the constituent entities of the Russian Federation and municipalities.
Development of new high medical technologies on the basis of federal medical institutions, as well as medical institutions under the jurisdiction of the constituent entities of the Russian Federation and municipalities, which will increase the level of provision of the population with high-tech types of medical care to 70% of the need.
In 2009, the following areas were additionally included in the national project "Health":
Formation among the Russians healthy lifestyle life. Within the framework of this direction, the Ministry of Health and Social Development of Russia proposes to conduct a large-scale information campaign aimed both at combating alcoholism and smoking, and at promoting a healthy lifestyle.
Reducing morbidity and mortality from tuberculosis. The program provides for the introduction modern methods diagnosis and prevention of tuberculosis, treatment and rehabilitation of patients.
The State Program of the Russian Federation “Health Development” (hereinafter referred to as the State Program) was approved by the Decree of the Government of the Russian Federation of December 26, 2017 No. 1640 “On Approval of the State Program of the Russian Federation “Health Development”.
Decree of the Government of the Russian Federation of March 29, 2019 No. 380 “On Amendments to the State Program of the Russian Federation “Health Development” approved changes to the State Program regarding the adjustment of goals, the composition of co-executors and participants, the structure and timing of the implementation of the pilot State Program, the rules for the provision and distribution subsidies from the federal budget to the budgets of the subjects of the Russian Federation.
The State Program was developed in accordance with the Rules for the Development, Implementation and Evaluation of the Effectiveness of Certain State Programs of the Russian Federation, approved by Decree of the Government of the Russian Federation of October 12, 2017 No. 1242 “On the Development, Implementation and Evaluation of the Effectiveness of Certain State Programs of the Russian Federation”.
The state program has been prepared taking into account the provisions of:
- Messages of the President of the Russian Federation to the Federal Assembly of the Russian Federation dated March 1, 2018; February 20, 2019;
- Decree of the President of the Russian Federation of May 7, 2018 No. 204
"On national goals and strategic objectives development of the Russian Federation
for the period up to 2024”; - The main areas of activity of the Government of the Russian Federation for the period up to 2024, approved by the Chairman of the Government of the Russian Federation D.A. Medvedev September 29, 2018 No. 8028p-P13;
- Guidelines for the development of national projects (programs), approved by the Chairman of the Government of the Russian Federation D.A. Medvedev June 4, 2018 No. 4072p-P6;
- Organization Regulations project activities in the Government of the Russian Federation, approved by Government Decree
Russian Federation dated October 31, 2018 No. 1288;
- documents strategic planning Russian Federation
in the health sector; - decisions (orders) of the President of the Russian Federation
and the Government of the Russian Federation; and etc.
Taking into account the Decree of the President of the Russian Federation of May 7, 2018 No. 204 “On the national goals and strategic objectives of the development of the Russian Federation for the period up to 2024” (hereinafter - Decree No. 204), the goals of the State Program have been adjusted.
Goals of the State Program:
1) reduction by 2024 of mortality in the working-age population
up to 350 cases per 100 thousand population;
2) reduction by 2024 of mortality from diseases of the circulatory system to 450 cases per 100,000 population;
3) reduction by 2024 of mortality from neoplasms, including
from malignant, up to 185 cases per 100 thousand population;
4) reduction by 2024 of infant mortality to 4.5 cases per 1,000 live births.
Values of target indicators by years of implementation are indicated
in the passport of the State program.
The deadline for the implementation of the State Program has been changed from 2025
for 2024 in accordance with the deadline for completing the implementation of the national project "Healthcare". This change was approved by Decree of the Government of the Russian Federation dated October 13, 2018 No. 2211-r “On Amendments to the List of State Programs of the Russian Federation”.
The project part of the pilot State Program includes the national project "Healthcare" (hereinafter referred to as the National Project).
The structure of the National Project reflects in the form of structural elements
8 federal projects:
“Development of the primary health care system”;
"The fight against cardiovascular diseases";
"Fight against oncological diseases";
"Development of children's healthcare, including the creation of a modern infrastructure for the provision of medical care to children"
"Security medical organizations health care systems with qualified personnel”;
"Development of a network of national medical research centers
and introduction of innovative medical technologies”;
"Creation of a single digital contour in healthcare based on a unified state health information system (EGISZ)";
"Development of export of medical services";
Passports of federal projects approved by the minutes of the meeting of the project committee for the national project "Healthcare"
dated December 14, 2018 No. 3.
In addition, the structure of the design part of the State Program includes 2 federal projects implemented within the framework of the national project "Demography":
"Strengthening public health";
"The older generation".
The process part of the State Program includes 24 departmental targeted programs(VVP) developed on the basis of individual activities.
The development and approval of the projects of the TDC was carried out in accordance with
with the Regulations on the development, approval and implementation of departmental
target programs approved by Decree of the Government of the Russian Federation of April 19, 2005 No. 239 (as amended on February 23, 2018 No. 196).
The State Program includes in the form of appendices the Rules for the distribution of subsidies from the federal budget to the budgets of the constituent entities of the Russian Federation, as well as summary information on the accelerated development of priority territories of the Russian Federation. The list of priority territories has been brought into line with clause 1 of Decree of the President of the Russian Federation of November 3, 2018 No. 632 “On Amendments to the List of Federal Districts Approved by Decree of the President of the Russian Federation of May 13, 2000 No. 849”.
Budget for citizens for 2020 and the planning period 2021-2022 Budget for citizens to the draft decision on the budget for 2020 and the planning period 2021-2022 Budget for citizens for 2019 and the planning period 2020-2021 Budget for citizens to the draft decision on the budget for 2019 and the planning period 2020-2021 The budget for citizens for 2018 and the planning period 2019-2020 The budget for citizens for the report on budget execution for 2017 The budget for citizens for the draft decision on the budget for 2018 and the planning period 2019-2020 Citizens' budget for 2017 and the 2018-2019 planning period Citizens' budget for the 2016 budget execution report Citizens' budget for the draft budget decision for 2016 and the 2017-2018 planning period Citizens' budget for draft decision on the budget for 2017 and the planning period 2018-2019 The budget for citizens for 2016 and the planning period 2017-2018 (subject to changes as of December 28, 2016) The budget for citizens for 2015 and planning period 2016-2017 Citizens' Budget for 2014 and planning period 2015-2016 Budget Historical background Financial management structure- District industry Industry in 2015
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- Information in accordance with Federal Laws 25-FZ of March 02, 2007, 273-FZ of December 25, 2008 and the Law of the Krasnoyarsk Territory No. 5-1565 of April 24, 2008 Information about income and expenses for 2012 Information about income and expenses for 2013 Information about income and expenses for 2014 Information about income and expenses for 2015 Information about income and expenses for 2016 Information about income and expenses for 2017 Information about income, expenses for 2018
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- Federal program Regional program
Results of the implementation of the priority national project "Health" for the 1st half of 2017
The implementation of the priority national project "Health" in the Severo-Yenisei region in the 1st half of 2017 was carried out in the following main areas:
1. Provision of outpatient primary health care
Staffing of sites in the area: therapeutic sites - five(state enterprise Severo-Yeniseisky), pediatric sites - two(GP Severo-Yeniseisky), mixed sites - two(adults and children) (p Thea, p Bryanka).
Works for them: doctors - 8 , nurses - 9 .
Staffing by district doctors is 100%, by nurses - 100%.
Staffing of sites with general practitioners is 100%.
The staffing of the Bryankovskaya district hospital is 100%.
FAPs in the district - 4, they work - 4 paramedic (heads of the FAP) and 2 medical sisters. Staffing 100%
The number of attached population at the sites, according to the directory of the Territorial Compulsory Medical Insurance Fund of the Krasnoyarsk Territory as of 06/30/2017 - 12197 people:
Therapeutic site No. 1 - 2815 people (norm - 1700);
Therapeutic site No. 2 - 1503 people (norm - 1700);
Therapeutic site No. 3 - 1445 people (norm - 1700);
Therapeutic site No. 4 - 1459 people (norm - 1700);
Pediatric site No. 1 - 717 children (norm 800);
Pediatric site No. 2 - 965 people (norm 800);
Tey medical outpatient clinic - 1533 people (adults and children, the norm is 1200);
Bryankovskaya district hospital - 512 people (adults and children, the norm is 1200);
FAP v. Vangash - 348 people
FAP v. Velmo - 168 people
FAP v. N-Eruda - 31 people;
FAP N-Kalami - 701 people.
2. Provision of primary health care in round-the-clock and day hospitals.
The stationary network of the institution in the 1st half of 2017 was represented by:
Round the clock hospital:
Day hospital:
The total bed fund is 71 bunk. The day hospital has 20 beds in the state enterprise Severo-Yeniseisky.
The provision of round-the-clock beds per 10,000 people is 41.6 beds.
The plan for the volume of medical care provided by a round-the-clock hospital for 2017 is 1823 treated patients per year.
For the 1st half of 2017, with the help of a round-the-clock hospital, 1095 patients, with the planned value for the 1st half of 2017 - 912 , execution amounted to 120,0%.
The average length of days the patient stays in bed in the 1st half of 2017 is 8,9 bed-days, bed occupancy for the 1st half of 2017 191,1 day.
Indicators of medical care in a round-the-clock hospital
The stage of post-treatment of patients in a round-the-clock hospital is a day hospital, represented by surgical, therapeutic, gynecological and pediatric profiles. The execution of the planned volume of medical care provided by the day hospital for the 1st half of 2017 amounted to 90% from the semi-annual plan. The average duration of a patient's stay in bed was 9,8 day.
Day hospital care indicators
3. Provision of emergency medical care
The provision of medical care is carried out in accordance with the accepted procedures and approved standards of the Severo-Yenisei Regional Hospital.
For the 1st half of 2017, the planned volume of work of emergency medical care amounted to 1668 trips, in fact, for the 1st half of 2017, 1668 trips, which amounted to 100,0% in relation to the planned volume.
For the 1st half of 2017, an ambulance was provided 1664 citizens hospitalized in a hospital 254 citizen.
Ambulance performance indicators
4. Additional immunization of the population within the framework of the national vaccination schedule for the 1st half of 2017.
An important direction of immunization for the population of the region is vaccination against seasonal flu. The plan brought to the North-Yenisei region for vaccination in 2017 is 3,950 people.
In the 1st half of 2017, vaccination against seasonal influenza was not carried out.
Flu
The plan for 2017 for vaccination against hepatitis B, brought to the North-Yenisei region, is 298 person, including 123 child.
53 vaccinations for children, which amounted to 43,1 from the annual vaccination plan.
First vaccination done 107 citizens, the second vaccination was carried out 93 citizens, the third vaccination was carried out 126 citizens.
Hepatitis B
For 2017, the annual plan for vaccination against tick-borne encephalitis made up 201 person, by revaccination against tick-borne encephalitis 344 person. The percentage of completion for the 1st half of 2017 of the revaccination amounted to 48,0% of the planned annual volume, and the percentage of vaccination completion was 91,1 from the planned annual volume.
For the 1st half of 2017, compared to the same period last year, the number of vaccinations against tick-borne encephalitis increased by 28%
Tick-borne encephalitis
For the 1st half of 2017, 964 HIV research, the plan for 2017 is 1500 people, the percentage of completion for the 1st quarter of 2017 amounted to 64,2 from the planned volume for 2017.
In relation to the 1st half of 2016, the number of HIV tests increased by 5,0% .
HIV research
5. Medical examination of certain groups of the adult population.
In the 1st half of 2017, in the healthcare sector, organizational measures were taken to conduct medical examinations for certain categories of citizens of the adult population of the Severo-Yenisei region:
Separate time has been allocated for medical examination of certain categories of citizens of the adult population;
Departure of a brigade of medical specialists to remote villages of the district was organized.
The adult medical examination plan for 2017 is 1775 Human. For the 1st half of 2017, the first stage of medical examination passed 968 the person who makes 54,5% from the annual plan, and 105,9 % of the semi-annual plan (914 people)
Dynamics of the distribution of health groups
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health |
2016 |
2017 |
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Passed 1 stage in 1 floor. 2016 |
% of annual plan |
Passed 1 stage in 1 floor. 2017 |
% of annual plan |
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3 a group |
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3 b group |
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TOTAL: |
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The dominant health group is the 3rd group (68.7%) - those in need of additional examination, outpatient treatment and those with chronic diseases.
In the first place are diseases of the endocrine system - 594 people (61%).
In second place is the group of chronic diseases of the cardiovascular system - 582 people (60%).
In third place are diseases of the digestive system - 377 people (39%).
Practically healthy people with the first health group - 12.17%.
One of the important features of the medical examination of the population is the identification adverse factors risks that may contribute to the occurrence of the disease, detection of diseases at an early stage of development.
Distribution of risk factors by age group and gender
|
Risk factor for the development of the disease |
Men (human) |
Women (man) |
Total (person) |
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21 - 36 years old |
39 - 60 years old |
Over 60 years old |
21 - 36 years old |
39 - 60 years old |
Over 60 years old |
21 - 36 years old |
39 - 60 years old |
Over 60 years old |
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Elevated blood pressure |
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hyperglycemia |
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Tobacco smoking |
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Risk of harmful alcohol consumption |
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Irrational nutrition |
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Low physical activity |
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Overweight (obesity) |
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The total risk factor for the development of the disease |
Men (human) |
Women (man) |
Total (person) |
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High overall cardiovascular risk |
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Very high overall cardiovascular risk |
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Poor nutrition prevails in all age groups, it is 716 human (74.0%) from those examined in the 1st half of 2017.
The second most common is smoking. This risk factor has been identified in 285 people (29%), 172 men and 113 women smoke. Smoking is more common among young people (21-36 years old) - 150 people.
In third place - low physical activity 23,0% , prevails at the age of 39-60 years.
Dynamics of newly diagnosed diseases
|
Names of the disease |
1st half of 2016 |
1st half of 2017 |
Growth rate in % 2017 to floor 2016 |
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Quantity |
examined (per 1000 population from examined) |
Quantity |
inspected (per 1000 population from examined) |
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With diseases of the endocrine system, incl. diabetes |
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With diseases of the circulatory system |
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with suspected malignancy |
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Respiratory diseases |
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Diseases of other organs and systems |
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The dominant diseases among those newly diagnosed in citizens are diseases of the human endocrine system, 22.83% of the total number of citizens who passed medical examination in the 1st half of 2017. Of these (53%) is assigned to obesity, which is predominant in the age group of 39-60 years.
Which implies the importance of reducing or eliminating risk factors such as poor nutrition, obesity, low physical activity.
6. Improving medical care for newborns and women during pregnancy and childbirth for the 1st quarter of 2017.
Planned for 2017 95 births .
For the 1st half of 2017: total births 49 , born alive 48 children.
The stillbirth rate was 20.4 ppm.
Received according to birth certificates for the 1st half of 2017, total 369 thousand rubles, including for the 1st coupon 159 thousand rubles, for the 2nd coupon 210 thousand rubles.
Coverage of pregnant women with early observation (registration for pregnancy up to 12 weeks) for the 1st half of 2017 - 91,0% from pregnant women who have entered the medical register.
7. Meeting the needs of the population in high-tech types of medical care:
For the 1st half of 2017, they needed high-tech types of medical care 9 patients.
For all 9 documents were drawn up and submitted to the Ministry of Health of the Krasnoyarsk Territory for taking the necessary measures to provide medical care.
8. Preferential drug provision:
For the 1st half of 2017, there were 370 federal beneficiaries who were issued and provided 3039 prescriptions, regional beneficiaries - 2 712 person, they are discharged and provided 2625 recipes.
Preferential drug provision
9. Improving the system of remuneration, material incentives medical workers according to the final results of the activity.
In the Severo-Yenisei regional hospital, the average monthly wage for the 1st half of 2017 amounted to 48379 rubles, including doctors 87287 rubles, nurses 42906 rubles, junior medical staff 35262 rubles.
Dynamics of the average monthly salary in the healthcare sector
*The average monthly salary for doctors and nurses and nurses is paid in accordance with the road map approved by the Ministry of Health of the Krasnoyarsk Territory for the Severo-Yenisei Regional Hospital.
10. Strengthening the material and technical base of healthcare with diagnostic equipment and sanitary vehicles.
For the 1st half of 2017, at the expense of the regional budget, equipment was purchased in the amount of 663.3 thousand rubles:
- medical furniture for FAPs – 179,1 thousand roubles.;
- tonometers automatic, mechanical – 57,8 thousand roubles.;
- glucose analyzer – 99,0 thousand roubles.;
- dental equipment – 227,6 thousand roubles.;
- medical bed for intensive care unit – 99,8 thousand roubles.;
Priority areas of activity of the healthcare system of the Severo-Yenisei region for 2017
· Reducing mortality from manageable causes, increasing the life expectancy of the population of the region;
· Improving information technologies in health care by creating a unified information system;
· Development of a system of continuous medical education using remote modules;
· Implementation of the "road map" of health care of the district;
· Improving the organization of medical care for the population of the region, intensifying the treatment process and introducing modern treatment technologies;
Ensuring the priority of prevention in the field of health protection, the formation of a healthy lifestyle;
· Preservation and strengthening of women's health, including pregnant women, while maintaining reproductive function;
· Development of volunteer movement in the healthcare system.
Methodological recommendations and reporting forms for the regional project of St. Petersburg "Development of the primary health care system"
Protocol No. 2 dated December 13, 2018 of the joint meeting of the project committees for the national projects "Demography" and "Health", the Council for Demographic Development of St. Petersburg and the Coordinating Council for Family and Childhood in St. Petersburg approved the passport of the regional project of St. Petersburg " Healthcare”, consisting of 7 passports of regional projects of St. Petersburg:
The Ministry of Health approved the National Health Project. Below are the main points that are planned to be implemented by the Ministry together with the regions of Russia.
The National Healthcare project is an interdepartmental one, 10 federal executive bodies, the Russian Export Center and 85 regions of the country will take part in its implementation. the main task that the project faces is to fulfill the goals that were formulated by the President of the Russian Federation in Decree No. 204 of 05/07/2018: reducing the mortality of the working-age population from two main causes - cardiovascular and oncological diseases, and reducing infant mortality.
The main emphasis in the federal project is devoted to improving the availability, quality and comfort of primary health care. It is planned to more than double the coverage of the population with preventive examinations. The task set by the President is for every Russian to be able to undergo a preventive examination once a year.
The process of introducing lean technologies - creating a comfortable environment in clinics - both for children and adults - is already underway. Technologies include a conveniently working reception desk, no queues when making an appointment and at doctor's offices, hassle-free medical examinations, separating the flow of healthy and sick patients, etc. By 2024, more than 7 thousand polyclinics and polyclinic departments should be included in this project.
The project is associated with a project to improve the personnel situation in Russian healthcare, so a separate block in it is dedicated to the additional staffing of medical positions, positions of paramedical personnel in primary care. Target installed - reach 95% staffing.
The federal project is further devoted to reducing mortality from cardiovascular diseases and improving the quality and availability of care for patients with cardiovascular diseases, ranging from prevention, including population-based, development of a healthy lifestyle and individual prevention. Of course, these programs are also closely related to the first task - with the passage of medical examinations, clinical examination and correction of identified risk factors. The Ministry of Health plans to introduce modern clinical guidelines and treatment protocols for all patients.
It is planned to reduce mortality from diseases of the circulatory system from 587 to 450, that is, by more than 130 thousand. This means that in 2024 the number of deaths due to vascular causes will decrease by more than 200 thousand.
Next is the task of combating cancer. There should be a total alertness to oncological diseases in the primary care, for which not only all district doctors, but also narrow specialists working in outpatient facilities are subject to special training. The Ministry of Health has developed a special illustrated program, informational, remote, which allows you to pass the initial testing and then improve your skills in mastering this material. Currently, 80% of district therapists have completed this program and received the appropriate certificate. We need to involve local pediatricians, narrow specialists and general practitioners, family doctors in it. The second point is the formation of outpatient oncological services at the interdistrict, intermunicipal level.
A separate part of the program is not just the elimination of the shortage of personnel in the oncological service, but the creation of a new generation of personnel, including not only medical personnel, but also engineering personnel. This training will be carried out in cooperation with the Ministry of Science and higher education RF. Clusters will be formed jointly to train radiochemists, medical physicists, radiophysicists - those specialists without whom radiology cannot develop.
The fourth direction is the improvement of medical care for children, including the development of children's infrastructure. It includes the development of the preventive movement and the introduction of new preventive technologies.
The fifth direction is dedicated personnel policy in healthcare. First of all, the shortage of personnel in the primary link must be eliminated. The next task is to develop digital medicine. By 2022, each of the 85 regions should create a full-fledged information system that meets strict uniform criteria, with the connection of all medical organizations to this regional information system. To this end, unified centralized servers are being introduced, a digital archive of images, laboratory tests, centralized regional dispatching rooms for ambulances, not only road, but also air ambulance - that is, those systems that allow ensuring the continuity of medical care and monitoring its quality, patient routing etc.
There is also a project to develop the export of medical services. It raises the image of Russian medicine, attracts additional resources for the development of clinics. The potential here is very large - over the past two years, the number of foreign patients in the hospitals of our country has seriously increased - from 20 thousand to more than 110 thousand. This direction allowed only last year medical institutions earn about $250 million. The goal set by the President is to quadruple revenues to a billion dollars a year. For this, a special communication campaign will be developed.
Of course, the complexity of the implementation of this project is due to the fact that the main powers for the implementation of the provision of medical care are given in our country to the constituent entities of the Russian Federation. The task of the Ministry of Health is to organize the management of this national project in such a way that there are no distortions in its implementation in the regions. For this, the Ministry of Health plans to create 85 regional projects based on the generally approved national project. They will be individualized according to the specific needs of a particular region, and all indicators arranged by years will be clear in them. The Ministry of Health will not only control, but also actively help the regions in order to achieve their goals. If all this goes as planned, Russian medicine move to another quality level.
From a speech by V. Putin at a meeting with members of the Government, the leadership of the Federal Assembly and members of the Presidium of the State Council on September 5, 2005:
“First of all, about health measures.
It must be admitted that the situation here is far from favorable. It needs to be radically changed. I consider it necessary to pay special attention to the development of primary health care, primary health care, disease prevention, including vaccination and effective medical examination of the population. We must significantly reduce the prevalence of infectious diseases, including HIV infection and others, introduce new programs medical examination newborns.
In the next two years, more than 10,000 municipal polyclinics, of which more than a third are in rural areas, as well as a significant number of district hospitals and feldsher stations, will need to be equipped with new diagnostic equipment. This is almost all primary health care. We have a little more of them, about 17.5 thousand, but the difference is a departmental network.
At the beginning of 2006 the salaries of district physicians, pediatricians and general practitioners should increase by an average of 10,000 rubles a month, and that of nurses by at least 5,000 rubles. At the same time, its specific size should directly depend on the volume and quality of medical care provided. I want to emphasize: not up to 10 and up to 5 thousand, but by 10 and 5 thousand - that is, a plus to what is.
More than tens of thousands of district doctors and general practitioners must be trained. The ambulance fleet should also be seriously upgraded, including the purchase of resuscitation vehicles, medical equipment and modern systems connections.
A particular problem is the availability of high medical technologies in cardiac surgery, oncology, traumatology, and a number of other important areas, and, above all, their use in the treatment of children.
The number of citizens who will be provided with high-tech medical care at the expense of the federal budget should increase by at least four times by 2008. To do this, it is necessary to raise the efficiency of both existing centers of high medical technologies and build new ones, and above all in the regions of the Russian Federation, including Siberia and Far East. I propose to allocate substantial funds from the federal budget to the solution of the tasks outlined above. At the same time, I immediately draw attention to the need for plans to be concise and completely specific. Modern construction technologies, equipment technologies of the medical unit make it possible to do this in as soon as possible. In two years we are able to solve this problem. And this work needs to be started now, right now…”
Goals of the national project "Health"
- Strengthening primary health care
- Strengthening the preventive focus of health care and medical examination of the population
- Improving access to costly and high-tech care
Tasks of the national project "Health"
- Training and retraining of primary health care physicians
- Implementation of cash payments to health workers of primary health care and emergency medical care
- Equipping with diagnostic equipment and sanitary vehicles
- Prevention of HIV infection
- Additional immunization of the population
- Examination of newborns
- Additional medical examination
- Health care women during pregnancy and childbirth
- Providing high-tech assistance
"Hot line"
In accordance with the action plan for the implementation of the priority national project "Health" in the Voronezh region, in order to ensure that the population is informed on the implementation of the Project, in accordance with the order of the main health department of the Voronezh region dated 07.06.2006. No. 391 organized a "hot line". Operating mode " hotline»: from Monday to Friday from 9.00 to 17.00, break from 13.00 to 14.00
