Recently, many residents of the capitalThe rumor is just one important question - about why hospitals in Moscow are being closed. Some believe that such plans can simply lead to catastrophic changes in the medical industry, but the government is confident that if you close half of the hospitals, you can give a second life to medical facilities that are in poor condition and cannot provide for themselves at the proper level. At the same time, the emphasis is placed on the fact that only those institutions that are not in demand among the population are closed, in this case it turns out that there is no point in maintaining such hospitals. Because they began to merge into branches, and then completely will be eliminated. Is it really, consider in our article.
Most recently passed the law of the Departmenthealth, which describes the structural changes that will soon be implemented in Moscow medical institutions. Many compare this law with the closure schedule of Moscow hospitals. So far, there are sixty clinics, but according to the law, there will be only twenty-eight.
Many analysts say that soonThere is almost no time left for hospitals in Moscow, but medical institutions that can provide free services to citizens are meant. Naturally, this will entail cuts in Moscow hospitals, and this will cause a high level of unemployment among highly qualified doctors of the city. But for some reason the authorities are quite sure that the work of polyclinics will be effective, and the quality of the treatment itself will improve. In addition, they promise that salaries of the doctors themselves will grow significantly, and those specialists who do not find work in the profession will be able to retrain and get a job, but in a different field.
Moscow Mayor proposes to distribute the load ondifferent hospitals of the Moscow Department of Health, that is, now some clinics will deal with chronic diseases, while others will deal exclusively with serious diseases. The distribution of the load can contribute to the creation of centers that will carefully deal with only one direction. But the fact that not all patients can get to such a center is not taken into account, since they will be located mainly on the outskirts of the city, all the main medical institutions of the center will be closed.
The main reason for this reform issaving. There is not enough money in the budget to keep healthcare at the same level. Too much waste this year fell to Russia, so in order to survive, it is necessary to take such extreme measures. The fact that hospitals will be closed in prestigious urban areas can only indicate that the district will now have only a couple of medical facilities.
But this is not the only reasonthe state decided on such radical measures. Along with the closure of public medical institutions, private clinics will be developed, and this additional money to the treasury. Also, the main reasons include the fact that retaining hospitals that plan to close is not only unprofitable, but in some cases meaningless.
Как утверждают чиновники, такие меры просто are needed, otherwise health care in Moscow will soon be at a very low level, and with such reforms it is expected to improve the quality of treatment, increase salaries to doctors and install the latest equipment that will be able to identify diseases in the initial stages. Providing twenty-eight hospitals is a lot easier than sixty. The state refers to the fact that in this way it takes care of its citizens and everything is done only for the benefit of their health.
The first clinic was 63 city clinicalhospital. It was closed not long ago by a contest, which is an important argument. She was on Mira Avenue. The closure was gradual, for a start, the polyclinics were merged into one, and then all the branches that were related to it were closed, thus, with time, they reached the main hospital itself. It is worth noting that before the clinic was owned by the European Medical Center.
Своего пика реформы достигнут именно весной 2015 of the year. Both children's hospitals in Moscow and large polyclinics are closing, so far, however, only at the level of department cuts. Thus, the branches are closed, which are least in demand.
72 hospitals were also closed, the 59th and71st clinic. Moscow hospitals are massively closed, after the spring of 2015, most likely, only twenty-three percent of all medical institutions will remain. Many say that the salaries of doctors will increase, but the price of such salaries is the deprivation of the workplaces of other specialists. Many posts will simply become unclaimed.
List of Moscow hospitals to be closedconstantly growing. These are twenty-eight medical institutions that are located not only in Moscow, but also in the entire Moscow region. This will include maternity hospitals, as well as children's hospitals in Moscow. The list includes medical institutions No. 6, No. 61, No. 59, No. 53, No. 19, No. 56, No. 54, No. 68, No. 72 and No. 11. But it is worth noting that so far not all the hospitals were closed from the list, therefore so far make any conclusions very early. The question of which hospitals will be closed in Moscow is still open.
For example, since July, is no longer functioning.Polyclinic No. 60, she was a veteran, besides she was famous for the specialists who worked in her, there was even a hematology department in the hospital. As a result, the hospital was sold to a private gastroenterological clinic.
It was later closed the hospital number 45, whichengaged in the treatment of broncho-pulmonary diseases, and even later the same fate befell the clinic number 47, where they cured urological diseases. Instead of closed medical institutions they plan to make a neurological center and a rehabilitation clinic for athletes. Naturally, the treatment will take place there for a fee.
Хочется также остановиться и на том факте, что Former children's hospitals with a capacity of up to seventy beds are now nursing centers for the elderly, maternity hospitals are being converted into paid perinatal centers. For example, in the clinic number 12, which was previously considered one of the best hospitals for the treatment of childhood infections, plan to open a hotel.
Now it becomes more clear whyclose hospitals in Moscow. Naturally, the organization of paid centers is nothing more than a violation of constitutional rights, since now most of the population that really needs it, can not get free qualified help.
For many, the closure of medical facilities has becomeshock, since in 2013 they were only talking about merging hospitals and creating branches. Thus, they tried to save government expenses, but, unfortunately, this method turned out to be completely ineffective. Therefore, it was decided to eliminate about seventy-seven percent of clinics.
But even here the state found a way out:instead of the liquidated institutions, paid Moscow hospitals will appear, which will become large medical multi-purpose hospitals. Want to be treated - pay the money.
The health department explains itsactions by the fact that the medical institutions that were listed for closure do not meet the stated requirements. For example, in a city like Moscow, Hospital 68 is one of the clinics where doctors receive the lowest salary.
Many say that such reforms are hardlywill bring a lot of money to the state’s treasury, but the load on other clinics will increase greatly. Most likely, there will simply not be enough places in the wards of hospitals that will work, that is, the state will not be able to take care of its citizens at the proper level. By virtue of this, paid chambers are created in which people who can afford it can be, and all other segments of the population that are considered unprotected may be in the care of the state. Officials believe that a bed for these people is enough.
Если внимательно изучить бюджет, то все-таки для there are concerns. All healthcare costs will drop to twenty-three percent. It is also said that the list of institutions is not yet complete, most likely, closed psychiatric hospitals will appear in it very soon. But It is worth noting that it is unlikely that hospitals will be liquidated on time, everything will be done as slowly and quietly as possible so as not to make too much noise.
Некоторые медики находятся в замешательстве, because they do not understand why hospitals in Moscow are closed. They are in a panic. The state should carry out intelligible work that would enable qualified specialists to find their place in another medical institution. Only one question remains open - about how many hospitals are closed and how many are still planned to be liquidated.
Before embodying such reforms in life andto redirect specialists, the initiators should carefully examine their qualifications, since recently there has been a discrepancy between the new position of a medic and his abilities. This could be another shortcoming in medical reform, which can lead to serious consequences.
This hospital provided the full range.services of trauma, urological and therapeutic care. In addition, among the patients there were a lot of those who suffer from diabetes, are engaged in weight correction, and have problems in the field of gynecology. The hospital also offered emergency neurosurgical care, and brain surgery was carried out within its walls. The polyclinic was a multi-state one, located in the center of Moscow.
As it turned out, such a big city like Moscow(Hospital 68, we note, was in the care of the state) cannot contain such a clinic, so it also appeared on the list of persons to be liquidated. But instead of it a specialized medical center will be opened, naturally, the services of doctors in it will be paid.
Some hospitals are on the black listbut will be closed only in October. Thus, a medical facility may no longer function, but it will be finally liquidated much later. Some hospitals are transferred to the care of the European Medical Center, in which case it may remain public, but a special, paid medical center will be created on its territory.
Bets do on clinics, which until closingthere were a large influx of people, for example, there were always many patients in hospital 63 (statistics show that about twenty thousand people were examined here annually), about ten departments worked, there were even university departments. Separately, it can be noted, and the staff, which amounted to five hundred people. At the moment, it cannot be said that the hospital is permanently closed, it is functioning, but not at full capacity. And over time, everything will change, it will turn into a rehabilitation center.
Naturally, such reforms will not pass without a trace for citizens. First of all, the following segments of the population will remain unprotected:
Радует то, что государство все же не отказывается from some budget hospitals. Such institutions as tuberculosis, narcological and venereal clinics will continue to function and will not be touched at all.
In order to somehow reassure people, an order was issued in which it is about creating so-called social beds that retirees and low-income families can use.
Many Moscow doctors can not deal withreform, but already ready to move to a new system. Some people are very worried about which hospitals will be closed in Moscow, because for the most part reforms affect those clinics that have a very narrow specialization, for example, the only center in Moscow that has studied and treated multiple sclerosis has recently been closed. "Thanks" to this reform, about seven thousand doctors will remain without work.
The only way that one couldconsider salvation is investing. But there are few such investors who are willing to work on the conditions that puts the city. Such state clinics, sponsored by investors, could be considered as budgetary medical points, at least for certain segments of the population, but, unfortunately, not all are decided on investments in state structures. The fact is that most investors stop their choice on paid medicine in order to have a profit from it.
Another option should be the revision of laws, the introduction of appropriate amendments, because only this way it will be possible to avoid corruption in this area.
Officials prefer to use the word"reorganization", but in fact it should be understood as liquidation. If you calculate the costs, they are really enormous, but officials believe that the best way to save the budget will be the sale of real estate to individuals. In their opinion, this will help optimize costs at the expense of ordinary citizens who will pay for the costly services of medical staff. Naturally, no one will stop being sick after such reforms, which means that now you have to pay for your health.
