[000:00:33;00] the first row, the first row, the first row, the line of service, the line of humanity, your stronghold, your stronghold, this is the table, and there is hope for you on the other side of the table

, in the eyes of a martyr . of the past, another element that is effective in the development and progress of the country, of course, tonight in the field of treatment, they will be in front of the front page camera to talk about policies, strategies and of course decisions that can increase the rate of treatment in the country, although during last years, alhamdulillah , the conditions are very good. better and improved and the way the establishment of numerous hospitals in the four corners of our vast country speaks of this issue, and at the beginning , god willing ,

we will see a report from one of the hospitals that was opened today during the visit of the honorable president of the islamic republic of iran in the campus of alborz province, but who will answer the question we will answer in the field of treatment. mr. dr. saeed karimi , i will be the deputy director of medicine of the ministry of health, medical education, and health . welcome to the first page of the program . at your service i am a doctor from the hospital today. bagh ghosh is in tehran, and until today it did not have a hospital. first , we will see a report on this matter, then we will

talk about the hospitals themselves, this hospital and other hospitals that have been put into operation in the past one or two years and its effect on increasing the treatment rate of our people. we do. fardis karaj hospital is a hospital that was built in 1990, but a few years passed and nothing happened in its construction until it was officially started in 1995, but despite the fact that 5 years have passed since that year, only 55. he had physical progress unfinished until in the last one year and 3 months, this hospital has been built on four floors with a leap of work. it is now two beds, that's right , we have two beds. our rooms are almost even for him , even though it is a public sector and there is a government tariff . the same government tariff is to provide them with the service of an individual hospital named after shahid soleimani , which consists of different departments, from

the emergency room, the number of beds from a few to 29 , to as many as 8 injections, to numerous operating rooms that have advanced equipment. you can pick up anything here at the same time simultaneously with the c-arm machine , it is performed for the patients, but the bearable point is that fardis karaj region , with a population of about 700 thousand people, did not have a hospital, in this region there was neither a public hospital nor a private hospital. bye they only use the hospital beds of karaj and tehran. it is the first hospital that was opened in faris. it is very good. the road is closer. it is easier for us to come and go. the people of fardis region are also satisfied with the establishment of such a hospital. what do you think? it is very good. from each i was lucky that the treatment was close to here . after all, here is closer

. it cost us about 700 billion tomans to build and equip this hospital. esteh hosseini bai of sedav and sima news agency , dr. we have seen the report. one of the strategies that the government has in the second period of the trips is to put the half-finished construction projects into operation as soon as possible, and good budgets are allocated for them. see what the establishment of a hospital in the campus, which has a population of about 700,000 people, is like in terms of the percentage that we cover there. in these two years, the government in the whole country if i want to serve you, i would like to tell you that 16 thousand beds have been added to the hospital beds. we now have 160 thousand beds in the country. this number means that 10% of all the beds before the revolution and after the revolution

were built in just these two years, the effect is as much as 10%. treatment has become available and in fardist, we didn't have a hospital at all. you know that alborz province is one of the most densely populated provinces. unfortunately , alborz province is one of the last provinces in terms of beds per capita, and the approach of the ministry of health in a people's government is just, which means that we should be able to make treatment available to the people. let 's put it for the same reason with the order given by the president and the favor of the high officials of the ministry and all the dear ones who supported you, in fact , it has been a year since the previous visit of the president, i think it was in april of last year, and it was opened now. well, it was said in the report 5. that this work was done from the money that was said to be 700 billion, well, 300 billion was for equipment, of course, more than this

, the minimums were included in the proposal, and all this was provided because we have a population of 70 thousand in fardis, so it is not possible to have a population of 700 thousand a person for their treatment centers for problems. take their treatment elsewhere, thank god for what happened it was made available to the people, there are now 260 beds , 5 operating rooms, nearly 40 special beds, it will solve the problems of the people there , god willing, in the whole country, these beds are spread all over the geography of the country, it has been 16,000 to 2 years. how many beds have increased , 1,000 to 16,000 to 16,000 additional beds. it has been scaled to 10% of the total number of beds from before the revolution and after the revolution. in just these two years , we have another 47,000 beds under construction . until when will these 47 be put into operation ? it seems that by the end of this government, there are 15,16,000 of us

we will be able to deliver because you know that building a hospital is a time-consuming process, but with the effort that exists now and with the speed that exists , it seems to be the same as in these two years. built and delivered, in the next two years we can add the same amount, which in total in this government will add something like 30,31 thousand additional beds to hospital beds and the distribution of these hospital beds in different regions means that in it is the easternmost region of the country, and how is the one in the westernmost region of the country? yes, actually a map of hospital beds was drawn in the provinces. that the problem of having beds per capita was prioritized and the projects started in the order of this priority to be completed now, the view is that we in the provinces that have a shortage of beds

should complete their beds more quickly . we opened a hospital course in a very deprived area in different places in ilan. razi hospital was opened in all kinds of provinces that are deprived. in fact , beds have been built, opened and added to a number of our provinces. their beds per capita are good, like yazd province, semnan province, tehran. from azadi street to anyway, the southern belt of tehran is an underprivileged part, and our priority was that, like shahriar, which was recently opened, we must complete our hospitals in this southern belt of tehran as soon as possible. well, tehran said: i said, zanjan, for example, is a good province, with a number of beds per capita. among the provinces, their beds per capita are lower than the average , such as alborz, sistan, baluchistan, qom, alborz and qom , which are close to tehran, probably because of this, in the past

, they are less close to tehran, unfortunately, bushehr , hormozgan, these are the provinces that are far from the country's average bed per capita. speed up we increased it there, god willing. even khorasan-razavi, which seems to be blessed , is now one of the provinces where the population is not good because of the large population there, one of the concerns of dr. there is provision of medical staff including doctors and others who should provide the services. how is our situation in this area now ? we provide medical staff in several ways. well , we just launched 16,000 beds. about two and a half to three people are needed for each bed

it has personnel, including doctors, nurses, support and services, and all, so we need about 50,000 permits. now, 25,000 permits have been issued. god willing, another 205,000 permits have been promised to be issued. as you know, doctors have a plan for 2 years after they graduate, nurses have a plan to suit everyone, the fields they study are medical fields, so there are some obligations in one group , and some groups are buying services, that is, those with whom we do not have an employment relationship, but they sign a contract with us to provide our service in exchange the service we provide to them , we pay their wages, from all these methods , we provide the staff of our medical centers, private centers also provide their staff , and their payments are in this way, that is, we

must hope that zarif . we will not have a problem with the occupancy of beds in hospitals that have just been or are about to be put into operation with a shortage of doctors and other medical service providers, and even if the bed occupancy rate is 100 , we will never increase the occupancy rate to 100, of course. some of our hospitals are now like this the best situation during the corona era, when this happened, it is better to go to occupation , if it is around 70-75, 25% is there as a strategic reserve, if there is a crisis, something is wrong, in fact , the hospitals should not collapse. now , my hospital will be the first to open. it will not go to 75 all at once. gradually, the sections will be completed, not in terms of structure, in terms of their processes, and usually within 6 months to a year, they will reach this collection. which is added now because

they are mainly in deprived areas and places where there are no flats , we will reach those numbers very quickly. to for this reason, the permission that was given is for recruitments, mainly to complete the staff of this hospital. yes, after the issue of hospital beds and setting up hospitals , we have put another issue that really exists in the field of treatment and is one of the basic components, the issue of insurances. we will see about the insurances, then we will talk about what should be done and what is the plan of the government. there are hands at your service that should help the weak hands of the patients, but in these centers they go directly into the people's pockets . they say that we do not have a contract with the insurance company. sir says we don't have one and 350 tomans, we have to get his insurance

how much is 850 tomans more? it has been clearly emphasized that all centers providing health services must sign a contract with basic insurances, and if this does not happen, if they do not sign a contract , they can cancel their license according to the law, with the emphasis of the deputy minister of health on the implementation of this clause of the contract procedure law. the contract has accelerated so that the government hospitals that are required to have a contract, we do not have any government hospital that does not have a contract. however, after 9 months of the approval of this law, the officials of the health insurance organization say: there are centers that have not yet taken any action in this regard. they did not there are about 110 hospitals that still do not have a contract. most of our so-called discussions are in concluding hospital contracts.

there are hospitals in the private sector in particular, as well as doctor's offices and insurance centers, they say that the process of paying hospital and pharmacy claims has intensified . it is that, god willing, with the conditions that are happening in the state of our resources, it will happen that we will update our debts from that side. however, the question this is why we are still far from the implementation of the 100th day of the law. well, mr. doctor, we had in the report that i think the expert was talking about aiti and the ministry of health that there are about 110 centers

that still do not conclude the insurance contract. in fact , the budget law of 1402 is in the budget bill of the 7th plan. which was in my report, we mandated and announced in the law, of course , there was something wrong, i think that canceling the contract or revoking the license is not in it, when renewing or issuing the license , they must have a contract with the insurance company, and this is required, we are implementing it, but this effect is the cause the government centers that all have contracts , i said in my report that some of them don't want to contract with insurance companies, the reason is bad. it is an insurance account, and contrary to what was in this report, now the average payment of insurance is 7 months behind schedule, 7 months is correct, according to the law of annexation 2, which is now around 2019-2020, insurances must settle 600 claims within a month and within 3 months, so now 10

the last year of this law is one of the permanent laws. it is not a budget law that says it is for one year . please do an investigation and explain it. it is actually a journalist. see which insurances are up to this law you have seen the action in these 10 years , if they cannot pay within 3 months, they should be fined one rial at the rate of participation bonds. until today , the centers have not been fined, so if we want to pay the disabled, the problems are much greater than when due to now, the next step is to assume that a center did not meet. let's close it. so, are there conditions now that we can close 110 hospitals? we are trying to open 110 hospitals. don't think that these are private hospitals , some of them are social security private hospitals.

military hospitals are no longer contracted with basic insurances, which means i have to come to private hospitals in these centers. let me plan, it is not possible at all, except for private hospitals, and in fact, in the conditions that have been seen or, for example , another problem that has not been seen is that if i do not give a license, it cannot sign a contract again , because the condition for signing a contract is that it has this license. a place that does not have a license, that is no longer considered a hospital, that this has not been seen in my opinion , instead of us coming, i told ourselves first, we adhere to the law and we are implementing it instead. let 's face ourselves with 100,000 medical centers, like hospitals, 100,000 medical centers, 150,000 doctors and about 100,000 graduates of our licensed medical department . we have three or four basic insurances, and the ceo of these insurances. let

's bring them and oblige them to pay . right now, the ministry of health, treatment , medical education and the ministry of health had joint meetings. work and social security in the field of insurance or not? yes, there have been frequent meetings. there was a meeting at the level of our dear ministers , and there was even an understanding in the presence of university presidents to be cleared within two months. there was a meeting but it did not happen. in my opinion, instead of coming , we should use coercive power to close the bridge if we don't see a permit. the hospital that will be closed has more than 400,500 people. a lot of patients lose their jobs . instead of these things , there are 3 or 4 people who are forced by the insurance officials to pay the centers. when a center contracts with the insurance , the number of patients becomes more the nature of a center likes to have a contract with an insurance company that has more patients

it is possible to increase the interest rate, but when a private center knows that it will sign a contract with the insurance company , it is going to pay the money in 7 months, then it will go bankrupt. because you have to pay your salary at the beginning of the month, now i have a question , i am an employee of your ministry of health, yours, sadasima , dear workers, when they ask for their salary , they take their insurance contribution, who will deduct it from them the moment they get their salary before they receive it? so why does the center mean insurance? he pays the medical centers with a delay of 7 months, so you who received the money before, give it , now here, between those times, all the reports mean that the ineffectiveness of the insurance means that the center wants the patient is actually free to calculate the bill, then give him a bill and tell him to go and get it from the insurance . in fact, workers and employees are reducing , please act according to the law, 60 within a month

and liquidation within 3 months, be sure these centers are lining up to conclude a contract, mr. doctor, there is a discussion now , maybe our discussion is not in this meeting, and that is the insurance industry. in our country, perhaps , it has not really progressed towards industrialization, which is widespread, and many insurances are brought. we only have a few limited insurances if there are many insurances in other countries, which is sometimes very interesting to consider those issues as insurance , now the debate that exists is what should people do in these areas . they are tolerating us, we have to do something, it is not working now. what you mentioned has also been shown in the medical definitions. see, in 1990, the professional component for

surgery was 36 thousand tomans in the private sector. this year it is about 70 thousand tomans. what is the reason because in the supreme council of insurance, there are seven people from that group, which is actually 9 there are 7 members, insurance and program organization, and the others who have to pay this money. he is also a member of the ministry of health and the medical system organization. make any kind of vote. well, those seven will prevail, the result is that these definitions have been severely suppressed during these past years and it has moved away from the real price. this cost should be paid, or this service should be closed, or it will definitely be transferred to the people , please. well, this program, for another explanation, must be included in this issue of insurances, if the resources are available. they don't think about their resources. like what you said , it's not an industry, it's just saying that they charge an insurance premium for treatment, well, the treatment costs are high, it may

break them, but there are other ways for this industry to grow and become strong, like other countries , people should not pay this money. the prices should be real but paid through the insurances, well, the ways of another scholar, these insurance discussions can now be done in other programs . be empowered to pay out of people's pockets yes, doctor , there is a concern in specialized fields that it is possible that specialist forces go to deprived areas, or better yet, that they do not go to remote areas . in some cities, towns or regions that are far away from the center

, we face a shortage of specialists . in this regard, what arrangements do you think for a part of this course? the service of the doctors is our responsibility because they are committed during the 2-year period that they are committed to. at any point , after they graduate and study, we will explain the dear doctors to the deprived areas, that is , tehran is completely closed, so we do not explain this to tehran. various cities provide their services in deprived areas. after this dear doctor has finished his obligations , he no longer has an employment relationship with us. there is no obligation. we must create motivation. in fact, the loved ones who decide in this

the context of the organization of the program should be different . the tax that a doctor pays in a deprived area should be different from the tax that he pays in tehran . the tariff that exists in the deprived area and the tariff have a preferential tariff. for which a person goes to the deprived area. this period of work that we did, now all of them are saying that it means that nothing has been done, for example, the ceiling of that work in deprived areas was lifted so that these loved ones can go there, no matter how much service they provide , we will pay them, of course, although with the same definition. it is insignificant, but we are paying, the rates have been revised for deprived areas, approximately 10% higher than the rates that exist in privileged areas, and a preferential definition has been set for them. if we put all these together, it may

not be very motivating. we must create motivation. the work that was in the hands of the ministry of health has been done in these two years . legislators and other decision makers help. in the field of local selection for universities of medical sciences, has there been cooperation in the ministry of health in education ? yes, in the vice-chancellor of education, this year, one of the things that was emphasized a lot was the selection of localities in the completion of capacities. a special quota was set for this. people who are natives can get accepted in universities better and return to

their own city to actually serve. there is also a work being done for the scholarship. another issue that exists is that the same doctors who actually go to deprived areas or remote areas dotadeh means that they are distant from the center of dotadeh, it is not considered a negative meaning, but they are far away is that the doctors who have children in the framework of the youth of the population are these sometimes they complain that they may not be transferred to their own cities . yes, there is an article 27 of the youth law, which states that doctors who are subject to the law on the service of doctors and paramedics

serve in their own cities. and 6 months for each of my children obligations. this is being done in the ministry of health, the obligations of all medical groups are not included in this law, that is, we have different laws for the different obligations of all those who are included in this law. it will decrease, but there are other loved ones who have obligations according to other laws, he is not covered by this law and it is being done according to their own law. there is less about maternity leave, they are all decisions , even during the period of maternity leave, they were not paid before, and it was assumed that they would be paid if asking them to take leave and postpone it

has been approved and is being done now, and of course this is the issue. some people have spoken in the reports about the delay, which definitely exists. now they take maternity leave and leave. the leave of this period is not such that anyone might expect that this pregnancy period will reduce my commitment for two years at all. forgive me, this is not allowed by law. they take leave and after their child is actually born, when they

announce that they can return to work and fulfill their obligations, this is apart from that. included the service law for doctors and paramedics regarding maternity leave is being implemented right now. if there are any violations, tell us. this part is actually a regulation that we give maternity leave during the period of our plan . it must be married women, that is, in the field of doctors and paramedics . what is this? they are transferred to you according to your wife. or not, if both of them are committed to us , we will actually hire them in a city, but not necessarily if they are not committed to us, if that is the case, then we don't have to do much explanation at all