offers to the state. we all understand very well that any wonderful idea is thought up, but from above it is badly implemented on the spot. but, most likely, it will have the opposite effect. here is vyacheslav vasilievich in connection with this question for you. e hmm and the head of state instructed to conduct a series of inspections of health facilities. and well, probably, the next meeting, which was about this to tell some, let's say frankly ugly, unclean case. you know, there is, of course, because , probably, in any system. yes, which works, you can’t live in some negative moments back in the spring, uh, the president was yes, well , that’s it. such an instruction, and the prosecutor's office carried out a set of supervisory measures, they dealt with the issues of priority, the availability of medical care, and issues. uh

equipment use issues, including assistance in rural areas. this is a fapy dispensary. and, of course, of course, violations, many violations were revealed in this, uh, in this matter, of course, uh, such a significant service, let's say, was provided by citizens, because a direct hotline was organized. uh, direct line, telephone by the dozen. uh, calls from citizens were coming in part of them. eh, enu found its confirmation, such toads and complainers, about which dmitry evgenievich spoke , were completely different. of course, moreover, there were people who called for completely different issues, unconditionally unrelated to the provision of assistance. here is a part of uh, such ms. the appeal was sent to the ministry of health well, because the prosecutor is still not doctors, in order to understand correctly whether the diagnosis was established there or not, yes, but at the same time, uh, a significant proportion of these appeals and in the course of random checks, i only emphasized

random checks of violations, of course, many were found. eh, if you have already touched on the topic, let's say the order of coupons. uh, well, it's hard to imagine how there can be no complaints, yes, when in one district of the gomel region for 20,000 of the population is allocated for one of m-m procedures, ultrasound 10 coupons for a month. well, can you listen? well , what's more, and our favorite phrase is just to ask, it's become a meme in general. well i don't because you he makes excuses seriously. well, it’s just that, in fact, what’s in it yes, i hear it, the population has become 10. ultrasound is normal. maybe we really don’t need to do it anymore. you know, i want to do this in no way removes their responsibility. that everything is so, because the leaders are on the ground, and of course this is the responsibility of the ministry of health and regulatory support, but here we need to clearly separate. this is emergency help. a or is it the one

that a person needs here and now on which the outcome depends or is it planned assistance. and you need to understand that for planned assistance, and waiting for the same ultrasound a is up to a week to two weeks. these are normal times. and the same appointment with a specialist during the week is a scheduled appointment, that is, the european practice of this, this is normal. if we say, if a person came to him, and the signs of the disease he needs this help. he urgently needs an ultrasound, yes, then in any hospital, even if they don’t do it in the clinic, they will do it in the hospital. and as for the ultrasound machines, uh, and you're talking about the talo. so the device actually exists. again, the question is rightly raised with you and correctly touched upon 10 coupons per 20,000 population per month. uh, well, of course this case

yes is subject to analysis, why because some, probably, yes, some kind of plan. here you have to take into account, you know, take into account the result, of course, as in any system, this and the provision of equipment somehow determines this provision. eh, specialist. everything depends on the leader. well, this is absolutely calm in any field, not only in medicine. i'm sorry about the ultrasound and research. well maybe it's hard to come up with a plan. uh, there's an indication for this diagnostic test. and this is decided by the doctor, not the patient wants to go for an ultrasound, but the doctor thinks that ultrasound. fuh research ultrasound laboratory research, and for staffing rates there is no limit. there, inserts are introduced according to the volume of assistance, you understand, and the number of devices

is planned according to the volume of assistance. so, when they cope with us, state medicine is connected to private medicine. you checked private medicine. please tell me they were closed we have several medical centers. here, including some are now closed and have not received. they have a work permit again, what is the reason, is it greed, or is it carelessness, as it were, due to the fact that professionals work for me. we have actually checked several private centers and i want to say that this is a business. that is, the relationship is such that if there is an opportunity to earn money, there is demand, respectively, the price goes according to this demand . the ministry of health regulates individual prices for services, these are services, including including diagnostic ones, but as control measures showed, prices have not increased for a long time and, accordingly, the clinic found ways to offer comprehensive services and

include as many indications as possible in order to be cost-effective, but this method gave its plus and , accordingly, began to scale, this practice. we are now, in addition to medical centers, for which, as it were, everything is clear, reasonable measures have been taken, prices have been settled. business also reacted adequately prices were reduced by 30% even before how the legislation has changed, that is, the rules of the game are set, respectively. all participants respond to these rules. yes, we are looking at dental services. history repeats itself, if there is a price for some, for example, an examination by a doctor, well, the ministry of health will set a tariff of 5 rubles for the oral cavity. accordingly, the service of a doctor's appointment will already be 29 rubles. well, i agree, maybe 5 rubles. not enough well,

29. this is not my half an hour, well, we are sitting at the reception. again, i, as it were, prepared for the program and tried just from the point of view of an ordinary layman look at how people react to these services of private centers, yes, when you come by songan. oh, you see one of the often centers here, which, well, i simply won’t name them, and there on the wall. here is such a healthy inscription mrt sorry, at the third hospital there is no mri ultrasound and an operation to remove appendicitis. this is not the case, but, nevertheless, the third hospital has a fairly large number of services and equipment, which currently competes with a private center. so here is my question health business. and this is just health. after all. i understand that in every polyclinic in every hospital there is a private condition for paid services. yes , but they, as far as i understand, are not emergency services. yes, these are service plans. you, just like services in private centers

, have been running a pilot project in the republic for the past year now, when state institutions provide services for us and so provide services for a fee. yes, there are centers that you can learn . yes, we are participating in this project. that is to any patient can apply to us. we provide these services on weekends and holidays when our medical teams come out and operate on patients. someone has 5 days of work, he goes out on weekends. naturally for you. this is also a weekend you charge for this, right? we charge a fee for this, but still , uh, patients get the same services that they get in private centers, but this service. and i have nothing against private centers, but this service is at a very high level . with excellent equipment, patients are all satisfied. we have quite a lot of patients who come. and this e stimulates the development and public service to you. here's

a similar plan. you know, when we were here there was the minister of education. i asked him a question. tell me, please, why do people go to rehearsals, because we have an education system, well, in theory, it should, as it were, push this profession aside here. same story, mind you. many people who are. if anything, i go in particular. and why is the mri hanging on the entire wall. probably because mri and this is something that is not enough. well, no, you know, i think that the point of view of the medic, i once again speak from the point of view of the layman. i think from the point of view of the layman. every person has the right to choose. and he must have this choice. it is impossible to build everything on the state system in the same way as on the private one, but in the end everyone chooses what is closer to him and you understand, even here, and checking private centers. she shows that not everything is so smooth. there is business there. there are certain people who value

their time, and there is and it is written. sorry if written mri let's find out the first, when they hung they hung five years ago yes yes, well yes or or more, of course that's when when there was a problem with the view was much earlier. yes , well, much earlier. you see, when a small number of mris and there is some tension in this, then, of course, it is very good to post that we have an mri. yes, there is something to brag about, right? when now we not only have mri machines in every clinic, but also in polyclinics, then, well, it makes no sense to hang them up, what is behind here it was very rightly said that private medicine is, however it may be, a support for the state health care system. this is still a business, so they sell their services, so there is an understanding that it is conditional in a private center. you'll get to the doctor faster there. by

the way, here are the questions from our chat. yes, when the bike ticket service starts working, here's a question for you, then your advertising brand. and as for that , you know, today i went to she works on a buy coupon, but i must say that this is servi. with one of the companies developed, it is enough in demand, e and service workers. well, it’s clear that it’s completely guaranteed, given that this is a frequent service and guaranteeing work, and the ideal one is quite difficult, but the good news is that this is one of the possibilities, and the new record, which is in demand among the population and it complements the opportunities that us, that is, it entitles the younger to the more progressive it is to the younger to the more progressive, but it is obvious that medical services. well, most often used by people, just the same old age and not all of us are far away

say, the front desk of your talent, canoe and 10 handsets of the poor girl's phone can not burst. there is something completely new for this. ah, technique. this is the creation of a call center, which is absolutely not based on the registry. and by the way, in a number of polyclinics, not only. and in a number of polyclinics in the regions, it has already been introduced, but a single number. he them yes , yes, this is his number, but multi-channel phones. that is, where several girls work. yes , at the same time, who only answer calls and make records, thus the registrar who works in the clinic directly with patient. he doesn't get distracted. this is probably all very strong. especially those who come with an illness to the clinic are very difficult to irritate. here i am standing in line. and here we are talking in full. who can find

your phone number at the polyclinic, uh, and it is posted in the general accessible places on websites, and in various directories. if we are talking about older people, that is, but hmm well, this is not some kind of universal number, right? which you get, yes, it's a bet, but it's expensive this is the health care system of maintaining such call centers, and you know the maintenance of such call centers, uh, of course, of course, it is more expensive than one or two registrars work in a polyclinic, but it justifies time spent by patients and satisfaction, because patient satisfaction is one of the components of the effectiveness of healthcare. but the state control carried out an analysis for medicines. here we have, for example, some violations in this, too, well, some medicines have disappeared

, some of us have risen in price. for example, on a personal example, i will say again that belarusian medicines. the quality is no worse, although they tell me for a long time that it's not right, well, it seems to me that they don't work for me. that's all. it is most important. that, from the point of view of financial financial audit, we are constantly working on valuable medicines, if we take the latest result of this work, yes, prices are definitely rising, and moreover, you probably heard about the information that after as the exchange rate rises, as a rule, prices were raised to this level on the proposals of the committee, and it was decided that the legislation would work both ways when the exchange rate rises, respectively, the price increases when it decreases. this gave a good result. and we managed to reduce prices by almost 20%. now we are working on a new e such innovation. this is the old new reference price of education. so that the prices were set to a certain

list of some of them in demand or vital the necessary ceiling of this price and within the limits of this maximum price already, pharmacy chains could compete to offer medicines and manufacturers at lower prices. but you think that's the question. so i think, too, probably, most likely to you. once again i say, let's remove the emotion. he's just looking at the essence. that's irresponsibility in medicine. the most important thing is to run in circles. here, in general, this concept is being driven around in a circle with us. it still exists, such a concept still exists. here we have recently completed monitoring and compared those tests, which are given by patients in polyclinics during planned hyperhospitalization. and it is necessary to come back several times. well, all these small analyzes are possible, but when a doctor is hospitalized, he still prescribes almost the same thing. why, firstly, the troubles of people, the costs of the budget? well, here is elena nikola you know, but in fact, the current situation in the clinic

and in hospitals is practically fully equipped with already rare laboratory tests. if we are talking about them, which are made by hand, probably there are practically none, yes, but they are equipped analyzers are semi-automatic machines, yes, that is, automatic systems, therefore, of course, but repeat these studies. and how was it before? no, let's double-check, we don't trust. yes, it doesn't make any sense. why because they are all attorneys of these devices, because they pass all internal quality control external quality control, and, that is, the methodology is standardized, when is it better to undergo tests, these hospitalization houses, or given that it’s all the same everything is quite prompt question, and i will answer it. so, of course, what you can go through before hospitalization, you need to go through this hospitalization, thereby. having reduced

the stay in the hospital, there are a number of moments here, and the first moment, and staying in the hospital is quite an expensive pleasure. this is the most resource shooting. ah, part of the health care costs. well , if we take the average for the country, then one bed day. e today it costs 227 rubles. that is, it will depend on the level. you know that we have a multi-level system of assistance in number and stationary at the district level, it will be e order, and 179 rubles. at the republican level. it will be more than 300 rubles. and also it depends on the division. well, i told you the average. well, for example, in intensive care today, a stay of 1 day is more than a thousand. that is, this is the most expensive, if we are talking about outpatient care. yes , outpatient care. it is six times cheaper. it is clear, well, people's claims are such that he would

like to prepare for hospitalization in 3 days. our people are sometimes very spoiled. here i am again i say, i can in no way judge someone else's health, but sometimes still. let's ask our viewers to digest the information that elena nikolaevna voiced to go to the hospital. yes , here the doctor clearly states that you can come to the clinic to undergo some examination. there is physiotherapy, they give injections there, then you can do this and not go to the hospital absolutely, because the surprise is completely gone and that's it. the same world practice. see, i imagine that even if medical insurance, who is proud of her backside now, if i came with a conditional runny nose and, well, how would i now demand to go to the hospital, because i have to get warm injections of something else and i should, in theory, provide a bed

no matter where and i would have been put out because of this even this brush, which is now, uh, i said nikolai, then, probably, i thought, i probably would have thought, yes, and went to breathe over potatoes, as you rightly said back in the west in general , basically, it's such a rule know i'll go i'll lie down. in the hospital for 2 weeks, i was scheduled, why not , there is no such thing, and at the request of the patient. there such a priori concept does not exist, there are sensitive strugi e, doctor's testimony, and in order to get to the hospital - you need to have this, believe me, not like we need to know reinforced concrete testimony to get to the hospital there, because the bed a hospital costs colossal money, not like ours there, tens of thousands of euros, or a resuscitation bed costs dollars, and not because some tricks are being done there. just the cost is very a high health care system costs a lot of money. first of all, we have patients, well, the prices are clearly our belarusian ones. yes, if we are talking about the same

paid services, uh, we set this price normally with the prices that are paid there, so they are, in principle, when we look at medical tourism for belarus, this is, in principle, so relevant. it is only relevant that the state earns tens of millions of dollars because dentists come there. forgive up to any other illness and transplant organs of hobbies it is one thing when our foreign friends really come to visit us. they pay for these services. yes, and another point that we know is that many of our compatriots, having a belarusian passport, live there in another country. a-a come to belarus how to carry out an operation medical care for free? well, that is, we are a social state, but we give such an

opportunity to any citizen of belarus or nikolaevna maybe it's time to cover this shop. you know, and we have repeatedly approached this topic, but considering that we have a social, how do you marked the state. it is at the moment, just something is being worked out of those types of medical care, but which is still supposed to fellow citizens who do not participate in taxation on parasites, whatever it may be, but, in principle, it is, well , there is a place to be like how to separate a and here, but of course, of course, the issue of access to medical institutions is being worked out, and to the database of persons who, uh, are not involved in the labor process, let's say, and uh, those types of assistance, which are planned, that is, emergency assistance of any situations. she will yes they expose she will

render free of charge, but as for stomato. well, as for the same planned hospitalizations, in my opinion - this is quite true, because, and today we talk a lot, but we have no idea how much money health care costs and this amounts to about 4.5% of gdp for the twenty-second year for the next year with growth. and you need to remember that health care costs are growing not only in our country all over the world and will continue to grow in order for our viewers to at least approximately understand the cost of any operation you just discover. how much does it cost for foreigners. just a rough idea of ​​how much foreigners pay and what do you get for free? this is in order to understand at least here, well, at least some size, then you can understand, and what kind

of paid business do you have? it is a paid basic we do absolutely all operations, and what to do in the clinic is surgical gynecological ophthalmological operations a large number of foreign citizens, because the republic is probably one of the few not only in the post-soviet space, but in principle in europe and in the world, e., has such an ophthalmological service as the republic of belarus has , the most complex operations are performed here - these are corneal transplants - this is a replacement of the lens by any means, so the operations are quite expensive for foreigners indeed, but uh, now foreigners are back to us. let's go because there are a lot of latvian citizens because not even because idle, because they ca n't afford to do the operation themselves, but

never we're talking about exports. uh, in any area, be it agriculture, i don’t know industry and medicine, then uh, the president raises this question very often. and what do we have, what do we have for ourselves, is it not to the detriment of us, our compatriots? no, of course, it's not to the detriment, because well, if you take ophthalmology, yes, which we have, uh, the order of what we talked about in order to do the operation cataract, yes, the person should just have it elective surgery. he just needs to have a package of tests that the clinic gives. this is 10 days, maximum three weeks. this is what the patient expects to get to us for surgical treatment, what the prosecutor's office will say. you know that god forbid that it be so in all branches of medicine they have help, because if you take, for example, one of the topics of checks. yes, it was the queue and the help itself for

arthroplasty of large joints. knee hip joints. e today in the country on a very after all, more than 26,000 people are waiting for this operation. so, uh, it is clear that during this check they found a lot of criticism from the point of view. accounting, somewhere it was not kept, people were not notified, and so on, there were people who had already died, people who had already received this help, but had already been provided, but mmm. uh, the most important question that was fairness and fairness to the person, if for example, in one of the areas the queue for a free joint replacement surgery lasts for years, but on the condition that if you buy, that is, you have money, you buy secured. the prosthesis imported to you, the operation is done out of turn, almost most of the out of turn

operations. in the area i am talking about, it was carried out using imported prostheses that people buy on their own. therefore, in such cases, of course, the question of guaranteed assistance is whether people are on an equal footing or not. here is one of them, dear colleagues, dear leaders, you need to understand that it is not a single country in the world. i'm already spoke can not meet all the needs of not the population, not health care and arthroplasty - this is a high-tech expensive type of medical care. and we are the pride of our country, we have social standards, and volumes are planned within the framework of the same social standards as part of high-tech assistance. that is, for example, five thousand five hundred arthroplasty operations are planned for this year. pain joint free of charge and 1,500 knee

joint surgeries free of charge, respectively the average queue for the hip joint is well for different regions. as you said different, but on average up to 2.5 years per knee composition is slightly higher than three. yes, yes, four years, that is, for the average - it's about 3-4 years. and here you need to understand, you understand, and the provision is on a paid basis. this does not mean that but hmm but that's all, that is, this is the queue, naturally the state takes on the responsibility. we are ready to stop 5.5 thousand joints and today, at the pace of this year, 90% of the plan has already been completed both for the knee and i'm not mistaken or not, but it seems to me that the role in the fact that the queues were somewhat stretched and increased played a certain amount of blood. our doctors were busy. saving lives and more let's say pressing urgent issues and traumatologists.

yes, yes, including in fact, yes, the president also had this question, i will sound a terrible word. yes, we are already being told in denmark that covid, in principle, has been canceled. and it's not a pandemic anymore. this is a seasonal disease. in china, watch lockdowns from me. everything, as if covid is gone or that in china they are not completely canceled, in fact, some. yes, they are softened a little, but not canceled, but nonetheless. actually covid. it hasn’t gone anywhere, exactly like other viruses, in fact , and quite rightly, that now we are really entering our standard season of rising respiratory morbidity from, of course, the whole question is that dmitry leontyevich is absolutely fair shares are sick, so he absolutely rightly said that this is 3d mia is true. same so and uh, actually talk goes. not only about covid. now, including

now, we are talking about the flu, and in fact, we are now returning to the flu , which was predominantly in 2009, that is, this is the mushroom that your fellow journalists called swine with the light hand of your fellow journalists. yes, and there are plenty of them. now it is clear that the return of swine flu. congratulations, ah to some extent, yes on the other hand, actually answering the question is scary. he's very ambivalent for one simple reason, because if the hard cases, yes, there is, is there a treatment in this situation and do we understand how to treat it, yes, you understand, and in fact, the conversation now sounds like this, that most of the severe cases are connected, either with the fact that a person seeks medical help late help. and it's not a secret that, in fact, people will interrupt and now the doctors will tell you a paradoxical situation. they say that until 38 happens do not call. but this is a favorite male 37.2. this is where to call something, but now you have

asked a very interesting question. let me i will answer it, very uninteresting. let's for one simple reason up to a temperature of up to 37.2 in the evening from 5:00 to 9:00 pm. this variant of the norm is excellent for several years now, in fact, at this time the highest temperature of the human body and vice versa, from five to nine o'clock in the morning, the lowest temperature of the human body, when this is just not a variant of the norms, so the favorite male temperature is 37.2 . this is the norm. if this temperature occurs against the background of one gram of paracetamol, yes, and it keeps against this background. one gram of paracetamol, it is probably clear that in reality it is a little higher. and i would say the word a little here in quotation marks. yes, and if this temperature arises in her, you feel you feel, well, excuse me, for this such a common phrase, everything is blatant even the situation is absolutely. the catchphrase is definitely yes please but it is not an emergency.