i do not want to say that we have done everything in health care from the point of view of the state, but compare us, for example, with the richest ukraine before the war. you were on vkontakte with our brothers in ukraine. did you see what situation the richest ukraine was in in terms of healthcare? the only reason is that the government has withdrawn itself from solving health problems. we gritted our teeth and endured, and doctors sometimes received a small salary. and we donated the last to healthcare. to systematize the development of a system for the functioning of this most important there is nothing in the life of any society. i went crazy,

no one cancels gratitude to our doctors for this, but the president receives signals the quality of medical care is declining, and sometimes trite. no, i understand. we talked about infant mortality, about maternal mortality there, what kind of transplant surgeries are you doing? well, other feats are discussed today, my dears, not about that. forget it. we are all good. we know that in any country there are monstrously positive facts about the work of a particular area, including healthcare, today we will talk about how we treat our people. how do we treat our ordinary people? without them

, we wouldn't be in this room. and if specifically, how we treat, there are people in the villages of an agro-town. how we treat them is also important. they go to the forefront they must lead by example and consider teaching those directly. therefore, i am interested in how we work there, how the healthcare system functions and why people are offended, so two words, if someone thinks to brag, but maternal and child mortality, and transplantation in rum and so on. it is not by chance that alexander lukashenko grounds everything else from life so much behind high technologies, without which

, of course, modern medicine is unthinkable for the success of our rpc and high-profile operations , it is important to see people who come to the clinic every day or the local fact, the audit of health care was entrusted to an independent working group. small team of specialists. i traveled all over belarus and prepared a report that surprised me most of all that there are still blatant problems of a mess in hospitals. polyclinics all of them, the ceilings are being destroyed , the doors are askew, elementary sanitary rules are not respected. and this happens even in pediatric wards, listen, but there are children there or it's not yours. children, of course, these are not your children. but it is my children who are idle somewhere, expensive modern equipment. but sometimes this is the only chance to save someone's life, but what kind

of life is a virus on ct if we see the development of the disease for the worse, but it is idle for you? or in general, the weather for 4 years without repair and the minister of health to me boyko dare to report that he is all right. he has everything under control, he has repaired everything, he has enough spare parts, and someone is starting to apply for some kind of sanctions. guys , there is no sanction for you. where are the governors looking? after all, it is their presence of responsibility culture sport. education of health care hospitals from schools do you have the same school hospitals, about which i just said, where do the heads of the health department look in general, why do you need them? why do you need them in such work heads of hygiene centers chairman of the district executive committee do the government, the ministry of health know about these

problems or not? but to know and control. you owe what the case is a commission. in the interagency, created by me , the ministers should deal with this every day. its health team is the ministry of health. all experts are concentrated there. it is they who should create groups and commissions and watch, what happens on the ground turns out, as always, where the president did not get there quiet and whim. you know, i give myself a report. who did i talk to today? and who will hear me? same white bone and doctors, how can they be criticized, no, but remember that. i will stop at nothing and order will be restored here. even if half of you goes, but i will know with whom i will work. encouraged, to the extreme degree, they run around the chief from the district level to the president, only

we can treat them beautifully, and ordinary people who contain it all sink to the ground. it depends on us sitting in this hall, in general, everything in the country to work for the periphery, young doctors. so they don’t tear if there are no normal conditions, even more so, it turns out a vicious circle from here. personnel problems, it seems we are preparing enough doctors, nurses, but they don’t stay in the regions, even target workers are looking for a place in the capital or, even worse, abroad, sort it out with networkers. understand who you are recruiting there and no excuses. after you have unlearned that you have to work there for 5 years to get married. uh, somewhere else it is not accepted for 5 years. go from work. we spend huge amounts of money on training. there are no such costs for doctors in any area. and we have everything

freemen is another discovery for me the insufficient level of training and professionalism of doctors somehow does not agree with the demand for our specialists not only in russia but also in europe . doctors ryzen high technology. who are you rubbing glasses on? what high technologies have they mastered? we once fifteen years ago at my level approved all the manipulations that we must perform, starting from the papa district hospital to erinte. we've decided. in the russian orthodox church, such transplants are threatening, there is a heart and so on . in the district hospital, this is not done, and

such a task is not yet worth it. yes, we go from above , we lower the ska-technological operation, the operation goes down there, but at least regional ones, but in district hospitals. how did you do just position and cut out. well, such is expressed, as it should be, follow people, help them. particularly seriously ill, maybe agreed. we created inter-random centers and they are almost finished equipment. if you are a shklov hospital, for example, you have a complete mess there. can't you clean up? well, you see kisachenko in mogilev 30 km away. we agreed on this. we have created a system. why does it not work, as far as qualifications are concerned? please state what is wrong. with qualifications, what are the reasons for where they are finalizing our medical universities, shouldn’t ern patsa, the regional hospital provide methodological assistance to these specialists, train and

supervise them, including promptly connect to the treatment of seriously ill patients. not at all you have to drag them in a bunch somewhere there they velopilili. where do you take them for advanced training, take the option of a patent and pay those who will train this link from the district and regional hospitals, and so on. there it is necessary to learn soskal, in my opinion, with a microscope in their hands, so that they can see how something is being done and do these complex operations of manipulation and so on , learn what we can do at the top, we have an absolute gap here in these upper scientific and practical centers. with the middle and low link, listen, how can you not understand that there our parents are not all that you will be with briefcases to sit here. soon we will leave, we will be ordinary people. don’t you understand that

we will find ourselves in such a situation, inter-district centers will treat us in exactly the same way, they just created it so that people don’t ride through the fields and weights for high-tech help and not everyone will reach the regional center narrow ultrasound specialists or mri everything should be available . the president supported this logic, not you are chasing doctors, but medicine is getting closer to you. i never ask you for the village, never. remember, this is primarily the governor. i'm with i'll tear off your skin, but you will put things in order for me, there is order, in general, controllers, lawmakers must make a decision, they report to me , they begin to close the fap. well, close it, optimize it, nobody started chopping koraniks there from the shoulder, but first you have these complexes on wheels, start which you don’t want to replace the faps, and then close them and that these faps are so dear to us, one person walks there feldshe immediately figure it out,

natalya ivanovna, you control this area. connect. you are from below. connect yourself, look yes, we don’t need dads who are inactive, but where people live hundreds more, the example of russia was not closed. and now they are trying to heroically return back. well, what are we doing, figure it out, dads are a district hospital. that's where our people live. what is being done to provide enough medicines to the population, including rural residents with full board medicines? who wants to take it, who wants to, he carries it where he wants to go and carries it. and what measures were taken to expand the production of sought-after drugs boyko during the roast was reported more than fifty percent started producing their own drugs and stopped lying and not moving february and the beginning of spring

were tense for the working group visited eight dozen medical institutions in the regions and minsk , the sample is random, but reflects the overall picture, the main shortcomings in the participation of organizational management issues were shared by irina abelskaya, who led this interdepartmental group, one should also note the insufficient level of training of chief physicians of medical and preventive institutions and their deputies low labor and executive discipline. a formal approach to the development of local regulatory documents of roadmaps for the direction and distribution of patient flows. between the institutions of the district and the region without identifying specific responsible persons, and in general , the regulatory framework of the health care system requires a thorough examination of the analysis and revision from the standpoint of the practice of application and feedback from the practical level of health care, as regards the topic

of management or, so to speak, medical vertical this issue is discussed not the first day the essence. if it’s just who and how should be responsible for health care in the regions, the ministry of health from the center or the governors, the local government, the president gave a response, once another thing was created, that this everything is forgotten and abandoned, the governors should be responsible directly for the region and culture, spoil their education from healthcare. they need to create a system for assigning release. but shopping and stuff. in our country , it is carried out, in my opinion, from local budgets and the republican budget. and right here the ministry of health does not interfere. nobody forbids. they must agree on all this, but the minister’s disregard for this has created such

a mess, that is, it seems that the system has been created. regulatory plan, but it does not function, because the head does not work. the head doesn't work. and, if the head worked in the form of the deputy prime minister of the minister of health, then everyone moved, so before breaking it, it is necessary to restore it. restore what once was, created, of course, the entire report there are enough problems in the plot. the head of state focused on every moment, for example, accreditation of medical institutions. here is the main pain. a formal approach turns a blind eye to shortcomings. after all, the medical institution itself, the only one in the region, for example, cannot be closed, neither the president, nor igor petrovich will go there to be operated on. how is it already there? will they be minimally invasive or

will they chop this person with an ax or cut with a scalpel? it doesn't matter to us it's all far away. i don't understand what accreditation is accreditation should be unequivocal alexander nikolayevich take control of you as an expert in this, so that by the end of the year you will accredit , really the whole medical institution is really, if the door is skewed, let the governor bring his own, if the window is broken, also his own, if there are medicines for something then there are not enough specialists. let them do it before the end of the year and lend. take control of it according to your reinforced concrete principles. formalism also formally and inactively approaches medical examination, although for many, this can become a real lifeline, if cancer is not diagnosed in time, if treatment is started on time

, the president is outraged that because of such a careless approach, people die when they could live. i understand that bitch, a reminder, may not be entirely correct due to the fact that people somewhere were afraid for 22 years. for that is, this is a relative percentage of 22%, here it must be understood that and firstly, i really share the anxiety either on stepanovna and for the simple reason that we have not yet identified 14,000 patients suffering from oncological diseases, if we take the purity of the incidence before the pandemic period and the detection rate for 2 years of the pandemic. uh, lower by 14% those who had symptoms, uh, stages three and four, they sought medical attention. and if we take in absolute terms

the number of deaths during the year does not increase, it has decreased, but we see that in a relatively figure due to under-identified initial ones. by the way, of course, the percentage has grown from 22 to 24 in some regions, but we have a very short, but opportunities, because our task is soon. here are two, as we said, this is pressure, a delayed method as quickly as possible for these patients with initial manifestations. no matter how much it bothers me now, who does not turn to find and reveal until the third fourth article has been passed to me, uh, as a person who has been sufficiently immersed in this. is it normal when a woman dies of breast cancer and cervical cancer, is that normal? we treat it, we can actually save a person. i know many people, i had to delve into the treat of such people who live already. uh, the eighth to the ninth year, it is necessary to separate

the uterus absolutely agree with you is not normal. at the moment, there is every opportunity for an early phenomenon, as far as breast cancer is concerned, from five to seven percent. this is a hereditary predisposition, these are defects. uh, as if a-a protection and unfortunately in all countries. young women are difficult to respond to, that is, our mortality rate from breast cancer is better than in the whole world, not better, but in many ways. yes for cancer mammary gland. yes, but at the moment we must understand that this is often achieved by very expensive treatment. not only, but you, too, will be responsible for female head diseases. answer, and you don't tell me rainbow pictures here. we

are responsible for the woman, important. question. it is not in vain that doctors say that a doctor studies all his life in the regions, the daily routine pushes the training of a couple aside and those such failed areas that i have already listed, probably, after all, should be attributed to formal and indifferent the educational process that is going on. uh, first of all, probably at the post -graduate education. and, of course, at the stage of preparation. uh, medical specialists uh pop. the so-called work it doesn't matter, but to say unequivocally that they work. bad of course not. it largely depends on the motivation of those students and those doctors who come to these courses. here are the multiplicities of these courses, of course, the training programs. we need to revise them, we need to update them, because in many ways they have not been updated for decades. preparing for

today, in order to remove this acute problem, e in practical healthcare professionals should be carried out mainly in educational e centers of republican scientific and practical centers, where there is fresh thought, where fresh knowledge that keeps pace with modern, e, theoretical and practical skills . and it is necessary to return the internship at the workplace, once it was today such a legalized form of advanced training. no, i would say only an on-the-job internship. only there will and theory and practice. because more, well, roughly speaking, nobody knows transplantology, in parallel with a team of experts , the prosecutor general's office and the state control committee were engaged in monitoring , it is customary for the president to receive information from

various sources. so it turns out, an objective picture, alas, controllers. a number of problems have been uncovered. farm enterprises. slowed down the work there are facts of overstating paid services, for example, in dentistry. well, the queues for research by narrow specialists, as is, i just reminded you that in parallel a commission is working, which has just reported its results; other tools i have also used. but i always warned about this, that i use more than one source of information, therefore, uh, in my opinion , you even addressed this problem twice during this time, and then it was entrusted to the prosecutor general, but where have you already gone, but about this will say. please interaction between equipped equipment