these are the engineering and technical workers of the plant and the executives involved in the production , the documentation regulating the production repair work of the time sheet and other documentation was withdrawn. investigators also arrived in svetlogorsk and specialists from the capital will be able to start a repeated and detailed examination of the scene of the incident after parsing all the debris. when the safety of work is ensured according to the investigation, on june 7 in the shop of the elective station for the production of tall oil llc svetlogorsk cc. in the gomel region , technical work was carried out at about 15:40 an outbreak of a gas-air mixture occurred. as a result of the explosion , three employees of the enterprise, aged 31-24 and 42, died. two more people. received bodily injuries. the cause of the explosion is established, the version of the formation of an explosive gas-air mixture during the repair and cleaning work without regulations is checked, as well as the version. about the committed

violations in the technological process all the time of the dead will be provided with material help. in addition, the company will cover the cost of burial, the general director of the plant said at a meeting with relatives of the victims , information resources inform. the enterprise for preliminary investigation of criminal cases was transferred to the main investigative departments. new information from my colleagues at 15:00 on our air. all the best. socio-political talk show in essence today we will talk about our health in the literal sense and about those who

help us restore this health with you in the studio work alena surova kiev kazakov if you want to join our discussion. here, you see, point the qr-code with your smartphone at it and join the chat that we have here, and on the other hand, we have a qr-code that leads to our telegram channel. you can read all the news that takes place including behind the scenes of our talk show. well, 2 weeks have actually passed exactly since the moment when the independence palace took place, that very glow dedicated to the situation in the system healthcare. um, someone said that they hadn't seen such a dressing down for a long time. they won't remember. well, here, as a direct participant, i can say that you know, i was not different there. in general, there was such a constructive conversation and dialogue. uh, with all the pros and cons

that we have today, one of the opinions sounded exactly the same, that they became the perpetrators of this conversation. uh, members of the very monitoring group of which, uh, the head of state at the beginning of the year instructed to inspect medical institutions, and olga ivanovna here you are one of the uh, guilty of this let's name it, but hmm, you checked about 8 dozen medical institutions in the country. we've all heard a. different groups. yes. hmm. in different ways, so to speak, and the areas were spread those remarks that ah. you, among other things, identified colleagues from e, the prosecutor's office from the state control committee. they also worked in parallel. in general. all. this resulted in the final document at the disposal of the head of state, which appeared last week , in fact, a specific road map, which spells out who is responsible for what, what issues are decided, who needs to do what, and

the main dates, yes we remind you of january 1 , 2024, but it seems to me that everyone has already learned something there. i have a practical question for you. here you are as a person who saw all these shortcomings, including identifying them. what do you think, is it really possible to eliminate them? in such a short period of time. yes, i think it's quite real. if we take up this work together, if methodological assistance is provided in a timely manner, and most importantly, there will be a desire, both among the staff and the hospital administration, because here you need to understand that these systemic shortcomings must be acknowledged. no need to be offended. there is no need to punish anyone. we must change. if we want to make our lives better and bring health care closer to people, then this can be done. i don't see any reason, uh, that we wouldn't get there. yes, there are serious problems somewhere in the material and technical base. and there are already such hospitals, well, to put it mildly, in which

there was no repair for several decades , the material was prepared together in the final program. yes, in my opinion, you gave an example there, but the supply of a hospital in which there uh hmm, since the nineties, the beds were on humanitarian. unfortunately, yes, it really was such a fact revealed. i was very surprised, because the hospital actually. it is located in such a tengauzen estate, it is a very beautiful, amazing hospital, it somehow received a grand unesco there , but at the same time, their beds were received as humanitarian aid 20 years ago, which means that they have already come, used this bed. and, of course, for us, for the monitoring group, this incompatibility was surprising. yes, you know? it's like glitter the poverty of a courtesan, somewhere there is something very good. and somewhere here people lie on broken beds. you said such a word systematically, yes. that, in principle, when you realize that this is a systemic problem. she was not born yesterday, though, that is, someone these beds are 20 years old, someone saw them

looking at them. look, actually. we are here in minsk well, it's true, let's say, we really see good polyclinics and good hospitals. i understand that this is the capital, in principle, and in the regional centers, more or less in the districts, we have a problem. this where did the system come from? after all, look. it’s not the first time that the president of medicine has been gathering officials in our country, and then this time he answers, says, listen, well, it’s good to have rmc here, a cool room, a good operation to do. yes, and in principle, we have excellent bypass surgery on our hearts. the same transplantation is done here such that, well, as if nowhere in europe , neto e , people come here as medical tourists, but here is such a story. what does this have to do with it? well, you know, it accumulates, first, regionally in regional hospitals lie people who are well less demanding. yes, living in the regions, they get sick no less, and unfortunately,

the actual creation of this monitoring. the group was dictated by a huge number of some complaints and appeals, in general , not to the satisfaction of the provision of medical care, but to the system. it just does not concern the bed. there were many of the same 100 hospitals in the regions where excellent modern beds are installed. it's more of a local , local consistency. we have set in other directions there in the infectious field epidemiological control. where we identified similar errors, this was the task before the monitoring group. look at the means of all areas to analyze and say similar mistakes and the task was set not to scold anything, to say that we worked quite openly and always met as a team before the check , introduced ourselves and after we passed no in the first e, the first visits, maybe yes , but then a whole bail was collected, when we had already passed the last ones. uh-huh no, they were going to. they wanted to listen to her the whole team. and we are basically everything we

found. we told the team very openly that this is what we found , we want it to be corrected in a very trusting atmosphere. and often we were escorted by clinic staff to the car. yes, yes, the monitoring group was assembled at the beginning of the year, then and uh, the prosecutor's office and the state control committee are working, as it were , yulia vladimirovna is constantly on these issues, probably before this meeting. in principle, you periodically carry out some cuts and carried out, but uh, why is there such a tendency that certain issues were not resolved. you certainly checked every year, we practically reported to the head of state on the state of health in accordance with his instructions. we look at the health care economy uh-huh that is, this is the efficiency of using budget money, we buy new equipment accordingly. it should be installed on time, put into operation and

as many patients as possible so that the purchase of medicines passes through it. and probably, it was already accumulated. here is the information that there were institutions that are not fully performed every year. - by the time of arrival, the premises were not ready, vitebsk for example. and they have bobruisk from high-tech equipment. there, three units of a specific one, each with two units, failed at the same time, that is, there was no any reserve of spare parts of the question of the organization of work, or in the brest region, too, those institutions that are equipped with high-tech equipment , patients receive assistance on time. all the rest are three coupons per district, that is, there was such an imbalance. and, of course, this

required some systemic solutions. here, look. when you check, most likely, you write the same sentence in the summary part. and how do these sentences sound. here, from the point of view, as an official and from the point of view of an ordinary person, to whom, as the president, he also spoke i have to or i will have to turn to doctors in the future, everything is correct, we are conducting a hotline, we feel pain points from the population , signals and suggestions were made where it is necessary to concentrate efforts, but why were the issues not resolved. that's even why even a similar situation arose. you come, you gave an example, there and from the minsk region near you. here igor alexandrovich, maybe he can somehow specifically explain and clarify this situation , he can answer me together. this question why , in principle, such a precedent arose after all? well so you say the purchase of equipment, that is , people were allocated money for it, which means that, in principle, part of the problem has already been solved

. they brought it. as i understand it, no. just why did it happen? well, i explain. i certainly do have, uh, moments that uh are sometimes difficult to calculate uh, when conducting, well, our system is sometimes called it can be overly bureaucratic somewhere and so on, but one way or another, the healthcare system collides. e with questions. e, which need to be addressed not only in the medical part. procurement issues preparation of the premises, and so on, it is clearly distributed who should build, who should prepare, who should treat , and so on. therefore, sometimes tasks that are not entirely characteristic of his specialty fall on the spitting head physician. here, look, i will interrupt you president, when e. well, here, this is the very order about what should be done, when he clearly outlined the local authorities. yes

, of course, that in this case it could be the same both with the regiment. you are structural he had a unit, of course, right? so maybe both executive committees would take on yes, there are some specific functions, i don’t know no, yes, well, as we have some kind of producer on television, yes, the person who essentially organizes the process, and he is the same doctor , well, they helped me , they did it, and i organize the treatment because of it, it does not correspond undoubtedly. here, uh, the regional executive committee is organized in this way. er, gives me the necessary responsibility to the right people and the right departments, who are directly involved in this. here we are discussing. uh, questions of systemic systemicity. yes, indeed, therefore, and all the links in the system must work, here is the builder or textbooks , the head doctor, who connects them all and solves the same problem, the same thing happens with uh, serious uh, heavy equipment and heavy rooms, where hidden works are revealed. uh,

pitfalls, suppliers and conscientious conscientious. it's a lot of several components that are really. maybe uh increase. eh, here. we have such figures and in these figures it is written that in the minsk region, the smallest amount of provision with a practicing medic is precisely in the minsk region. and when the president also talked about the fact that, well, in fact, we are preparing a sufficient number of medics, but they do not stay long, and at the same time, many doctors do not want to leave minsk for the region. here's what to do with it? this is also the same problem that you will have to solve ; everyone wants to stay in minsk but is not enough. see, uh, cyril, you tell you again decide e we want. let's so we're in front of the program. i said that our goal is not to discredit. of course our goal. here is an ordinary person. well, relatively speaking, a resident of the same borovlyans, where the minsk regional hospital is located. yes, this is a whole medical

town, there are hospital clinics. so he understands that, in principle, he has the opportunity to go to the hospital, because he still sees what is happening in minsk , he has a direct bus. it passes, but the minsk region, he cannot do this. and so he thinks, and when will the conditional ultrasound work? this is in this very one in the village of lesnoy in the regional hospital, yes. i will immediately explain to you about the minsk region. why is the lowest provision of the minsk region no oncological dispensary of the cardiological dispensary, the inhabitants of the minsk region are assigned by the relevant rnc, and we have certain contractual relations, therefore, based on this and e, the calculation of the provision of medical workers is precisely in the minsk region. residence in his report. he stressed once again that the economy should always be a priority. eh, here and accurate calculations. and he should have a place in our health care system. e. one example may be more economical to buy. these are

the cars that, uh, that will replace dads. yes, but at the same time, even when we were preparing materials, our colleagues went to small regions in the footsteps and it turned out that people are not ready to give up fabs, vladimir pavlovich, what do you think about what, in principle, to protect the fap , become? i understand that they should be and where you would prefer. don't know continue to work in such a car or a fact. the fact is that i have been working for my dad for 30 years for 30 years. you understand, you need to descend a little from heaven to earth and see where people go and turn. where do people go for treatment, to whom do people go for treatment, and especially where do they live. take the minsk region, here pavlov is smaller than absolutely other regions. there dad is bigger and plus extra. eh, the fats of our republic, belarus, they will be more accessible to the rural dweller than any other. ah,

a health care facility. well i'm kidding myself. 30 years on april 1, i will only say one thing, that they have worked in the direction for 2 years. yes, they gave me a place to live. yes, the minsk district executive committee provided me with housing, but the fact is that when they pulled out housing, i already started working. it was necessary to restore the fab. you understand that time is passing and those standards are those sanitary, uh , standards that existed in the old days. it was different now other trends are coming. it needs to be cold hot water. it was necessary that there was a toilet and everything was necessary that was neat. i worked on it which of course i didn't even know it could come such a time that it will take place, but it took place at such a time that everything should be beautiful and neat. yes, i need help. you understand, we work for dads. you will understand. we work, people come to us.

people come to us during the day and people come to us at night. we know them very well. and as the head of the department told me today, well done said, this is our big family. he correctly noticed. this is our big family. we help as much as we can and we are the link between the outpatient clinic and the people who live there. they contact us for the first time and we provide them with emergency assistance whatever they need. we are their psychologist surgeons. all in a row , a person is a doctor who is ready to talk, in principle, and with his patients , potential those who come, but again , time goes by. you yourself are fair. they said everything is changing, there are certain requests. so what's wrong is that a , these mobile cars can come to replace the dads, which will be equipped if they are. it's good, and there is a word for him

. well, let there be more than one permanent person in front of yours, please. here, look, you imagine a mobile shop. yes? same story. here is. yes, there is a store, which they used to go to, which several villages provide, there is a mobile shop, which is expected on schedule. and there they only bring only that you are right of all. you are wrong, cyril. you are very much right. i will only say one thing, that this is not a car shop. these are medical facilities. uh, everything must be respected there sanitary levels. you understand me that a person comes. he wants to come to the doctor, not to go somewhere there was hard for him somewhere crowded. if somewhere there uneasy and everything became. he comes. come to me to help him. you see, you remember that period of the coronavirus infection, how hard it was for everyone, like our medicine.

stood, well done and here i will say only one thing, that the fap showed themselves very well, and i will say only one thing. i am on an increase in the number, in 5 years the head of the fafs will come. they are very colorful very well done they work with people treat people about cars. well, i can’t say, by the way, speaking, i was in the minsk region myself and they asked me how to make this medical station car on wheels, what can be included there, i was the developer. went to it all. here i am, again , you understand right away, i just supplement my thoughts along the way. look, i understand what it's like to call an ambulance. yes, when i got sick and called an ambulance. she came and took me to the hospital, how can i call this thing for myself in any way. well, the question arises, because how can i get this thing

with all the equipment - it's like always. yeah yeah so that's, uh, just a week ago we traveled to the farthest, most southern regions of our motherland, one district, that means one fap in the regional center, a decision was made to close , a public discussion was held. people took part expressed their opposition. they say we need a fact to understand the solution. well, a vowel behind the scenes. who says that the ministry of health gave the command? who says that, well, as if they went from below. yes, it means that they have closed the mobile complex. you come to this village, what the old people say. so they gathered and said to measure the pressure. gotta prick around every day every day day. grandfather says one of them brings grandchildren to me. tomorrow, someone who needs zelenka, who needs it, to the fact that where i go this complex , he will come, well, if once a week. yeah , there are cases when once every 10 months. there

is nothing wrong with the complex itself. i mean , he probably should be. if there is money for this, he can come there, you can take certain tests, that is, it has its advantages, of course, but usually buy medicines. they must not be fully equipped. today closed 50 faf mobile complex and planned 80. and when dads also dream of medicines, but at least there you can get elementary help every day or according to the schedule for old people. well, here's the simplest question that no one can answer, either a young family, an old child. he needs to go every day to measure the pressure and give an injection. on the other hand, in some the smell turns out that they also work every day of the week. here is the doctor. well, the case when there is no his living paramedic times. i remember one wonderful russian politician comrade gaidar, who in the late nineties said that

the most unprofitable thing for business and the economy is the state. and if you look at how the economy and medicine is being done in ukraine now, then look there, the reduction of the same polyclinics, the reduction of hospitals, primarily the reduction that before the same pandemic was, first of all, of all specialized institutions that treated these same viruses in reduction. that's right , we allocate less money people walk all over insurance, come a certain age. and suddenly, there is nowhere to be treated. and here is the same fact. remember chekhov or bulgakov, they were engaged in the fact that they went and healed the villages, because sometimes there was such a story that a doctor is also a psychologist a to convey. i want to convey all this to you. work related to people you understand about medical support,

that is, the pharmacy did not have medicines. i have been working for 30 years, getting a pharmacy, 22, a city having sent a drug. you understand they always go, they always ask what is missing , they will always deliver even in difficult times the bird fungus of the coronavirus infection has always had a cure, then what we have been talking about is that all links of the system do not work everywhere. so. here, the prosecutor's office will confirm that there is a case when they are treated negligently, starting from the lowest level and further along the chain of leadership. dad does not make requests, for example, he is not so worried about his dad because of his people, that is, everything here is played by human dependence. and what else would you like plays and working conditions, which is still the local government. for this, they give a health worker who works for dad, again

you ask an example why not the worker should travel around the villages that he serves in his car personally. why well, he says, if he wants, we'll buy him a bike. i say well, winter is good, spring is not like rain. well, we will not think about moving around, no, a bicycle or or on our own. come on, how will your life change, yours, working with power appeal, yes, that is now although i it seems that earlier it was, in principle, implied that the local authorities, in fact. that will be responsible for such a move part of the equipment for the state of the same e, the same institutions and health care. well, if we talk about medicine, i took braslav region, then bracelets represent medicine, the central district at the hospital, the district hospital , the nursing care hospital, five outpatient clinics and 22, dad, of course. we haven't closed anything. everything works for us. there is a plan. well , you see, this is not what we took today

; all issues are being worked out everywhere, because in each case this question. well , it's really very personal. and uh question. who works there was rightly said, how a person relates to this, it is first of all there. where are we again. although, in principle, i , uh, digress to the personnel potential. yes, uh, as for the medical, there, well, let's say about twenty percent. these are people of retirement pre-retirement age. it’s just that doctors are on faps - it’s practically there about sixteen percent of the retirement age, but somewhere it’s the only one. and if we understand that this pensioner will leave, then by and large, there will be no one else to work from school. you know, even history. if there is no doctor, i say it again, in each case individually, while a person is working. we create all the conditions on the part of the authorities so that this person continues to work for the future. but then we will approach the issue when we talked about these mobile mobile

complex points. it was correctly said, as from a mobile shop, but somewhere there is a mobile shop. somewhere there are private shops. eat two pieces, simultaneously work somehow uh, activity and fafov. and this one, uh, medical, can you? you can, of course, nothing interferes with this, because it will be such an addition; nothing interferes with this, because it will be like that. you don’t have a gynecologist here, yes, well, it’s declining, it can’t fully render it completely, because we understand this very well and, again, at our level. uh, all the conditions have been created so that, firstly, yes, if emergency assistance, then 103, will soon go. if this is planned and somewhere the elderly, then the central the district hospital provides a person’s car, they come, pick it up and take it to a specific specialist

to the hospital in order to show help, or to know some tests, you really need to proceed from reality, because if we talk about brotherhood, yes, then for the summer they call him in the tenth district of minsk, almost half of minsk leaves there , and it is natural that when something happens, there really should be emergency assistance. yes, and if we take a conditional, stolin district, where between two villages, it seems like 3 km, but through the swamps, there really, perhaps, a car is more needed, well, on a bicycle, you won’t pass there, maybe the regional authorities bought a boat there. you don't know what you're missing. what powers do you lack? and yes, i will ask the same question that i voiced at the beginning of the program until january 1. that's what and in your area of ​​responsibility you will eliminate everything , which means, well, i already said, the economy, which is a medical bracelet, yes, and in order to naturally support it, i see well, this should all be planned the basis. we annually at the end of the year, when we form the budget for the next year. naturally, we are already mortgaging, working out what we need to do and, uh , we are pledging funds in order to carry out

this or that kind of repair there, for example, this year we pledged about 60,000 funds last year. we are this year. so, let's finish, let's say, the facade of the clinic, where absolutely all the windows will be changed this year. we have included in the budget since last year. we will, we will open. i hope everything works out for us. at we have a wonderful understanding. e with regional health. this is what is said when we allow me somewhere lies and is unclaimed. yes, we proceed a little differently. there is an agreement with the ministry of health that the district budget allocates funds and invests in the repair of some premises, and the obozdrav supplies equipment there. we opened last year. uh , larsak - a laparoscopic stand for minimally invasive operations , we made an office for others who check questions in your area, you understand, maybe they didn’t get there, because questions are always questions

you always understand how quickly and efficiently we solve them, therefore, when we talk about some kind of equipment, if i want the hospital to develop at the moment, based on that, i say again equipment laparoscopic rack, computer tammorga, the pcr laboratory, our hospital, which is no longer at a point in surgery, and so on, perform the functions of an inter-district center and people come to us for treatment and supplies of borders for all beds. people come to us already e visitors let's say those who are undergoing treatment with us or to whom we provide assistance in the hospital. yes, there are already more of them than i would say no, definitely. i say that we are already all of our residents, well, we are already covered as much as possible by this medical care, or alexandrovich but, uh, look at these stories with queues when you sign up, let's say for some kind of examination on some very serious device and you have to come to minsk from the e region and you have a queue there for

september, so what to do with this? these need to be seriously worked on, and because here is the task for you on friday. and what's up with that do? i'll explain now. uh, again, clearly, a well-established management system of planning and discipline. we have created, uh, a really working system. e of the provision of medical care at the level of conversation he has here is local from the firshire point of the district, regional , inter-district, republican and all these chains. they must work as a single mechanism and each must clearly fulfill their tasks. here, uh, in addition to the development of the health care system and the requirements for the precise fulfillment of tasks, it is necessary here in parallel to to discipline and inform to inform the population as because in the law on health care in the constitution of the republic of belarus everything is written about this and the prosecutor's office. uh, somewhere fair, how do you schedule a man? well, the whole yes

people. yes, it worries the task is to solve the issue. and know to the doctor came opinions. here is the deputy minister of health. he said that no one would solve the question at the click of a button, but the wording was as follows, we will do everything possible to a this question decide to remove it fold here specifically in the minsk region. this question will be removed before the end of the year or not? it will be removed as follows, what is a queue in general, what should it be. how long does it take for a person to go through this, that's why i started talking about a system of a working system where, uh, the types and forms of medical care are clearly defined, types of primary medical care, specialized high-tech, uh, but there is a queue at the back . for whatever reason, there are no specialists

or no, there is no equipment. e equipment. you you know what, well, you can't, of course, agree. it’s just that silently with arguments that the system works in an ideal noisy way, because the whole queue was back in 22, when the prosecutor’s office checks on behalf of the president began even then all these problems with queues were indicated at the end of the year , a submission was submitted to the ministry of health to the organs. the additional authorities reacted in exactly the same way, and today, after 5 months , almost six, we say that we will think about how to solve this problem, and there were distortions in including, why queue because e free of charge you can be examined after 2 months, well, for a fee. you can tomorrow you can in a day in a week this is conditional, yes

, the vision of different medical workers and the doctor first of all decides on the basis of clinical protocols approved by the ministry of health , a list of patient examination and treatment is necessary. there are emergency indications, they are necessary for a person. here and now, for the diagnosis and treatment, there are planned methods of rendering the patient needs. uh get ready for a heart transplant, a liver joint transplant does not matter, he is scheduled for a transplant. not tomorrow. not tomorrow, but in six months, perhaps, they will call him sometime, and by that moment he must undergo an examination, fortunately , he doesn’t need to go anywhere, but i’ll sign up for a fee and go faster than he understands, there is a system. uh, state control and agencies, prosecutors have a staffing table, there are certain workload standards, and so on and so forth. everything that is paid is outside the

animal world. uh studies are carried out, as a rule, before uh, there are changes approaches, when they started working, i agree, it can’t be that it was working time, as a rule. at the same time, it was purchased for budget money for all citizens. well, i started talking here with representatives of state control. i want to finish my short thought olga ivanovna tell me, please, as a person, as a physician. maybe we still have insurance medicine. would be better. look, we collided, in fact. so i watched and listened to the last minute of the first part and so we collided, just the same, absolutely two

identical and on each side correct opinions, on the one hand. there is a claim, when it is necessary to fulfill it, and you, for sure, when these claims were travelled, including expressed by the local authorities. and they also need to be understood, because this is how our colleague, he says, wrote the tour, when you arrive he doesn't have enough equipment in the clinic. and the ministry of health says, i have no money. this question to yourself. and the min himself, he says, i have no assignments and so on and so on and so on. that is, this is how you say the system is like this. maybe we really need this insurance medicine and it turns out that people who want to go through the same thing, they go through ultrasound earlier. well, you know, we are probably not ready for the systematic management of insurance medicine. maybe there are some insurance policies, they work well insurance policies, but you have to pay for them, but

in fact, the difference in price for treatment is very large, it seems to us that this is is inexpensive. i am a resuscitator and the cost of staying in intensive care depends on the level of the hospital. it can range from 800 rubles. up to 2.500 days. yes, can you imagine? what should be the field to cover this should your question. so, maybe not everything is so bad in our medical society, because if you, for example, read the opinion of those who left for poland and there the story will come running the same for us, at least for them. if well, you suddenly dislocated your arm , the doctor came to see you and you leave free of charge, at least with some advice, and there you have to queue 3 wait a month, but they say well and there is insurance medicine, and we were faced with a desire to treat. and a good goal and this good goal of the state and the economy, but we are now talking, uh, including the fact that some of us here also apply there to different centers. yes, and uh,

everyone compares everyone knows how to read one thing, somewhere there to go to a private center conditionally tests will cost 100 rubles in the laboratory there. and then we thought once again, well, that is, where to choose this compromise? i understand that this is the whole test. she was just the same meet the high standards of quality that exist today on the other side. after all. it's all in the hands of local authorities. they have the same education, culture and medicine. well a monitoring group has been set up, what's the price of quality and affordability affordability? it's not just the availability of equipment. here they listed a lot of equipment for one monitoring group saw laparoscopic racks, but we checked how they are used. the percentage of laparoscopic operations and unfortunately, in a number of interdistrict centers, for example, in the presence equipment in 90% the operation was performed in an open way, so the very fact of having good equipment. it still does not determine,

and not the quality of assistance, and so on. this is traumatology, yes, and uh, that very queue for joint replacement at viktor sergeevich. here you are. i think they listened to the first part of our discussion there. we've touched on the queues a bit, but here's the thing. here, uh, a bright moment and meetings, including the disposal most often spelled out in that all those people who were standing in line for endoprosthesis at the moment, may 23 , 2023, and should receive assistance by the end of this year. and i know people who have to have surgery a year later. well, that is, to what extent it is generally feasible and why such a big one has really arisen. the queue in comparison with neighboring countries is not so long in our country and , according to the experience of working with patients in need of arthroplasty, not

all of these people who need surgical intervention here and now are on the waiting list. uh, people expect more than arthroplasty, like such relief of their suffering and we are preparing this patient not only for surgery , when he is under anesthesia, but receives implantation of a new joint, but we are preparing him physically and psychologically in order to survive this difficult period in his life. uh, with regards to the queue for the experience of the commission, which put patients on a register for arthroplasty. uh, well, ten to thirty percent of that queue makes it to the operating table, depending on the commission. e depending on the institution, in which is the commission for endoprosthetics. eh, so you shouldn't be too afraid of this figure, and the task set for our system for our e for our direction in healthcare

is realizable. i mean, uh, what they were talking about. for example, yesterday they also gave an example there, also in the brest region, that sometimes there is a waiting period. uh, from a year to four, in my opinion, such a figure sounded not to be frightened of him. this is the norm. the waiting period, approximately mathematically calculated is not the actual period that the citizen the surname ivanov will conditionally be expected. e, for the operation of implantation, joint that when they say approximately the term, it cuts faster than later, but again, i can give an example from another area. yes, this is a person in need of social housing in minsk, so, how would there be a queue, is it real or basically, also virtually. so say, well, well, but people get some, for example, a promise that they are doing the same operation, so why do these people get into the queue? so you say, there are those that are needed, and there are those that

actually just because it's just because they go there. they are not just worth it. we do not forcibly put anyone on the operating table and, according to the experience of the commissions , from 10 to 30% of patients sent for hospitalization to our institution , including because they refuse or not. well, that is, the medical reasons for the banal move. uh, getting medical care at another facility. maybe you need to update this queue. well, i say it turns out, and he gets a person in this queue, that is, she to some extent, a virtual person lived without prosthetic joints and what is happening now, that is, the shift of the average age of our population to the right on the

age curve. the blue quality of medical care is the emergence of new designs that serve as an indoprosthesis for more than 20 years before prostheses, joints have given us the opportunity to provide medical care to young people in their 20s and 30s . sometimes you have to go through this heavy surgical intervention , high-tech, that's why it happens, uh, such an increase in the waiting list, but with each patient in the queue, work is being done to ensure that he adapts to the condition that he caused the disease of one or another joint, more often this femoral e, less often the knee joint, even less often other joints. basically, the queue is formed by people who need a hip replacement and 30-40% of the cases of the knee court, in our opinion. including the offer. now the country is doing a single information system for arthroplasty, while it is in this mode

, as it were, well, more than manual control, but the ministry of health has undertaken this work and there will be one unified information system, a system that will already allow it. uh, because rightly there are cases when a person from one region to another, moved there, and so on. well, we found in the lists of these people, and dead people, someone somewhere else there. i have already paid for it, therefore, god forbid that this information system helps and the questions are removed and in order. so the line was also called, because uh, after all, there were people who stood without reason and which were set. well, it's unclear. for what reasons. well, in general, this question was raised, some kind of problem, well, communication, or something, we don’t have a well-built system of data exchange. yes, we know that relatively speaking, and in minsk everyone can easily exchange information with each other. and here's a big us of ours on

what to address. what does our research queue viewer write about on progress? advancement of the patient plus one more structure , we should probably deal with those that exist. well, actually, this is not such a bad idea, because if you want to conditionally pass an uzid and look where is closer and go. here it doesn't work. this is not the same story. no. here i can explain again, returning to the queue for that question. i have not finished here are the two components of the main equipment and the most important component is frames frames that will really , uh, work with this equipment as much as possible olga ivanovna emphasized that somewhere there is equipment. it is not specialists. somewhere there are specialists, but there is no equipment. all this is systemic, the setting will really reduce the queue, including the composition of personnel, the retention of personnel, which we have in the minsk region at the moment. uh, 80%. eh, that's

not enough. well , there has been and will be a movement of personnel, especially medical personnel all over the world. our task today is to secure precisely those highly qualified personnel who will be this and high-tech medical you provide assistance in this system in the healthcare system there should not be weak people, therefore a high-quality doctor. uh, high-quality feldshn from the feldsher obstetric station and ending directly. well, youth outside fresh work in the clinic. where are you from the medical district? that is, you are not far away, but it happens that you finished? what are you - graduating from a state medical university, and the second year i have been working for the second year i came to my distribution. that is. uh, the length is coming. no, why are they created for us very good conditions, that is, uh, good wages. e, young professionals

are provided. a hostel is provided for housing for each e. uh, you really mint a team, like a good salary here at komsomolskaya. what salary? how many stakes? how much do you get, really? well, tell me, so that we can simply understand behind the scenes information about what is in faps. for example , a paramedic has a salary of about 1,000 rubles there. you have some kind of salary e for a rate and three shifts. i e earn 2.000 belarusian rubles, and plus you, if you yourself are down in the well-known district, but you have rental housing , you did not provide rental housing for six months, that is, we immediately in the first month of work. uh, they invited us to talk about where you live, and they put us on a lot, that is, this is a. it is controlled by the nesvizh regional executive committee, that is, all conditions for young specialists

have been created. by the way, i can confirm this fact, because the monitoring group we worked according to certain checklists, that is , the same questions were asked very clearly and were looked through and to my surprise, in no region we received a complaint that there was no housing. so i expected young professionals. in particular, i asked the resuscitators there. on the board, on the contrary, they all noted that housing, the doctor is telling the truth, you know, people migrate there internally, migration from the regions is very developed. by the way, they go to regional hospitals, as they are equipped with some kind of qualification center. it seems to me cooler than the republicans, you know, young with a check-in. yes, if he is a good doctor, he wants to work, yes, and he doesn't have enough. this is the district level. he is trying to get into the regional hospital. by the way, they are packed with frames there. pretty good shot, high qualification. well, that's why then we saw the numbers, yes, and we talked about what is conditional in

the minsk region of practicing doctors. well, uh, less than wherever you like to look. if we analyze the cross section, i will give you an example of a pinsk hospital. i liked it there, a great hospital, but, for example, for 5 years. i asked all the time. uh, movement of young cadres of anesthesiologists for 5 years quit for 20 people. yes, 30% of them went abroad 70%. this is internal migration throughout the country, but today new doctors have arrived. and now imagine how the unit should work, where 60% of doctors. these are young specialists in the intensive care unit 60%, they do not have qualification categories , it is difficult for them, that is, a number of shifts will be staffed by young, not very experienced specialists. and yes, they left. and although the pinsk hospital has very good equipment. everything was there. well, no sweaters district from the minsk region. uh, proximity to the capital. all clear. in the braslav district , you have it right, probably, give more of some kind of goodies in order to interest you to stay

or come, of course, the main thing. e. i think that the main interest is to appoint a specialist, so that he is interested. that's right. this is the availability of equipment. yes, and uh, it seems the prospect of filling the ring with a hand. yes, and continue to develop , plus indeed, in terms of salary, the average salary of a health worker throws out about 1,300 1,400 rubles. we are already talking about the average young. we have already heard, again with housing. we threw in almost every year. we are building a house, we heard about the minsk region. ah, every year a house, at least two apartments are allocated to young employees in recent years. here are 2 years. so, in the second year , three young doctors came to us, three middle staff out of six people, only one left, while everyone is working for last year. uh, 13 people have also left so far, only one for k medical specialists, we have six one-room rental apartments, one three-room apartment

, now we are planning. here we are building a house. yes after all, our idea is that there should still be rental housing, not a single room. yes, and a two-three-room apartment in order to really consolidate the already specialist. or you will invite him, so that, of course, it would be interesting for him to come to braslav . this is a family, children, and so on, so we agreed here, yes , that at some point the space of a small clinic in which he works becomes small for an ambitious doctor. he strives further. well crown probably this is rnpc our centers, in which there are opportunities to equip and work next to the luminaries hand in hand victor sergeevich well, uh, you have a lot of young people all in the center of young doctors, there were quite a lot of young doctors, twenty percent of us. and in the team, and moreover, this year we will accept for the first workplace more than 13 interns doctors who graduated from the medical university and

will come to us in the first year of their professional activities. as an inter nu doctor, you are satisfied with the level of training. here. um, how useful can such shots be to you? in your work? we are ready for this level and the level that we are satisfied with this level and the level of specialists who come out of the walls of universities and the scope of practice orientation that is now being implemented in medical universities. you have all heard about university clinics that have been introduced since 2018. therefore, significant changes have taken place over the past five years. if you look at 5 years ago, therefore, the quality of their specialists, in practice-oriented practical skills , has increased by an order of magnitude olga ivanovna that is, you like according to a colleague or not, but because when you talked about young anesthesiologists, yes and you said that 60%

of this team here, it’s, uh, young specialists, a little bit of fear is understandable, that everything comes with experience, but deal in is, that colleague the main agrees, that and traumatologist-orthopedist. in such a high institution. in the first 2 years he works in a team in the operating room. true, neither one needs to practice the surgical specialty, the other may need time, and they must work under mentoring under direction, yes. well, it is clear to a person the danger of the team is young professionals. now, if i leave 15-20% or less there, then such a doctor always works with colleagues above this category, this is an excellent indicator. but if the clinic has more than 50% of young specialists, unfortunately, not every night, not every year a high-class specialist comes to your institution. how many young

specialists came to us this year, uh, 18 young specialists , and an experienced one was assigned to each young specialist, as she said, and an experienced one is how many years will you work? now you can already consider experienced for my mother assigned a young specialist to me. no, i am youth itself. i just understand no. no, no, an experienced one was assigned to me. eh, employee. here, which worked for 10-15 years. that is, this is the first highest category class position. she is a mentorship. uh-huh and after nesvizh you will remain stale, or you, for example, will also plan to go to the russian orthodox church. i understand that this is a normal story , an ambitious doctor wants to work, where, relatively speaking, there is a serious operation, in fact in fact, it’s very difficult to predict something now, but in fact , everything suits me now, absolutely all colleagues are the administration, that is, in any situation,

you can approach them and ask, they will tell you something, that is, all for young professionals. and many of your colleagues with whom you studied left to work , let's say faps. no, we are specialists. here with me passed the internet. well, yes, good. and here are the people who, well, again , the students are therapists. yes, they went to dad were like you know the doctor. yeah it's uh s people medical worker with secondary special. education or higher education, with a specialty, uh, nursing. look, you demonstrate all the time, only rpc successes. if you talk more about work and benefits. there outside fresh someone will rush. you know, when, probably, on tv on the screen only the achievement of tall young people is watching. they want to wear this uniform. yes, in order to become prestigious, she began to work somewhere about it.

we also need to speak without forgetting. everywhere such a story, any profession. no, nothing is cooler, you also understand word of mouth, because the picture is, as it were, one story. it is completely different when a young specialist will talk with his colleagues and will not be here, as we are now in the studio. maybe somewhere in there, embellishing something. and as it is, to share your own opinion, and your own experience, therefore, well, i absolutely agree with you that it seems to me that there are a number of professions that, like doctors, teachers are people who go there to work by vocation, before for some for some goodies, because, after all, the medicine of education, they somehow go very close, that's why i translate such an example, so uh, we wouldn’t get carried away with some certain such m- m material motivation. now i’m not talking about the fact that salaries don’t need to be raised there and apartments don’t need to be given out, no, but how to motivate and

how to stimulate i don’t know this hmm , some kind of moral component, if people were proud, yes, she will tell a colleague that it’s going cool, besides being proud. it is clear that everyone goes with the profession. with love, yes, and everyone wants to do their job with high quality and goes into the profession. believe me, not everyone wants to do their job with love, and therefore we have dads like our esteemed guest from the first part of the program. and there are those that people do not visit for years. there they are simply, well, sort of nominally listed. i think, lord, i wish i didn't get to that doctor. the exception is fixed, as elsewhere. yes, but again, we have already said, in addition to the fact that the apartment salary and also the social sphere with the structure. what can a young specialist, just a young person, do in one or another regional center, because not everything is connected, only work to some extent should not lag behind minsk. yes, the place where to go

to rest, of course. this has been forgotten by the local authorities. naturally, that's why i'm talking about this, that when such conditions are created in general for leisure, you know and by the bowl and no offense it was said to give many examples where the residents of the city of minsk are surprised, availability and quality of medical care in the minsk region. yes and sometimes, especially now the summer period. uh, they are waiting to personally thank the minsk regional hospital. that's why, thank you. therefore, indeed , many examples can be cited, and e, today's assessment is unsatisfactory. today , on the eve of, uh, again, centralized exams, we are going through a kind of second stage, i would say the exam is recalculated, and so on. we have been given another chance to do the work on the bugs. uh sure so uh, that's it we have no right to just, uh, let ourselves down by our people. uh, uh, human health. yes

, this is priceless, that is, we cannot say that it is some kind of your flaw. yes, ours, probably a common flaw. eh, maybe . there are no, there are no trifles here, you know absolutely some tender moments, uh , we have uh, here are the last 2 weeks. we talk a lot about medicine, and everyone probably somehow thinks that we attack and criticize. no, really. eh, i don't think that was the issue. here's something to prick humiliate obs. on the contrary, the task is , mm, our already high class level, but to make it so everywhere and honestly, without deceiving ourselves, just to give an objective assessment and eliminate some nuances of shortcomings. well, they couldn’t, but we can just understand, we are really proud when they tell us, and what do you have in the country, we say affordable medicine is free medicine and we really want

it to be quality medicine for everyone, starting from a resident minsk ending with any other village in the province.