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tv   [untitled]  BELARUSTV  June 8, 2023 7:55pm-9:01pm MSK

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but this will not happen, you know the russians, you know, we will not kneel here. therefore, it is necessary to negotiate, while it may be worse in the future, the president noted that the situation is now tense not only in ukraine , everywhere in the caucasus and central asia , it is restless in poland and the baltic states, belarus is chairing the csto this year, and alexander lukashenko said that the country will strive to help armenia and azerbaijan to settle disputed issues their proposals should bring the secret and the security councils of the countries about the cst today in minsk a meeting of the committee of secretaries of the security councils of the csto was held, the participants discussed the growing tension in the area of ​​​​responsibility of the organization of the agreed position of the neutralization measure. special services and law enforcement agencies of the countries will implement a coordinated approach to ensuring security, special attention
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is paid to hybrid forms of confrontation. future. to ensure security on the eurasian continent, one of the key areas will be the development of information and analytical activities. the international exhibition belagro continues to amaze not only with the number of participants, but also with the scale of the total exhibition area in the great stone of almost 30,000 m², they organize demonstrations, techniques and tastings a separate place for an animal exhibition and birds the opportunity to appreciate the scope of the agricultural forum. there is a belagro every year until sunday. becomes one of the main platforms for business negotiations, a wide range of issues competitiveness of agricultural products use of land resources, prospects for cooperation between belarus and countries of near and far abroad are discussed at the conference and seminars at the end of the year , the enterprise elektroma plans to export products worth $ 2 billion in belarus, all conditions have been created for the development
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of this industry knitwear . linen leather products have long become a brand of the country , more than 600 companies are open. stores appear multi-brand shopping facilities, except for large enterprises of the light industry noted the bursts of initiatives of young designers in belarus, special trading platforms are being created for them. initiatives for six months. that's over a year. this is when our small business initiates and wishes to show its successes and achievements in foreign markets, in particular, in the market of the russian federation, here is moscow, moscow region, so we cannot but rejoice that, nevertheless , the tradition of their promo has been preserved. of course, they are transformed over time, this is certainly, but nevertheless, time is a market that we all we live uh, external internal factors. they force us to make quick management decisions in minsk this year, the first belarusian concept store to the house appeared, it presents products of exclusively belarusian manufacturers in the summer plans to open such a site in
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the stolitsa shopping center within three years 10 stores of this format may appear and on russian market. most belarusian enterprises have successfully adapted to the new sanctions conditions , deputy prime minister pyotr parkhomchik said at the ceremony government quality award winners in the list of 25 companies 14 of them became the best not for the first time leaders represent different sectors of the economy from engineering to the service sector all of them are actively working on import substitution and development of new markets competition for the government quality award is already underway 24 times from 8 to 16 june in the playbill of the bolshoi theater of belarus the ninth festival ballet summer for the audience a marathon of dance premieres eight shows and nine stories on pointe shoes the right to open the forum went to the guests today on stage toy seller. this is a modern ballet of the voronezh opera and ballet theatre, its team performs in minsk for the first time
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. the challenge to classical ballet on saturday will be held by the bashkir opera and ballet theatre. the audience will see the legend of love choreographed by grigorovich from the belarusian repertoire. swan lake don quixote and giselle the culmination of the ballet summer will be a gala concert, the stars on june 16, in it direct premieres of the mariinsky kremlin and perm ballets participate. today we will talk about our health.
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well, two weeks have actually passed exactly since the moment when the palace of independence took place, that very glow dedicated to the situation in the healthcare system, someone said that they had not seen such a dressing for a long time
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. they won’t remember. well, here, i'm like, uh, 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 we have on today, one of the opinions sounded exactly the same, that the perpetrators of this conversation were. uh, members of the very monitoring group of which, uh, the head of state at the beginning of the year ordered to inspect medical institutions, and olga ivanovna here you are one of uh, let's call the guilty, but hmm you checked about dozens of medical institutions in the country we all heard uh different groups. yes, m-m, in different ways, so to speak, and the regions were spread those remarks that and you, among other things, identified colleagues from uh, the prosecutor's office from the committee state control. they also worked in parallel. in general. all. this resulted in a final
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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 questions decides who needs to do what? main deadlines and main deadlines. yes we remind you of january 1, 2024, but it seems to me that everyone has already learned this date. 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 real? whether 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 we need to understand that these systemic shortcomings must be recognized. do not be offended. there is no need to punish anyone. we must change. if we want to make our lives better and bring
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health care closer to people, then this can be done. i don't see any reasons why we would not achieve this. 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 , uh, since the nineties, there were beds, as humanitarian. unfortunately, yes, this was indeed such a fact. i was very surprised, because the hospital actually. it is located in such an estate of tengauzens, she herself is very beautiful, amazing hospital she somehow received a grand unesco there , but at the same time, the beds they received for 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 the brilliance of the poverty of a courtesan, somewhere there is something very good. and somewhere here people lie on broken
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beds. you said such a word systematically, yes. that's basically when you realize that it's 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 is the system, where did it come from? after all, look. it is not the first time that the president of medicine has been gathering officials in our country, and here this time he answers, says, listen, well as it were, we are good here, probably, the pc is a cool room, a good operation to do. yes, and in principle, we have excellent bypass surgery on our hearts. the same transplants are arranged here such that, well, where in europe , neto e , people come here as medical tourists, and here is such a story.
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what does this have to do with it? well, you know, it accumulates, firstly, regionally in regional hospitals, there are people who are well less demanding. yes, living in the regions they get sick no less and, unfortunately, the actual creation of this monitoring. group was dictated by a huge number of some complaints and appeals. oh, in general , not the satisfaction of the provision of medical care, but the consistency. it just does not concern the bed. there were many hospitals in the regions where excellent modern beds were installed. it's more of a local, local consistency. we have set in other directions there in the field of infection control. where we identified similar errors, this was the task before the monitoring group. look means all areas to analyze and to say such mistakes and the task was set not to scold anything, it must be said that we worked quite openly and always met as a team before the check , we introduced ourselves and after we passed
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no in the first e, the first visits, maybe yes, but then the whole hall gathered when we have already passed the last. uh-huh no, they were going to. they wanted to listen to her, the whole team was going to. 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 er, why did such a tendency develop that individual issues were not resolved. you certainly rechecked every year, of course, we reported to the head of state on
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in accordance with his instructions for the state of health. 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 information that is not fully implemented annually. there were institutions and facts that, for example, the minsk regional since 1919, the clinical hospital knew for 2.5 years that they would receive a long-awaited angiograph, but by the time they arrived, the premises were not ready, vitebsk for example. and they have bobruisk from high-tech equipment. there, three units of a specific one, two units each, failed at the same time, that is, there was no reserve of spare parts, the issue of organizing work, or in
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the brest region, too, those institutions that are equipped with high-tech equipment , patients receive help on time. the rest were three coupons per district, that is, such an imbalance was obtained. 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 , who also, as the president said, has to or will have to go to the doctors in the future, everything is correct, we conduct a hotline, we feel pain points from the population , signals and in proposals we 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
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, he can answer me together. question why, in principle, such a precedent arose after all? well , you are talking about the purchase of equipment, that is, money has been allocated for it, which means that, in principle, part of the problem has already been solved. and the place was bought. here, too, brought but installed. i i understand that there is nowhere. that's why it happened. of course, uh, there really are uh , moments that uh are sometimes difficult to calculate uh, when conducting, well, our system is sometimes called uh, it can be overly bureaucratic somewhere and so on. well, one way or another, the health care system is colliding. e with questions. e, which need to be addressed not only in the medical part. the issues of purchasing the preparation of the premises and so on are clearly divided, who should build, who should prepare, who should treat, and so on. further, therefore, sometimes tasks that are not
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entirely characteristic of his specialty fall on the shoulder of the chief physician. well, look, i'll interrupt you, president, when e. well, here, this is the very order about what should be done. and when he clearly outlined the local authorities. yes , it’s understandable that it could be in this case, the same obal with the regiment. you are the same structural unit, was of course, right? so maybe both executive committees would take over. yes , there are some specific functions, i do not know no, yes, well, as we have on television, some kind of producer is called, yes, the person who essentially organizes the process, and he is the same doctor, well, they helped me , they did it, and i organize treatment because it does not correspond undoubtedly. here, uh, this is how the regional executive committee is organized, and this is how it is done. e places the necessary responsibility on the appropriate persons and the relevant departments that should be 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 chief
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physician, who connects them all and does e solve the same problem, that is, exactly. it also comes from serious, uh, heavy equipment and heavy rooms, where some hidden work is revealed. uh, the pitfalls of betting bona fide bona fide. it's a lot of several components that are really. can e increase. eh, here. we uh have such figures and in these figures it is written that in the minsk region, the most m-th small number provision of a practicing medic 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 are not delayed, 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. you see, uh, kirills, again, tell you to decide. uh, we want let's so we're in front of
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the program. i said that our goal is not to discredit. of course our goal. here is an ordinary person, 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. he walks, but the minsk region, he cannot do this. and so he thinks, and when will the conditional ultrasound work like this 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 the lowest provision of the minsk region there is no oncological dispensary cardiological dispensary of the inhabitants of the minsk region is fixed by the relevant rnpts, and we have certain contractual relations, therefore, based on this and e occurs, the calculation of the provision of medical workers is precisely in the minsk region. the residence in his report once again emphasized that the economy
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should also always be a priority. eh, that 's the correct clear calculation. and he should have a place in our health care system. e. one example might be economically more profitable to buy these cars that, uh, which will replace the faps, yes, but at the same time, even here, when we were preparing materials, our colleagues went to small regions in the footsteps and it turned out that people were not ready to give up fafov, vladimir pavlovich, what do you think about the fact that, in principle, they began to defend the fap. i understand that they should be and where you would prefer. do not know to continue to work in such a car or fact. the fact is that i have been working for 30 years for 30 years. you need to understand a little descend from heaven to earth and see where people go and turn. where do people go to be treated, to whom do people go to be treated and especially inflicted. take the minsk region here, pavlov
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is smaller next to 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 regional executive committee was allocated to me housing, but the fact is that when i pulled out housing, i had already begun to work. 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 to be neat. i worked on it that, of course, i didn’t even know that
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such a time could come that it would take place, but it took place such a time that everything had to be beautiful and neat. yes, i need help. you you understand, we are working, 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 come to us for the first time and we provide them with emergency care, everything they need, we are psychological surgeons. everything in a row is a doctor who is ready to communicate, in principle, and with their patients, potential those who come, but again, time goes by. you yourself are fair.
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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. same story. here is. yes, there is a shop used to go to, which are provided by several villages, there is a mobile shop, which is expected according to the 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
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hard for him somewhere crowded. if somewhere there is not easy and everything has become. he comes. come to me to help him. you understand, you remember that period of coronavirus infection, how hard it was for everyone, like our medicine. stood, well done. so i will only say one thing, that the fap showed themselves very well, and i will only say one thing. i am on advanced training, after 5 years the head of the financial departments arrives. they are very bled very well. they work with people and treat people about cars. well, i can’t say, by the way, speaking, i hmm was in the minsk region myself and they asked me how to make this car a first-aid post on wheels, what can be included there, i was a 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
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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 is that how i do this thing. here you come with a thing and with all the equipment - how is it? yes, yes, so here it is. uh, just a week ago we went to the farthest to the most southern regions of our motherland, one region, uh, it means that one fap in the regional center was decided to close. public discussion. 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, how would they go from below, right? well, 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. need to every day injection
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pricked every day. grandfather says one of them brings grandchildren to me. tomorrow, someone who needs zelenka, who needs it, that where i will go, this is a complex, he will arrive, well, if once a week. yeah, there are cases when once every 10 months. there is nothing wrong with this complex for me. 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, 50 fafas of the mobile complex were closed and 80 are planned. and when the fathers of medicines were also not a dream, but there at least you can get basic help every day or according to the schedule for the elderly. well here's the easiest one. a question that no one can answer lives, or 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 it turns out that they also work a day a week. here is the doctor. well, here is the case when
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there is no his living paramedic times. i remember one remarkable russian politician comrade gaidar, who at the end of the nineties said that the most unprofitable thing for business and the economy is the state. and if you look at how economy and medicine in ukraine now, then look there, the reduction of the same clinics, 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, the reduction. that's right , we allocate less money. the people go all on insurance, a certain age comes. 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
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sometimes there was such a story that the 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. what we said here 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 it is negligent, 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
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human dependence. and i would also like to explain what the working conditions play, 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, move around. today we will not think about iron, there is no such thing as a bicycle or on our own. well, how is it how will uh change in your life of your work the appeal, yes, that is now clearly spelled out. although it seems to me that earlier it was, in principle, implied that the local authorities, in fact. that will be responsible for such a host part for equipping for the state of the same er, the same institutions and health care. if we talk about medicine, i took braslav region, then the brotherhood does not represent medicine at all,
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the central district hospital, the district hospital, the nursing care hospital, five outpatient clinics and 22, dad, of course, did not close anything. we haven't closed anything. we have everything planned. well, you see, this is not what we have taken today, all issues are being worked out everywhere, because in each case this issue. well, really. that's very individual. and uh question. who works there was rightly said, how a person relates to this, it is first of all there. at us again same where. 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 retired people. the age of doctors on faps is practically there about sixteen percent of the retirement age, but somewhere it is the only one. and if we understand that this pensioner will leave, then by and large, there will be no one else to work there. the same story. if there is no
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doctor, i say it again, in each case individually, while a person is working. we 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. there are two things to work correctly at the same time activity and faf. and you can do nothing to prevent this, because there will be such an addition. you don’t have any analyzes. you see, again. paramedic on fipi, he's not can 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 there is an emergency, then the 103 ambulance went, if it is planned and somewhere elderly people, then the central district hospital provides
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a person’s car, they come, pick it up and take it to a specific specialist precisely in to throw out the hospital in order to show help, or to know some tests, you really need to proceed from reality, because if to talk about, the brotherhood, yes, then for the summer it is called in the tenth district of minsk , almost half of minsk leaves for a rest there and it is natural that when something happens, there really should be emergency help. yes, and if we take a conditional, stolin district , where between two villages, it’s like, like 3 km across the swamps, there really, perhaps, a car is needed more, but you won’t get there on a bicycle, it’s possible that the regional authorities bought a boat there. i don't know what you are missing. what powers do you lack? and even there the same question who 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 planning basis. we annually at the end of the year, when we form the budget for the
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next year. naturally, we are already mortgaging, working out what we need to do and, uh, investing funds in order to carry out some kind of repair there, for example, this year we last year pledged funds of about 60,000. 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. we have a wonderful understanding. e with the regional health and what is said, when hmm, for example, the medical equipment lies somewhere and is not in demand. yes, we are proceeding a little differently . there is an agreement between the ministry of health and the budget. the district allocates funds and invests in repairs there some premises, and obozdrav supplies equipment there. last year, we opened a laparoscopic stand for minimally invasive operations, and we made an office for checking your area of ​​questions , they didn’t get a single one, because questions
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are always questions about how quickly and efficiently we solve them, you understand, therefore, when we we are talking about some kind of equipment, if i want the hospital to develop at the moment, based on that, once again i say equipment with a laparoscopic desk, a computer tammorga, a pcr laboratory, our hospital for some time in surgery, and so on , have been performing the functions of an inter-district center and people come to us for treatment and border deliveries. all beds. good bed. people are already coming to us, uh, visitors, let's say those who are undergoing treatment with us or to whom we provide assistance at the hospital. yes, there are already more of them than there are none, definitely. i say that we are already all our residents, well, we are already covered as much as possible. this is medical care. but uh, look at these stories with queues , when you sign up for, let's say, some kind of examination on some very serious
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device and you have to come from the region to the minsk queues, what do you do with this? this is what you need to seriously work on, because here is the task for you on friday . and what to do with it? i will now explain, again clearly, the well-established management system of planning and discipline. we have created, uh, a real, operating system. e provision of medical care is multi-level here from the local feldsher obstetric point of district e, regional e , interdistrict e, republican and all these chains. they must work as a single mechanism and everyone must clearly fulfill their tasks. here, uh, in addition to the development of the healthcare system and the requirements for the precise fulfillment of tasks, it is necessary to simultaneously discipline and inform the population, as well as the law on healthcare in the constitution
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of the republic of belarus, everything is spelled out about this and the prosecutor's office. uh, somewhere fair, how do you schedule a man? well, totally yes of people. yes, it worries, the task has been set to resolve the issue, and you know the opinion of the deputy minister of health to the doctor. he said that no one would solve the issue at the click of a button, but the wording was as follows : we will do everything possible to resolve this issue and remove it. put it down 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 the system a working system where, but clearly defined, uh, types and forms of medical care , types of primary medical care
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, specialized high-tech, uh , but a queue arises. for whatever reason, there are no specialists or not, there is no equipment, uh, you know, well, you can’t, of course, agree. just like that, silently with arguments that the system works in an ideal noisy way, because everything was still in the 22nd year, when the inspections of the prosecutor's office on behalf of the president were started and even then all these problems with queues were indicated on the air; at the end of the year, a presentation was made to the ministry of health to the authorities. additional power and the prosecutors 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, among other things, why is there a queue because you can get an examination for free in 2 months, well, it's paid. you can tomorrow you can
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in a day in a week. this unambiguity is only 25 gathered unambiguously. uh yes, leading different medical workers and the doctor first of all decide on the basis of clinical protocols approved by the ministry of health the necessary list of examination of the patient and treatment. there are emergency indications, they are necessary for a person . here and now, to make a diagnosis, there are planned methods of providing treatment. the patient needs , uh, to prepare for a heart transplant. not tomorrow. not tomorrow, but in six months, perhaps, one day they will call him, and by that moment he must pass the examination fortunately nowhere. no need. sign up for a fee and go faster than he understands, there is a system. uh, state control and agencies, prosecutors have
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a staffing table, there are certain workload standards, and so on and so forth. everything that is paid is outside the framework, no, wadded. uh, studies are carried out, as a rule, before uh, there are changes in approaches when they begin to be introduced. it can't be that it was business hours, as a rule. at the same time, the equipment was purchased for budget money. for all citizens. his music wins people's hearts and inspires love. i believe that music should be perceived primarily on a sensual emotional level. that is, when you come up with a song, you are in a certain emotional state. yes, you
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are trying to fix it with the help of music with the help of the song text and convey it to the listeners, a rock musician, soloists , a composer, that's all he is. well, if we talk about modern music and the music of that time, because 60-70-80 and so on, then, of course, i would choose for myself to live at that time, because this is the time of the discovery of andrei marchenko and his view of the life of a rock musician. i don’t want to put at the forefront there, but some need to work under trends that can be monetized and so on. i want to make music as honestly as possible, watch on friday on our channel. and, of course, the biggest thrill is when people come to your concerts, so guys, i'm waiting for you at my performances, see you in the body on the spot. listen mom mode my sad songs.
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how does the fire element turn into art? and legends the atmosphere of medieval culture and the theater of fire unforgettable emotions await you at the grandiose festival near the castle, 24. well, i started talking to representatives
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of state control here. i want to finish my short thought olga ivanovna tell me, please, like a person, like copper. 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 says the tour wrote, when you arrive, you find yourself in the queue of a doctor, as if not entirely to blame for the lack of staff, and then it turns out that the head physician of the clinic is not always ready, that the clinic lacks equipment. and the ministry of health says, i don't have this money. question. i don't have errands and so on and
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so on and so forth. that is, such, as you say, assistance, so maybe we really need this insurance medicine, and it turns out that people who want to undergo the same thing for a fee, they undergo 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 price gap for treatment is very large, this is for us it seems to be 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 belongs to us, at least they, if well, suddenly
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your arm was dislocated, the doctor came will accept and you will leave free at least with some advice, and there we have to wait in line for 3 months, but they say it’s good 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 analyzes will cost 100 rubles in the laboratory there. and then once again think well, that is, where to choose this compromiser. i understand that this the whole check. she just did and was to meet the high standards of quality that exist today and on the other hand. 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
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not just the availability of equipment. here they listed a lot of equipment, but the monitoring group saw laparoscopic racks, but we checked how they are used in the percentage of laparoscopic operations and, unfortunately, in a number of interdistrict centers, for example, in the presence of laparoscopic equipment, 90% of operations were 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 in the queue for endoprosthetics at the time, may 23 , 2023, and before the end of this year should receive
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help. and i know people who have to have surgery a year later. well, that is, how generally it is realizable. and why is there such a long queue? the queue in comparison with neighboring countries is not so big in our country and , from experience, i work with patients who need arthroplasty on the waiting list. not all those people who are here and now need surgery surgery. uh people we expect not only arthroplasty, as such, to alleviate their suffering, and we are preparing this patient not only for surgery, when he receives implantation of a new joint under anesthesia, but we are preparing him both physically and psychologically in order to survive this difficult period, emotional in his life. uh, with regards to the queue for the experience of commissions that put patients on a list
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for arthroplasty. uh, well, ten to thirty percent of that queue ends up on the operating table, depending on the commissions. e, depending on the institution where the commission for endoprosthetics is located. uh, so you shouldn't be too afraid of this figure, and the task set for our system for ours for our direction in healthcare is to implement , that is, what they talked about. for example, yesterday they also cited an example in the brest region, where sometimes the waiting period is from one to four years . this is the norm. waiting time, approximately mathematically calculated is not the actual time that a citizen with the surname ivanov will conditionally expect for an operation on the joints, that when they say approximately the time, it cuts faster than later, but again, i can
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give an example from another area. yes, this is a person in need of social housing in minsk. here, how would there be a real queue or, basically, also virtual. so say, well, well, but people get some, for example, a promise that they will do it. uh, same operation so why are these people in line? you say there are those who it is necessary, but there are those who stand there just like that, these just because they got there. they don't just stand there. we do not forcibly put anyone on the operating table, and according to the experience of the commissions, from 10 to 30% of the patients who are standing for surgery , because they refuse, you find out this or not? well, that is, maybe already medical reasons. uh, a banal move, uh, getting medical care in
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another institution. maybe you need this queue update. well, i ask and say it turns out, and he gets a person into this queue, that is, it is to some extent virtual, but a person may not be going, but, uh, joint prosthetics and what is happening now, then there is a shift of the mean age of our population to the right on the age curve. e, the increase in the quality of medical care, the emergence of new designs that serve them kindness for more than 20 years before the prostheses, the joint gave us the opportunity to provide medical care to young people in their 20s and 30s and sometimes you have to go through this difficult high-tech surgical intervention, which is why there is such an increase in the waiting list. well, with each patient in line, work is being done to ensure that he adapts to the state that the disease has brought him.
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eh, this or that joint is more often this femoral e, less often the knee joint is even less often other joints. basically, the queue is formed by people who need a hip replacement and thirty forty percent, knee joint cases, according to our offer. now the country is doing a single information system for endoprosthesis, while it is in this mode , as it were, more manual control, but the ministry of health has taken up 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 moved from one region to another, 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 the swan system helped this one and the questions were removed and order was also put in this queue, because, uh, there were people who stood without reason and who
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were put. well, it's unclear. for what reasons. but in general, a question. it was you who raised the problem of some kind, well, communication, perhaps, is not well built in our system this data exchange system. yes, we know that relatively speaking, in minsk everyone can easily exchange information with each other. and here, how would i be small, populated that, in order to resolve issues of promotion writes uh, our viewer is very, if you need to do or clearing house on research. you see the territories in the patient's immediate progression plus one more structure. we would probably be with everyone. well , actually it's not such a bad idea, because if you want to get a conditional ultrasound, you looked where it was closer and went. here it doesn't work. it's not that the story is gone. can i explain again, going back to the queue for that question, i didn't finish. here are the two components of the main equipment and the most important component is personnel personnel
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who will really, e, work with this equipment as much as possible. olga ivanovna emphasized that there is equipment somewhere. it is not specialists. somewhere there are specialists, but there is no equipment. all this is systemic, the setting will really reduce the queues, including for the joints of personnel, the retention of personnel, which we have in the minsk region at the moment. e 80%. eh, that's not enough number. well, at the same time , the movement of personnel, especially medical ones, all over the world has been and will be our task today is to secure precisely those highly qualified personnel who will provide this and high-tech medical care. it turned out that weak people should not remain in this healthcare system, therefore, a high-quality doctor, uh, high-quality from the medical assistant's station and ending directly. here is tatyana aleksandrovna, we have a young specialist. from the outside fresh work in the clinic. where are you from the medical district? it means
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you are far away. what university did you graduate from state medical university passed the second year the second year i work came to my place according to the distribution, that is, uh, length. no, why very good conditions have been created for us. i mean, uh, good pay. uh, young professionals are provided with rental housing, each uh, hostel is provided. you are the truth. mint like here on komsomolskaya a good salary. what salary? how many stakes? how much do you get, well, tell us just behind the scenes information about what's in the fap, for example, the paramedic's salary is there about 1.000 rub. you have some salary. uh, instruction and duty, i earn 2,000 belarusian rubles and plus you, if
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it is known that you already have rental housing downstairs. yes, yes, i was provided with rental housing for six months, that is, we were immediately in the first month of work. uh, they invited us to talk, where do you live, and they put us on the waiting list, 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 we worked according to certain checklists, that is , the same questions were asked and looked through very clearly, and to my surprise , we did not receive a complaint in any region 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 the doctors speak the truth about housing, you know people. there migrate internal very developed migration from
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regions. by the way, they go to regional hospitals, as they are equipped in the qualification center. it seems to me that an ambitious young man is cooler than the republicans, you know. yes , if he is a good doctor, he wants to work, yes, and he does not 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, look less than somewhere else, if it minimizes the cut, i 'll give you an example of a pinsk hospital. me there i liked it, an excellent hospital, but, for example, for 5 years. i asked all the time. uh, the movement of young cadres of anesthesiologists for 5 years quit for 20 people. yes, 30% of them went abroad. here is 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
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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, not with the whisky district from the minsk region. uh, proximity to the capital. all clear. in the braslav region , you probably have to 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, keep developing plus the average salary is really on the salary. health worker. brasla about 1.300-1400 rubles. average we are already talking about the 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
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are allocated to young employees in recent years. here are 2 years, that means 20. 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 too, so far only one left for how medical specialists, we have six one-room rental apartments, one three-room apartment , we are now planning, 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 fix it directly or you will invite him, so that, of course, it would be interesting for him to come to braslav yes, as an already formed specialist arrives. this is a family, children, and so on, therefore, in this vein , we agreed to work here, yes, that at some point there is an incisive doctor becomes a little space for the small clinic in which he works. he strives further. well, the crown. probably this is our rpc centers
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, where there is the possibility of equipping and working next to the luminaries hand in hand viktor sergeevich well, uh, you have a lot of young people in the center of young doctors, we were quite a lot of young doctors were twenty percent. and in the team, and moreover, this year we will take to the workplace the first workplace of more than 13 doctors interns who graduated from the medical university and will come to us in the first year of their professional activity. as an inter nu doctor, you are satisfied with the level of training. here. eh, how useful such personnel can be to you in your work. are you ready, uh, for this level and the level that we are satisfied with this level and the level of specialists that come out of the walls of universities and the volume of practice orientation that is now being implemented in the hay of medical universities and everyone has heard about university clinics that have been introduced since 2018 already, therefore,
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significant changes have taken place five-year plan. if you look at 5 years ago, therefore, the quality of specialists in their uh practice, orientation, practical skills have increased by an order of magnitude olga ivana that is, whether you agree with your colleague or not, but , that 60% of this team here, it’s, uh, young specialists have a little bit of fear , it’s clear that everything comes with experience, but the fact is that a colleague will agree with me that an orthopedic traumatologist. in such a high institution. in the first 2 years he works in brigade in the operating room, however, not one. it is necessary that the practice of doctors of the specialty is required , there can be no other, something they need time and they must work under the mentoring bridge under the direction. and it is understandable that the team consists of young professionals.
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now, if i leave there 15-20% or less then such a doctor always works. this is an excellent indicator. but if the clinic has more than 50% of young specialists, unfortunately, not every night, not every team will have a high-class vitalist to your institution. how many young specialists came to us this year, uh, 18 young specialists, and each young specialist was assigned an experienced one, as i said, and an experienced one has worked for how many years? now you can already consider an experienced zamazh fixed, they say, the specialty with me. no, i'm young myself. 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 classy position. she is a mentorship. yeah, and after nesvizh you
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will remain stale, or are you, for example, you will also plan to go to the roc. i understand that this is a normal story, an ambitious doctor wants to work, where, relatively speaking, there is a serious operation , in fact, it is very difficult to predict something now, but in fact, everything suits me now, absolutely all colleagues are the administration, that is, in any uh situation. you can approach them to ask, they will tell you something, that is, everything is for young specialists. 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 it is good. and here are the people who, well, again, the students are therapists. yes, they went to apple were such you know the doctor. yes, this is uh with people medical professionals with a secondary special.
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education or with higher education, having a specialty. e, sisters, look , you are demonstrating 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 this put on a uniform. yes, in order to become prestigious, she began to work somewhere about it. we must also tell. do not forget, 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 embellishing something there somewhere. and as it is, uh, share your own, and your experience with your opinion, therefore, well, i absolutely agree with you, which seems to me
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that there are a number of such professions that, like doctors, teachers are people who go there to work by vocation, before for some for some buns, because, well, all the same, education in medicine, they somehow go very close, that's why i'm translating such an example, that's why, uh, we wouldn't get carried away with some kind of 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 issued, no, but how to motivate and how to stimulate this one, well, i don’t know some kind of moral component there are people were proud of their practice of their work, when she tells a colleague that it is going cool, in addition to being proud. it is clear that everyone goes into the profession with love, yes, and everyone wants to do their job with high quality, everyone 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. and
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there they are just, well, sort of nominally listed. i think, lord, i wish i didn't get to that doctor. exception is fixed, as an everywhere. yes, but again, we have already said, in addition to the fact that the apartment is a salary and also a social sphere structure, what can a young specialist just a young man do in one or another regional center, because not everything is connected, only work in some least should not lag behind minsk, the further center of the place where to go to relax, of course. this is the local government. i forgot. naturally, that's why i'm talking about this and say that when such conditions are created for leisure in general, you you know, and without offense, i can give many examples where the residents of the city of minsk are surprised, uh, by the 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 here thank you therefore, anyway, many examples can be given, but the assessment. uh, today dana is not
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satisfactory. today, on the eve of, uh, again, centralized exams, we are going through a kind of second stage, i would say the recalculation of the exam, and so on. us given another chance to do some work on the bugs. uh sure so uh, so we don't have the right to just uh let ourselves down by our own people. uh, uh, healthy person. 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 are attacking criticize no, really. eh, i don't think there was a sensor. here is something to prick to humiliate obes. our already high class
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level, but to do so everywhere and honestly, without deceiving ourselves, just 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, free medicine, and we really want it to be quality medicine for everyone, starting from a resident of minsk ending with any other village in the province.
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hello , divide europe to establish a civic cordon to dominate, these are the true goals of the united states , all the architecture of international and regional security is collapsing the president of belarus held a meeting with the secretaries of the security councils of the country dtp

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