[000:00:00;00] the distribution of medicines is also a large part of humanitarian aid, which was opened thanks to international donors, so there is no need to talk about the fact that we have some kind of vaccine shortage , that is, everyone who wants to be vaccinated can contact their family doctor, if we are talking about a person displaced by a car, it is to the doctor's office to the nearest medical institution , respectively, where to get a consultation and get a grip, mr. orest, if we are talking about specialist doctors , specialist specialists, yes, are there any problems here and workload, because now with the new system that is in place, you first need to go to a family doctor and then you can wait there for a week, two, three, and sometimes even a month. is there a problem here, since the number of people has increased again, and do you have complaints, for example due to the fact that

a person cannot get to one or another doctor for a long time, in fact, we switched to a model of work with the national health service, and in the end we switched to a new format, we are reforming, we are changing we are improving and the health care system is starting to work as it works like all the health care systems of civilized countries and for that, the patient, in order to receive advice from a rural specialist, first goes to the family doctor, the family doctor conducts certain examinations and in case the need for consultation really arises then gives an electronic referral in order to receive a consultation from a related specialist, again here it depends on which specialist the consultation is given to and again, the desire of a certain person is taken into account of the patient, is he ready to leave or is he ready to wait for a consultation with a certain doctor, but considering that this doctor is a specialist and

they want to see him for a consultation until now , there was a large number of people. therefore , a certain queue may be formed. but again, we now have a universal the tool of the electronic queue, respectively, if we are not talking about urgent conditions , then if the patient wants to receive a consultation, he can make an appointment with a certain doctor at a certain convenient time, and this actually does not cause any inconvenience to such and such for the patient for the patient and for the doctor it is the same whether there are complaints, for example i personally know i invited your gastroenterologist to our broadcast and she said i'm sorry i can't come because i have appointments scheduled for two months in advance and that is, she works constantly even on weekends days ago he says that there is such a very large colossal load and a lot of patients regarding

complaints , most often complaints that come to the hotline of the department. half a year ago, when there were a large number of complaints that the ambulance does not respond and does not respond to calls, this is due to the fact that the procedure for the departure of the ambulance was approved. to leave how and for what calls the ambulance has the right not to leave and the second number of complaints is when we talk about the queue, it is the queue for free mri examinations again if we talk about lviv in the region, we have one mri in a communal facility - this is the lviv regional diagnostic center, actually, this is a center in which there is really a long queue and waiting for a certain examination, the queue can

give way to two a, but this is actually related to the fact what is it, in this institution, the patient can undergo it free of charge under the direction of the family doctor, and again, when we talk about the mri examination, thanks to the gift of the government of poland in ukraine, on the basis of a separate unit of the territorial medical association number one was presented to the first lady of poland, mrs. duda, an mri machine, that is why this is such an expensive diagnostic examination. but again, lviv region has the opportunity to provide them for free on the basis of these two institutions, but considering that the demand for this examination is high enough, therefore it is necessary , er, to be in the queue and you need to spend a certain amount of time for the standby mode, sorry, you said such a very important phrase, we developed such an algorithm and we know and told everyone when the ambulance should go to

the call and when not maybe then you can announce to our viewers so that they know when and under what conditions an ambulance goes to a call and when it doesn't, the ministry of health has developed and worked out a protocol and proposals regarding and recommendations for emergency medical care in response to a call and deliver it to the control room to the central office 103 and again we must understand that the ambulance should go only in urgent cases because even in the context of idps there are a number of people who, if we are talking about the lviv region, the number of calls is high enough and exactly that emergency medical assistance when receiving a call to the dispatcher on the line, the dispatcher must ask the patient what exactly caused him to call the 103 line, what exactly

is the situation with the patient to whom this medical assistance is called and again there are a number of criteria to which the ambulance should respond immediately leave this when we say that patients and pain behind the sternum when we say that the patient has some short-term injury due to loss of consciousness is it bleeding is it other conditions that can to threaten life, that's it, then the ambulance is obliged to immediately call to come to this patient again . but we are talking about the fact that we receive calls at the central 103 and when it is necessary, for example, to carry out plans in the doctor's appointment , well, for such calls, the ambulance does not obliged to leave but again, when there are any clarifications, we communicated, and this was exactly such a communication panel when we explained that there are urgent conditions or conditions or such signs that may indicate that

something is wrong with the patient and that and that there is a patient symptoms of something and someone, a disease that can cause negative health consequences, then the ambulance must respond when we are talking about the planned fulfillment of the doctor's appointment. in order to receive a sick leave for such calls, the ambulance is not obliged to leave the call, accordingly, the patient must contact his family doctor and decide how the patient should receive this appointment or open a sick leave that, in general , about a week in e-e, the emergency medical care team performs more than 11,000 of visits to patients, in particular. accordingly, we are talking about a week, a week, and actually a day, that is more than 500 calls, which sometimes come to the center of emergency medical care, the ambulance processes accordingly, if necessary, makes

calls. so, this is not a peak load, if we remember also the during such a period, there were more than 700 calls, of which the main share is from 200 to 250, these were calls for 103 that were related to a suspected covid or a covid disease, the arresting officer had to during this full-scale invasion more than a year of such a full-scale war, when a lot of internally displaced persons appeared, to open new medical facilities or install some additional beds in hospitals, unfortunately, such a medical program was not carried out, because if you take the network of the lviv region, then in total we have more than 15 thousand beds, and again, lviv oblast traditionally has, historically , a sufficiently large hospital network, it is sufficiently equipped with medical staff, so

the existing beds in the network were absolutely sufficient to meet these challenges if to take the structure of the axis - the entire bed fund, then a third, about 5,000, are surgical beds and 10,000 therapeutic beds. but again, when we talk about war, we must understand that during wartime, we control the hospitalization process and, accordingly, the order of the ministry of defense health and for the execution of the order and our local order which regulates and yet we pay attention to the fact that there should be no more than 70% occupancy in each scenario because we must keep this 30% free because there is a war in our country. we must respond to any challenges , thank the armed forces for calmness, and we have the opportunity to work in a mixed mode , provide targeted assistance and treat and carry out planned hospitalization, but every day

we must remember what can happen. this is the situation when instantly we will have to release er, accordingly, our reserves to be ready to provide medical assistance, therefore , the figure of 70% occupancy is such a figure that we monitor and demand that it be implemented, if we talk about beds, then we are an order it is defined fill with no more than 50% - this is a corner of the surgical profile, i.e. 50% of the beds, every inpatient is obliged to keep free and also to get the highest percentage of the therapeutic beds, i.e. 40% of the beds must be in standby mode, mr. orest . well, the beds it is good that they are there, but if there is a bed and no medicine, then we know that nothing will happen. i remember very well when we talked with doctors, it was the first months of the war, and we were told that in fact the medical

facilities do not have enough medicine. were there only those medicines brought by volunteers. and there was a lack of medicines in general, and especially if we are talking about medicines for cancer patients, for people with diabetes, well, that is, these are such specific medicines, so now with this , do patients have to buy medicines on their own? are medical facilities still provided when we are talking about medical institutions, all communal health care institutions work under the medical guarantee program, that is, they have concluded contracts with the national health service of ukraine, and it is the medical guarantee program that guarantees access to without high-quality free medical care, and in particular, if the institution subscribes to packages in certain directions, accordingly, it must provide medical care, including its dis- guarantee that free medicines are not available in all health care institutions, if we are talking about the present time, they are provided with medicines again after all, we must

take into account the fact that lviv region is a border region, and it was lviv region that received a large amount of medical products from the unitary aid, therefore as of today there is a sufficient amount of medicines and the health care facility has the ability to provide all bases with medicines, in addition, the program works, available medicines are a list of pharmacies that are contracted with the national health service , such socially sensitive medicines, can the patient have a paper prescription or an electronic prescription to the pharmacy and in fact its goods and according to the program of affordable medicines, therefore, if we are talking about now , there is no such critical need. but again, when we talk about the beginning of the war, we were probably talking about about the first days, when the situation was not clear, when there were violations with the logistics of delivering certain drugs, particularly for cancer patients, but when we actually talk about

the lviv region, our oncology center had a sufficient number of drugs from the first weeks, it provided e-e drugs to all patients who applied and a large the number of completed transfers of persons who applied to our oncology center had the opportunity to receive such medical care, mr. oresta, well , there is one more important, quite important topic. i think you will agree with me, and i also pay attention in today's broadcast, this is a unique method of freezing, cryo-preservation is available now in the city of levana for military personnel and servicemen, all military personnel who want to can ask for help and freezing of sperm and eggs will be carried out for free , and then also free in vitro fertilization, thanks to this, you can postpone pregnancy keep the biomaterial, respectively, in the state in which

it was at the time of freezing, and in simple words, this allows you to conceive a child from a military man who, for example, lost his reproductive function or, unfortunately, if a military man died in the war, i would like to know if there is a demand for such services and how many people have already used them, and now we will talk about it, and the director of the lviv regional clinical perinatal center will be in touch with us maria malachynska mrs. maria, i welcome you to our group good day . please tell me how many people have already taken advantage of this today, how many servicemen and servicemen have actually here is this method, well. first of all, i would like to say that from year to year in ukraine there is a steady trend towards a decrease in the birth rate, and we can see that over the last three years, the trend, in particular in the lviv region

, is growing at a very high percentage value, and this is -20% of all births in previous years, the importance of giving every couple who needs it the opportunity , including if we are now talking about cryopreservation of biological material, it increases our fertility rates in the future as of today the lviv perinatal center has such an opportunity, and on february 16, 2023, for the first time among all communal institutions in the lviv perinatal center in ukraine, we opened a department of assisted reproductive technologies, because before that only private institutions were engaged in the field of assistance in this direction, so this opportunity is created in to a communal non-commercial enterprise at our base and everyone who wants or

can use this service , cryopreservation is carried out free of charge of biological material for military personnel, as well as freezing ovulator cells, moreover, today the region operates a comprehensive program of support for the health care industry, which allows every infertile couple regardless of the reasons for infertility to receive free of charge the first stage of super ovulation stimulation. and this is half the cost of the program, which can only be obtained at private centers today all women and men married couples who have such problems we urge you to contact a reproductive specialist in a timely manner, because here it is important to contact a reproductive age in time

since reproductive health er loses its ability to promote fertilization with one's own eggs with age, therefore it is important to use this age and get the desired pregnancy. marie, i still want to ask you one more time er, what number do you already have any certain data are the first intermediate , how many people have already applied for this unique method of servicemen and servicemen? we already have the first pregnancies of military service couples who have been separated. there are more than 13 couples who have received a positive result . they are already registered with us according to our register of the register, which was launched under the comprehensive

program of more than 150 married couples in one. because it is possible for about 40 married couples to register and receive this help for free . sperm and egg cells please tell me this storage is also absolutely free is it still here when they are stored that you need to pay at least a small but payment for military personnel absolutely free tell me everything then please it is possible where to contact how to prepare or all military personnel and military personnel can they do it from any part of ukraine or again, are we

talking only about residents of the city of leva , we are talking about residents of the city of lviv region , that is, the entire lviv region and the city of lviv since this is a comprehensive regional program , we are working to attract other regions as much as possible to create such opportunities, and the department of health of the lviv regional military administration is already talking to other regions so that as many other regions as possible can help in this direction, especially military personnel, uh , regarding the storage of cryo-biological material , it is necessary for uh, the man to come to the clinic , of course, we can consult by phone on how to prepare, but

the biological material must be correct submitted to the clinic and its vitrification of freezing was quickly carried out, therefore it is important that it takes place in the clinic, because there the delivery time from another, let's say, even er, m-m street and kilometers, the quality of the biological material itself is lost, therefore it is important er from 15 to 20 minutes so that this material reaches the embryo and is processed as correctly as possible ms. maria well, we understand that this is a very sensitive topic, and tell me, maybe there is some legal support when using frozen material, how are you in general

to consult with specialists, specialists, lawyers , of course, accordingly, each couple signs documents for safekeeping, all storage conditions, that is, fully legal support is provided to the clinic, a chart in lviv region, again, we analyzed demographic indicators. more than 20,000 were born in the lviv region, and during the 22nd year , almost 17,000 were born, respectively , during the 22nd year, the percentage of births in the region decreased by almost 12%. er again after all, there are realities and the realities of war, we saw that a large number of women who were forcibly displaced and who gave birth came to the base of our regional clinical perinatal center . in total, this is more than 2,000 cases of children from women who temporarily found shelter in the lviv region, gave birth to the lviv perinatal center and actually arose idea in order to create a full cycle to close the cycle of providing medical care from the moment of family planning

, the introduction of pregnancy, birth, and we also understood that the challenge is war when the big time women will lose husbands when we have different situations, stress, morbidity and when the problem of pregnancy becomes a problem in many couples. unfortunately, such trends exist and they are quite widespread . in fact, the idea arose on the basis of the regional perinatal center at the expense of the regional budget to create a department of auxiliary productive technology, this is the first department on the basis of a communal health care institution and this after its creation , the opening was a joint idea of ​​the regional illustration and the chairman, which was initiated by e-e before us, let's create a program. because the support of defenders will be extremely important, and we

have jointly developed such a program for the residents of lviv oblast . namely to get the opportunity to go through this stage for free on the basis of the regional perinatal center and, again, taking into account the fact that there is now a war and that a large number of e-e men are at the front to give them a chance to save and leave the material so that in various situations that may arise , so that after their return they can feel the joy and parenthood, that is why such an idea actually arose. and in the event of such a situation, give a chance

by using auxiliary reflective technologies, sir, as much as i understand, this is the storage of biomaterial, this is enough expensive pleasure, at the expense of which all this will happen in the future, these regional program funds, in particular, are actually about comprehensive pro-program support for the health care sector, and you have provided financial resources - it is uah 8 million, which has so far been directed to this program, and it is these funds that will be aimed at ensuring that all residents of lviv oblast, as well as forcibly displaced persons who have received a temporary residence permit in lviv oblast, also have the opportunity to use this opportunity, if necessary, have the opportunity to apply to of the perinatal center to receive this service for free look well, since we have already agreed to talk with you about military personnel, perhaps you will then also tell about what programs are in place for military personnel and their families, how

they are served. perhaps you have some separate programs for them. in general hospitals, or in some medical hospitals? well, when we talk about the actions of this serviceman, such a counterparty of patients is served in security institutions the health of the ministry of defense and information about the contingent character, it is with limited access, again , such a patient, such a category of patients can provide - apply for medical assistance in civilian institutions, if they follow certain procedures, it should be according to the control of the unit commander or the control of e of the military medical clinical center of the western region, as well as in the case when a serviceman is on a thirty-day leave when we talk about support for the serviceman's forces. of course, there are a number of programs, including regional ones, and there are also city programs within the city of lviv, there is a community program that is aimed at

maximally supporting military personnel and their family members. as of today, we are also working on a number of action plans regarding the concept of supporting the defender. therefore , the military is servicemen are a priority, these are our defenders, respectively, each health care institution, and i can say that every leader in the event of servicemen applying to a health care institution and their family members are ready to provide here is this support, and in particular, er, i will repeat myself again, local programs allow you to get a variety of programs, including if we are talking about some chronic diseases, including if it requires endoprosthetics - you asked for what is the most requested by one of such a large number appeals, people are asking if they can get an expensive replacement prosthesis when it is mainly about replacing the hip joint and such programs are available, so all the information is

available on the website of the department of protection health, therefore, if such questions arise, we encourage you to contact the department of health care. follow the site. we are open. and we are ready to consult and refer the patient accordingly in case of any other situation, mr. orest. well , tell me what the situation is at the moment. you mentioned several times today about covid-19, what is the current situation in general, what is it in the lviv region or not? the system was oriented in order to provide medical assistance to our defenders, and as of today , during the eighth week, during the last semyon, only 27 cases were recorded, and this is 50% less compared to the similar period

, therefore, as of today, we can state that covid there are also these extraordinary cases, and when will he live with us, and if we talk about the load on the industry itself, on the system, it is when we talk about the loading of tubs. there are only 50 patients who are under inpatient treatment in that is why covid exists in the region and we actually react to it as if it were already a banal disease and we understand that it is the percentage of vaccination, and this is more than 50% of the adult population that has already been vaccinated, so this is not the desired level of vaccination, a large number of people have fallen ill, but we urge you to get vaccinated because covid will not disappear anywhere. and in fact, in such a period, autumn and spring, when there is an increase in seasonal diseases, we will always return to covid, mr.

orestenout, i am not you, you visited our studio, and you know how to wish you that everything is on it was so cloudless in lviv oblast, as we said today, and that you cope with the flow of people and the overloading of medical facilities and can provide timely medical assistance. well, we will help you inform the population about what is happening in lviv oblast and about such wonderful programs. how are you? was created so that all military personnel and military personnel who want to have children cannot or want to save their biological material in the future can use it for free. thank you, we are ready, we are open. thank you for your support and on my own, actually, this is the solidarity of all medical workers in the field, because all medical workers from the first day were ready

to respond, ready to provide, in fact, we understand the challenges that exist, and it is the consciousness of the responsibility of every medical worker who legally works today, regardless of whether it is anxiety. is it quiet time, but we are ready, we are open, we are ready to respond to all the challenges that will be presented to us, this is our task, the methyl area and it is here that we must give the opportunity to be treated in the first place to the families of those fighters who became today give us the opportunity to have you in the studio so calmly