[000:00:00;00] he comes to see me, please let me know the appointment two weeks ago . let's say he was tested in tehran and came from a city, and i will see him today as a cardiologist and i will say that no , you do not have a heart problem. you should go to, for example, a specialist in ortov or, for example, to refer to a gastroenterologist. well, this servant of god must now go back to his city and take another electronic appointment and come, whereas when we have a percentage of our appointments in person , people have access to them. the patient came to me and realized that his pain is not heart pain, so he goes to a specialist whom i guide, he goes there and takes an appointment. it will be treated the same day or tomorrow, mr. doctor, i'm sorry for the words, see that discussion is correct , it also has a solution, but now you tell me clearly what percentage of the hospital's electronic capacity you actually allocated, it's better to be different from one hospital to another, for example, imam khomeini hospital, considering

that there is a referral center from many other hospitals, for example, let's say we had a patient just yesterday who had a problem that could not be done in another hospital , so we transferred this from the second hospital to the main hospital, imam hospital if you say, for example, imam hospital, considering that the referral is about 20%, from 20 to 25%, then it is related to shariat, this is a little more, 30% of the hospitals, on average, 40% of their appointments are electronic. but the hospitals that are general are tonic, how many percent of your capacities do you complete here? yes, i will say 40. for example , i am telling you on average, but for example , my general hospitals, such as baharlu, such as ziyayan, such as yast, such as sinai, these are hospitals. there are those who are angry 50% of their appointments are available to the people electronically. well, you know that if we don't make it electronic, as the experts say

, look again, the patient will say, the patient will say, well, now i'm here. in this same system , when will we go to this electronic thread, he says, well, here. there isn't a doctor, so i can go to visit imam hospital, from zahiddan or bandab, where does it go from zahidan or bandab? it costs so much here . visit mr. mashshi in person. see the doctor . see the manager of the hospital. can but if this is a cloth, this turn is placed if the patient's homework is prohibited from your blood, what is the characteristic? it is clear that he does not say to go anymore. maybe i will get the other case that you mentioned. maybe this doctor will see it and say that you should see another doctor . well, it is a percentage, for example , i will give you an example. they say that you have to check yourself, 15%, 20% can be called an emergency

, but we have such a system, it was established that we built a new building, but we can't use it, the story is that this is my new system, but the percentage of the insurance will come. 20% in some hospitals, because of this, the costs are very high for mr. hosseini's patient. look at referral hospitals, hospitals that are reference hospitals, often the patient himself cannot understand that he wants to have an occuloplasty done , for example, he wants some kind of subspecialty field at all . he doesn't understand that this should be seen in general hospitals . if possible, it should be done . i told him that this was not the only reason. i mentioned a reason. no emergency

there are so many so-called non-electives who want to wait in line for two weeks . in fact, they can't wait for two weeks or a week until their electronic turn comes . they also request the most important point of all. you see, i myself work directly in the hospitals of south tehran. at one point, we came to your order, we implemented it, what is our goal, our goal is to increase the satisfaction of the people , no more time management, the wanderings that the patient gives , mr. doctor, forgive me, this is the whole system. we didn't add mr. mosarane's new one, which is a necessity you see, we took away 100 hospitals one by one, because of the non-attendance turn, people are very unhappy, because many people , especially now in different urban areas, are probably either old or not educated enough, or maybe, for example, they don't have children at home. that

has a smart corner or the internet. they don't have the ability to read and take non-attendance turns. i want to say that there are many reasons , and i agree with you exactly with cultural education, that is , i want to say that this increase in the basket of unnecessary turns should be gradual with culture building with the help of the media. it can be done, this should happen, and what dr. mazhari is doing is being done in hospitals, well, anyway , he has provided the package so that if culture is created, this need will be answered, but believe me, today, tomorrow , you will one day . come, we will close one of the hospitals for a week and see if people's satisfaction will increase . but the point is that step by step, there should be a serious and national determination behind it, which started this work, it is very effective. which became electronic in our country, the centers

in different places overnight did not become electronic how much easier the work has become, how many people from that major, let me just give you an explanation, sir, we have now, by the way, for the same purpose, so that people may not make a mistake, there is another system in the university that they came because it is continuing, now we have asked the tehran university of medical sciences. let's go to the social security organization, which has many hospitals, over 70 hospitals are covered, with mr. behrouz ketabi , the manager of the information colony of the social security organization, mr. ketabi. hello, good night.

a book, would you like to ask a question about mr. masri and the system he created? your collection will ask whether the social security organization of hospitals, which has more than 70 hospitals , is connected to the system created by the ministry of health, or is it me? i will give you an explanation, mr. kitabi . if you answer the question, i will be grateful. and providing an ip that we can connect to beshim, we also have a 3-month schedule, which we will be connected soon , god willing, but the explanation i give is important, no, hold on here , we will hear an explanation, he said, 3 months means that in 3 months , the social security hospitals will be connected to this system of the ministry of health, god willing.

yes, yes, yes, god willing, it means that in 3 months, my colleagues or i will come to the hospitals and we will see something like this. yes, but an explanation is also necessary . well, let me explain we launched this appointment system in our own organization in our private hospitals and in 79 hospitals we are now offering these appointments to people both by request and by appointment through our mobile site, a phone application, but the explanation of mr. dr. natghi was absolutely right, we cannot deal with all hospitals one-on-one, and in my opinion, we cannot give people 100 appointments electronically because we definitely have face-to-face visits and that the

placement system may require a doctor after visiting he has a specialist, so it is necessary that we keep a percentage of the appointments . point d, see what the percentage is, mr. doctor. let me tell you, this course is different in different provinces, that's why we left the determination of the percentage of face-to-face and non-face-to-face appointments to our province, but to in general, i can tell you that now about 70 of our appointments are taking place non-face-to-face in the outpatient department, that is, it is electronic from the several models that i have presented to you, that is, either by phone, internet , usb, or mobile application. before we visited one of the hospitals you, of course, have been observed for a long time now, in fact, the phone

that you are talking about sometimes, not all the times, does not even ring or they do not pick up the phone at all , or if they pick up, they say that it is full, and because of this story, few people can pick up the phone and the internet. that's why we don't want to get a statistic like 700. if we get a report, everyone should say yes, we were able to use this case, but i think that something like this is seen less, not that it doesn't exist, but it is less. excellency. you see, after all, the volume has its own limits in hospitals. we often say that we want to make an appointment the appointment will be tomorrow morning from today after 2 o'clock. our dear people can come and take an appointment . sometimes it says it's over . well, i told you that the capacity is limited, but the important thing is that we now have this centralized appointment in all our centers. the centers you mentioned may

not be there. the center is our board of directors, which are run independently. they always give the example of milad hospital. well, milat hospital has a lot of clients. i accept your orders, i accept your orders. we have that on the agenda. god willing , there are seven hospitals of the board of directors it is all over the country. let's connect that to our centralized system so that, god willing, we will have a unified centralized system that after we are connected to that system of the ministry of health, we will be able to have this two-way communication, and we will be very happy if we can use the empty capacities. we should use hospitals that are actually covered by the ministry of health and medical sciences so that our clients can have more opportunities. be mr. kitabi, we will continue to be at your service. mr. masri, we have now reached this point where friends say that

it is difficult for us to finish in general, experts say that it is not expected to be 100%, but at least it should be above 70%, 80%, 85% . think about what is the solution in this field. we made a container, now this device or tool is how much it can be used. technical discussions are certainly related to how well the country is prepared . they should use the internet for medical and diagnostic centers .

in this context, let them accept this issue themselves. it is an important part of informing the people . i am sure that the same report that you prepared and you went and said that it was your turn. now, you couldn't get the address of this system, can you tell me, maybe you didn't go to it at all , they thought that it was the same system, we emphasized that everything is because it is new. you all know that you are following this program. i am grateful that you are working to inform the people and i hope that it is a matter of informing the people. think about how much time it will take to create this culture. see , this is my opinion. if we want to work continuously, it will take at least one year for us to reach a desired number, so where should we start from, where do you mean the vice president of treatment, the knowledge of which parts will take this matter

forward ? health care of our own university of medical sciences as a field we should not forget the technology of my technical problems. we should not come and say that everything is fine and dandy . we also accept here. there are 12 companies. you may go to that company. now, that company has a server problem and has no service. it means that we ourselves have to accept that everything is from our side. it is not ideal. the infrastructure issues of the country's internet, the time organization issues of several organizations and several groups work hand in hand, which means that it is difficult and difficult to coordinate, but in my opinion, it is something that should be done. there must be a determination that i had in the position of the ministry, which i think is there. we schedule camp meetings the health of the family, which is the subject of the arja system, has been emphasized by mr. minister himself and the deputy minister of medicine of the ministry of health in repeated letters two or three days ago .

from this capacity, it is possible that there is this effort, the universities of medical sciences as the next layer of the establishment, which mr. dr. is now coming from tehran medical university, well, we have almost 63 universities should make an effort and monitor, but the most important thing is the hospitals . the heads of the hospitals themselves, that the head of the hospital does this as a task that above, it is emphasized and it is said that sir , do this task, they must adhere to it. god willing, i think that we have legal directives in this field to tell you to do this, sir, and that directive or law does not support it, you can do whatever you want. for example, dr. karimi says in a letter that saying this for two or three days will affect the evaluation of hospitals by managers. yes, if they don't do this in the evaluation

of the hospital, then this is the loss that the hospital will incur for this the issue and that manager or the head of the hospital, from this point of view, in terms of his own management, also in terms of his administration, this goes into the field of evaluation of this program, well, it will have consequences for them, and in my opinion , the emphasis that the honorable movant darman has now on this issue seems to be i think this is correct and i think that it is a good idea to continue the work , mr. mosaladi, do you have statistics, for example, in the month of mehr ? through this system, yes , it's interesting since we started this system we launched it, that is, from the time the system first started, almost 2 million appointments were made, only in mehr, out of these two million , nearly 460,000 of these appointments were in mehr. the total was 2 million, the total was 2 million, 2 million, the weakness of your strength, approximately from the same month of march, you can calculate that the first parts

of saman chi until asfen, before until mehr, until the first of our month, approximately you calculate 409 new capacities, then in mehr , they were created in one month. it means that the growth is almost very good and it shows that we have we are going in this direction where most of the capacities will go towards this and this requires maturity. he is sleeping on the street, so he goes to take his turn at 5:00 in the morning, 6:00 in the morning. now suppose he comes and doesn't know, he says to him, "sir, we don't have room, sorry, we have taken turns, we have to go back . well, he doesn't tolerate it at all, he says it can't be like this. i have to gradually, finally, people should be aware that this model sir, he gradually became aware of this discussion there has already been a shift in electronics, well, it has been before, as they say, it is an island, now you have come to the system, each for himself

. recently, we have done this new thing. the percentage of this thing that is given now is electronic, if it wasn't there, it wouldn't work anymore, as you say , it should be delayed, but this is the step of the bridge, we'll see, for example, how many years did it take ? take your turn in the electronic section, it should be reasonable you are right, it means that a specific and acceptable period of time should be designed, and in my opinion, a year figure means that i have one year of time. the same things you said, mr. natghi, thank you very much, mr. natghi, now i have a question, now you have given an explanation, and i have taken it . i was saying that there are too many electronic problems, sir, by god, this few percent that we gave is enough, let's stay in person to say what to do, this work

is for the benefit of the people, as i said, we have said this many times, when you see that the electronic is taking turns, now it is either there or not, one task is clear. yes, his blood does not come from another city. what to do next mr. mohseni, what should we do to actually put this in place, increase its capacity to above 70-80% , let's give some help for emergency work, it is already defined, what is the solution , see the main solution, what my doctor said, goes back to the issue of culture building. you see, if we make one hundred appointments in person , it will help these emergency cases and these to be solved in fact. another issue is actually the payment that the patient makes. you calculate that i see 30 patients in the clinic, then these 30 appointments should be made electronically, or 70% at all. we we checked and found that if the patient's appointment

is between 48 and 70 hours, nearly 60% of the people who take an appointment attend the clinic. if it is later than 7 o'clock, for example. a week later, two weeks later, usually less than 40 visits and these appointments burn , so i sat down, i have the capacity to visit 30 people, let's assume that half of them did not come, well, i also suffered as a doctor. which could have been given to the patient, but since we eliminated the in-person appointment, it is not possible. can have an electronic payment, which we now have a serious challenge here because this money actually goes to the government treasury, and if the patient withdraws and does not come and demands the deposit amount , according to the law, we must return to him , but since he has gone the government treasury is non-refundable, so one of the ways to solve this challenge is because if the patient paid, for example, he paid for his visit, now

that this amount is not huge in the public sector, it also does not guarantee the attendance of 100 patients on time, but it helps that he he should keep his promise and show up on time if this challenge is solved, i think a high percentage of patients will attend and this matter will become more prosperous. the fact is that i do not believe in 70-80% with the current conditions, because of what tehran university of medical sciences should do. let's go to see the 15 hospitals, more than half of which are tertiary centers , which means they are the third line and the last line. these are referral patients. we are in a big hospital like imam khomeini or shariati hospital, or let

's say a referral hospital like amir. if we try hard we can reach 500 to 60%, but we can reach 70% of our other hospitals according to your order. i think that if the media supports us and if this challenge that i mentioned is resolved, we can easily reach it within 6 months. let's reach these percentages, but i say on the condition that our payment challenge is solved in a way, that is, the patient who is taking his turn should be given a sofa , the judiciary should also solve this because there are legal problems. our book social security now you said within 3 months to this system the new hospital will be connected. currently, how many electronic appointments does your complex make? thank you for your question. i will also give an explanation. the three months i am talking about

is a technical issue that can be done. what's the change now? mr. hosseini, you are like this now, don't you understand, a few minutes ago , he said that you would be connected in three months . if there is a problem, as the saying goes, tell me right away, yes, i will do it you see, from the technical point of view, sama is sufficient. there are two or three points that i have to tell you , first of all, in our property centers, about 97% of the capacity is currently being used by the insured of the social security organization, and 3% of the capacity is dear . who are from other insurances or come freely, they use it, that is, we have a high capacity , we serve them electronically, this is one point, that is, even after connection

, the percentage that is provided to the ministry of health should be determined by the medical field. the organization, which is in the field of business, has an agreement with the friends of the ministry of health yes, it is out of the technical routine. second, as i said , the friends of the ministry of health should work hard and make changes. currently, the service they have is in such a way that if they connect to our system and take a turn, they do not give us feedback, we have to check again every moment how many turns we have left, well, this is not very interesting, in my opinion, it is better that friends, as soon as you get a turn, give us a feedback that that turn is full so that we

can remove it from our free turns. they take the turn from them, that is, we direct the patient to him, the turn is systematically taken, he himself is systematically doing his work, when his capacity is disturbed, he informs us that, sir , i have occupied this capacity and there is so much left, there is no need for us. let us inform him how many vacancies you have, the system itself can organize itself, no, no, you see, dear dr. mazhari , this way, when we make an appointment ourselves , suppose there are 20 vacant appointments left through our own system, if we get a new appointment, that capacity will immediately be filled it is reduced to 19 but when you take a turn, we don't get notified, that means we have to write a service that constantly comes to check your service, which will severely slow down the systems. now in milad hospital, for example , suppose you have 100 internal private capacity.

on the 20th, now you have turned yourself into your own software directly. well, let's assume that 20 of these 100 are occupied, 80 are left. in the middleware that we have prepared for a citizen who has just arrived, we call him sir. the hospital says it is empty, we don't announce 80, we just tell him that the internal private is empty , he comes and wants to take a second appointment. the gate passes, we tell him, sir, the social security hospital is empty, it is very empty, and you can go and get it, so as a result , you yourself will see that one, and you will realize that it has gone from twenty to twenty-one, which means that we have 79 more empty capacities. so there is no need for us to tell you that this is you

the system has been seen like this, i would like to say, mr. dr. mazhar, i think that in order not to take up the time of the respected viewers, see that this has a technical problem . there is a middleware, the trouble is with you, if something needs to be done from our side, we are all the basis of the work, and the benefits of this matter will reach our dear nation . next month , 70 patients in more than 70 hospitals of this organization it will be connected to the health system. yes, please. please inform me, but please tell me that the ministry of health should take measures in this regard , just as you said, cooperation measures and discussions about the ministry of health will be done , and if it is connected, how much of that capacity will it be? i can't give you the answer to this question. friends

of the business and the medical field of the organization, you should connect now , then our time will end with questions. let me tell you a statistical point for a minute it was in your order. let's assume that we have 100 appointments in a center that we want to give to people. we make our appointments electronically, it does not necessarily mean that 70% of the applicants will get an appointment , thank you, i have a discussion about the lack of doctors, yes , i have a doctor that causes long waiting times, which is also a discussion, we are on this topic. we didn't pay because our discussion is electronic, the next games are about doctor's chest of drawers

we will also pay. dear mr. mansari, give your last words. it is a heavy task. we started this work from bahman and we are still persistent. in fact, the political deputy of the hundred organization, this case is in line with the discussion that there are many problems with electronics in the government, this is one. there are topics. now of course, we thank you very much for your follow-up . of course, the issue of electronic health is very broad . god willing, we are working i just want to tell you this. this issue cannot be the same in all specializations. you may be able to do pediatrics, gynecology, general surgery, orthopedics, dermatology. but some specialties , for example, like laparasco, may be much less, and this is through the system. there should be a more serious determination to

put these appointments in the electronic system. the rest continued. thank you very much. good night. in the name of god, ladies and gentlemen, i am alireza hashemgan with the world today. more than 10 palestinians were martyred in heavy airstrikes on khan yunus and rafah in the south of the gaza strip. groups the resistance in the gaza strip also