it happened that we increase the capacity of our specialist doctors by 12 doctors every year. in general health policies , iran should reach the first place in the region in the field of medicine. with this resolution , more than 5 thousand specialists will be admitted next year. so that these tents may be less and less in the streets around the hospitals. haani jalinjad, tv journalist. well, the report with our time on the first channel news will end at this moment . you can see the continuation of this conversation on the news channel. watch a video . then we will be at your service . well, at the beginning of the program, we will go to the speech of the parliament.

hello, mr. zanganeh, in the name of allah, the most merciful, the most merciful , i am also at your service, your excellency and all the dear viewers of this program. i am at your service. we will give a more detailed explanation about how to implement and when it will be implemented. yes, i look forward to your presence. well, in the bill that the honorable government gave to the parliament, in the health chapter , there was a figure for the number of doctors per thousand people, which was two shares, for specialist doctors, what is in the bill

the government came to meet the needs of specialist doctors, especially for the arja plan or the family doctor, dear viewers are definitely prohibited in the arja or family doctor plan. first, the general practitioner must visit the sick person, after that, if necessary, the so-called increase that level of doctor means the person's specialist doctor should finally refer to a specialist doctor. due to the lack of specialist doctors in the cities and villages, many times a person who goes to a general practitioner in the referral system has to wait for weeks or sometimes a month or two before he can be seen by a specialist. in substance

in clause 69 of the government bill, the government had proposed that by the end of the program , the ratio of specialized assistants and clinical specialists to general physicians should reach at least one. they claimed that right now the total number of doctors and specialist assistants is almost even more than one, and now they had objections to the statistics and undermining the statistics of the ministry of health, finally the approval went back to the commission and finally the commission made this change. that is, instead of talking about the relationship take one thing into consideration, it was approved that until the end, that is, the same paragraph, this caused us

to add 12 to the capacity of our specialized doctors every year , which has at least an approximation. what else is recommended, no, see if you, the specialist doctor, increase it. this is a desirable thing. when they say that the increase is the minimum , they have nothing to do with the maximum. for example, we want to talk about, for example , yes, we want to talk about the economy, at least 88 if it increases, this is not an obstacle for us we have seen at least 12 growth in the number of specialist doctors in the program. well, mr. zendig, can you see if these 12 can help us

in the discussions we are having, in fact , our upstream documents for iran to reach the first place in this field in the region ? now we are based on statistics, of course, unfortunately, in the field of medicine, we do not have valid statistics that all departments agree on, but roughly now, we are general practitioners, there are about 96 thousand people, and about 16 thousand people, we have specialized assistants, and about 50 thousand people. there are also our specialists, whose ratio is now 46 based on look at the statistics that we have, these 96,000 doctors are active, we also have between 4,000 and 8,000 unemployed general practitioners, that is, unemployed, when i say

that they are not practicing medicine, they may be doing other things, but the 96,000 that the ministry of health announced to the parliament are doctors. there are those who are active, if we can reach this number of the program, which is two, of course two were approved, two doctors for every thousand people and we can have this growth of 12 , we can claim that at the end of the program , we will be able to cover all the people of the society. let's cover the arja system and health insurance and, god willing, we will be able to provide services mr. zanganeh , look at this discussion that we raised regarding the upstream documents of our health, which is our horizon .

mr. doctor, it is correct. i would like to have this number now. this number is 63 doctors in the average region of the countries of the region. this number is now 143. my chart shows that this number is now 143 specialist doctors per 10,000 people . in europe, currently the average is 245. there is a specialist doctor per 100,000 people, and he is the last one there are healthy countries with an average of 28 specialist doctors. if we want to move within 5 years with this strike, we will reach 266, if we have the average of the region, we will reach the number that i just said is 143, and if we want to be the first in the region, according to this we have to increase the upstream documents, how do you actually express

this , we stand next to each other, when will it be realized with these increases that we want to do? that is, when you want to increase the field of medicine in the same western countries for example, when someone wants to specialize in heart or neurology, there is a standard that he must see how many patients for each doctor in a certain period of time, the necessary infrastructure , the necessary laboratories, i have presented this to you. in the seventh plan, that is, in the five-year horizon, according to the decision of the supreme council of cultural revolution, that every year 25% of the capacity of general practitioners should be increased, and according to the amount of hospital beds we have, the amount of the so-called equipment and infrastructure in the medical field

after a lot of discussions, finally this the figure that i am presenting is a figure that fits the capacities and infrastructure of the country. thank you very much for being with us, mr. zanganeh, mr. dr. bozi, what is your opinion , in the name of allah, the most merciful, the most merciful, i am also greeting you, sir, and all the dear viewers , the number that you said is indeed the right number, we are approximately 67, now depending on the number that you said, our situation is 10,000 people now and all the same countries in the region, see above. we need to see 2 points. first, our medical capacity has remained stable for about 35 years. sometimes it decreases, when it increases a bit.

we were dispossessed, we should be able to reach this amount within a reasonable time frame. let's assume that the number is the same as what you said. now, if we realistically increase it by 12, the end of the program will be close to 8,000 and up to 900 people. we. we have close to 7,000 to 8,000 graduates every year for the next 5 years, because the capacity we have increased has increased since 1400, which means that this thousand will actually be the end of the program for increasing the capacity of the supreme council. if your number of participants is 12, this is reasonable i am absolutely sure that these numbers are very low, that

we have a long way to reach them, we will not reach them, but the current reality is that if i assume this increase, you will see such a number of students at all. it's different in the entrance exam. i have a thousand people in the entrance exam, 100 thousand of them with a grade point average of 19 or above, i don't know if they are 20. well, these people are whatever you can do and we have them with high quality. but in the matter of expertise, the person should be a general practitioner. first ethnic doctor, i will see if in the next 5 years, the end of my program, this number of graduates i am ready to assume some of the previous courses. i checked that this medical work is really a joint work between the government and the supreme council and the parliament, which means the continuation of the approval of this interview and the continuation of the work that we in the supreme council actually do.

we did it, so the incremental numbers will definitely not lead us to that analysis, for example, 205, 20, 190, 180, which at least we expect, but it is a document verb, this should be, but for now, let's get real, we have to move forward, in reality, we have to take other paths. let's think, for example, we may use some of our capacities i have examples of courses, i say, let's assume that some fields may be possible , mr. doctor , to get planning directly from our planning council, that is , to get it from the entrances of our diplomas . we have the ministry of science, we are thinking about getting some of our undergraduates in a different way, for example, so that they can get there faster, for example, so this number is 12, which means it will be equal to our volume, which is actually they are graduating , if this number goes up, we may go somewhere

let's reach that we have the capacity, but then look at the quality. now the reality is that our medicine has a good reputation in the region when it comes to quality , so we have to avoid this, but the point is , you see, one of our problems, mr. dr. in fact, now 78% of this number is in 11 of our population, which is tehran, 238 in 19 of our population, which are the centers of provinces that have medical schools, 69, but in 70% of our country's population , this number is 42, and this 42 in some of our cities reaches its 20 problem. in the explanation of his thanks, mr. dr. hasanzadeh said a number of a few years, and andy is from 35 to 35

there has been no increase in the discussion of minimal specializations. this is actually a question of increasing the capacity. in fact, what is the specialty of medicine ? it has been going on for two years now in this government . what was the reason for the silence for these long years in different periods, in the name of god? rahman rahim, i also offer greetings and courtesy to your honorable colleagues and viewers of your program . the fact is that we had an increase in capacity, but it was very, very little and it was done very slowly . what happened in 10 years ? we were taking medical students for medicine in general, we had general practitioners , and in 1984, there were 2,184, and in 1982, there were 52,000. mr. dr. zanneh said very well that we had 9,689 general

practitioners. this happened to our specialists as well . in 1982, we had 5,336 specialists in the whole country. in 1972 it increased to 960, in 1982 it increased to 2120, in 1992 it increased to 32,800 and in 1402 it increased to 522. the same thing happened to sub-specialists and flushes that we actually have 9,635 specialists and sub-specialists. medicine , the most skilled fields, need both a suitable infrastructure and a patient, which means we cannot do medicine we should educate him so that he has not seen the patient, so since it is a skill, he should be in his own position , that is, you cannot say, i am training a pediatrician in a place where this person cannot see the patient

. it is in medical sciences. as dr. zanganeh said and thank you, dr. borzoai also said that we have this need, but i would like to say one thing about the sanity and being the first in the region . i would like to say this . medical education does not think with the health system you have caused this monopoly to exist in a way, in a way, let me say this , so let's see how much the population of our country has doubled since 1962. from 1362 until now , the country's population has doubled, our specialist and subspecialist doctors have increased 15 to 20 times, it is not like something has not happened in the islamic republic . that is, for us to be recognized as a scientific authority in the region, it is not just a few, just the number of doctors

, it is not important that the countries of the region see us as a country. know your best. and recognize us as a reference or as a reference. i will give you an example. i am worried that we don't have more than 12 or 13 minutes. maybe we will have another guest. i will just say that the head of the international federation of medical education says that iran is the model of medical education in the world. i would like to tell you that it is very important to serve them and now we have received permission to go and evaluate the fields of medical schools in the region. iran is placed in another quantity. look, we have the quality . the quantity should be proportional to our infrastructure and proportional to our budget. i asked how. this the discussion is about the integration of the medical education system. one of the biggest achievements of the holy system

of the islamic republic of iran has been the integration of medical science education into the health system . it was very high and in my opinion it was one of the best things that has been done in the islamic republic of iran. mr. zanneh , please ask if this is the issue of the 12 percent increase . do they also have service contracts ? obligation to serve in deprived areas and less developed areas, they have an obligation to serve, for example , how much is the percentage share that should go to those less fortunate areas? let me read the text exactly to you. the ministry of health and medical education is obliged to increase

the access of people to health services, especially in low- income areas, in order to develop the quality and quantity of the medical education system. and making preparations to face the crisis of population aging will continue after this work is done. there are upper laws. we did not mention this in the program because it is more oriented in the program because we have upper laws. based on the same commitment that doctors have even now for disadvantaged and underprivileged areas, when will this be implemented, the seventh plan will start from the beginning of 100. if god willing, tomorrow we will finish the program in san, according to the agreement we made with the government, the government will be obliged. to write the necessary regulations by the beginning of 403 and from 403, god willing, this action will be taken and we will witness this increase, god willing, thank you very much, mr. dr. bozi, considering that now our country

is moving towards that elderly population, and from our light to later, we will need more doctors in the discussion this specialist doctor, can this increase of 12% make it easy for people to access it or not, is it fair or not an important point, exactly, i wanted you to see that the aging storm of our country is taking shape, the age of four times that of a normal person needs specialized medical services. it means that the need is four times that of a normal person, so we are definitely facing a very serious deficiency that the friends actually came, even the document actually approved the transformation in the council , and they put a very strict requirement. for example, one of the conditions

was that we can open a college in a city that has a population of 500,000 people, we now have several cities with 500,000 people that are far outside the provincial centers. one of the things that happened in this government and was done by the supreme council, and we really deserve to thank the minister of health , was that we brought this number to 2000. with this number of 200,000, we can create a new space for capacity development. you see, we have to be at the same time, since we want to create capacity , we have to create infrastructure, the infrastructure itself is the development of new faculties, we have started this now, of course, with these numbers, we will not reach what you say, but of course, the work is better than this, but it is better than this, it is not difficult, thank you very much, we have a telephone conversation with mr. gudar, the member of parliament , mr. guderzi, good night, peace be upon you, and good night , mr. guderzi, this 12 percent increase

will meet the needs of the country, in the name of allah, the most merciful. al-rahim, i am also a greeting and a courtesy to you, your respected colleagues, the program and the noble nation of iran. well, the topic of the program is a very valuable topic because, like the issue of population, if we take action later than this , it will never be compensated. dear guest of the program , he said that this product accumulation of more than 30 years in in fact, there was a lack in this area, which will definitely not be compensated and repaired with a five-year plan, but you say 12%, first of all, we put 12% in shoes, which, of course , again, some gentlemen in the parliament and in the ministry healthcare and medical sciences also disagree with this number, but what is the subject of our discussion

, i saw that many issues were discussed. the decision made by the islamic council is in fact complementary to the decision of the supreme revolutionary council culturally, of course, we should thank the honorable president personally and the approach of the current government, because this approach and this insistence and emphasis of the honorable president personally and the media follow-up and the support of the parliament have made us actually take a step towards in fact, let's take the development side of admission for medical students, you see, we are at your service now, that is, in 1402, the specialist cook , what was mentioned in the notebook was 460, 560 happened in the completion of the capacity and the seats that were added.

first of all, i want to mention a very important point here, and it is definitely basic the calculations in 1403 in the seventh five-year plan should be 560. the first point. second, considering that today we have an average of 62 specialist doctors per 100,000 population in iran , while you mentioned that there are 245 in the region of 143 in europe and 280 in the elderly countries, so we are far from the ideal. on the other hand, in the next 20 years , we will have more than 3 times the increase of salmon population. this means that as time passes, our need for specialist doctors will increase, and again, the third point is that our planning and policy making today will be the answer in the next 4 years.

he will not give, but in the next 8 years , he will actually leave his work, he will show it. therefore , i will say one sentence, one sentence, one sentence. surely more than 12% of us gave this permission, at least 12, we considered that the honorable government of the ministry of health , based on its infrastructure and capacities, would be able to meet this need, god willing, so that we can make a leap. thank you very much , mr. gudari. hassanzadeh, this discussion is about 460 capacity. if you want this capacity to come next year, you will only have a little time with this increase.

see, this year we had 460 people in our capacity, 182 people either withdrew or did not choose a field at all, consider that some of us , as mr. borzouri said, some of our fields should not remain empty, we are in fields such as emergency medicine, anesthesia, pediatrics. like domestically , these are the country's needs . if we are to go global and increase our capacity, these luxury courses will be filled. i didn't , you should count, no, no, you are in charge of you you are announcing that this should happen in all disciplines. well, if it happens in all disciplines, if it happens in all disciplines, we will have a problem. i mean, you see, say that radiology will increase , my eyes will increase, my skin will increase, internal medicine will also increase. that these 30-odd people who are choosing majors go to the luxurious majors and the majors needed by the country

remain empty, you see, it is very important that localization happens first so that people can have a longer life in their own region. second, to come in the disciplines we need let's apply the capacity increase. what you say is removed from the law . we have to move forward according to the law. well, the other solution is that you say that this is not what you say are the luxury fields, and i don't know about such and such fields. this discussion will remain empty. in fact, the legal issue was brought up in the parliament today, sir. please, sir, the ministry of health has not done the request that we also had from them, for example, for the fields of internal medicine, pediatrics, which have been welcomed , special things, special proposals, structures and special privileges. you should see this. he did the same as we are now in the system

in the ministry of science, for example, we started special privileges for basic science courses so that people would welcome them. this was the same thing. in the ministry of health , special privileges should be formed for the required fields, which are very little popular among the general public . this should definitely be formed. we are ready to help in this discussion. anyway, the discussion is about the upstream documents, which in the promotion of health indicators , it is said that our horizon should be in the first region. the increase today we had in line with these documents we have to move upstream and the debates surrounding the issue of whether 12% is sufficient or not. thank you very much for coming, dear viewers and ajmandam. also, good night.

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