maybe their services are not fully entered into the systems, or there are some drugs that are not in the country's pharmacopoeia and new ones have come, the doctor writes, for example, they have to get them from another country. to cover those drugs , these are not the people's expenses in the field of low-cost drugs, one treatment course costs 500 million tomans, one treatment course costs 450 million tomans, that's it. there is neither the power of the government nor the fact that it is really necessary to prescribe some of these drugs that have not yet arrived and people have similar drugs that exist. it can be effective to try to treat those who are unavoidable, whether it is a medical diagnosis or a patient's need, they should somehow help with the presence of benefactors, non-governmental organizations , and be with the government and this fund so that we can provide those who are needed. we don't want to draw the need for induction or the wrong path for this fund. for sure

, whatever you pour into this well of treatment will not be filled . our principle should be prevention, but this fund should be with the people in this situation, and everyone is covered by any basic insurance. you can be a member of this fund, and fortunately, social security insurance is one of its services he has entered the information of his patients into the health insurance system. yes, this is the first thing we said we can do. its extent is too much in the country , the cities are more insured by social security. we know that we have more coverage in the villages and certain areas, maybe 90% there , but 60% in the cities. at least, our insurance is 40%. this is that the social security also has an important task, they also have an important job to do. providing services means that

we all have to be coordinated and that, for example , the armed forces insurance has done a good job of merging their basic insurance with their supplementary insurance. now they pay out of their insured's pockets less than health insurance and social security . if we have that credit, we can take a step. you can be sure that we can have health insurance and social security. more financial protection from now on, who wants to use the services of the fund, where should he go, and how? well, this is an important question that many of our dear people don't know about. the citizenship system in our citizenship system, those who search for the health insurance citizenship system can enter idiom. listen to the link, the link related to specific patients

, register there, when they are registered, they will be told what the process is, or they will have to upload the documents, surely the organization will contact them, the frequency will be measured, their case will be placed in the payment process, or the principle of being marked is that the patient is marked in the system, for example, a patient. it should be indicated by a doctor, or by a special institution, or by health insurance, social security, or the ministry of health's vice president . he should pay an amount, then bring the invoice and receive it from us. okay, thank you very much. now, this point that we talked about before about the systems is really a strange thing that, for example, two

government organizations that are providing health services to the people have separate systems. i don't know what this is about, for example, the dignity of that organization is being questioned, or it's about disrespecting each other's systems. the important thing is that we can provide the right service to the people . we really have to go through these discussions. this really has no place anymore. in our country, we want to talk about providing service to people, think about our dignity and our subjects. the dignity of our organization is to act independently and not enter into another organization's system . it is important that people receive the right service . this should really depend on the mentality of the managers who work in these fields . it is related to the kodinga difference. i think it's a shame that now that it has been resolved, how did it happen to the treatment, well, people are more prosperous, they can receive better service , it can also happen in other sectors, that is, if

it is really the goal of the service, this can be resolved, thank you very much, another report if you agree , let's talk about infertility again. all of these are free to calculate, despite the increase in infertility services covered by insurance, patients complain about the costs of infertility treatment . if i have social security , the center says that i do not have a contract with any insurance. except for the armed forces, what is our duty really? what is your insurance? our basic insurance is social security insurance. i can say that it is much less than half. it is paid by our insurance. effective in this matter. they know that the way insurance organizations interact and deal with patients' files and pay fees is such that they have not yet found the agility needed in this part of the treatments, unfortunately. however , the health insurance authorities, despite the settlement of the claims of the medical centers

, stated the reason for the disrespect of these centers , that they may ask a public center to provide services with more distortions than the approved parties. the difference is actually the costs that are imposed on the patients and it was announced in the social security organization that what we cover is this package that is prescribed at home according to the law, shawar ali the number of that package and the value of my prices are understood there, which means that we do not have much room for flexibility and maneuver, despite the clarity of the law in the contract of centers with basic insurances and its implementation. they need more insurance support and we have some problems and challenges there. well, we tried

to increase the number of centers that provide infertility services. we went there ourselves. and following these centers that sign contracts, now the number of specialized centers and other centers that provide infertility services is 205 of these centers, most of them have a contract with us, but some centers even non-governmental public centers are not ready due to the costs in the infertility sector and the total price. with these tariffs that we cover, we cover 90% of the non-governmental public tariff in the non-governmental sector, and in the government sector, which is 90%. we cover the costs, for this reason we have almost no problems in the public sector and people get the service at the lowest cost. it has also been widespread in the universities of medical sciences across the country, especially

in the last two years . those who go to the private sector must pay the difference. we say non-governmental public tariff. private compliment is almost three and a half times 3 there is a difference, again, this goes out of the people's pockets , and we do not have the resources of the basic insurance organizations , nor do we have the legal permission to pay more than that, because of this, people sometimes have to go to the private sector because the government center is not enough for this. the difference between them in this field bothers and creates problems, otherwise the services we have provided to 57,000 infertile couples , we have served nearly 156 services . practically , they conclude that the average response to treatment in the centers

infertility is between 25 and 35% in the best centers in the world. we went to different provinces. i visited almost half of the provinces in the country that have infertility centers. the most important centers are yazd and other places than the centers of newly established provinces. our statistics are consistent with the global statistics . as a result of this action, part of us may not be able to settle in the private sectors. our recommendation is that people who have problems with costs should go to the public university departments. there may be a waiting list, but the statistics of these centers low. it is not better than private centers in terms of solving that problem it can't be solved like this. look, when we talk about the youth of the population , we give lectures, write articles, and talk about it. well, in practice , one of the proofs is that, sir, this

issue must finally be resolved. yes, the non-governmental sector cannot provide services based on that, and there is a difference between the costs, which cannot be covered by any means. with a legal solution, more resources should be provided so that we can do this when there are more resources, for sure. the supreme council comes based on sources , it allows us, you can also private parties for example, cover 70% when the resources were about 750 billion tomans last year , 141 we spent almost 1350 billion tomans, we covered it from other places . and the half that we are working now , this number is covered by government centers , your colleagues can definitely get a report. there, the cost from the people's pockets is very low and

there is this difference in the private sector. very well, we hope that this will be resolved by providing resources. let us discuss the medical centers with health insurance. how many centers have health insurance contracts with you? well, more than 53,000 institutions are parties to health insurance contracts . we have almost the same number of contracts with other basic insurances, such as social security insurance and compulsory labor insurance, with the same number of contracts in the country. there is an institution that does not have a contract with basic insurances, for example, more than 900 public and private hospitals have contracts with hospitals with basic insurances , about 90 do not have contracts, we do not contract some of them ourselves because of the conditions of that complex and hospital. there are some of them even peru does not have a certified license. this is a good idea, but in the public sector, you can almost say that with all government institutions, how are they serving? well

, getting a basic agreement for 3 months , not renewing it, well, the service cannot be interrupted, so the people were not allowed to do so according to our law. we do not have a contract with an institution whose medical license has not been renewed , but it is providing services . we do not have this problem in the public sector. we have academic and non-academic government contracts, and if they are limited, they are limited, and a number of them have been said to be out of the cycle in recent days. we may not have a contract with the government institutions . the limited number may be in the armed forces, in other areas other than the ministry of health and the government. they are mainly non-governmental public institutions , some of them have conditions that do not make contracts, or the government also takes into account the duty and the requirement in the law

, the relevant authorities have not yet been able to fulfill the requirement of their contract, they are legally required to state the contract, but the law does not prohibit it as much as it is mandatory. other the law is not clear enough to be clear. that at every stage or every year , there should be a written contract with the institutions, their words are not unreasonable in some cases, when the insurance companies do not pay on time, their services are not suitable, some of them have the right, so they say, we will pay you a fee. it's coming in 5 months, although our health insurance was trying to do this work , it's been at least 2 years that we have been paying for our hard work day by day, not the same. we give the month, at least the processing should be processed at least two and a half months

, what are we behind? and what about the private sector, i will tell you that your service is in the pharmacy department, there are public hospitals , there are private ones , there is a gap of two and a half to two and a half months until the payment , which is acceptable for the institutions, because they themselves have to collect their documents. provide and it takes time to investigate and deal with it, so practically those who do not agree to enter into a contract with you , there are no legal tools to deal with them, well, the ministry of home affairs has tools and some of them have been applied, for example, the ranking of hospitals . there is a medical system here departments that are outpatients are the responsibility of the ministry of health. it is the universities that have received numerous correspondences from the ministry of health and

the vice-chancellor on the requirement of a contract . discussions have also been raised with the medical system. if they sign a contract, nothing can be done about it. for now, it should be more serious. both the universities will be more serious, and the requirement that those institutions will be affected in their ranking will suffer, very well. it started with autistic patients and now it has expanded

to include disabled people who are insured by health insurance. more than 800,000 people are these loved ones and other people who need rehabilitative services have changed from 9 codes to 59 service codes in the fields of occupational therapy , speech therapy, audiometry, optometry, and psychological services. these are covered by the basic insurance. some of them, like autistic patients, even in the private sector, we cover the private tariff for them , this is an important step, the step taken in rehabilitation in this period and this government there is definitely an elderly society in the future that needs rehabilitation services. we still do not have a serious movement in the field of health for the elderly, considering the trend that our society is going towards old age, plans

are being discussed in the field of the ministry of health and insurance . it has been done, but it has not been implemented. there is definitely a need to pay special attention in the parliament . for now, we must take steps in the field of health and non-health in the field of old age to rehabilitate many diseases, such as heart disease that has undergone surgery, or a person who is a child or an infant. he is born suffering from lack of oxygen and his brain is damaged if we give him the first days let's reach and start the rehabilitation treatment with timely diagnosis. for sure, this person's complications will be much less, he will return to the society, at least he can do his work, otherwise a person with cerebral palsy will become disabled, not able to manage himself, and the society and rome's family is causing problems, for this reason, this section and attention to rehabilitation is one of the positive points of the basic insurance packages

, which means that now only the social insurance provides these services , only you, we started from the beginning, they are also included in many sections like patients. autism that we had a meeting with colleagues in the previous weeks social security seriously promised to provide proper coverage in that area and other services. many of these loved ones who are insured by us are not insured. for this reason, we are only providing the platform. their services have been very good , and their referrals have increased. . last year, that is, 1401, maybe we didn't spend more than 500 million tomans from that place, because many of the centers did not have a contract , so people did not realize that they came to visit us. now, in the first 6 months, more than 30 billion were spent.

we can buy this service in government institutions and to buy a suitable service and... it certainly has an effect on a person's performance in the society . this use of iranian rehabilitation equipment , which is covered by the patient's insurance policy, brought up news that a large part of the rehabilitation services are local. and their devices are located in the centers and they are providing service. we buy and service. at some point, you might think that some of them are pro-provets. for example , this one is 50 crowns. we brought 25 million in the fund for these diseases we will allocate one toman to the person who can help, the cost of this device may be double the share

that we have planned for him from this fund. my first vice president , the meeting we had almost 3 weeks ago gave a strict order to the scientific vice president, insurance and the ministry of health and welfare to think more seriously about this sector. god willing, let's minimize the cost of these people, god willing, and lastly see the report of this conversation about the excessive use of antibiotics and spend a minute or two with the doctor. because of repeated prescriptions, sometimes in tests above 140,000, we accept at least cbc in a month. how many tests did you have during the year ? you were there about a month ago . let's take a picture. there are some doctors who tell you to take a picture or an mri first

. it is very expensive for the country to have a thyroid test and a test to measure vitamin d, the latter of which is absolutely necessary it is not in the country's ministry of health, but it is satisfied with its own performance in compiling and communicating basic guidelines, which is the only way to control these arbitrary prescriptions . now we have reached about 1,300. from 2015 to today, 414 standards and clinical guidelines have been notified only during my presence. again, the traces of these indiscriminate prescriptions can be seen, the reason we are facing is the prescriptions outside even the country's official pharmacopoeia. the statistics we had last year were more than 60,000 cases that needed to provide the resources that cost from g. now the electronic version system is proof of this

that the prescription of antibiotics in the country has set a record, the consumption of antibiotics this year compared to last year , we had an average growth of almost 90% , tayyab kargar of sed and sima news agency. i think it is very important that it is happening and it is significant and that many of these can be controlled by nature from those rain guides. mr. doctor , out of 1300 rain guides, 600 of them are now in your system. yes, at least half of them are in your system. now, scientific groups with the cooperation and management of the ministry of home affairs are writing clinical guidelines to be published they add it to our insurances. in the discussion of antibiotics last year, serum, according to the rules, the consumption of serum

should not be so high, a lack of serum will cause problems, or many medicines that are not necessary. actually, antibiotics do not help in viral diseases. rather, they create microbial resistance, they are harmful, and the problem is that they cannot be used so easily in the world. in our electronic system , in some provinces , we have 4 tenths of a drug per prescription, the national average is 4.1 tenths and 4 tenths. our months are four and two-tenths of medicine per prescription, so it is very high let's say that two are acceptable and not four of these expenses, for example, only insulin that is used in the country, part of it is necessary and necessary, the other part may not be used properly in this cycle, the dosage is not appropriate, we only spent 1100 billion tomans

last year for insulin. only health insurance has been given, now social security is from other insurances, so many people are free to buy, we have 30 seconds, mr. doctor , what is the problem with the wing guide that is not implemented? it should be heated and placed behind the devices, this will happen by itself action will be taken, well, the clinical guide is not an easy task, it is a difficult task, the necessary precautions must be taken, it creates limitations, but it is definitely necessary , because apart from the issue of taking medicines , all doctors and loved ones should do scientific and correct work . very well, thank you very much. mr. dr. naseri, for your presence in the program on the first page and for answering the questions, may you be healthy and thank you for watching. good night and god bless you.

hezbollah of lebanon announced that two platforms of the missile defense system of the zionist regime are connected to the iron dome in the military and zionist settlement of kabri. in depth targeting the gathering of zionist soldiers in the base was another operation of hezbollah. after the successful operation, daniel hagari, the spokesman of the zionist regime , said that hezbollah had adhered to a resolution that they had repeatedly violated with their aggression before this battle. on monday evening , the zionist regime's drone attacked the funeral ceremony of hassan sarwar, one of the hezbollah fighters, in ita shaab

. despite this attack, the people of the south organized the ceremony and burial of this resistance fighter. in response to this attack, hezbollah attacked the military and zionist settlement of kiryat shmoune with several rockets aimed zionist media reported that two people were wounded during this hezbollah operation. it is natural that we offer martyrs in this way. the defense of the lebanese and palestinian people is for the security of the entire region. resistance is the only way to confront and destroy the zionist regime. the zionist regime's drones and artillery attacked 12 residential and non-residential areas in southern lebanon, including the vicinity of naghora, tirharfa, mise, jabal misra . lebanon's hezbollah has announced the attacks of the zionist military on the southern regions of this country

and the residents of these regions. like the settlers of the north the occupied territories will not escape and the zionists will receive a decisive response to their aggression. hasan azimzadeh of dirmas radio and television agency, lebanon's border with occupied palestine.

do you know how to buy in installments? pay attention , if the consumer price of a product or a basket of products is, for example, 20 million tomans, and we are supposed to pay 20% of it in advance, this 20% should be deducted from the consumer price like this.

with kalanano's plan, we can receive purchase credit from you up to the ceiling of 100 million tomans, and we have 730 days until the last payment . to shahr farsh nashon

, in the name of allah, the most merciful, the most merciful. hello, dear viewers , welcome to the medical news section at 20:30.