Patients will be brought to medical institutions where will render them the exhaustive help, but not in the nearest medical organizations. Such delivery of patients already practices in the capital and some regions. However emergency doctors treat new rules ambiguously the Photo: depositphotos.com of Change of rules of rendering ambulance to patients on October 1 have come into force. Now the car of the ambulance has to bring the patient there where can render him the exhaustive profile help, but not in the nearest medical institution. Changes are commented by the head of State Budgetary Institution Scientific Research Institute of the organization of health care of Moscow David Melik-Guseynov:david Melik-Guseynov the director of state budgetary institution Scientific Research Institute Organizatsii of health care and medical management "Emergency medical service long time worked by the principle to bring the patient to the nearest lecheny organization, and very often there was such situation that the ambulance brings the patient, and the person have been forced to transport in other medical organization, precious time was wasted. In Moscow and in some other territorial subjects of the Russian Federation have begun to test model when emergency medical service is lucky the patient not there, far closer, and there where there are technologies where there are doctors and empty seats. Previously the condition on what profile of the person it is necessary to hospitalize is estimated, information where there are now empty seats where is free rentgenoperatsionny if it is about a myocardial infarction is requested from the central dispatcher, and the ambulance is lucky the person in this medical organization where the help will be rendered as soon as possible as it is possible more qualitatively and comprehensive". However, no actual changes in work of ambulance will happen: today the ambulance also so everywhere brings patients to profile medical institutions. But if for Moscow such practice more likely in plus, then in regions things look bad: to reach profile hospital, often it is necessary to pass not one hundred kilometers, the paramedic of ambulance Dmitry Belyakov: — Unclear says that in general wanted to tell these. If to take, let us assume, Moscow, then here the crew is lucky the patient strictly on a profile, and on the periphery make at least ten orders, but, let us assume, the nearest vascular center to Pereslavl-Zalessky in Yaroslavl is 150 kilometers, carry there. That new this order, absolutely unclear has brought. I so understand, it is more the order for regions. There is a reservation, in my opinion, within a day. That is the patient is brought just to hospital, and within a day has to be transported in a profile hospital. But besides all this will lay down on ambulance: bring at first to one hospital, then from there bring within a day to other hospital. Some visibility of work. — What needed to be made more important? — To return to what was at the Soviet power: the versatile hospital in regional offices, salary for doctors that didn't run up because our office can be, and profile doctors can not be. Even if to take Moscow area, Sergiyev Posad — the city rather big, but there is no sosudist
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