main events of the week » Medvestnik


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A meeting of the President took place this week Vladimir Putin with members of the government, dedicated to measures to combat cancer. No decisions were made there.

But we learned from the Minister of Health Mikhail Murashkothat in Russia the speed and quality of cancer diagnosis have increased: about 60% of malignant neoplasms are detected at stages I-II. This is the highest figure in four years since the launch of the federal project “Fighting Cancer,” he noted. According to Murashko, the achievements were facilitated by the introduction of diagnostic standards, comprehensive measures to increase the availability of treatment, and an increase in the staffing of oncological institutions. According to the department’s estimates, the number of oncologists, including children’s, has increased by 13% since 2019.

But, apparently, the results did not impress the government members too much: at the meeting, they discussed the need to reconsider the mechanism of payments to doctors for cancer alert.

Head of the Executive Committee of the Popular Front Mikhail Kuznetsov complained that these additional payments often do not reach doctors due to bureaucracy: “the requirements for paperwork and reporting are such that it is easier to refuse this payment, and this is confirmed by the numbers.” And Murashko noted that the Ministry of Health is ready to “work through and simplify” their receipt, but you should not expect an increase, “since there are also social payments.”

Summing up some results in the fight against cancer, unfortunately, without specific ideas for the future, opens the event rating of the week.

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In second place in TOP5 are reports about the Ministry of Health rationing time for seeing patients for doctors of a number of specialties.

Thus, the department allocates 45 minutes for a patient to visit a geriatrician, but if a person comes to a specialist for preventive purposes, the appointment is reduced to half an hour.

The time spent by a geriatrician on preparing medical documentation should be no more than 35% of the established standard (that is, 15 and 10 minutes, respectively).

The time limits for seeing a patient by a psychiatrist, a psychiatrist-narcologist and a psychotherapist are somewhat lower. For one visit in connection with a disease, including the preparation of medical documentation, a psychiatrist is given 24 minutes, a narcologist – 26 minutes, a psychotherapist – 42 minutes.

The standards are based on the results of photo-chronometric studies of the activities of doctors in these specialties, conducted by the Central Research Institute of Organization and Informatization of Health Care (TsNIIOIZ) of the Ministry of Health – they recorded the average time spent by a specialist on performing all work.

Several years ago, the Ministry of Health also approved the time standards for seeing patients by infectious disease specialists and other doctors. According to the document, a hematologist and an infectious disease specialist must spend 20 minutes with the patient (in connection with the disease), an oncologist – 23 minutes, a pulmonologist and surgeon – 26 minutes, a phthisiatrician – 35 minutes.




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The third place in the TOP5 was taken by information from the Ministry of Finance. It turns out that the Ministry of Health does not spend money quickly enough on the activities of the national project “Healthcare” – as of November 1, only 72% of the funds planned for the year, 228 billion rubles, have been spent. out of 316 billion rubles. This is one of the lowest indicators among all national projects, although by the end of the year the implementation of the healthcare budget accelerated sharply (in September and October, the level of implementation of expenditures under the national project was at the level of 57%).

For some federal projects of the national project, the level of disbursement of funds is even lower. Thus, for measures to develop children’s healthcare, the level of expenditure fulfillment at the beginning of November was 39% – out of almost 20 billion rubles. 7.7 billion rubles were disbursed. Almost 12 billion rubles were allocated for activities to develop the unified state information system (USISZ), but by November about 7 billion rubles had also been spent. (61%).

Following publication, Assistant Secretary of Health Alexey Kuznetsov reported to “MV” that as of November 9, the level of budget implementation for the national project “Healthcare” is 82.4%. According to him, the money provided for the current year “will be spent almost in full by the end of December. The remaining funds will be carried over to next year.”

The press service of the Ministry of Health did not specify exactly how many funds are planned to be transferred and for what specific reasons. How it was possible to disburse 10% more funds in 9 days than the Ministry of Finance indicated at the beginning of the month is also not reported.

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In fourth place is a message about the real salaries of doctors, not “drawn” by Rosstat.

According to SuperJob research, in most of the largest cities in Russia, the average salary of a general practitioner in private medical centers does not reach 100 thousand rubles. In Kazan, Krasnodar, Novosibirsk, specialists are paid an average of 90 thousand rubles, in Nizhny Novgorod, Omsk and Chelyabinsk – 85 thousand rubles, and in Volgograd – only 75 thousand rubles.

Traditionally, salaries for doctors are offered higher than in other megacities in Yekaterinburg (on average 100 thousand rubles), St. Petersburg (110 thousand rubles) and Moscow (130 thousand rubles).

The maximum salary for a general practitioner in commercial clinics in the capital reaches 300 thousand rubles, in St. Petersburg – 260 thousand rubles, in Yekaterinburg – 225 thousand rubles. In most other large cities, the maximum salary of a specialist is limited to 200 thousand rubles.

Such remuneration assumes that the candidate has at least five years of work experience, and among the possible wishes of employers are the following: additional certificates in other medical specialties (neurology, cardiology, gastroenterology, etc.) and an academic degree.

A beginning specialist without experience (but with all the necessary certificates and diplomas) in commercial medical centers in the capital is offered a salary of 60-80 thousand rubles, in St. Petersburg – 50-70 thousand rubles, and in most other cities – 40-55 thousand roubles.

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Rounding out the top five news is a message about a multiple increase in quotas for the production and import of narcotic drugs into Russia. The government approved the proposals of the Ministry of Health.

The production quotas for thebaine in Russia have been increased the most—by 23 times. The amount of opium alkaloid allowed for release in the country was increased from 67.1 kg to 1.6 tons. Quotas for the production or import of fentanyl (from 45 to 90 kg) and clobazam (from 20 to 60 kg) were also increased. In addition, quotas for the import of modafinil not registered in Russia have increased (from 17 to 100 kg).

In Russia, thebaine, fentanyl and clobazam are produced by the Moscow Endocrine Plant. Unlike the last two, thebaine is part of the combined narcotic analgesic Omnopon and is not marketed separately. According to Roszdravnadzor, since 2020, only seven series of the drug have been brought to market: one in 2020 and two series from 2021 to 2023 annually.

Clobazam is also imported by Sanofi. It is part of the tranquilizer “Frisium”, used to treat increased anxiety, as well as epilepsy.



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