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"Quality of life is the main criterion in assessing power"

The Vice-Governor of Primorsky Territory Pavel Serebryakov spoke about the important achievements of the region in the field of health and social policy in 2016 year

"Quality of life is the main criterion in assessing power"
The December Address of the President of Russia to the Federal Assembly was remembered for the special attention to issues related to the need to improve the quality of life of citizens in Russia. In the Primorsky Territory, a lot of attention has been paid to these issues in recent years, both by the federal authorities and the regional administration. The vice-governor of Primorye Pavel Serebryakov spoke about the results of work only in some main areas in the social sphere in an interview with EastRussia.

- Pavel Yurievich, one of the important issues - medical care of the population. So,  health care. What has been done in this direction in the province this year?
- The health system of our region does not stand still - it is developing. We have a regional state program "Primorsky Health Development" at 2013-2020. This document is a kind of action plan, according to which existing ones are being repaired and new medical establishments are emerging, modern technologies are being mastered and much more is being done to increase the life expectancy of Primorye residents and increase their satisfaction with the quality of medical care.

Among the landmark events in the health care of the region, I would call the development of air ambulance services, the acquisition of 9 reanimobiles for the Motherhood and Childhood Service and, of course, the development and improvement of outbound forms of work with the population.

Last year, by the decision of the Governor Vladimir Miklushevsky, a new project in healthcare was launched - a medical road train "Care" went to remote villages. Then we worked mainly with the adult population, but several times we changed the composition of specialists - children's teams also went. This year we have two teams working - both for children and for adults.

Thanks to this program, more than 64 thousands of Primorye residents (of whom more than 20 thousand are children), were serviced and consulted by doctors, without going outside the district. This is an essential measure for remote, including the northern regions of the region, for those who due to some circumstances can not go to the clinic.

This form of work of doctors with the population made it possible to bring high-quality medical care closer to the most remote corners of Primorye. The Zabota road train is a real mini-clinic on wheels.

Next year, in order to improve the exit forms of work, we plan to expand this area, and include an additional block of medical services aimed at detecting oncological diseases.

- Statistics show a decline in infant mortality in the region. What factors do you think worked?
- Indeed, since the beginning of 2016, infant mortality has been reduced in Primorye by 20% (compared to the same period last year). This is a very important and qualitative indicator. To reduce infant and maternal mortality in the Primorsky Territory, an action plan, the so-called "road map", has been defined. Medical care for women and children is provided by a multidisciplinary network of medical and preventive institutions in the Primorsky Territory participating in the program of state guarantees and taking into account the three-tier system of medical care.

It was possible to reduce infant mortality rates due to a set of measures. Thus, on the territory of the Primorsky Territory, inter-district obstetric and gynecological centers have been opened to serve the population. I have already said that in 2016 the maternity and childhood service of the region received nine C-class reanimation vehicles for transporting pregnant women, women in childbirth and newborns from inter-district centers to level III medical organizations. More than 83 million rubles were allocated for this from the regional budget.

In July 2016, we opened a regional neonatal center on the basis of the Regional Children's Clinical Hospital No. 1, KGBUZ to ensure regular visits of specialist doctors to the regions of Primorsky Krai. They provide advisory, diagnostic and therapeutic assistance. By the way, this year the Minister of Health of the Russian Federation Veronika Skvortsova also visited this center, who highly appreciated the organization of care for newborns in the region.

New principles for the organization of prenatal diagnosis and the organization of prenatal consultation also led to an improvement in the early diagnosis of congenital malformations.

Of course, the tip of the iceberg here is our Perinatal Center. New technologies are introduced here every year, additional branches are opened. This year, for example, a central station for monitoring the state of patients in the intensive care unit and intensive care of newborns was connected here. This allows you to constantly monitor the condition of the newborn. Since the opening of the center, more than 6 thousand newborns have been born here, of which 18% are premature babies.

- This year has proven itself air ambulance. Is it planned to expand the fleet? What areas of Primorye serve "flying doctors"?
- I can responsibly say that the head of the region, Vladimir Miklushevsky, has made the correct and timely decision to revive the air ambulance in Primorye. Today it is obvious that this is a big breakthrough in the health care of Primorye. In his Address to the Federal Assembly, Russian President Vladimir Putin focused on the development of medical aviation in the Far East and Siberia. It is planned to allocate 3,3 billion rubles from the federal budget for this.

In Primorye, the sanitary aviation has been working for almost a year. During this time, more than 200 seriously ill patients have been transported, of which almost 80 are children. Whereas last year, only 25 patients were transported on a rented helicopter.

Let me remind you that there are two ambulance helicopters operating in the region. One helicopter is based in Kavalerovo, the second in Vladivostok. The characteristics of the aircraft are perfect for working on the territory of Primorye. In general, sanitary aviation is vitally important for our region: the territory is large - it is impossible to deliver the patient promptly by other means of transport, and sometimes it is simply impossible, including for medical reasons.

- Russian President Vladimir Putin in his Address to the Federal Assembly spoke in detail about the development of telemedicine. What about the implementation of information technology in the Primorsky Territory?
- Almost 90% of medical institutions in Primorye have implemented or are in the process of introducing modern information technologies. This includes an electronic record for a doctor, an electronic patient record, and an electronic system for monitoring drugs for the preferential category of the population, and much more.
Several projects are being implemented in the province related to the possibility of remote consultations and the transfer of medical data aimed at increasing the availability and quality of medical care. For example, on the basis of the Vladivostok and Ussuri ambulance services, Shkotovsky district hospital, there is a teleECG complex with the possibility of remote consultation with the FAP medical assistant or ambulance brigade by a highly qualified physician, including the need for thrombolysis.

Again, at the base of the Vladivostok ambulance, there are 16 tele-ECG machines. During this time, more than three thousand tele-ECGs were transmitted. The experience of operating the system has shown a positive effect - the quality of diagnosis of cardiac diseases at the pre-hospital stage has improved.

The development of "telemedicine" is especially important for the districts. The shortage of doctors, which we still experience, is especially noticeable in the outback. To address the issues of diagnostics, since August 2015, a project on a comprehensive solution for functional diagnostics has been operating on the basis of the Khorolsky CRH. The equipment allowing to work at a distance also works in the Pogranichny, Mikhailovsky, Khasansky and Lazovsky districts.

Remote diagnostics solutions ensure the availability of medical care to the population, regardless of the distance to the central hospitals, improve the quality of diagnosis and the provision of medical care to the population. Provide the most effective routing of patients. They lead to savings in spending and more efficient use of budgets of different levels. Resolve the problem of staff shortages.

- Drug provision of preferential categories of Primorye, it has always been for the regional authorities under special control. What was the outgoing year in this part?
- As for the privileged categories of citizens, the implementation of the program on privileged provision of Primorye with vital drugs remains one of the priority directions of the administration of the region.

I will cite the figures; in 2016, more than 1,6 billion rubles were allocated for the purchase of medicines for benefit recipients of Primorye, which is almost 12% more than in 2015. On average, more than 100 million rubles are transferred monthly for the purchase of medicines for the privileged category of Primorye residents.

I would especially emphasize the fact that in the Primorsky Territory the amount of funds allocated from the regional budget for DLO increases annually. As well as the fact that the number of patients suffering from rare (orphan) diseases is growing every year in the region. Their treatment costs an average of 80-100 thousand rubles a month - so expensive are the drugs that are vital for these patients. Therefore, on the initiative of the governor of the region, Vladimir Miklushevsky, additional funds were allocated several times this year for subsidized medicines.
Undoubtedly, there are difficulties, sometimes not depending on us, but which we try to solve quickly. For example, in the spring of this year, beneficiaries could not get Lantus insulin in pharmacies on preferential recipes. And the situation was the following, in December last year, the government determined that those drugs that are produced in Russia or the countries of the Eurasian Union must present the appropriate certificate for participation in competitive procedures and procurement. The certificate is called ST-1 and the manufacturer can receive it in the Chamber of Commerce and Industry. Producers of medicines were notified of this decision, but some of them did not submit documents in a timely manner, so public procurement could not take place, which means that needy patients could not get it from the state. The Department of Health quickly joined the issue of providing insulin benefit recipients with the necessary medications, and the issue was resolved. I note that this issue is under the personal control of the governor of the province Vladimir Miklushevsky.

- Pavel Yurievich, one of the most significant events of this year for the social sector of Primorye  The Asia-Pacific Social Workers' Summit, held in Vladivostok in early October.  Subject  not only relevant and understandable specialists. It was about the social responsibility of society.
- Indeed, a forum of this scale was held in Russia for the first time. Representatives of 15 states, 28 Russian regions, including Moscow, St. Petersburg arrived in Vladivostok. These days on the FEFU campus on Russky Island there were more than 500 people: 30 experts, representatives of ministries and regional departments, social workers, social educators, leaders of public associations and unions. A similar number of specialists took visitors to exit areas, which opened in several social institutions.

Over the two days of the Summit, more than 30 seminars, symposia, discussion and visiting platforms were organized. There were about 250 reports on the integration of people with disabilities, the prevention of family problems, social orphanhood. The participants discussed the prospects for the development of the social services market through the involvement of the non-state sector, improving the quality of life of people with disabilities living in institutions. Russian colleagues shared their experience of interagency cooperation in the provision of public services, including through multifunctional centers. At one of the seminars, the results of twenty years of cooperation between the Council of Europe and the Russian Federation and the contribution of Russian specialists to the promotion of the articles of the Social Charter in the interests of vulnerable groups of the population were summed up.

- In your opinion, did you manage to achieve the results set by the organizers?
- Of course. The international meeting was held in the jubilee year for the social sector. 2016 is the 25 anniversary of social work in Russia. The summit became a platform for a fruitful exchange of experience between the regions of Russia and foreign colleagues, promoted the development of competition and the involvement of non-state organizations in the provision of social services, increased the status of the profession of a social worker.

The final documents of the Summit reflect a number of measures based on social responsibility, proposed by the forum participants. In addition, a number of agreements and cooperation agreements have been prepared, as well as a draft memorandum on social responsibility between executive authorities, socially oriented NGOs and business.

Such a status event is another opportunity to mark the Primorsky Territory in the international arena. And we tried to show guests Primorye as a region with great potential. Its natural, cultural and economic opportunities. I am convinced that we have succeeded.

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Serebryakov Pavel Yurievich - Vice Governor of the Primorsky Territory for health, labor and social protection, the development of physical culture and sports. Was born in 1975 in Vladivostok. Higher education: FESU, Maryland University (USA), postgraduate studies at FENU, Russian Academy of Public Administration under the President of the Russian Federation.

Previously, he worked as the general director of Slavda Management Company LLC. At the enterprises of the Slavda group of companies he worked his way up from engineer to general director. Deputy of the Vladivostok City Duma of the third convocation (2007-2011). Deputy of the Legislative Assembly of the Primorsky Territory of the fifth convocation. Was deputy chairman of the committee on social policy and protection of citizens' rights, in charge of health and education.
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