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The Federation Council discussed the organization of health systems in the northern territories
The Council of Federation held a working meeting on the organization of health systems in the northern territories with the participation of members of the relevant Committee of the Federation Council, representatives of the Ministry of Health of Russia, the Federal Fund for Mandatory Medical Insurance, and the Legislative Assembly of the Republic of Sakha (Yakutia). As the press service of the Federation Council informs, the meeting was held under the chairmanship of the Committee on Social Policy of the Russian Federation Valery Ryazansky.
As Valery Ryazansky emphasized, the problem of organizing medical care in the so-called “non-standard territories” is most acute today. First of all, this is the great remoteness of settlements from regional centers, including from medical institutions. “A person has to travel hundreds of kilometers to get to a hospital or clinic. In some northern regions it is often impossible to do this by land transport, and aviation is an expensive form of transport. "
According to the parliamentarian, residents of remote regions more often than others run the risk of not getting qualified medical care on time when they fall ill. “In this case, there are two ways: either the remote regions will gradually become empty for natural reasons - the old people will die, and the youth will go to live in the city, or civilization will come there and start building hospitals, schools, kindergartens,” Valery Ryazansky said.
The participants of the meeting drew attention to the fact that these territories often can not live in accordance with the legislation common for all constituent entities of the Russian Federation. For example, in remote and inaccessible areas of Yakutia, a very low population density: in fourteen out of the thirty-five districts of the republic there are from three thousand to nine thousand people. Between the settlements hundreds of kilometers, and according to Russian legislation, primary health care is provided only in outpatient settings and in day hospitals. The law does not provide for the maintenance of three to five beds in a 24-hour hospital.
During the meeting, it was noted that the authorities of the Republic of Sakha (Yakutia) found an opportunity to annually allocate about three billion rubles from the regional budget for the maintenance of beds in small hospitals. Based on the results of the working meeting, it was decided that, based on the example of Yakutia, the Ministry of Health of Russia and the Mandatory Medical Insurance Fund will conduct a detailed audit of the model for organizing all types of medical care in “non-standard territories”, taking into account their specifics.