Скорая, быстрая, неотложная

Фото rugrad.eu

{"ID":"1023490","~ID":"1023490","TAGS":"скорая помощь, ОМС, страхование, Калининград, здравоохранение","~TAGS":"скорая помощь, ОМС, страхование, Калининград, здравоохранение","NAME":"Скорая, быстрая, неотложная","~NAME":"Скорая, быстрая, неотложная","IBLOCK_ID":"54","~IBLOCK_ID":"54","IBLOCK_SECTION_ID":"4068","~IBLOCK_SECTION_ID":"4068","DETAIL_TEXT":"\u003Cp\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Рынок частных медицинских услуг скорой помощи\u0026nbsp;в Калининградской области начал складываться около 10 лет назад. Уже тогда были известны бренды «быстрой помощи» и «калининградской неотложки». В последующие годы лицензии на оказание скорой медицинской помощи получили семь юридических лиц, правда, до настоящего времени просуществовали не все. Некоторые компании были просто ликвидированы. Из тех, кто сохранил лицензию, почти все вошли на государственный рынок услуг и включились в систему обязательного медицинского страхования. Программа не является основным источником доходов компаний, но считается, что средства фонда ОМС – неплохая финансовая \u003Ca href=\u0022https:\/\/rugrad.eu\/interview\/970139\/?sphrase_id=4443521\u0022\u003Eподпорка\u003C\/a\u003E для медицинского бизнеса, по форме оказывающего \u003Ca href=\u0022https:\/\/rugrad.eu\/interview\/973984\/?sphrase_id=4443724\u0022\u003Eсоциальную услугу\u003C\/a\u003E по заранее оговоренному и сравнительно невысокому тарифу.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Характерной особенностью работы частной скорой в Калининградской области в системе ОМС является то, что ей не будут возмещать расходы по обслуживанию вызовов в областном центре. При этом основной коммерческий потребитель услуг частной неотложки – именно жители Калининграда. Потребности города в неотложном и экстренном контакте с врачами полностью покрывает Городская станция скорой медицинской помощи. Согласно госзаданию, станция должна сформировать и держать наготове 40 бригад. Именно в их адрес поступают новые реанимобили и техника за госсчет. Соответственно, частным скорым, живущим на самообеспечении, достается работа с пациентами из муниципалитетов. Прежде всего это побережье – Балтийский муниципальный район и Зеленоградск и Гурьевский городской округ, в котором собственная районная больница скорую помощь не оказывает.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В общей сложности, по расчетам фонда ОМС в 2018 году станция скорой помощи, государственные больницы и частные «неотложки» должны обслужить 294 тысячи вызовов от жителей региона. Из них 153,7 тысячи – Городская станция СМП, 5 частников – в 6,5 раз меньше. Общее финансирование скорой помощи из областного бюджета на 2018 год – 44,6 млн руб.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Новых имен частной скорой помощи в государственной системе за последний год не появилось. Это пять юридических лиц: ООО «Быстрая помощь», ООО «Центр сопровождения населения «Здоровье плюс», ООО «Позитив», ООО «Амбуланс» и ООО «Мед-Экспресс 39». Зато, \u003Ca href=\u0022https:\/\/rugrad.eu\/news\/1023216\/\u0022\u003Eкак стало известно RUGRAD.EU,\u003C\/a\u003E рынок покинул экс-главный врач Городской станции СМП Олег Еремян. Ранее ему принадлежала компания «Мед-Экспресс 39». Теперь этой компанией владеет Марсель Мисельджани. К сфере его бизнес-интересов относится и работающая в Багратионовском районе фирма «Центр сопровождения населения «Здоровье плюс». Номинально её учредителем является другой человек.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Работая в системе ОМС, частные скорые не должны отчитываться перед контрольными органами в сфере здравоохранения. Это затрудняет анализ их работы и роли в общей системе оказания медпомощи в регионе, полагает главный внештатный специалист Минздрава по скорой медицинской помощи Александр Балаганский.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t «Я думаю, что наиболее корректно спросить главных врачей районных больниц о том, какой толк от негосударственной скорой медицинской помощи. Они не подчиняются никому, в том числе и мне, как главному внештатному специалисту. В силу своих обязанностей я провожу анализ скорой медицинской помощи, и не могу предоставить какие-либо свои рекомендации по тем вопросам, которые касаются оказания помощи на территории частными компаниями. Я просто не представляю, кто там работает, какое количество бригад и какой квалификации. По факту начинаешь разбираться с отдельными случаями: показывают не те фамилии, которые были заявлены в наряде в электронном виде. В государственной системе скорой медицинской помощи такое отношение невозможно. Мы обязаны выполнять госзадание по оказанию СМП жителям города Калининграда, соблюдая все законы и приказы», – рассказывает Александр Балаганский.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Упомянутый им «наряд в электронном виде» – единая диспетчерская система всех бригад скорой помощи в регионе. По сути к ней должны быть подключены как государственные, так и частные подразделения, чтобы диспетчеры могли адекватно распределять бригады по вызовам и не допускать «потерь» звонков от пациентов. В настоящее время говорить о том, что это реализовано на практике всеми участниками программы – преждевременно, рассказал RUGRAD.EU другой источник в медицинских кругах.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Напомним, что «скорая помощь» в России, в соответствии с существующим порядком её оказания, бывает разной: экстренной и неотложной. Срок оказания скорой, в том числе скорой специализированной, медицинской помощи при немедленном выезде и прибытии к пациенту – не более 20 минут при вызове в экстренной форме и не более\u0026nbsp;2 часов – в неотложной. Бригады подразделяются на врачебные и фельдшерские, а по профилю могут быть специализированными или общими. Все эти характеристики влияют на оценку вызова в денежном эквиваленте в системе ОМС.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t RUGRAD.EU выполнил расчет, взяв за основу тариф одного фельдшерского вызова –\u0026nbsp;2031,08 руб., согласно тарифному соглашению от 22 декабря 2017 года. Для сравнения – стандартная стоимость платного вызова «Калининградской неотложки» – 3 тыс. руб., по информации с сайта организации.\r\n\u003C\/p\u003E\r\n \u003Cbr\u003E\r\n\u003Cp\u003E\r\n\t \u003Ciframe src=\u0022https:\/\/e.infogram.com\/79201082-8499-4712-8686-a0722d69bcfd?src=embed\u0022 title=\u0022Скорая быстрая неотложная\u0022 width=\u0022100%\u0022 height=\u0022700\u0022 scrolling=\u0022no\u0022 frameborder=\u00220\u0022 style=\u0022border:none;\u0022 allowfullscreen=\u0022allowfullscreen\u0022\u003E\u003C\/iframe\u003E\r\n\u003C\/p\u003E\r\n\u003Cdiv style=\u0022padding:8px 0;font-family:Arial!important;font-size:13px!important;line-height:15px!important;text-align:center;border-top:1px solid #dadada;margin:0 30px\u0022\u003E\r\n \u003Ca href=\u0022https:\/\/infogram.com\/79201082-8499-4712-8686-a0722d69bcfd\u0022 style=\u0022color:#989898!important;text-decoration:none!important;\u0022 target=\u0022_blank\u0022\u003EСкорая быстрая неотложная\u003C\/a\u003E\u003Cbr\u003E\r\n \u003Ca href=\u0022https:\/\/infogram.com\u0022 style=\u0022color:#989898!important;text-decoration:none!important;\u0022 target=\u0022_blank\u0022 rel=\u0022nofollow\u0022\u003EInfogram\u003C\/a\u003E\r\n\u003C\/div\u003E\r\n \u003Cbr\u003E\r\n \u003Ci\u003EТекст, инфографика: Мария Пустовая \u003C\/i\u003E\u003Cbr\u003E\r\n\u003Cp\u003E\r\n\u003C\/p\u003E","~DETAIL_TEXT":"\u003Cp\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Рынок частных медицинских услуг скорой помощи\u0026nbsp;в Калининградской области начал складываться около 10 лет назад. Уже тогда были известны бренды «быстрой помощи» и «калининградской неотложки». В последующие годы лицензии на оказание скорой медицинской помощи получили семь юридических лиц, правда, до настоящего времени просуществовали не все. Некоторые компании были просто ликвидированы. Из тех, кто сохранил лицензию, почти все вошли на государственный рынок услуг и включились в систему обязательного медицинского страхования. Программа не является основным источником доходов компаний, но считается, что средства фонда ОМС – неплохая финансовая \u003Ca href=\u0022https:\/\/rugrad.eu\/interview\/970139\/?sphrase_id=4443521\u0022\u003Eподпорка\u003C\/a\u003E для медицинского бизнеса, по форме оказывающего \u003Ca href=\u0022https:\/\/rugrad.eu\/interview\/973984\/?sphrase_id=4443724\u0022\u003Eсоциальную услугу\u003C\/a\u003E по заранее оговоренному и сравнительно невысокому тарифу.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Характерной особенностью работы частной скорой в Калининградской области в системе ОМС является то, что ей не будут возмещать расходы по обслуживанию вызовов в областном центре. При этом основной коммерческий потребитель услуг частной неотложки – именно жители Калининграда. Потребности города в неотложном и экстренном контакте с врачами полностью покрывает Городская станция скорой медицинской помощи. Согласно госзаданию, станция должна сформировать и держать наготове 40 бригад. Именно в их адрес поступают новые реанимобили и техника за госсчет. Соответственно, частным скорым, живущим на самообеспечении, достается работа с пациентами из муниципалитетов. Прежде всего это побережье – Балтийский муниципальный район и Зеленоградск и Гурьевский городской округ, в котором собственная районная больница скорую помощь не оказывает.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В общей сложности, по расчетам фонда ОМС в 2018 году станция скорой помощи, государственные больницы и частные «неотложки» должны обслужить 294 тысячи вызовов от жителей региона. Из них 153,7 тысячи – Городская станция СМП, 5 частников – в 6,5 раз меньше. Общее финансирование скорой помощи из областного бюджета на 2018 год – 44,6 млн руб.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Новых имен частной скорой помощи в государственной системе за последний год не появилось. Это пять юридических лиц: ООО «Быстрая помощь», ООО «Центр сопровождения населения «Здоровье плюс», ООО «Позитив», ООО «Амбуланс» и ООО «Мед-Экспресс 39». Зато, \u003Ca href=\u0022https:\/\/rugrad.eu\/news\/1023216\/\u0022\u003Eкак стало известно RUGRAD.EU,\u003C\/a\u003E рынок покинул экс-главный врач Городской станции СМП Олег Еремян. Ранее ему принадлежала компания «Мед-Экспресс 39». Теперь этой компанией владеет Марсель Мисельджани. К сфере его бизнес-интересов относится и работающая в Багратионовском районе фирма «Центр сопровождения населения «Здоровье плюс». Номинально её учредителем является другой человек.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Работая в системе ОМС, частные скорые не должны отчитываться перед контрольными органами в сфере здравоохранения. Это затрудняет анализ их работы и роли в общей системе оказания медпомощи в регионе, полагает главный внештатный специалист Минздрава по скорой медицинской помощи Александр Балаганский.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t «Я думаю, что наиболее корректно спросить главных врачей районных больниц о том, какой толк от негосударственной скорой медицинской помощи. Они не подчиняются никому, в том числе и мне, как главному внештатному специалисту. В силу своих обязанностей я провожу анализ скорой медицинской помощи, и не могу предоставить какие-либо свои рекомендации по тем вопросам, которые касаются оказания помощи на территории частными компаниями. Я просто не представляю, кто там работает, какое количество бригад и какой квалификации. По факту начинаешь разбираться с отдельными случаями: показывают не те фамилии, которые были заявлены в наряде в электронном виде. В государственной системе скорой медицинской помощи такое отношение невозможно. Мы обязаны выполнять госзадание по оказанию СМП жителям города Калининграда, соблюдая все законы и приказы», – рассказывает Александр Балаганский.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Упомянутый им «наряд в электронном виде» – единая диспетчерская система всех бригад скорой помощи в регионе. По сути к ней должны быть подключены как государственные, так и частные подразделения, чтобы диспетчеры могли адекватно распределять бригады по вызовам и не допускать «потерь» звонков от пациентов. В настоящее время говорить о том, что это реализовано на практике всеми участниками программы – преждевременно, рассказал RUGRAD.EU другой источник в медицинских кругах.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Напомним, что «скорая помощь» в России, в соответствии с существующим порядком её оказания, бывает разной: экстренной и неотложной. Срок оказания скорой, в том числе скорой специализированной, медицинской помощи при немедленном выезде и прибытии к пациенту – не более 20 минут при вызове в экстренной форме и не более\u0026nbsp;2 часов – в неотложной. Бригады подразделяются на врачебные и фельдшерские, а по профилю могут быть специализированными или общими. Все эти характеристики влияют на оценку вызова в денежном эквиваленте в системе ОМС.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t RUGRAD.EU выполнил расчет, взяв за основу тариф одного фельдшерского вызова –\u0026nbsp;2031,08 руб., согласно тарифному соглашению от 22 декабря 2017 года. Для сравнения – стандартная стоимость платного вызова «Калининградской неотложки» – 3 тыс. руб., по информации с сайта организации.\r\n\u003C\/p\u003E\r\n \u003Cbr\u003E\r\n\u003Cp\u003E\r\n\t \u003Ciframe src=\u0022https:\/\/e.infogram.com\/79201082-8499-4712-8686-a0722d69bcfd?src=embed\u0022 title=\u0022Скорая быстрая неотложная\u0022 width=\u0022100%\u0022 height=\u0022700\u0022 scrolling=\u0022no\u0022 frameborder=\u00220\u0022 style=\u0022border:none;\u0022 allowfullscreen=\u0022allowfullscreen\u0022\u003E\u003C\/iframe\u003E\r\n\u003C\/p\u003E\r\n\u003Cdiv style=\u0022padding:8px 0;font-family:Arial!important;font-size:13px!important;line-height:15px!important;text-align:center;border-top:1px solid #dadada;margin:0 30px\u0022\u003E\r\n \u003Ca href=\u0022https:\/\/infogram.com\/79201082-8499-4712-8686-a0722d69bcfd\u0022 style=\u0022color:#989898!important;text-decoration:none!important;\u0022 target=\u0022_blank\u0022\u003EСкорая быстрая неотложная\u003C\/a\u003E\u003Cbr\u003E\r\n \u003Ca href=\u0022https:\/\/infogram.com\u0022 style=\u0022color:#989898!important;text-decoration:none!important;\u0022 target=\u0022_blank\u0022 rel=\u0022nofollow\u0022\u003EInfogram\u003C\/a\u003E\r\n\u003C\/div\u003E\r\n \u003Cbr\u003E\r\n \u003Ci\u003EТекст, инфографика: Мария Пустовая \u003C\/i\u003E\u003Cbr\u003E\r\n\u003Cp\u003E\r\n\u003C\/p\u003E","DETAIL_TEXT_TYPE":"html","~DETAIL_TEXT_TYPE":"html","PREVIEW_TEXT":"Частные скорые получили право обслужить больше 23 тысяч вызовов с гарантией оплаты из фонда ОМС. Почему они не будут делать это в Калининграде. Обзор RUGRAD.EU. ","~PREVIEW_TEXT":"Частные скорые получили право обслужить больше 23 тысяч вызовов с гарантией оплаты из фонда ОМС. Почему они не будут делать это в Калининграде. Обзор RUGRAD.EU. 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