«Медицинские домохозяйства» для востока области: обзор RUGRAD.EU

Фото rugrad.eu

{"ID":"1130836","~ID":"1130836","TAGS":"ФАПы, медицина, восток области, минздрав, нехватка кадров, врачи, юрий скалин, фельдшеры, медперсонал","~TAGS":"ФАПы, медицина, восток области, минздрав, нехватка кадров, врачи, юрий скалин, фельдшеры, медперсонал","NAME":"«Медицинские домохозяйства» для востока области: обзор RUGRAD.EU","~NAME":"«Медицинские домохозяйства» для востока области: обзор RUGRAD.EU","IBLOCK_ID":"54","~IBLOCK_ID":"54","IBLOCK_SECTION_ID":"4070","~IBLOCK_SECTION_ID":"4070","DETAIL_TEXT":"\u003Cp\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В Калининградской области есть 11 поселков, жителям которых приходится ездить не менее 6 км для получения первичной медико-санитарной помощи. Речь идет о населенных пунктах, где проживает менее 100 человек. Это не соответствует требованиям федерального Министерства здравоохранения. На протяжении последних лет ведомство в масштабах России пытается решить проблему с медобслуживанием жителей маленьких поселков с помощью «домохозяйств». В нашем регионе эта идея пока не получила широкого распространения, рассказал 25 июля заместитель министра здравоохранения региона Юрий Скалин.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t По инициативе федерального Минздрава и в нашем регионе чиновники пытаются создать систему пунктов в малонаселенных посёлках, где жители смогут получить первичную медпомощь. Оказывать её должен не врач или медицинская сестра, а специально обученный человек без медицинского образования. По замыслу федерального минздрава, кто-то из местных жителей должен обучиться навыкам первой помощи в ближайшей больнице, получить минимальный набор медикаментов и оборудования и быть готовым прийти на помощь односельчанам в экстренной ситуации до прибытия скорой или профессионального врача.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В Калининградской области «домохозяйства» сформированы уже в четырех населенных пунктах. Однако минздраву пока не удалось найти кандидатов для работы в них. Поэтому в поселке Кутузово Краснознаменского района и в посёлке Ясное Нестеровского района «домохозяйства» пустуют, для остальных идет «подбор кандидатов».\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Особенностью работы «домохозяйств» является то, что они не входят в систему ОМС, а люди, которые берут на себя ответственность принимать односельчан, не получают за это заработную плату. Фактически волонтеры не несут и ответственность за ошибки при оказании первичной помощи. Поэтому в региональном минздраве параллельно с созданием «домохозяйств» пытаются поддержать и сложившуюся сеть фельдшерско-акушерских пунктов. По федеральным нормативам, они могут существовать в поселках, где численность населения превышает 100 человек.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t «В сельской местности главная задача — это организация фельдшерско-акушерских пунктов и их сохранение. Потому что мы понимаем, что основная проблема — это дефицит кадров, а привлечение молодых специалистов на ФАПы — это сложная задача», — прокомментировал Юрий Скалин. Он добавил, что в 2018 году прошли торги на строительство двух фельдшерско-акушерских пунктов в Правдинском и Черняховском районах. Средства на их приобретение также выделяет федеральный бюджет.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t По оценкам Юрия Скалина, уровень медпомощи в сельской местности в Калининградской области «достаточно высокий», особенно, если сравнивать его с другими регионами Северо-Запада. К примеру, в регионе нет поселков, которые бы находились вне зоны работы системы скорой помощи. Увеличивает доступность с хорошее качество дорог, полагает замминистра и экс-главный врач областного наркологического диспансера.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t «Сельская медицина в Калининградской области, на мой взгляд, находится на достаточно высоком уровне: каждый фельдшер имеет возможность записать пациента на диагностические исследования в режиме онлайн, потому что развита информатизация. Но если говорить о смертности (она в сельской местности даже немного ниже, чем в городах), то мы увидим, что основная причина смерти в таких больших районах, как Правдинский и Краснознаменский, — это внешние причины: отравление алкоголем, утопление и болезни сердечно-сосудистой системы. Они зачастую связаны с алкогольным поражением сердца», — констатировал Юрий Скалин.\r\n\u003C\/p\u003E","~DETAIL_TEXT":"\u003Cp\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В Калининградской области есть 11 поселков, жителям которых приходится ездить не менее 6 км для получения первичной медико-санитарной помощи. Речь идет о населенных пунктах, где проживает менее 100 человек. Это не соответствует требованиям федерального Министерства здравоохранения. На протяжении последних лет ведомство в масштабах России пытается решить проблему с медобслуживанием жителей маленьких поселков с помощью «домохозяйств». В нашем регионе эта идея пока не получила широкого распространения, рассказал 25 июля заместитель министра здравоохранения региона Юрий Скалин.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t По инициативе федерального Минздрава и в нашем регионе чиновники пытаются создать систему пунктов в малонаселенных посёлках, где жители смогут получить первичную медпомощь. Оказывать её должен не врач или медицинская сестра, а специально обученный человек без медицинского образования. По замыслу федерального минздрава, кто-то из местных жителей должен обучиться навыкам первой помощи в ближайшей больнице, получить минимальный набор медикаментов и оборудования и быть готовым прийти на помощь односельчанам в экстренной ситуации до прибытия скорой или профессионального врача.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В Калининградской области «домохозяйства» сформированы уже в четырех населенных пунктах. Однако минздраву пока не удалось найти кандидатов для работы в них. 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Потому что мы понимаем, что основная проблема — это дефицит кадров, а привлечение молодых специалистов на ФАПы — это сложная задача», — прокомментировал Юрий Скалин. Он добавил, что в 2018 году прошли торги на строительство двух фельдшерско-акушерских пунктов в Правдинском и Черняховском районах. Средства на их приобретение также выделяет федеральный бюджет.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t По оценкам Юрия Скалина, уровень медпомощи в сельской местности в Калининградской области «достаточно высокий», особенно, если сравнивать его с другими регионами Северо-Запада. К примеру, в регионе нет поселков, которые бы находились вне зоны работы системы скорой помощи. 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