the Ministry of health introduces standard time visits to specialists.
the Ministry said the standards of the time of reception of one patient, infectious disease specialists, oncologists, surgeons in outpatient clinics. This, according to the Ministry, will allow to predict more accurately the need for the system in such specialists. Experts, however, note that this approach is ineffective due possible inaccuracies of the calculations of morbidity in the absence of long-term management of the system of professional education.
the Ministry of health has proposed to set standards of time visiting a number of doctors in outpatient clinics. A draft order was published on the portal regulation.gov.ru. The document was prepared on the basis of instructions after a meeting of the government Council on guardianship in the social sphere.
Complete documentation should not take more than 40% of the time, in that case, if he prevention, the rate is reduced by 10-40%.
the rules of time are the basis for calculation of norms of workload, standards for the number and other indicators of labor physicians outpatient centres. The Ministry of health is engaged in their introduction in 2012, when an item is on improving labour standards in healthcare appeared in the “road map” of development of the social sphere. During this time the Department managed to determine the standards of the visits to internists, dentists, cardiologists and other specialists. Although, as argued by the Agency, the time limits were proposed by the studies time-consuming in some regions, after the rationing of visits to both doctors and patients complained about the lack of time.
the Estimated number of visits to one specialist in a year is set by the program of state guarantees, which, in turn, is based on the prediction of incidence for different population groups. As noted by Advisor to the head research financial Institute under the Ministry of Finance Nikolai Avksentyev, a forecast is needed for the system number of a number of experts, certainly, will become more accurate after the onset of regulations at the time of reception. However, according to him, the effectiveness of such calculations is limited by the accuracy of assessing the healthcare needs of the population. “In the absence of formal methods of establishing standards of aid for the program of state guarantees to evaluate its impossible,” he says.
clarification of the time of admission, according to the head of the Centre for health Economics, Higher school of Economics Sergey Shishkin, may allow regions to increase the number of bets for a number of specialists, but this problem can be their attraction. “It is necessary that such forecasts were clearly taken into account by the education system, otherwise the specialists will just move from region to region,” he says. Note that, although for a number of specialties, the Ministry of health has introduced temporary regulations in 2015, there is no evidence about how it has affected their numbers in the MHI system.
Anastasia Manuilova
