Kungani eduze esibhedlela eMoscow? Yini esibhedlela kuzovala eMoscow?

Eminyakeni yamuva, izakhamuzi eziningi inhlokodolobha ezwa umbuzo owodwa kuphela ezibalulekile - mayelana nokuthi kungani eduze esibhedlela eMoscow. Abanye bakholelwa ukuthi izinhlelo ezinjalo zingaholela ushintsho ezadala umonakalo ngo emkhakheni wezokwelapha, kodwa uhulumeni uqinisekile ukuthi uma uvale kwesigamu izibhedlela, kungenzeka ukunikeza ukuphila yesibili zezempilo, okuyizinto esibi futhi ngeke zikwazi ukunikeza ngokwabo ezingeni elifanele. Ligcizelela yokuthi ukuvala kuphela labo izikhungo angekho funa phakathi kwabantu, kulesi simo kuvela aqukethe esibhedlela enjalo ayinakho incazelo. Ngenxa yokuthi babehlala zenziwe amagatsha, bese iyoqedwa khona ngokuphelele. Ngakho kungaba eqinisweni, zizocatshangelwa kulesi sihloko.

Reform, okuyinto zizokwenzeka Ministry of Health

Iningi esanda kukhululwa Umnyango Wezempilo Mthetho, echaza izinguquko ethandwa kwesakhiwo ukuthi uzobe bakwenze esibhedlela eMoscow esikhathini esizayo esiseduze. Abaningi correlate mthetho ngeshejula lokuvala ezibhedlela eMoscow. Isekhona imitholampilo ayisithupha, kodwa ngokomthetho, bayoba amabili nesishiyagalombili kuphela.

abahlaziyi abaningi bathi cishe asihlali esibhedlela isikhathi esifushane e Moscow, kodwa libhekisela nezikhungo zezokwelapha, okungase sihlinzeke izinhlelo ukhululekile izakhamuzi. Njengoba ungacabanga, lokhu kuzobandakanya kanye nokuncipha izibhedlela eMoscow, futhi kuzobangela ezingeni eliphezulu labantu odokotela kakhulu-edolobheni. Kodwa iziphathimandla ngandlela-thile ungaqiniseki ukuthi umsebenzi imitholampilo zizosebenza, futhi izinga ukwelashwa kuyothuthuka. Ngaphezu kwalokho, isithembiso, okuyinto ukwandisa inkokhelo odokotela ngokwabo, futhi labo ochwepheshe abangafuni yini umsebenzi kule mkhakha uzokwazi uqeqeshe futhi uthole umsebenzi, kodwa kwenye insimu.

Imeya eMoscow uhlongoza ukusabalalisa umthwalo phezu izibhedlela ezahlukene uMnyango Wezempilo e Moscow, ukuthi asemaningi manje eminye imitholampilo sizodingida yizifo ezingamahlalakhona, kuba nabanye - izifo ezingathi sína kwababhemayo kuphela. Layisha yokwabelana ukutlama izikhungo ukuthi uzobe kahle wahlanganyela isiqondiso eyodwa kuphela. Kodwa musa acabangele khona neqiniso lokuthi akuyona yonke iziguli bazokwazi ukufinyelela isikhungo, ngoba kuyoba ikakhulu ngasemaphethelweni omuzi, wonke amahhovisi isikhungo sezokwelapha main izovalwa. Kumele kukhunjulwe ukuthi iziphathimandla ucabangela kuphela izinzuzo kuthabathela ecaleni zezimali, futhi ingxenye umsebenzi oyinhloko - ukunakekelwa kwezempilo - izinguquko ezinjalo kufanele lenqwaba kahle. Ngenxa yalokho, singabona ukuthi izibhedlela kuyaqedwa, ukuze iziguli ungatholi ukwelashwa okufanele. Manje ukutholakala uju. usizo yehlile, izigaba malozaschischonnye sabantu abakwazi ukukhokhela izinto ezibizayo ukwelashwa isikhungo, okuyinto vele uye waphenduka imitholampilo eminingi idolobha.

Izizathu izinguquko ezinjalo ezidingekayo

Isizathu esikhulu salokhu izinguquko ukuze ulondoloze. Isabelomali manje imali eyanele ukuze ukwazi ukulondoloza impilo ezingeni elifanayo. imfucuza maningi kakhulu kulo nyaka yawa phezu kwezinsizwa isabelo eRussia, ngakho ukuze sisinde, kubalulekile ukuba athathe izinyathelo ezinjalo ezixakile. Iqiniso lokuthi esibhedlela uzovalwa ezindaweni prime ezisemadolobheni, kungase kubonise kuphela endaweni manje ngeke alandise kuphela ambalwa ezikhungweni zezempilo.

Kodwa lokhu akulona isizathu kuphela kungani uhulumeni wanquma ukuzinika izinyathelo ezinqala kangaka. Kanye sokuvalwa nezikhungo zezokwelapha zomphakathi ozokhula emitholampilo yangasese, futhi le mali eyengeziwe endaweni yomcebo. Kukhona isizathu esiyinhloko neqiniso lokuthi ukugcina esibhedlela, okuyinto ihlelelwe ukuvala, hhayi inzuzo kuphela, kodwa futhi kwezinye izimo lutho.

Ngokusho kwezikhulu, lezi zinyathelo kubalulekile, uma kungenjalo impilo eMoscow esikhathini esizayo esiseduze kuyoba ezingeni eliphansi kakhulu, futhi izinguquko ezinjalo kulindeleke ukuba ngcono izinga lokunakekela, ukwandisa amaholo odokotela kanye ukufakwa imishini yamuva, okungaba ukuhlonza isifo emabangeni kokuqala. Ukuze unikeze izibhedlela amabili nesishiyagalombili, kuba lula kakhulu kunokuba ayisithupha. Sisho yokuthi ngale ndlela kudinga ukunakekelwa ezakhamuzi zayo, nakho konke kwenziwa kuphela ngenxa yempilo yawo.

Yikuphi kuhlelelwe ukuvala imitholampilo

Yaba emtholampilo 63 edolobheni isibhedlela sokuqala emtholampilo. bevale esikhathini esingeside esedlule, futhi umncintiswano, okuyinto i-agumenti ezibalulekile. Laliqhele ku Prospekt Mira. Lokuvala kwaba kancane kancane, ukuqala imitholampilo kuhlanganiswe zibe munye, bese uvale wonke amagatsha, okuyinto yena aphathwa, ukuze ngokuhamba kwesikhathi nangomzamo okufinyelele esibhedlela esikhulu. Kuyaphawuleka ukuthi ngaphambi umtholampilo kwaba ophethe European Medical Center.

kabusha kwakhe isiqongo safinyelela entwasahlobo 2015. Zivaliwe futhi esibhedlela izingane BakaJehova eMoscow, futhi izibhedlela ezinkulu, Nokho, kuze kube manje, kuphela ezingeni zeminyango entengo. Ngakho, ivaliwe amagatsha okuyinto mancane amathuba funa.

72 Isibhedlela ivaliwe imitholampilo 59th futhi 71st futhi lavalwa. Izibhedlela eMoscow bakamalalahlengezela ivaliwe emva entwasahlobo ka-2015, cishe, amabili amathathu kuphela amaphesenti zonke izikhungo zezempilo ngayinye ihlale. Abaningi bathi amaholo kuphakamisa ukuba odokotela, kodwa intengo iholo ezinjalo - bokuhlukaniswa umsebenzi kwezinye izazi. tikhundla abaningi bayakwehla umane ubuningi.

Odokotela efanayo ngubani ngempela indawo lapho engaya khona, kudingeka bathole profession entsha. Kufanele kuqashelwe ukuthi ukuguqulwa kanye nokuqaliswa yezinguquko uyephuza hhayi obonakala khulu, ukuze izakhamuzi kungaba ukujwayela izinguquko ezinjalo. Ngokushesha, ngesikhathi esifanayo, ungambozi inqwaba ezibhedlela. Ngokwesibonelo, ku-oda kaMongameli kuvalwe isiqongo ezikhungweni zezempilo kuyoba ngoMeyi 2015, okusho ukuthi kuzoba ukuncishiswa izibhedlela eMoscow. Ukuvala imitholampilo yaqala ngo-October 2012.

Uhlu imitholampilo, okuyinto uzovalwa kwasekuqaleni

Uhlu izibhedlela eMoscow, izovalwa, sikhulela njalo. Lokhu nezikhungo zezokwelapha amabili nesishiyagalombili, engesiyo kuphela eMoscow, kodwa kuso sonke isifunda eMoscow. Loku kutawufaka ekhatsi tindzaba esibhedlela, kanye nezibhedlela zezingane eMoscow. Uhlu zingatholakala izibhedlela № 6, № 61, № 59, № 53, № 19, № 56, № 54, № 68, № № 72 futhi 11. Kodwa kufanele kuphawulwe ukuthi, ngesikhathi esifanayo ngingamenzi zonke izibhedlela ivaliwe ohlwini, ngakho kodwa ukwenza noma yiluphi iziphetho ekuseni khulu. Umbuzo lokho esibhedlela kuzovala e Moscow, namanje evulekile.

Ngokwesibonelo, kusukela ngo-July is kodwa angasebenzi inombolo umtholampilo 60, kwaba lo mshayeli, ngaphandle ochwepheshe bodumo abasebenza esibhedlela ngisho kwadingeka iyunithi Haematology. Ngenxa yalokho, esibhedlela, wathengiswa sangasese Gastroenterology umtholampilo.

Ngemva kwesikhathi, iningi esibhedlela 45 savalwa, okuyinto eyingoduso ekwelapheni izifo broncho-yamaphaphu, futhi kamuva zabulawa ezehlela inombolo umtholampilo 47, lapho belashwa isifo urological. Esikhundleni nezikhungo zezokwelapha avaliwe uhlela ukwenzani isikhungo zezinzwa nokuhlunyeleliswa umtholampilo kubagijimi. Ngokwemvelo, ukuphathwa lapho eyinani.

Ngizothanda futhi ngigxila yokuthi esibhedlela izingane wangaphambili ukuze kwemibhede ezibhedlela kuze kube kamashumi ayisikhombisa manje isikhungo wobuhlengikazi ukunakekela asebekhulile, izibhedlela womama siguqulelwa ikhokhwe izikhungo perinatal. Ngokwesibonelo, kunombolo umtholampilo 12, owawuke njengelinye lamazwe izibhedlela best for ekwelapheni izifo ebuntwaneni, izinhlelo ukuvula ehhotela.

Manje kuba sobala ukuthi kungani eduze esibhedlela eMoscow. Ngokwemvelo, inhlangano ikhokhwe izikhungo akulutho, ukuhlukumeza amalungelo ngokuhambisana nomthethosisekelo, njengoba manje ingxenye enkulu yomphakathi ukuthi ngempela iyalidinga, ngeke ukwazi ukuthola khulula usizo olufanelekile.

Njengoba uzovalwa zezempilo

Kwabaningi, kuvalwe izikhungo zezempilo kwaba ukushaqeka, kusukela ngo-2013 kuphela wakhuluma mayelana nendlela uhlangane izibhedlela ukuze usethe amagatsha. Ngakho, ukuzama ukulondoloza nezindleko uhulumeni, kodwa, ngeshwa, le ndlela wazibonakalisa hhayi ngempumelelo. Ngakho-ke, kwanqunywa ukuba kuqedwe mayelana ezingamashumi ayisikhombisa nesikhombisa angu imitholampilo.

Kodwa lapha, uhulumeni athola isisombululo: esikhundleni kwezinhlangano kwavala uzobe izibhedlela eMoscow, kuzoba yezokwelapha esibhedlela esikhulu multidisciplinary ikhokhwe. Ingabe ufuna aphathwe - ukhokha imali.

UMnyango Wezempilo uchaza izenzo zakhe ngokuthi izikhungo zokwelapha okwakusemhlabathini uhlu ukuvala, musa ukuhlangabezana nezidingo ezishiwo. Ngokwesibonelo, edolobheni efana eMoscow, 68 Isibhedlela ingenye imitholampilo, lapho odokotela ukuthola inkokhelo ephansi.

Abaningi bathi izinguquko ezinjalo cishe ukuletha imali eningi endaweni yengcebo isimo, kodwa umthwalo phezu neminye imitholampilo ngokukhulu kakhulu. Cishe, e izigceme esibhedlela, latawusebentisana nje ngeke ube nesikhala esanele, okungukuthi, isimo angeke unakekele yezakhamizi zakuleliya lizwe njengoba ezingeni elifanele. Ngenxa yalokhu, futhi abakhokhelwa Chamber, okuzoba abantu abakwaziyo, futhi zonke ezinye tigaba ababhekwa sengozini, kungenzeka ukunakekelwa isimo. Izikhulu bakholelwa ukuthi kwemibhede ezibhedlela ngabantu abanjalo kwanele.

Yikuphi okufanele uqaphele: umbono uchwepheshe

Uma ulihlola isabelomali ngokucophelela, sisalokhu sikhona isizathu sokuba ukwesabe. Zonke izindleko ukunakekelwa kwezempilo kuzoncishiswa amaphesenti amabili nantathu. Njengoba Bathi, nokuthi uhlu izikhungo asikapheleli, cishe, kuzoba maduzane kakhulu futhi ivalwe ezibhedlela zengqondo. Kodwa kuyafaneleka ukuthi izibhedlela singenakwenzeka kuyoqedwa ngesikhathi esifanele, zonke kuzokwenziwa kancane futhi buthule ngangokunokwenzeka, ukuze ngingasebenzisi ukukhulisa umsindo ezingadingekile.

Abanye odokotela udidekile, ngoba angiqondi ukuthi kungani eduze esibhedlela eMoscow. Ziyakwazi isidumo. Isimo kufanele ukuqhuba umsebenzi loluvumelanako iyongenza ifanelekela uthole indawo yayo endaweni isikhungo sokwelapha ezahlukene. It uvuliwe umbuzo owodwa kuphela - indlela izibhedlela eziningi ivaliwe futhi bangaki abantu ngeke isaba khona.

Ngaphambi nokuqalisa izinguquko ezinjalo ku umkhuba bese eyithumela ochwepheshe, ezintweni kufanele bahlolisise iziqu zabo, kusukela eminyakeni yamuva kukhona ukungahambisani phakathi isikhundla amakhono akhe amasha wabahambisa. Lokhu kungaba esinye ethile izinguquko umuthi, okungase kungaholela emiphumeleni engathí sina.

Ukuvala inombolo esibhedlela 68 eMoscow

Lesi sibhedlela ihlinzeka uhla egcwele services ukuhlukumezeka, urological nokunakekela zokwelapha. Ngaphezu kwalokho, phakathi iziguli zaziziningi kangako zalabo isifo sikashukela, iye isisindo ukulungiswa, ke inenkinga emkhakheni zabesifazane. Isibhedlela inikeza eziphuthumayo usizo neurosurgical ngaphakathi kwezindonga zawo benziwa nokuhlinzwa ubuchopho. Polyclinic is a multi-state, kwaba maphakathi eMoscow.

Kwabe sekuvela ukuthi, umuzi omkhulu like eMoscow (Isibhedlela 68 inothi kwaba inakekelwa isimo) ayiqukethe umtholampilo ezinjalo, ngakho-ke, futhi, kwaba ohlwini kumele basuswe endleleni. Kodwa esikhundleni isikhungo wezokwelapha ezikhethekile uzovulelwa Yiqiniso, odokotela amasevisi zizokhokhelwa ke.

AmaSu ukuvalwa esibhedlela

Ezinye izibhedlela asohlwini "black", kodwa izovalwa kuze Okthoba. Ngakho, indlela yokwelashwa kungaba zingasasebenzi, kodwa ekugcineni ababezobulawa kamuva kakhulu. Ezinye izibhedlela zidluliselwa ukuba unakekelwe European Medical Center, kuleso simo kungaba ukuhlala emphakathini, kodwa, ikhokhwe isikhungo sezokwelapha ekhethekile titawusungulwa insimu yalo.

Wena ukugembula imitholampilo phambi Ukuvalwa kwadingeka kwatheleka esikhulu sabantu, isibonelo, esibhedlela 63 kwaba njalo eningi iziguli (izibalo uthi abantu abangaba yizinkulungwane ezingamashumi amabili lapha luhlolo enziwa minyaka yonke), kwakukhona ingatsha mayelana abayishumi ngisho umnyango inyuvesi. Endaweni ehlukile, ungaphawula izisebenzi, ezingafinyelela abantu abangamakhulu ayisihlanu. Okwamanje, asikwazi ukuthi esibhedlela ivaliwe ngokuphelele, okusebenza, kodwa hhayi at zigcwele. Futhi ngokuhamba kwesikhathi zizoshintsha, it jikisa nga isikhungo nokuvuselelwa.

Ngubani isisulu izinguquko ezinjalo

Yiqiniso, izinguquko ezinjalo ngeke adlule ngeze izakhamuzi. Endaweni yokuqala izohlala izigaba olungavikelekile elandelayo sabantu:

• impesheni, ngenxa yokuthi akubona bonke izimo zivuma ukwelashwa esikhungweni kokuvuselela ngokwemvelo kwezindawo;
• Abantu ababhekwa abampofu, ngoba ayikwazi abelashwa emitholampilo ezibizayo futhi ezibhedlela zikahulumeni kuyoba kancane kakhulu, futhi ngeke maphakathi edolobheni namadlelo ayo;
• ochwepheshe, okwathi ngemva izinguquko ezinjalo balahlekelwe imisebenzi yabo ngenxa yomsebenzi wabo uba engaphiwanga, kuyodingeka ufune ongakhetha ukuthola amakhono amasha.

Izindaba ezinhle wukuthi isimo namanje asideli kwezinye izibhedlela isabelomali. Kuzoqhubeka nokusebenza futhi ngeke ngokuphelele eshukunyiswa izikhungo njengesifo sofuba, ukulwa nokusetshenziswa kwezidakamizwa ngocansi imitholampilo ukutheleleka.

Ukuze ngandlela-thile ukushweleza abantu, ke wakhipha umyalelo lapho kuba mayelana nokudala okubizwa ngokuthi imibhede kwezenhlalo, ezingasetshenziswa ngokunenzuzo impesheni imikhaya ehola kancane.

Odokotela abaningi eMoscow ayikwazi ukubhekana nezinguquko, kodwa bahlale bekulungele ukusuka kulesi simiso esisha. Ezinye ukhathazekile ngalokho esibhedlela kuzovala e Moscow, ngoba iningi izinguquko ezithinta labo imitholampilo, okuyinto abe lunye ewumngcingo kakhulu, ngokwesibonelo, eyodwa kuphela eMoscow Centre, owayehlangene cwaningo kanye nokwelashwa multiple sclerosis, isanda ivaliwe. "Siyabonga," lokhu kabusha izohlala umsebenzi mayelana odokotela eziyizinkulungwane eziyisikhombisa.

Yini asisindise eMoscow kusukela izinguquko ezinjalo

Okuwukuphela kwendlela engase ibhekwe insindiso, iwukuba izimali. Kodwa kukhona izinto ezimbalwa zimali ezinjalo, abazimisele ukusebenza izimo ukuthi kubeke uMkhandlu. Lezi emitholampilo kahulumeni, axhase zimali, engathathwa njengoba kwezimali zosizo lokuqala okuthunyelwe okungenani kwemikhakha ethile labantu, kodwa, ngeshwa, akuzona zonke alinge ukutshala izimali zami kule izakhiwo isimo. Iqiniso liwukuthi zimali kakhulu ukhetha imithi ikhokhwe ukubhekana nalokhu engenayo.

Enye ibe ebukezwe imithetho, ukwethulwa izichibiyelo efanele, ngoba indlela kuphela sizokwazi ukugwema inkohlakalo kulo mkhakha kahulumeni. Manje kuba sobala ukuthi kungani eduze esibhedlela eMoscow. Empeleni, uhulumeni ulindele lezi izinguquko zokuthuthukisa isimo emkhakheni wezokwelapha, ukunakekelwa izakhamuzi nesiguli uyoletha inzuzo enhle kakhulu futhi ubuyise yengcebo. Imali efanayo uzobe esichithwa ukuthengwa imishini yamuva, okuyoba neqhaza eliphezulu Ukuhlolwa kanye nokwelashwa.

Izikhulu bakhetha ukusebenzisa igama elithi "kabusha", kodwa ngempela ngaphansi kufanele ukuvalwa waqonda. Uma abale izindleko, zingabantu elikhulu ngempela, kodwa izikhulu zikholelwa ukuthi ngendlela efaneleke kakhulu ukuze alondoloze sabelomali sizosetshenziswa ukuthengisa ingcebo abantu. Ngokusho kwabo, lokhu kuzosiza nokwandisa izindleko ngokunciphisa izakhamuzi ezivamile abayoba ukukhokhela izisebenzi zasesibhedlela uvukile kumasevisi intengo. Ngokwemvelo, ngemva izinguquko ezinjalo ubuhlungu akekho oyekayo, okusho ukuthi manje kufanele ukhokhele impilo.