Kutheni close isibhedlele eMoscow? Yintoni esibhedlele kuzakuvala e Moscow?

Kwiminyaka yakutshanje, abemi abaninzi neengqukuva kokuva kuphela umbuzo obalulekileyo - abakhulu kutheni isibhedlele eMoscow. Abanye bakholelwa ukuba izicwangciso ezinjalo enokukhokelela utshintsho ezinkulu entsimini amayeza, kodwa urhulumente uqinisekile ukuba xa uvala isiqingatha izibhedlele, unako ukunika ubomi yesibini ukuya kwizibonelelo zempilo, izinto zikwimeko ulihlwempu, yaye engenako ukubonelela kwinqanaba elifanelekileyo. Kugxininiswa yokuba kuvalwe kuphela ezo maziko ukuba azikho zifunwa phakathi kwabantu, kule meko ujika siqulathe esibhedlele onjalo akukho ntsingiselo. Ngenxa yokuba kwadityaniswa ube ngamasebe, kwaye ke ziya kutshatyalaliswa ngokupheleleyo. Ngoko ke nokuba kunjalo enyanisweni, kuxutyushwa kweli nqaku.

Reform, eya kuthabatha indawo Ministry of Health

Kakhulu kutshanje likhuphe Department of Health Act, echaza utshintsho ezithandwayo zokusebenza eziya azinakusetyenziswa kwisibhedlele eMoscow kwixa elizayo. Abaninzi masihambelane lo mthetho kunye neshedyuli ukuvalwa kwizibhedlele eMoscow. Kusekho kwiikliniki zaba ngamashumi omathandathu, kodwa ngokomthetho, baya kuba ngamashumi amabini anesibhozo kuphela.

abahlalutyi abaninzi bathi phantse ke alihlali esibhedlele ixesha elifutshane e Moscow, kodwa ibhekisela kumaziko onyango, leyo bakwazi ukubonelela ngeenkonzo simahla kubemi. Ngokwendalo, oku kuza kubandakanya kunye nokwehla zibhedlele Moscow, yaye oko kuya kubangela inqanaba eliphezulu lentswela-ngqesho phakathi koogqirha kakhulu-dolophu. Kodwa abasemagunyeni ngandlel kakhulu ukuqinisekisa ukuba umsebenzi iikliniki iya kuba nempumelelo, kwaye ke umgangatho unyango iya kuphucuka. Ukongeza, isithembiso, leyo ngokuphawulekayo ukwandisa umvuzo oogqirha ngokwabo, nabo iingcali abangenazo ukufumana umsebenzi kuloo msebenzi uya kukwazi zokubaqeqesha kwaye ufumane umsebenzi, kodwa kwenye intsimi.

USodolophu Moscow iceba ukuba asasaze umthwalo phezu kwizibhedlele ezohlukeneyo kwiSebe lezeMpilo e Moscow, ukuba ngoku kukho ezinye iikliniki ziya kujongana zizifo ezingapheliyo, kunye nabanye - kuphela kwezifo. zokwabelana umthwalo nga bunegalelo ekudaleni kwamaziko eziya ngokucokisekileyo abazibandakanya kwicala elinye kuphela. Kodwa musa ithathele ingqalelo into yokuba ayizizo zonke izigulane ziya kuba nako ukufikelela kwiziko enjalo, kuba baya kuba ikakhulu ngaphandle komzi, uya zonke ii-ofisi ephambili kwiziko lonyango ivaliwe. Kufuneka kukhunjulwe ukuba abasemagunyeni ezicinga kuphela iinzuzo evela kwicala-mali, yaye inxalenye kowona msebenzi - ukhathalelo lwempilo - iinguqu anjalo inani elikhulu kakhulu kuneengxaki. Ngenxa yoko, sinako ukubona ukuba izibhedlele eceleni, ukuze izigulane zifumana unyango eyaneleyo. Ngoku ke ubukho ubusi. uncedo yehlile, amacandelo malozaschischonnye yabantu ayinako ukuthenga iziko unyango olubiza kakhulu, nto leyo esele wajika iikliniki ezininzi isixeko.

Izizathu iinguqulelo ezinjalo kuyimfuneko ukuba

Esona sizathu siphambili le uguquko ukusindisa. Uhlahlo lwabiwo-mali ngoku imali eyaneleyo ukuze bakwazi ukugcina impilo kwinqanaba elifanayo. inkunkuma eninzi kakhulu kulo nyaka wawa isabelo ka-Russia, ngoko ukuze usinde, kuyimfuneko ukuba athathe amanyathelo kangako. Isibakala sokuba esibhedlele kuya kuvalwa kwiindawo yinkulumbuso ezidolophini, kunokubonisa kuphela ukuba le ndawo ngoku liya kuba nje ezimbalwa kumaziko ezempilo.

Kodwa oku kwesizathu sokuba urhulumente wagqiba kwelokuba eqatha kangaka. Kunye ukuvalwa amaziko onyango karhulumente iza kuphuhlisa kwiiklinikhi zabucala, yaye le mali ezongezelelweyo zobuncwane. Kukho kwakhona i sizathu eziphambili kukuba ukugcina esibhedlele, nto leyo imiselwe ukuvala, hayi inzuzo kuphela, kodwa kwezinye iimeko ngamampunge.

Ngokutsho amagosa, la manyathelo kubalulekile, kungenjalo impilo eMoscow kwixa elizayo uya kuba kwinqanaba elisezantsi kakhulu, kwaye loo iinguqulelo kulindeleke ukuba ukuphucula umgangatho wononophelo, ukunyusa imivuzo koogqirha kunye nokufakelwa kwezixhobo yakutshanje, nto leyo ukuchonga esi sifo kuchaza ukuba sikwinqanaba lokuqala. Yokubonelela izibhedlele ezingamashumi amabini anesibhozo kulula kakhulu amathandathu. State ibhekisa yokuba ngale ndlela kufuna unonophelo abemi bayo, yaye yonke into yenziwa kuphela ngenxa yempilo yabo.

Yeyiphi imiselwe ukuvala iiklinikhi

Yaba ekliniki 63 isixeko esibhedlele lokuqala onyango. bevale nga ri khale, kwaye ukhuphiswano, nto leyo ingxabano ebalulekileyo. Yayikumgama kwi Prospekt Mira. Yokuvala waba ngcembe, ukuqala iikliniki idibene ibe nye, uze uvale onke amasebe, leyo yena waphathwa, ukuze nithi ixesha ode waya kufikelela esibhedlele engundoqo. Kubalulekile ukuphawula ukuba phambi ekliniki waba ilifa yaseYurophu Medical Center.

ngokutsha kwakhe kwincopho ekufikelelwe entwasahlobo 2015. Aya kuvalelwa, isibhedlele abantwana eMoscow, kunye nezibhedlele enkulu, ukuza kuthi ga ngoku, nangona, kuphela kwinqanaba amasebe unciphiso. Ngenxa yoko, ivaliwe amasebe leyo akulula imfuno.

72 Hospital ivaliwe iikliniki 59th kunye 71 Kwakhona ivaliwe. Izibhedlele e Moscow kakhulu ivaliwe emva emthonjeni ka-2015, mhlawumbi, imashumi mabini anamithathu kuphela eepesenti zonke izibonelelo zempilo kuhlala. Abaninzi bathi imivuzo kuphakamisa oogqirha, kodwa ke ixabiso imivuzo enjalo - ukuhluthwa sengqesho kwezinye iingcali. izikhundla ezininzi imane elingasetyenziswanga.

Oogqirha efanayo ngubani ngokwenene naphi na ukuhamba, kufuneka abe umsebenzi omtsha. Kufuneka kuqatshelwe ukuba ukuguquka kunye nokuphunyezwa iinguqu iyacotha kwaye sikakrebe kakhulu, kangangokuba bomgama ukukuqhela utshintsho ezinjalo. Ngoko nangoko, ngelo xesha, musa kugubungela inani elikhulu ezibhedlele. Umzekelo, ngokwemiyalelo uMongameli ukuvalwa kwincopho amaziko onyango iya kuba ngoMeyi 2015, nto leyo ithetha ukuba kuza kubakho nokuncipha zibhedlele eMoscow. Ukuvala lo iiklinikhi yaqala ngo-Oktobha 2012.

Uluhlu ezikliniki, nto leyo iya kuvalwa kwindawo yokuqala

Uluhlu kwizibhedlele e Moscow, eza ivaliwe, ngalo lonke ixesha. Oku ezingamashumi amabini anesibhozo amaziko ezonyango, izinto ezo kuphela Moscow, kodwa kuwo wonke ummandla eMoscow. Oku kuza kuquka esibhedlele, kwakunye nezibhedlele eyoonyana eMoscow. Uluhlu inokufumaneka kwizibhedlele № 6, № 61, № 59, № 53, № 19, № 56, № 54, № 68, № № 72 no 11. Kodwa ke, kufanele kuphawulwe ukuba ngoxa zonke izibhedlele iyakuvingca kuluhlu, ukuze kodwa ukuba enze naziphi na izigqibo kusekutsha kakhulu. Umbuzo wokuba yintoni esibhedlele kuya kuvalwa e Moscow, namanje evulekile.

Ngokomzekelo, ekubeni UJulayi engasebenziyo inombolo ekliniki 60, yaba igqala, ngaphandle iingcali abadumileyo abasebenza esibhedlele babeze iyunithi Haematology. Ngenxa yoko, isibhedlele yathengiswa kwikliniki Gastroenterology labucala.

Kamva, inombolo isibhedlele 45 lavalwa, apho benza unyango lwezifo broncho-pulmonary, yaye kamva bebonke isiphelo sinye ezehlela inombolo kwikliniki 47, apho isifo yomchamo uphilisiweyo. Endaweni yokuba amaziko onyango evaliweyo uceba ukwenza iziko luvo kunye iklinikhi yokubuyisela kwiimbaleki. Ngokwendalo, unyango apho kuya kubakho intlawulo.

Nam ndingathanda ukuba zihlale phezu yokuba yesibhedlele sabantwana eyayisakuba ukuba iibhedi esibhedlele ukuya ku asixhenxe ngoku iziko zokonga ukukhathalela abadala, izibhedlele kubeleka bayaguquka zibe ngamaziko osana ihlawulwe. Ngokomzekelo, inani ekliniki-12, nto leyo ngaphambili ingqalelo enye izibhedlele kakhulu ukuba unyango lwezifo ebuntwaneni, liceba ukuvula ehotele.

Ngoku icaca close kutheni isibhedlele eMoscow. Ngokuqhelekileyo, amaziko umbutho ohlawuliweyo nto enye into, njengokuba lunyhasho lwamalungelo siseko, njengoko ngoku inxalenye enkulu yabemi ukuba Liyafuneka, akayi kuba nako ukufumana uncedo mahala abafanelekayo.

Njengoko iya kuvalwa izibonelelo zonyango

Kuba baninzi, ukuvalwa izibonelelo zempilo yaba ngumothuko, ukususela ngo-2013 sithetha nje ukuba badibane indlela izibhedlele amise namasebe. Ngenxa yoko, bezama ukusindisa inkcitho karhulumente, kodwa, ngelishwa, le ndlela Akuzange kubekho olusebenzayo. Ngoko, kwagqitywa ekubeni ukuphelisa malunga asixhenxe anesixhenxe ekhulwini abantu ezikliniki.

Kodwa apha, urhulumente wafumana isisombululo: endaweni amaziko uyathinjwa ziya kuhlawulwa kwizibhedlele e Moscow, nto leyo eya kuba esibhedlele ezahlukeneyo zonyango ngobukhulu. Ingaba ufuna ukuphathwa - uhlawula imali.

ISebe lezeMpilo ichaza izenzo zakhe ngokuthi ukuba izibonelelo zonyango ezibe kuluhlu ukuvala, musa ukuhlangabezana neemfuno lowu. Ngokomzekelo, kwisixeko efana eMoscow, 68 Hospital yenye iikliniki, apho oogqirha bafumana umvuzo ophantsi.

Abaninzi bathi iinguqulelo ezinjalo nekungenakwenzeka ukuba azise eninzi imali wokulondoloza imali karhulumente, kodwa umthwalo kwelinye ezikliniki ukwandisa kakhulu. Kungenzeka, kumagumbi esibhedlele, nto leyo eya kusebenza nje akayi sikhala esaneleyo, oko kukuthi, urhulumente akakwazi ukuthatha unonophelo abemi balo kwinqanaba elifanelekileyo. Ngenxa yoku, yaye bahlawulwa seSigqeba, apho kuya kubakho abantu abakwaziyo ukufikelela kuyo, yaye zonke ezinye amacandelo oluntu abo kuthiwe abasesichengeni, inokuba ebino karhulumente. Amagosa bakholelwa ukuba iibhedi esibhedlele abantu abanjalo kwanele.

Yeyiphi kufuneka uqaphele: izimvo zeengcali

Xa uhlolisisa ngenyameko mali, sisese sinesizathu umoyike. Zonke iindleko zokhathalelo lwempilo aya kuncitshiswa abe mabini anesithathu ekhulwini. Njengoko bathi, nokuba uluhlu lwamaziko ayikho kodwa epheleleyo, mhlawumbi, iya kuba kungekudala kakhulu kwaye ivalwe nezibhedlele zabagula ngengqondo. Kodwa kubalulekile ukuphawula ukuba izibhedlele akunakwenzeka baya kutshatyalaliswa ngexesha elifanelekileyo, bonke baya kwenziwa ngokucothayo cwaka kangangoko kunokwenzeka, ukuze ukukhulisa ingxolo engeyomfuneko.

Ezinye oogqirha badidekile, kuba andiqondi kutheni kufutshane isibhedlele eMoscow. They are yokothuka. Urhulumente kufuneka aqhube umsebenzi inonamathelwano oza kwenza abafanelekayo ukufumana indawo yayo kwindawo yonyango eyahlukileyo. Kuhleli evulekileyo enye kuphela umbuzo - ukuba izibhedlele ezininzi ivaliwe nokuba bangakanani ziza kupheliswa.

Phambi kokuba usebenzise iinguqulelo ezinjalo basisebenzise kwaye batshintshe iingcali, lwabasunguli kufuneka balujongisise ngenyameko iziqinisekiso zabo, ukususela kwiminyaka yakutshanje kukho ukungangqinelani phakathi isigxina ubuchule bakhe entsha nabezempilo. Oku kungaba enye ethile kwi ukulungiswa amayeza, nto leyo inokukhokelela nemiphumela emibi.

Wokuvala inombolo esibhedlela 68 eMoscow

Esi sibhedlele inika uluhlu olupheleleyo lweenkonzo trauma, yomchamo kunye nokhathalelo nezinyangayo. Ukongeza, phakathi izigulane kwakukho abaninzi abo unesifo seswekile, iye yalungiswa ubunzima, ukuba unengxaki kwicandelo G. Esibhedlele kwakhona inika uncedo olungxamisekileyo neurosurgical phakathi kweendonga zayo zenziwa utyando ebuchotsheni. Polyclinic multi-karhulumente, kwaba kumbindi eMoscow.

Kwathi kanti, isixeko esikhulu efana eMoscow onjalo (Hospital 68 inqaku waba kwenkathalo ngurhulumente) ayiqulathanga ikliniki enjalo, ngoko yena, naye, lalikuluhlu makakhutshwe eluhlwini. Kodwa endaweni iziko lonyango elikhethekileyo liya kuvulelwa, Kakade ke, ziya kuhlawulwa iinkonzo oogqirha yona.

Schemes kokuvalwa esibhedlele

Ezinye nezibhedlela kuluhlu "emnyama," kodwa siya kuvalwa kude Oktobha. Ngenxa yoko, unyango lwamayeza kunokuba umsebenzi ayisendim, kodwa ekugqibeleni uyathinjwa kakhulu kamva. Ezinye izibhedlele zidluliselwa nokunyamekelwa kwezi European Medical Centre, kukowuphi umzekelo apho sinokuhlala zoluntu, kodwa, kwiziko lonyango abahlawulwa ezizodwa ziya kusekwa intsimi yalo.

Wena babengcakaza iikliniki ukuba phambi kokuba kuvalwe yaba kwathontelana enkulu yabantu, umzekelo, esibhedlele 63 kwakusoloko kukho ezininzi izigulane (manani uthi malunga namawaka amabini ngabantu apha zeemviwo zibanjwa qho ngonyaka), kwakukho malunga neshumi amasebe aze isebe eyunivesithi. Ngokwahlukeneyo, ungenza phawula abasebenzi, nto leyo eyayifikelela kwi abantu ezingamakhulu amahlanu. Okwangoku, asinakho ukuba isibhedlele ivaliwe ngokupheleleyo, iyasebenza, kodwa hayi kwi ngokupheleleyo. Kwaye phezu kwexesha iza kutshintsha, luya yaba liziko kwimeko yesiqhelo.

Ngubani na olixhoba iinguqu ezifana

Kakade ke, iinguqu ezinjalo abayi kudlula ilize kubemi. Kwindawo yokuqala iya kuhlala amacandelo ungakhuselekanga alandelayo abantu;

• umhlala phantsi, kuba asinguye wonk 'Andinamali yaneleyo afumane unyango kwiziko yesiqhelo;
• Abantu abo kuthiwe amahlwempu, kuba azikwazi ziphathwe kwiiklinikhi eninzi kunye izibhedlele zikarhulumente ziya kuba mncinane kakhulu, yaye abayi kuba kumbindi wesixeko kunye namadlelo ayo uya;
• iingcali, owathi emva iinguqulelo ezinjalo bephelelwa yimisebenzi ngenxa yomsebenzi wabo uba alibangwa, baya kufuneka ukujonga iinketho ukuba bafumane izakhono ezitsha.

Iindaba ezimnandi kukuba urhulumente nangoku akadinwa kwezinye izibhedlele mali. Uya kuqhubeka ukusebenza kwaye iya akayi kushukunyiswa ngokupheleleyo ngamaziko ezifana nesifo sephepha, ukusetyenziswa gwenxa kweziyobisi kunye neekliniki usulelo ezidluliselwa ngeentlobano zesini.

Ubunokwazi yayikukukholisa abantu, oko kukhutshwa umyalelo apho kukuyila izingqengqelo zentlalo ekuthiwa-, nto leyo bakwazi ukuxhamla umhlala phantsi kunye ntsapho zinengeniso esezantsi.

Oogqirha abaninzi eMoscow ayikwazi ukujongana kuphuculo, kodwa ukulungele ukuya kwinkqubo entsha. Ezinye wayekhathazeke kakhulu ngento esibhedlele kuya kuvalwa e Moscow, kuba uninzi nguqulelo ezichaphazela ezo iikliniki, leyo abe ezikhethiweyo emxinwa kakhulu, umzekelo, enye kuphela in Centre Moscow, lowo inxaxheba kwisifundo kwaye nokunyangwa sclerosis, livalwe kutshanje. "Enkosi," le utshintsho uya kuhlala kuyo umsebenzi malunga oogqirha amawaka asixhenxe.

Yintoni eza kongela eMoscow evela iinguqulelo ezinjalo

Ekuphela kwendlela ethile lunokwamkeleka usindiso, kukutyala. Kodwa kukho ezimbalwa abatyali ezinjalo, abo bangathanda ukusebenza ukuba kufakwe imiqathango ubeka esi sixeko. Ezi kwiikliniki zikawonke-wonke, axhase abatyali-zimali, iza kuthathwa njenge izithuba mali lokuqala zoncedo ubuncinane ukuba amacandelo athile labantu, kodwa, ngelishwa, asingabo bonke nabuganga ukutyala imali kwizakhiwo zikarhulumente. Inyaniso yeyokuba uninzi abatyali opt ukuba amayeza ehlawulwa ukujongana nale imali.

Enye indlela ukuba kuhlaziywe imithetho, ukuqaliswa izilungiso ezifanelekileyo, kuba kuphela kwendlela kuya kuba lula ukuba siphephe urhwaphilizo kule nkalo. Ngoku icaca close kutheni isibhedlele eMoscow. Enyanisweni, urhulumente ulindele kwezi nguqulelo ukuphucula imeko kwezamayeza, ukhathalelo abemi-uza kubazisela ingeniso entle kakhulu kwaye niwuzalise yobuncwane. Imali efanayo iza eyachithwayo kuthengwa izixhobo yakutshanje, nto leyo eya kuba negalelo zokuhlola ophezulu ezikumgangatho kunye nonyango.

Amagosa bakhetha ukusebenzisa igama elithi "lahlukene", kodwa ngokwenene ngaphantsi oko kufuneka kuqondwe lomqhubi. Ukuba abale indleko, ukuba enkulu ngokwenene, kodwa amagosa bakholelwa ukuba le ndlela ifanelekileyo ukulondoloza ibhajethi uya kuzithengisela abantu ezithengiswayo. Ngokutsho kwabo, oku kuya kunceda ngokupheleleyo iindleko ngabemi abaqhelekileyo ngubani oza kuhlawula abasebenzi bezonyango Uvukile kwiinkonzo kwamaxabiso. Ngokuqhelekileyo, emva iinguqulelo ezinjalo ubuhlungu akukho namnye zokumisa, nto leyo ithetha ukuba ngoku kufuneka ukuba uhlawule impilo.