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«Против руководства Нацслужбы здоровья будут открываться уголовные дела», — Кравченко

Воскресенье 24 мая 2020 16:53
«Против руководства Нацслужбы здоровья будут открываться уголовные дела», — Кравченко
Фото: коронавирус (freepik.com)

Исполняющая обязанности министра здравоохранения Украины Ульяна Супрун заявила, что в 2020 году медицинские учреждения всех уровней перейдут на модель финансирования Национальной службы здоровья в соответствии с Законом «О государственные финансовые гарантии медицинского обслуживания населения». ГолосUA расспросили об этом ответственного секретаря Нацмедпалаты Украины Сергея Кравченко.

— Сергей, у Супрун анонсировали продолжение медреформы. К чему готовиться украинцам?

— Ульяна Супрун уйдет. В Минздраве портфели получат люди Президента Зеленского. Медицинское общество должно объединиться и ликвидировать негативные последствия медреформы, также остановить то, что планировала внедрить Супрун в 2020 году. На данный момент советник Президента по вопросам здравоохранения акцентировал свое внимание на внедрение системы обязательного государственного медицинского страхования.

— Когда в Украине может заработать медицинское страхование?

— Как быстро это может произойти — прогнозировать тяжело. Думаю, что у президентской команды будет парламентское большинство и внедрить медицинское страхование можно довольно быстро. Это займет от 1,5 до 2 лет. Хотя я не полностью согласен с концепцией, которую сейчас озвучивает новое руководство страны.

— Необходимо ли Украине сейчас внедрение страховой медицины?

— Это перспектива будущего, там есть свои плюсы и минусы. Если этому уделить внимание и собрать хорошую экспертную группу, то недостатки можно вычеркнуть. Опираясь на международный опыт, то есть на опыт наших соседей, разработать такой законопроект, который позволит нашим гражданам улучшить медицинское обслуживание.

— Назовите главные подводные камни медицинского страхования?

— Есть главная проблема – сельское население, которое в абсолютной цифре составляет 17 миллионов человек. От того, что у них появится страховой полюс на руках, скорая помощь туда ездить не начнет. Доступность медицинской помощи определяется двумя критериями: финансово-экономической. То есть, кто заплатит за пациента: страховая кампания, государственный фонд или Национальная служба здоровья, если она останется существовать, несмотря на открытие уголовные дела против ее руководства. Второй вопрос – разветвлённая сеть медицинских учреждений. А у нас в последние годы больницы только закрывались. В сельской местности их почти не осталось.

— Какие плюсы у страховой медицины?

— В первую очередь, — исключение коррупционной составляющей. Второе – рациональное использование финансирования. Также проведение финансово-экономической и медико-клинической экспертизы, которая позволит собрать большой объем данных для превентивной медицины. Это очень большой объем работы, о котором Супрун и ее команда не имеют ни малейшего представления.

— Что будет с Нацслужбой здоровья?

— Против ее руководства будут открываться уголовные дела. Стоит посмотреть на бюджетные расходы и сметы. Нужно проверить, как эффективно были использованы полученные средства. В частности, несколько миллионов они вообще не смогли освоить. Кроме этого, некоторые средства были использованы не рационально. Это же относится и к международным закупкам.

— Будет ли в Украине и дальше развиваться, так называемая семейная медицина?

— В первую очередь, нужно уделить внимание первичной медико-санитарной помощи. В бюджете нет средств, чтобы организовать рабочее место врачу и покрыть фонд заработной платы этому специалисту. В Украине семейных врачей не хватает. У нас их на всю страну 12, 5 тысяч. Из этого количества семейных врачей 70% — люди предпенсионного и пенсионного возраста. У нас семейных врачей в два раза меньше от потребностей. Поэтому команда Супрун потом делала поправки. Она включила в список к семейным врачам педиатров и терапевтов, так как украинцам не с кем было подписывать декларации. Все медреформа, которую реализовывала команда Супрун, является профанацией. Они просто пилили украинский бюджет.

— Решат ли новая власть проблему с нехваткой врачей в стране?

— У нас грядет катастрофа из-за нехватки кадрового потенциала, а которой я постоянно говорю. За последние 10 лет мы потеряли 65 тысяч врачей. Такой кадровый потенциал восстановить за короткий период времени практически невозможно. Об этом неоднократно говорил директор Института сердца Борис Тодуров и приводил западные примеры. Сейчас у Президента и его команды большой массив работы, чтобы решить эту проблему.

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