The healthcare system improving

Improving the healthcare system has become a topic of the meeting under the PMR President that was attended by Chairman of the Supreme Council of the PMR Alexander Korshunov, Vice Speaker of the Parliament Galina Antyufeeva, Chairman of the relevant Parliamentary Assembly Sergey Cheban, as well as representatives of the Ministry of Health and chief doctors of the institutions of the republic.

The need to improve healthcare system in Pridnestrovie is long overdue, Vadim Krasnoselsky noted at the meeting. Work is underway in this direction. Thus, the number of citizens' complaints about the quality of large-sized services has already expired. However, there are still many problems. It should be addressed comprehensively.

The keynote speaker, Minister of Health Christina Albul, spoke about the low level of wages in the healthcare sector against the backdrop of a significant workload and the outflow of professional personnel as a result. 142 doctors and almost five hundred nurses were minus for the eight months of this year. The head of the department noted that doctors received the so-called COVID allowances, with the retreat of the pandemic during the pandemic period, the income of medical workers again decreased. The economic situation does not allow us to count on a significant increase in wages in the short term. Kristina Albul recalled recent transformations. We are talking about the formation of a three-level model of the organization of medical care – a breakdown into local, inter-district and regional levels, each of which involves its own technical equipment and staffing. The question of the validity of the bed fund of hospitals remains relevant. The number of beds per 10000 people in Pridnestrovie is much higher than in Russia, Ukraine, Belarus, and Moldova. In general, 4250 beds have been equipped throughout the republic. The minister stated that the indicator of staffing for the same 10000 people in Pridnestrovie is much lower at the same time (when compared with the aforementioned countries). The situation is different in various medical institutions, but in general the area of ​​medical institutions and the number of beds in the country are used in half. The state of affairs with maternity hospitals and departments is indicative. The number of births is calculated in dozens per year in some maternity hospitals, that is the material and technical base is used inefficiently, the staff loses their qualifications. The Ministry of Health considers it necessary to get away from the unreasonable increase of the bed fund. It is proposed to reduce the number of beds in some institutions and completely phase out inpatient services in others. The compactness of the republic makes it possible to concentrate the provision of medical care in the conditions of the functioning of the three leading centers of inpatient care. The polyclinic link will be strengthened in towns and districts at the same time, the activities of rural medical outpatient clinics and feldsher-obstetric stations will be activated. The mechanism is being worked on. 

As for the possible salary options for health workers, countrywide, but insignificant increase in salaries was considered, or the launch of pilot projects on the basis of one or two medical institutions using piecework services. The President instructed to prepare calculations for each of them.

According to the press service of the PMR President