So, in the course of the round table (he went in the wording of the Nizhny Novgorod branch of “RG” in online mode) on the problems “nicovideo” medicine, Minister of health of the Nizhny Novgorod region, David Melik-Guseinov said: in the first six months of 2020 in the region, no significant growth of deaths due to diseases not associated with a coronavirus. Operational data for the regions was announced in early July on a conference call with the Ministry of health of the Russian Federation.
– I don’t have the right to call all the numbers, as the official results brings Rosstat, the Minister explained. – Operational data we receive from the state registry offices, which issue death certificates: in the Nizhny Novgorod region there is no such growth as in some other regions. It is the merit of all the doctors. They do outstanding work, which is often not visible: patronage of patients at risk, counseling, establishing compliance (from the English patient compliance – adherence, the degree of conformity between the behavior of the patient and the advice received from the doctor. – Approx. ed.) and another.
In particular, according to the regional Ministry of health, 1 January to 25 June 2020 in Nizhny Novgorod region from circulatory diseases died in 206 is less than in the same period last year, from various kinds of tumors by 60 people.
Chief physician of the Nizhny Novgorod regional clinical hospital named after Semashko Nikolay Mironov noted that the intensity of work “nebovidy” medical institutions in the last few months has increased significantly.
the Entire system functioned correctly. No stage of medical care was not missed. For example, in the treatment of patients with acute coronary syndrome, the mortality rate was 8.3 percent. This is a small figure. Same thing with cancer treatment: if a routine medicine has not worked as it should, there would be a significant increase in cancer mortality, he explained.
One of the clearest examples of conversion work in the context of the pandemic has been the experience of the specialized cardiological clinical hospital (SCCB) named after academician Boris Koroleva. In particular, there was emergency care for patients with acute coronary syndrome.
– For us it is non-core work – says the chief doctor SCCB Anton Maksimov. We had to form teams, who assisted around the clock. I want to Express my gratitude to all the staff: doctors, middle and Junior medical staff. We delegated some of the staff in the “govenye” companies. Professionals in the retirement age were given the opportunity to go to the social hospital, but many of them, realizing the gravity of the situation, refused and continued to work. People showed the most Lucsie of its features.
In the Udmurt Republic for five months of this year decreased mortality from diseases of the circulatory system: compared to the same period last year amounted to minus 5.2 per cent (less than 179 people).
Such figures lead Republican government. Experts say that the reasons are several: the work of doctors, and increasing concerns about the health of the patients themselves. People are increasingly moving to a proper diet, quit bad habits, a diary of blood pressure.
– In 2019 – early 2020, thanks to the work of specialists of the Republican center of medical prophylaxis significantly increased the awareness of the population on risk factors and typical manifestations of cardiovascular diseases, – says chief freelance cardiologist, Ministry of health of the Udmurt Republic Sergey Pomazov. – Contributed to monthly visits of doctors-specialists of the centre in areas with high mortality from diseases of the circulatory system, introduction of system of transfer the doctor the information on discharged hospital patients. Via the secure communication channel the data received by the physicians in the clinic at the place of attachment of the former patient. It continues to be under the supervision of a physician, due to this is continuity in the tactics of treatment of patients.
According to Sergei Pomozova increased emergency. For example, much more began to carry out heart operations, to prevent serious consequences. Over the last three years the number of patients who underwent stenting of coronary arteries in the Republican clinical-diagnostic center, increased 16 percent.
Contributed and the launch last year of the regional program of preferential medicinal maintenance of patients with myocardial infarction: within six months after the patients receive free medication. This year launched a program to provide drugs at the expense of the Federal budget patients who have had a stroke and heart surgery. People get drugs in the course of the year.
the government also noted that at the time of the pandemic, patients with cardiovascular disease did not cease the provision of routine care, both inpatient and outpatient.
the Program of concessional prescription drug insurance helps save patients with cardiovascular disease and in the Kirov region. This year it is being implemented in 24 municipal districts of the Viatka. The essence of the project is that the citizens who are at the dispensary with hypertension and angina (including not having the right to preferential provision of medicines), can purchase the drug for a particular trading name and at a reduced price.
Already p�� the first 11 months of the program (it started in February 2019) showed high efficiency. In pilot areas almost a third reduced the number of ambulance calls by patients with diseases of the circulatory system. In addition, municipalities participating in the project at a reduced drug reimbursement demonstrate the improvement of the demographic indicators. “The project demanded by patients. For the first half of them have used 30 of 424 residents. For comparison: for 11 months of 2019, the project participants were 31 298 people, – said the Minister of health of the Kirov region Andrey Chernyaev. From January to July 2020, the project allowed to reduce the personal expenses of residents of the region for purchase of medicines 27.4 million rubles.” This is the amount of subsidies equal to the total lost patients the amount provided by pharmacy institutions the regional budget.
since the beginning of 2020 in the framework of the project on drug reimbursement pharmacy organizations served more than 147 thousand recipes, over 75 percent of the total number of released products – domestic production of medicines.