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Roszdravnadzor has compiled a list of dangerous maternity hospitals
First Deputy Prime Minister Dmitry Medvedev confirmed yesterday that the Russian government has decided to build 23 high-tech perinatal centers throughout the country. These modern maternity hospitals and pregnancy support rooms, according to officials and medical experts, will help significantly increase the number of surviving newborns . At the same time, maternity hospitals that were blacklisted by Roszdravnadzor, which recently completed a global audit of the obstetrics system, apparently, on the contrary, will be deprived of additional financial support.During his visit to the Moscow Regional Perinatal Center yesterday, Mr. Medvedev said that new centers in most cases mean long-existing clinics, on the basis of which “equipment and specialists will be concentrated.” It was decided to prevent the shortage of personnel that large centers “stuffed” with equipment may feel in advance. “On the basis of our medical institution, a modern training center will be built in the shortest possible time, where colleagues from the regions will be able to undergo training using the most modern technology, from the best specialists,” the director of the Federal State Institution “Scientific Center of Obstetrics, Gynecology and Perinatology” told Vremya Novostey. Rosmedtekhnologii" Gennady Sukhikh.
It has been said for a long time that high-tech medical technologies should become available in the regions. The very idea of building modern centers where they have never existed before belongs to the team of the previous Minister of Health and Social Development, Mikhail Zurabov. Recently she was actively supported by his successor Tatyana Golikova. She held her first working meeting with the chief obstetricians and gynecologists of all subjects of the federation. Doctors told the minister about serious problems with the material and technical base in maternity wards and antenatal clinics. Ms. Golikova promised everyone to solve them.
But how in practice budget funds will be distributed among medical institutions, the profile of which is important for solving the demographic problems of the current government, has yet to be determined. The fact is that new high-tech centers, where specialists will be able to care for newborns even with extremely low body weight and congenital ailments, will exist against the backdrop of many thousands of the most ordinary maternity hospitals, where plaster is falling from the ceiling and there is a risk of contracting hospital infections. Mr. Zurabov, at one of the last conference calls that he held as minister, promised to reduce funding for health care facilities where basic standards are not observed. He intended to identify the worst by the number of birth certificates received by the medical institution per year. “It would be difficult to determine the demand for a particular institution by the number of certificates, even with our computer database. It would be necessary to conduct additional research,” Vremya Novostey commented on the former minister’s proposal to the Social Insurance Fund (SIF), where all information about birth certificates is accumulated.
But at the moment, health departments already have some data on the “lagging behind”. This week Roszdravnadzor published the results of an inspection of obstetric and gynecological institutions for compliance with licensing requirements. As this service told Vremya Novostey, a report on the condition of several hundred health care facilities was made based on the results of both scheduled and unscheduled inspections. The auditors visited 563 state and municipal maternity hospitals and consultations. Violations of licensing requirements were identified in 74 of them. The real contenders for the top spots on the blacklist are 46 institutions where they most cynically neglect the rules of maintaining medical records and do not disdain outright forgery. In all such cases, Roszdravnadzor intends to initiate criminal proceedings.
Most often, inspectors were dissatisfied with the condition of medical equipment and buildings of maternity hospitals and antenatal clinics. In the Kirov region, the Republic of Mordovia, almost all equipment has physically worn out and become obsolete a long time ago. In many regions of the federation, for example in Chechnya and Kabardino-Balkaria, there have been cases of medical equipment being used without proper maintenance. A significant number of violations are associated with non-compliance with quality standards for medical care: the documentation of pregnant women did not contain the results of tests for viral hepatitis, determination of the Rh factor, ultrasound diagnostic data, and fluorography as required by the standards. In total, violations of licensing requirements and conditions were detected in 13% of state and municipal institutions.