Time 19 minutes
The Ministry of healthcare developed for doctors temporary rules for the admission of patients.
The timing of doctors receive may vary depending on population density or level of morbidity in the region. The rules will take effect in early 2017. The doctors say that the main obstacle to compliance is the need to fill medical records. But to reduce the time of reception to the detriment of the health of patients they are not going.
As have informed “news” in the Ministry of health, model standards were calculated on the basis fotohronometra research activities of medical specialists, conducted in 17 pilot regions of the Russian Federation. They will be Advisory in nature and respect the organizational and technical conditions of medical institutions and the views of the management of the clinic.
The draft order of the Ministry says that the visit of a specialist doctor with the preventive purpose is given 60-70% of the approved norms. That is, if the treatment the dentist is given 44 minutes, prevention — about half an hour.See also
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The health Ministry also noted that due to differences in density of residence, sex and age composition of the population and the incidence of time norms for the provision of medical care in the constituent entities of the Russian Federation can increase. For example, in the Extreme North, where population density is 2.5 people per square kilometer, the cardiologist will take 3.6 minutes longer endocrinologist — 2.9 minutes, and the dentist was 6.6 minutes.
Professor, head of Department and Director of the clinic of endocrinology, First Moscow state medical University them. I. M. Sechenov Valentin Fadeyev told that the model time norms are not binding to the doctor’s work and more need for the economic calculations of the Ministry of health.
Clinical medicine cannot be expressed in minutes or rubles. It’s not the construction Standards of the building height or size of a brick. When you work with people, and especially with patients, to predict something difficult. Spend one hour, and the other is quite five minutes. So close to the doctor no one will sit with a stopwatch, — said Fadeev.
The Professor noted that if the reception endocrinologist one patient is given an average of 19 minutes, then for three hours the doctor should take about 10 people. This is a normal schedule, especially if there is a nurse.
According to the standards of the Ministry of health for filling in medical documents the doctor may spend 35% of time of reception of one patient. Valentin Fadeev says “paper” work, where you downloaded the doctors, it affects the quality of their work. And just the introduction of temporary restrictions this will not solve the problem.
— Papers a huge number, and it is a real problem. From a doctor need to report an insurance company, the documentation drawn up so that you need to write great texts. Computers are not everywhere, database systems are organized in smaller part of institutions. Many of my colleagues are writing history by hand, and then bring them into the computer system.See also
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The President of the League of defenders of patients Alexander Saversky says that standard time will not affect the quality of care that doctors provide to patients.
Doctors will try to comply with the approved indicators. This will further exacerbate the problem of additions of patients — Saversky considers. In his opinion, the main criterion of work of the doctor should be the level of satisfaction of the population.
Executive Director, National Association of healthcare organizations Sergey Lazarev noted that funding for the hospital depends on the number of patients it serves. The physicians interested in the fact that the specialists worked more.
— There are two versions of events. Either the doctor enough patients to carry out the plan, and he works like a dray horse, is delayed in the workplace, because it does not fit the time frame. Or patients enough, and he ascribes to them. There were cases when people learned about the doctor’s visit on record in his medical card, says Lazarev.
He said that most of the patient a doctor involved in completing the documentation. Usually from 15 minutes to only three minutes specialist communicates with the patient.
— The physician must think, not do paperwork. But medicine is a healing art, not an Assembly line. A quick diagnosis a quick death, long diagnosed long life, — said Lazarev.