generally within voluntary medical insurance. And the Kemerovo private traders were built in compulsory health insurance system with an exit to the per capita standard of financing. The patient gathers "03", he is answered by the dispatcher of city station of "Ambulance", and then the call is transferred to private crew on duty. Exception - the specialized psychiatric help. It is necessary to reach the patient no more than in 20 minutes.
- Forces of only state "Ambulance" we cannot provide it: deficiency of crews, - the deputy chief of Regional department protection health of the population Brezhnev Alexander speaks. - Completeness doctors - less than 50%, and paramedics and nurses - about 70%.
While to lines six crews, but if necessary will be able to leave twice more. According to the territorial program of state guarantees one conditional call "fast" which has an assigned population, costs more than two one thousands rubles. But the payment goes not for each call, and at the rate of the per capita standard on one insured inhabitant of the area - 52 rubles. Who works on private "fast"?
- Employees of state institutions of health care - in free time from the main work, students of medical academy, - are told by the chief physician of private service Kireev Sergei, itself "in the world" the pediatrician of "ambulance" with a 20-year experience. - Collective at us young - middle age of 30 years. But the main thing - cars! bought the foreign cars equipped with new devices electrocardiograms, defibrillators, systems of supply of oxygen.
work of private "fast" will fixedly watch, and quality of assistance will check. Including Rosdravnadzor. If experiment is successful, the same private trader is ready to come to Novokuznetsk.
Bolshakova Irina, chief physician of station of "Emergency medical service", Novosibirsk:
- We studied experience of private services of "Ambulance" in several Russian cities and came to a conclusion: in their activity there is a number of disputed issues. First, many patients have no insurance policies. Therefore, expenses on such calls will not be refunded at the expense of means of compulsory health insurance. How the private service will arrive? To deny the assistance? Doctors have no such right. To work for free? I do not think that "charity" falls within the scope of interests of private business. Secondly, it is noticed that so far as concerns serious threat of life of the patient, private "fast" withdraws, transferring the patient to public service. Such responsibility is not necessary to a private trader.
Private clinic the service "fast" is necessary toto expand own client base. In this case it is a question not of patients, and of clients to whom private traders can devote much time which on the house can bring any equipment up to ultrasonography or rentgenapparata and which will choose next time the same medical institution.
were Prepared by Ruzanova Nina