Domain > medproblems.secretmag.ru

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Date	IP Address
2020-11-28	81.19.72.12 (ClassC)
2025-01-29	81.19.72.15 (ClassC)

HTTP/1.1 200 OKServer: nginxDate: Wed, 29 Jan 2025 20:42:45 GMTContent-Type: text/html; charsetutf-8Content-Length: 426615Connection: keep-aliveKeep-Alive: timeout50Vary: Accept-EncodingVary: Accept-EncodingLast-Modified: Fri, 19 Nov 2021 09:01:42 GMTVary: Accept-EncodingETag: 619767f6-68277Accept-Ranges: bytesX-Balancer: 0node0300.lb.rambler.techX-Upstream: 10.16.28.18:80X-Upstream-Status: 200

!DOCTYPE html>html> head>meta charsetutf-8 />meta http-equivContent-Type contenttext/html; charsetutf-8 />meta nameviewport contentwidthdevice-width, initial-scale1.0 />!--metatextblock-->title>Кошелёк или жизни. Четыре проблемы здравоохранения, из-за которых страдают россияне/title>meta namedescription contentВ российском здравоохранении всего четыре главные проблемы. На первый взгляд они не кажутся смертоносными, скорее обыденными. Но в этом их коварство. />meta propertyog:url contenthttps://medproblems.secretmag.ru/ />meta propertyog:title contentКошелёк или жизни. 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data-elem-typeimage	data-field-top-value-65	data-field-top-res-960-value73	data-field-top-res-640-value72	data-field-top-res-480-value-678	data-field-top-res-320-value-517	data-field-left-value-139	data-field-left-res-960-value-992	data-field-left-res-640-value340	data-field-left-res-480-value-930	data-field-left-res-320-value-840	data-field-width-value229	data-field-width-res-960-value140	data-field-width-res-640-value220	data-field-width-res-480-value280	data-field-width-res-320-value180	data-field-axisy-valuecenter	data-field-axisx-valueleft	data-field-axisx-res-960-valueright	data-field-container-valuewindow	data-field-topunits-value	data-field-leftunits-value	data-field-heightunits-value	data-field-widthunits-value	data-animate-mobiley	data-animate-sbs-eventintoview	data-animate-sbs-trg1	data-animate-sbs-trgofst0	data-animate-sbs-opts{ti:0,mx:0,my:0,sx:1,sy:1,op:1,ro:0,bl:0,ea:,dt:0},{ti:20000,mx:0,my:68,sx:1,sy:1,op:1,ro:75,bl:0,ea:,dt:0},{ti:20000,mx:0,my:0,sx:1,sy:1,op:1,ro:0,bl:0,ea:,dt:0}	data-animate-sbs-opts-res-960{ti:0,mx:0,my:0,sx:1,sy:1,op:1,ro:0,bl:0,ea:,dt:0},{ti:20000,mx:5,my:68,sx:1,sy:1,op:1,ro:90,bl:0,ea:,dt:0},{ti:20000,mx:0,my:0,sx:1,sy:1,op:1,ro:0,bl:0,ea:,dt:0}	data-field-filewidth-value385	data-field-fileheight-value568 > div classtn-atom > img classtn-atom__img t-img data-originalimages/tild6264-3761-4033-b430-353639326662___1.png imgfieldtn_img_1600168121577> /div> /div> div classt396__elem tn-elem tn-elem__2301499781600168239166 data-elem-id1600168239166 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> div classtn-atom > img classtn-atom__img t-img data-originalimages/tild6135-3031-4265-a235-326264376262___.png imgfieldtn_img_1600168239166> /div> /div> div classt396__elem tn-elem tn-elem__2301499781600168271525 data-elem-id1600168271525 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> div classtn-atom > img classtn-atom__img t-img data-originalimages/tild3437-3261-4634-a465-626137343965___2.png imgfieldtn_img_1600168271525> /div> /div> div classt396__elem tn-elem tn-elem__2301499781600168414911 data-elem-id1600168414911 data-elem-typeimage	data-field-top-value15	data-field-top-res-960-value-100	data-field-top-res-640-value131	data-field-top-res-480-value-444	data-field-top-res-320-value-309	data-field-left-value970	data-field-left-res-960-value622	data-field-left-res-640-value440	data-field-left-res-480-value40	data-field-left-res-320-value200	data-field-width-value160	data-field-width-res-320-value80	data-field-axisy-valuecenter	data-field-axisx-valueleft	data-field-container-valuewindow	data-field-topunits-value	data-field-leftunits-value	data-field-heightunits-value	data-field-widthunits-value	data-animate-prxscroll	data-animate-prx-s110	data-animate-mobiley	data-field-filewidth-value939	data-field-fileheight-value580 > div classtn-atom > img classtn-atom__img t-img data-originalimages/tild6530-6436-4034-b336-396535623663___.png imgfieldtn_img_1600168414911> /div> /div> div classt396__elem tn-elem tn-elem__2301499781600168475402 data-elem-id1600168475402 data-elem-typeimage	data-field-top-value445	data-field-top-res-960-value655	data-field-top-res-640-value725px	data-field-top-res-480-value380px	data-field-top-res-320-value275px	data-field-left-value140	data-field-left-res-960-value550	data-field-left-res-640-value410px	data-field-left-res-480-value200px	data-field-left-res-320-value200px	data-field-width-value80	data-field-width-res-320-value110	data-field-axisy-valuetop	data-field-axisx-valueleft	data-field-container-valuegrid	data-field-topunits-value	data-field-leftunits-value	data-field-heightunits-value	data-field-widthunits-value	data-animate-prxscroll	data-animate-prx-s115	data-animate-mobiley	data-field-filewidth-value115	data-field-fileheight-value103 > div classtn-atom > img classtn-atom__img t-img data-originalimages/tild3435-6166-4931-a464-653239626335__2.png imgfieldtn_img_1600168475402> /div> /div> div classt396__elem tn-elem tn-elem__2301499781600169114393 t-animate data-elem-id1600169114393 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imgfieldtn_img_1600199417065> /div> /div> div classt396__elem tn-elem tn-elem__2301499781600199417118 data-elem-id1600199417118 data-elem-typeimage	data-field-top-value-400	data-field-top-res-960-value-185	data-field-top-res-640-value80	data-field-top-res-320-value110	data-field-left-value467	data-field-left-res-960-value75	data-field-left-res-640-value-40	data-field-left-res-320-value-25	data-field-width-value70	data-field-axisy-valuecenter	data-field-axisx-valuecenter	data-field-container-valuewindow	data-field-topunits-value	data-field-leftunits-value	data-field-heightunits-value	data-field-widthunits-value	data-animate-prxscroll	data-animate-prx-s80	data-animate-mobiley	data-field-filewidth-value551	data-field-fileheight-value486 > div classtn-atom > img classtn-atom__img t-img data-originalimages/tild6239-3135-4431-b562-373132316539___4.png imgfieldtn_img_1600199417118> /div> /div> div classt396__elem tn-elem tn-elem__2301499781600199417163 data-elem-id1600199417163 data-elem-typeimage	data-field-top-value127	data-field-top-res-960-value226	data-field-top-res-640-value302	data-field-top-res-480-value12	data-field-top-res-320-value-148	data-field-left-value210	data-field-left-res-960-value450	data-field-left-res-640-value270	data-field-left-res-480-value150	data-field-left-res-320-value150	data-field-width-value140	data-field-axisy-valuecenter	data-field-axisx-valuecenter	data-field-container-valuewindow	data-field-topunits-value	data-field-leftunits-value	data-field-heightunits-value	data-field-widthunits-value	data-animate-prxscroll	data-animate-prx-s90	data-animate-mobiley	data-field-filewidth-value779	data-field-fileheight-value851 > div classtn-atom > img classtn-atom__img t-img data-originalimages/tild3031-6637-4235-b038-373364363635___2.png imgfieldtn_img_1600199417163> /div> /div> div classt396__elem tn-elem tn-elem__2301499781600199417214 data-elem-id1600199417214 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t-img data-originalimages/tild3963-3037-4262-a563-396538366164___.png imgfieldtn_img_1600200376305> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230149978);});/script>!-- /T396 -->/div>div idrec230149980 classr t-rec style  data-animationappearoff data-record-type674 >!-- T674 -->div classt674>img classt674__img-holder srcimages/tild6531-6464-4261-b330-303330663439__photo.png>/div>style>body { background-color:#dbdbdb;}.t674__body_with-bg:after { content: ; position: fixed; top: 0; left: 0; right: 0; bottom: 0; z-index: -1; -webkit-overflow-scrolling: touch; background-image: url(images/tild6531-6464-4261-b330-303330663439__photo.png); background-repeat: repeat; background-position: center; min-height: 100%; height: 100vh;	background-attachment: initial;	-webkit-transform: translate3d(0,0,0); transform: translate3d(0,0,0);	transition: all 0.2s linear;}/style>script>$(document).ready(function() {	t674_init(230149980);	});/script>/div>div idrec230149982 classr t-rec t-rec_pt_45 t-rec_pb_210 stylepadding-top:45px;padding-bottom:210px;  data-record-type127 >!-- T119 -->div classt119>div classt-container > div classt-col t-col_8 >div classt119__preface t-descr styleopacity:1; fieldtext>div stylefont-size:22px;line-height:32px;font-family:Roboto Slab;color:#000000; data-customstyleyes>Пандемия коронавируса обнажила самые критичные проблемы российского здравоохранения. Стало очевидно, что медицина собрана на живую нитку: средств защиты и медтехники крайне мало, стены госпиталей рушатся чуть ли не на глазах, а врачей категорически не хватает. br />br /> В российском здравоохранении всего четыре главные проблемы. На первый взгляд они не кажутся смертоносными, скорее обыденными. Но в этом их коварство. br />br /> Они идут друг за другом, как всадники апокалипсиса. 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stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Российскому здравоохранению a hrefhttps://www.pnp.ru/social/minzdrav-prosit-dobavit-byudzhetnykh-deneg-na-lekarstva-i-novye-bolnicy.html target_blank style>катастрофически не хватает денег/a>. Об этом говорят не только a hrefhttps://novayagazeta.ru/news/2020/02/20/159234-minzdrav-na-lechenie-bolnyh-sma-trebuetsya-239-millionov-rubley-takih-deneg-net target_blank style>Минздрав/a> и a hrefhttps://www.vedomosti.ru/society/articles/2020/04/09/827471-gotovo-rossiiskoe target_blank style>Счётная палата/a>, но и сами врачи. Почти 30% российских медиков считают, что главная проблема отечественного здравоохранения — хроническое недофинансирование. Об этом свидетельствуют результаты a href#опрос style>опроса/a> специалистов, проведённого соцсетью для врачей «Доктор на работе» и «Секретом». br />br />Отсюда низкие зарплаты врачей, нехватка нужных лекарств и медтехники.br />/div>/div>/div>/div>/div>div idrec230149987 classr t-rec style  data-animationappearoff data-record-type303 >div classt300 data-tooltip-hook#опрос data-tooltip-id230149987 data-tooltip-position> div classt300__content> div classt300__content-text> em>Опрос проводился /em>em>в социальной сети для медработников «Справочник врача». В нём приняли участие 1239 врачей-специалистов со всей России. br />br />По оценкам создателей сервиса, на ресурсе зарегистрированы более 550 000 русскоязычных пользователей. Соцсеть содержит механизмы для верификации пользователей и подтверждения их медицинского образования./em> br />/div> /div>/div> style> .t300__tooltipster-noir_230149987 { background-color: #e1deba !important; color: #16171d !important; border-radius: 0 !important; border: 2px solid #352411 !important; }/style>/div>div idrec230149988 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 > div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab;border-left-color:#4b3c18; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> «Зарплата зависит от начальства и не соответствует указам президента. Полное отсутствие финансирования рабочего места врача и медицинской сестры, отсутствие ремонта и новой мебели в течение 30–40 лет в военных госпиталях и многих больницах», — жалуются врачи. br />/div>/div> /div> /div>/div>/div>div idrec230149989 classr t-rec t-rec_pt_0 t-rec_pb_60 stylepadding-top:0px;padding-bottom:60px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>И ситуация вряд ли изменится к лучшему: из-за кризиса Минфин a hrefhttps://lenta.ru/news/2020/08/05/resxodi target_blank style>предложил/a> значительно сократить расходы федерального бюджета на здравоохранение в 2021 и двух последующих годах. Желание сэкономить можно было бы понять, если бы российская медицина достигла невероятных высот и имела солидный запас прочности. Но, увы, это не так. br />/div>/div>/div>/div>/div>div idrec230149990 classr t-rec t-rec_pt_0 t-rec_pb_30 t-rec_pb-res-480_0 stylepadding-top:0px;padding-bottom:30px;  data-record-type501 >!-- t501 -->div classt501>div classt-section__container t-container>div classt-col t-col_12>div classt-section__topwrapper t-align_center>div classt-section__title t-title t-title_xs t-animate data-animate-stylefadeinleft data-animate-groupyes fieldbtitle>div stylefont-size:34px;color:#352411; data-customstyleyes>span stylefont-weight: 400;>Как планируют сокращать расходы на медицину/span>/div>/div>div classt-section__descr t-descr t-descr_xl t-margin_auto t-animate data-animate-stylefadeinright data-animate-groupyes fieldbdescr>div stylefont-size:18px; data-customstyleyes>/div>/div>/div>/div>/div> div classt501__container t-container>div classt-row>div classt501__col t-col t-col_4 t-item t-animate data-animate-stylefadeinup data-animate-chainyes>div classt501__title t-title t-title_md t-animate data-animate-styleanimatednumber stylecolor:#352411;font-size:24px;font-weight:400; fieldtitle>-65,7 млрд рублей/div> div classt501__line stylebackground-color: #352411; height: 3px; opacity:1;>/div>div classt501__text t-descr t-descr_sm stylefont-size:18px;font-weight:400;font-family:Roboto; fielddescr>div stylecolor:rgba(0,0,0,0.5); data-customstyleyes>до 721,8 млрд рублейbr />в 2021 году/div>/div>/div>div classt501__col t-col t-col_4 t-item t-animate data-animate-stylefadeinup data-animate-chainyes>div classt501__title t-title t-title_md t-animate data-animate-styleanimatednumber stylecolor:#352411;font-size:24px;font-weight:400; fieldtitle2>-71,5 млрд рублей/div>div classt501__line stylebackground-color: #352411; height: 3px; opacity:1;>/div>div classt501__text t-descr t-descr_sm stylefont-size:18px;font-weight:400;font-family:Roboto; fielddescr2>div stylecolor:rgba(0,0,0,0.5); data-customstyleyes>до 716,5 млрд рублейbr />в 2022 году/div>/div>/div>div classt501__col t-col t-col_4 t-item t-animate data-animate-stylefadeinup data-animate-chainyes>div classt501__title t-title t-title_md t-animate data-animate-styleanimatednumber stylecolor:#352411;font-size:24px;font-weight:400; fieldtitle3>-115,4 млрд рублей/div>div classt501__line stylebackground-color: #352411; height: 3px; opacity:1;>/div>div classt501__text t-descr t-descr_sm stylefont-size:18px;font-weight:400;font-family:Roboto; fielddescr3>div stylecolor:rgba(0,0,0,0.5); data-customstyleyes>до 672,6 млрд рублейbr />в 2023 году/div>/div>/div>/div> /div>/div>/div>div idrec230149991 classr t-rec t-rec_pt_30 t-rec_pb_15 stylepadding-top:30px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Традиция экономить на медицине, как и давать врачам взятки алкоголем и шоколадками, a hrefhttps://lenta.ru/articles/2020/06/07/soviet_medicine/ target_blank style>тянется/a> ещё с советских времён. Застой 80-х положил начало стагнации российского здравоохранения. Денег на него выделяли всё меньше, с 6,3% ВВП в конце 60-х годов этот показатель a hrefhttps://www.healthaffairs.org/doi/full/10.1377/hlthaff.10.3.71?url_verZ39.88-2003&rfr_idori%3Arid%3Acrossref.org&rfr_datcr_pub%3Dpubmed& target_blank style>упал/a> до 4,8% ВВП СССР, а ближе к 90-м годам — и вовсе до 3,4%. br />/div>/div>/div>/div>/div>div idrec230149992 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Отечественные лекарства и медтехника постепенно стали уступать место западным аналогам, но уровень знаний врачей оставался высоким. Именно поэтому медицина в СССР считалась одной из лучших в мире, чего не скажешь о России: теперь из года в года страна a hrefhttps://www.rbc.ru/society/25/02/2019/5c7396b09a7947e603dedba3 target_blank style>занимает/a> последние места в рейтинге эффективности здравоохранения Bloomberg. br />br /> Камнем преткновения стали деньги. Опыт стран Евросоюза показывает, что даже на базовую медпомощь ежегодно требуется не менее 7–10% ВВП. 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data-originalimages/tild6532-6633-4465-a434-303662623634___2.png imgfieldtn_img_1600150832039> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230149993);});/script>!-- /T396 -->/div>div idrec230149994 classr t-rec t-rec_pt_30 t-rec_pb_30 stylepadding-top:30px;padding-bottom:30px;  data-record-type372 >!-- T372 -->div classt372> div classt-container > div classt-col t-col_8 t-animate data-animate-stylefadeinup> div classt372__line  stylebackground-color: #4b3c18;height: 3px;>/div> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab; classt372__text t-text t-text_md t-text_weight_plus>div stylefont-size:22px; data-customstyleyes>Для сравнения: в 2019 году расходы бюджета и системы ОМС на медпомощь составили 3,5% ВВП. В конце того же года Владимир Путин назвал цифру 3,7% и пообещал, что в 2020 году этот показатель увеличат до 4,1%. Но не срослось: на здравоохранение в 2020 году отвели всего 3,8% ВВП. При том, что расходы субъектов РФ на здравоохранение по сравнению с прошлым годом a hrefhttps://vademec.ru/news/2020/09/15/raskhody-regionov-na-sanitarno-epidemiologicheskoe-blagopoluchie-vo-vremya-pandemii-vyrosli-v-26-raz/ stylecolor:rgb(53, 36, 17) !important; target_blank>увеличились/a> на 88%, составив более 1 трлн рублей./div>/div> /div> /div>/div>/div>div idrec230149995 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Но даже их тратят неэффективно. Глава Счётной палаты Алексей Кудрин a hrefhttps://www.vedomosti.ru/society/articles/2020/04/09/827471-gotovo-rossiiskoe target_blank style>констатировал/a>, что здравоохранение во многих регионах России не отвечает современным требованиям./div>/div>/div>/div>/div>div idrec230149996 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 > div fieldtext stylecolor:#4b3c18;font-size:22px;font-weight:300;font-family:Roboto Slab;border-left-color:#4b3c18; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> «Медицина существенно недофинансирована даже по действующим нормативам, она требует и серьёзной перестройки. Мы проведём проверку трат на коронавирус и покажем эти цифры», — объявил он. br />/div>/div> /div> /div>/div>/div>div idrec230149997 classr t-rec t-rec_pt_0 t-rec_pb_15 stylepadding-top:0px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>С начала 2020 года власти a hrefhttps://finance.rambler.ru/business/44804265-rossiyskie-bolnitsy-zakupili-neeffektivnyh-lekarstv-na-milliard/?updated target_blank style>потратили /a>на лекарства с недоказанной эффективностью более 1,6 млрд бюджетных рублей. Среди таких препаратов — противовирусные средства и иммуномодуляторы «Арбидол», «Ингавирин» и «Кагоцел»./div>/div>/div>/div>/div>div idrec230149998 classr t-rec t-rec_pt_0 t-rec_pb_15 stylepadding-top:0px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Так, в разгар пандемии городская больница Ростова-на-Дону a hrefhttps://vademec.ru/news/2020/07/22/ilsiru-biokada-ot-oslozhneniy-covid-19-zakupili-po-94-5-tysyachi-rubley-/ target_blank style>закупила/a> пять упаковок нового препарата левилимаб на полмиллиона рублей. И это притом, что Минздрав не рекомендовал его для терапии коронавируса. br />/div>/div>/div>/div>/div>div idrec230149999 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;> По стране прокатилась серия скандалов и с закупками масок. Власти Саратовской области хотели закупить нестерильные маски для больниц по 425 рублей за штуку, притом что по рынку такие маски стоили втрое дешевле. После резонансной истории последовала куда менее резонансная отставка руководительницы аппарата губернатора Саратовской области Олеси Горячевой. br />/div>/div>/div>/div>/div>div idrec230150000 classr t-rec t-rec_pt_30 t-rec_pb_15 stylepadding-top:30px;padding-bottom:15px;  data-record-type372 >!-- T372 -->div classt372> div classt-container > div classt-col t-col_8 t-animate data-animate-stylefadeinup> div classt372__line  stylebackground-color: #4b3c18;height: 3px;>/div> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab; classt372__text t-text t-text_md t-text_weight_plus>div stylefont-size:22px; data-customstyleyes>Ситуация с масками стала первым вестником проблем со средствами защиты: медработники по всей стране a hrefhttps://inspection.alyansvrachey.ru/ stylecolor:rgb(53, 36, 17) !important; target_blank>жаловались/a> на нехватку костюмов, перчаток, очков и респираторов. Две петиции на change.org, где врачей требовали обеспечить средствами защиты, собрали более 360 000 голосов./div>/div> /div> /div>/div>/div>div idrec230150001 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type396 >!-- T396 -->style>#rec230150001 .t396__artboard{height: 10px;overflow:visible;}#rec230150001 .t396__filter{height: 10px;}#rec230150001 .t396__carrier{height: 10px;background-position: center center;background-attachment: scroll;background-size:cover;background-repeat:no-repeat;}@media screen and (max-width: 1199px){#rec230150001 .t396__artboard{height: 10px;}#rec230150001 .t396__filter{height: 10px;}#rec230150001 .t396__carrier{height: 10px;background-attachment:scroll;}}@media screen and (max-width: 959px){#rec230150001 .t396__artboard{height: 200px;}#rec230150001 .t396__filter{height: 200px;}#rec230150001 .t396__carrier{height: 200px;}}@media screen and (max-width: 639px){#rec230150001 .t396__artboard{height: 210px;}#rec230150001 .t396__filter{height: 210px;}#rec230150001 .t396__carrier{height: 210px;}}@media screen and (max-width: 479px){#rec230150001 .t396__artboard{height: 210px;}#rec230150001 .t396__filter{height: 210px;}#rec230150001 .t396__carrier{height: 210px;}}#rec230150001 .tn-elemdata-elem-id1600151181687{z-index:4;top: -230px;left: calc(50% + 600px - 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Весной она a hrefhttps://openmedia.io/news/n1/mediazona-vrachi-v-rossii-umirayut-ot-koronavirusa-v-razy-chashhe-chem-v-drugix-stranax/ target_blank style>составляла около 7%/a>. Это в десятки раз больше, чем в странах Европы и США. br />br /> Инициативная группа российских врачей запустила проект a hrefhttps://sites.google.com/view/covid-memory/home target_blank style>«Список памяти»/a> — туда вносят данные о медиках, умерших во время пандемии коронавируса, вне зависимости от официального диагноза. По состоянию на 16 сентября в нём почти 700 фамилий. br />/div>/div>/div>/div>/div>div idrec230184003 classr t-rec t-rec_pt_15 t-rec_pb_0 stylepadding-top:15px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Доктора, эксперты и благотворители обратились к зампреду правительства Татьяне Голиковой с просьбой принять срочные меры и решить проблему до второй волны коронавируса. Однако в Минздраве им на это a hrefhttps://www.rbc.ru/society/02/06/2020/5ed569af9a79478a8a3de605 target_blank style>ответили/a>: дефицита нет. br />/div>/div>/div>/div>/div>div idrec230150003 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>/div>/div>/div>/div>/div>div idrec230150004 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Коронавирус пробил серьёзную брешь в бюджете. В итоге пострадали с другими заболеваниями, в том числе и редкими. На закупку дорогих лекарств не хватает федеральных средств. Как пример — дорогостоящий препарат эмицизумаб, в котором нуждаются 566 россиян с тяжёлой формой гемофилии. Власти a hrefhttps://www.kommersant.ru/doc/4485190 target_blank>могут закупить/a> его только для 195 пациентов. br />br />Месяц пандемии привёл к тому, что жизненно важные препараты, в том числе и от ковида, a hrefhttps://www.kommersant.ru/doc/4334029 target_blank style>исчезли/a> из аптек, и их невозможно ни получить по государственной льготе, ни купить. br />/div>/div>/div>/div>/div>div idrec230150005 classr t-rec t-rec_pt_30 t-rec_pb_30 stylepadding-top:30px;padding-bottom:30px;  data-record-type372 >!-- T372 -->div classt372> div classt-container > div classt-col t-col_8 t-animate data-animate-stylefadeinup> div classt372__line  stylebackground-color: #4b3c18;height: 3px;>/div> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab; classt372__text t-text t-text_md t-text_weight_plus>div stylefont-size:22px; data-customstyleyes>Как лихорадит медицину, почувствовали и люди с массово распространёнными болезнями. Из-за COVID-19 в некоторых регионах больным a hrefhttps://meduza.io/feature/2020/04/08/iz-za-koronavirusa-v-rossii-ne-hvataet-donorskoy-krovi-lyudi-perestali-stanovitsya-donorami-hotya-eto-razresheno-i-vpolne-bezopasno stylecolor:rgb(53, 36, 17) !important; target_blank>не хватало/a> донорской крови, у властей a hrefhttps://precedent.tv/article/22566/ stylecolor:rgb(53, 36, 17) !important; target_blank>не было денег/a> на лекарства для ВИЧ-инфицированных, а больницы a hrefhttps://www.chita.ru/articles/149785/ stylecolor:rgb(53, 36, 17) !important; target_blank>отказывались/a> бесплатно делать онкобольным МРТ и томографию./div>/div> /div> /div>/div>/div>div idrec230150006 classr t-rec t-rec_pt_0 t-rec_pb_150 stylepadding-top:0px;padding-bottom:150px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Но и до коронавируса система закупок медикаментов и других расходников, необходимых для лечения людей, регулярно давала сбои. Например, половина больных ВИЧ в Россию не получают должное лечение. 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data-originalimages/tild3333-3231-4366-b130-616231613730___.png imgfieldtn_img_1600154504187> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230150008);});/script>!-- /T396 -->/div>div idrec230150009 classr t-rec style  data-animationappearoff data-record-type796 >!-- T796 -->div classt796 data-shape-rec-ids230150010,230150051> div classt796__shape-border t796__shape-border_top data-fill-color#16171d> svg classt796__svg styleheight:8vw;fill:#16171d; xmlnshttp://www.w3.org/2000/svg viewBox0 0 1280 200 preserveAspectRationone> path dM1280 200H0V0l1280 195.5v4.5z/> /svg> /div> /div>script> $(document).ready(function() { t796_init(230150009); });/script>/div>div idrec230150010 classr t-rec t-rec_pt_150 t-rec_pb_15 stylepadding-top:150px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;> Начиная с 90-х годов российское здравоохранение всё время подвергают реформам. Одна из них — переход от советской модели Семашко к обязательному медицинскому страхованию (ОМС).br />/div>/div>/div>/div>/div>div idrec230150011 classr t-rec t-rec_pt_15 t-rec_pb_0 stylepadding-top:15px;padding-bottom:0px;  data-animationappearoff data-record-type585 >!-- T585 -->div classt585> div classt-container> div classt-col t-col_8 t-prefix_4> div classt585__accordion t-animate data-animate-stylefadeinleft data-animate-chainyes data-accordionfalse data-scroll-to-expandedfalse> div classt585__wrapper> div classt585__header  style border-top: 1px solid #4b3c18> div classt585__title t-name t-name_xl fieldli_title__1480611044356 stylecolor:#352411;font-size:18px;font-family:Roboto Slab;>em>span data-redactor-tagspan stylefont-weight: 400;>Что такое модель Семашко/span>/em>br />/div> div classt585__icon> div classt585__lines> svg width24px height24px viewBox0 0 24 24 xmlnshttp://www.w3.org/2000/svg xmlns:xlinkhttp://www.w3.org/1999/xlink> g strokenone stroke-width1 fillnone fill-ruleevenodd stroke-linecapsquare> g transformtranslate(1.000000, 1.000000) stroke#352411> path dM0,11 L22,11>/path> path dM11,0 L11,22>/path> /g> /g> /svg> /div> div classt585__circle stylebackground-color: transparent;>/div> /div> div classt585__icon t585__icon-hover> div classt585__lines> svg width24px height24px viewBox0 0 24 24 xmlnshttp://www.w3.org/2000/svg xmlns:xlinkhttp://www.w3.org/1999/xlink> g strokenone stroke-width1 fillnone fill-ruleevenodd stroke-linecapsquare> g transformtranslate(1.000000, 1.000000) stroke#e1deba> path dM0,11 L22,11>/path> path dM11,0 L11,22>/path> /g> /g> /svg> /div> div classt585__circle stylebackground-color: #352411>/div> /div> /div> div classt585__content > div classt585__textwrapper> div classt585__text t-descr t-descr_xs fieldli_descr__1480611044356 style>div stylefont-size:16px;color:rgba(0,0,0,0.5); data-customstyleyes> em>span data-redactor-tagspan stylefont-weight: 400;>Эта система состоит из пяти уровней: районные, центральные районные, городские, областные и федеральные больницы. Центральное место в этой модели занимал участковый врач, который отвечал за предоставление и координацию медицинской помощи. Больных распределяли между больницами разного уровня в зависимости от тяжести заболевания. Система была полностью централизована и финансировалась из бюджета. /span>/em>br />/div>/div> /div> /div> /div> /div> div classt585__border styleheight: 1px; background-color: #4b3c18>/div> /div> /div>/div>script> $(document).ready(function(){ t585_init(230150011); });/script>/div>div idrec230150012 classr t-rec t-rec_pt_15 t-rec_pb_15 stylepadding-top:15px;padding-bottom:15px;  data-animationappearoff data-record-type585 >!-- T585 -->div classt585> div classt-container> div classt-col t-col_8 t-prefix_4> div classt585__accordion t-animate data-animate-stylefadeinleft data-animate-chainyes data-accordiontrue data-scroll-to-expandedfalse> div classt585__wrapper> div classt585__header  style border-top: 1px solid #4b3c18> div classt585__title t-name t-name_xl fieldli_title__1480611044356 stylecolor:#352411;font-size:18px;font-family:Roboto Slab;>em>span data-redactor-tagspan stylefont-weight: 400;>Как работает система ОМС/span>/em>/div> div classt585__icon> div classt585__lines> svg width24px height24px viewBox0 0 24 24 xmlnshttp://www.w3.org/2000/svg xmlns:xlinkhttp://www.w3.org/1999/xlink> g strokenone stroke-width1 fillnone fill-ruleevenodd stroke-linecapsquare> g transformtranslate(1.000000, 1.000000) stroke#352411> path dM0,11 L22,11>/path> path dM11,0 L11,22>/path> /g> /g> /svg> /div> div classt585__circle stylebackground-color: transparent;>/div> /div> div classt585__icon t585__icon-hover> div classt585__lines> svg width24px height24px viewBox0 0 24 24 xmlnshttp://www.w3.org/2000/svg xmlns:xlinkhttp://www.w3.org/1999/xlink> g strokenone stroke-width1 fillnone fill-ruleevenodd stroke-linecapsquare> g transformtranslate(1.000000, 1.000000) stroke#e1deba> path dM0,11 L22,11>/path> path dM11,0 L11,22>/path> /g> /g> /svg> /div> div classt585__circle stylebackground-color: #352411>/div> /div> /div> div classt585__content > div classt585__textwrapper> div classt585__text t-descr t-descr_xs fieldli_descr__1480611044356 style>div stylefont-size:16px;color:rgba(0,0,0,0.5); data-customstyleyes> span stylefont-weight: 400;>em>Работодатели платят 5,1% от зарплат сотрудников в Федеральный фонд обязательного медицинского страхования (ФОМС), а за неработающее население платежи вносят регионы (их доля — около 35%). Получившаяся «кубышка» — главный источник денег для российского здравоохранения. В 2019 году объём ФОМС a hrefhttps://tass.ru/obschestvo/8530049 target_blank stylecolor:rgb(60, 61, 61) !important; data-redactor-taga>составил/a> 2,124 трлн рублей. br />br /> ФОМС направляет деньги в региональные фонды, исходя из норматива 12 699 рублей в год на одного пациента. Больницы и поликлиники в конце месяца подсчитывают по установленным тарифам расходы и выставляют счёт страховым компаниям. Те получают деньги из региональных фондов и оплачивают «счета» медучреждений. Предполагается, что страховщики в этой схеме должны выступать ещё и в качестве защитников интересов пациентов и быть независимыми оценщиками качества медуслуг. /em>/span>br />/div>/div> /div> /div> /div> /div> div classt585__border styleheight: 1px; background-color: #4b3c18>/div> /div> /div>/div>script> $(document).ready(function(){ t585_init(230150012); });/script>/div>div idrec230150013 classr t-rec t-rec_pt_15 t-rec_pb_15 stylepadding-top:15px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Именно система ОМС тормозит развитие здравоохранения в России, считают 52% врачей-специалистов из более чем 10 000 a hrefhttps://medsolutions.ru/#/researches/podderzhivaete-li-vy-likvidatsiyu-sistemy-oms target_blank style>опрошенных/a> сервисом «Справочник врача». br />/div>/div>/div>/div>/div>div idrec230150014 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Дело в том, что тарифы ОМС рассчитываются без учёта себестоимости: доступный бюджет делят на планируемое число услуг. Поэтому зачастую они не покрывают даже текущие затраты на оказание стандартной помощи, не говоря уже о вложениях в материально-техническую базу больниц и поликлиник. br />/div>/div>/div>/div>/div>div idrec230150015 classr t-rec t-rec_pt_30 t-rec_pb_30 stylepadding-top:30px;padding-bottom:30px;  data-record-type372 >!-- T372 -->div classt372> div classt-container > div classt-col t-col_8 t-prefix_4 t-animate data-animate-stylefadeinup> div classt372__line  stylebackground-color: #4b3c18;height: 3px;>/div> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab; classt372__text t-text t-text_md t-text_weight_plus>div stylefont-size:22px; data-customstyleyes>К примеру, первичный лечебно-диагностический приём терапевта в Москве a hrefhttps://cloudovm1.consultant.ru/cgi/online.cgi?rndBA966E60D53205C2EF8ADE1C3479AEA7&reqdoc&baseMLAW&n204651&dst106792&fld134#1j3pvzm9jey stylecolor:rgb(53, 36, 17) !important; target_blank>стоит дешевле/a> «Биг Мака» — 108 рублей 22 копейки. За эти деньги врач должен выслушать и расспросить больного, провести осмотр, поставить диагноз, назначить обследование и лечение, заполнить документы и оформить больничный лист. Повторный приём стоит и вовсе 83 рубля 55 копеек./div>/div> /div> /div>/div>/div>div idrec230150016 classr t-rec t-rec_pt_0 t-rec_pb_60 stylepadding-top:0px;padding-bottom:60px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Из этого вытекает то, что при заявленной бесплатности медицинской помощи в российских медучреждениях растёт объём платных услуг. Не хотите по ОМС ставить в зуб пломбу, которая вывалится через несколько месяцев, — платите за качественные материалы из своего кармана. Не готовы ждать неизвестно сколько времени в очереди на высокотехнологичную операцию — покупайте платную услугу или несите конверт доктору. br />/div>/div>/div>/div>/div>div idrec230150017 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type505 >!-- T505 -->div classt505>div classt-section__container t-container>div classt-col t-col_12>div classt-section__topwrapper t-align_center>div classt-section__title t-title t-title_xs t-animate data-animate-stylefadeinleft data-animate-groupyes fieldbtitle>div stylefont-size:34px;color:#352411; data-customstyleyes>span stylefont-weight: 400;>Сколько пациенты платят из своего кармана в разных странах/span>/div>/div>div classt-section__descr t-descr t-descr_xl t-margin_auto t-animate data-animate-stylefadeinleft data-animate-groupyes fieldbdescr>Источник: a hrefhttps://apps.who.int/iris/bitstream/handle/10665/330088/9789289054638-rus.pdf) target_blank style>ВОЗ/a>, данные за 2016 год/div>/div>/div>/div>div classt-container>div classt505__col t-col t-col_3 t-item t-animate data-animate-stylezoomin data-animate-chainyes> div classt505__piewrapper> div classt505__number t-title t-title_xs t-animate data-animate-styleanimatednumber>81%/div> canvas width300 height300 classt505__pie t505__pie1>/canvas> /div> div classt505__textwrapper>div classt505__title t-name t-name_lg fieldtitle stylecolor:#4b3c18;font-size:22px;>Армения/div>div classt505__subtitle t-descr t-descr_sm fieldsubtitle styleopacity:0.6; font-size:18px;font-weight:400;font-family:Roboto;opacity:0.60;>div stylecolor:#000000; data-customstyleyes>/div>/div>/div>/div>div classt505__col t-col t-col_3 t505__col-top-margin t-item t-animate data-animate-stylezoomin data-animate-chainyes> div classt505__piewrapper> div classt505__number t-title t-title_xs t-animate data-animate-styleanimatednumber>54%/div> canvas width300 height300 classt505__pie t505__pie2>/canvas> /div> div classt505__textwrapper>div classt505__title t-name t-name_lg fieldtitle2 stylecolor:#4b3c18;font-size:22px;>Украина/div> /div>/div>div classt505__col t-col t-col_3 t505__col-top-margin t-item t-animate data-animate-stylezoomin data-animate-chainyes> div classt505__piewrapper> div classt505__number t-title t-title_xs t-animate data-animate-styleanimatednumber>41%/div> canvas width300 height300 classt505__pie t505__pie3>/canvas> /div> div classt505__textwrapper> div classt505__title t-name t-name_lg fieldtitle3 stylecolor:#4b3c18;font-size:22px;>Россия/div>/div>/div>div classt505__col t-col t-col_3 t505__col-top-margin t-item t-animate data-animate-stylezoomin data-animate-chainyes> div classt505__piewrapper> div classt505__number t-title t-title_xs t-animate data-animate-styleanimatednumber>34%/div> canvas width300 height300 classt505__pie t505__pie4>/canvas> /div> div classt505__textwrapper>div classt505__title t-name t-name_lg fieldtitle4 stylecolor:#4b3c18;font-size:22px;>Греция/div>/div>/div>/div>/div>style> #rec230150017 .t505__number { color:#4b3c18; font-weight:400; font-size:30px; height:30px; }/style>script> $(document).ready(function() { t505__createPieChart(230150017,81,54,41,34,#4b3c18,#e1deba,#fff,4,10,160); });/script> /div>div idrec230150018 classr t-rec t-rec_pt_0 t-rec_pb_60 stylepadding-top:0px;padding-bottom:60px;  data-record-type505 >!-- T505 -->div classt505>div classt-section__container t-container>div classt-col t-col_12>div classt-section__topwrapper t-align_center>div classt-section__title t-title t-title_xs t-animate data-animate-stylefadeinleft data-animate-groupyes fieldbtitle>div stylefont-size:34px;color:#b74938; data-customstyleyes>/div>/div>/div>/div>/div>div classt-container>div classt505__col t-col t-col_4 t-item t-animate data-animate-stylezoomin data-animate-chainyes> div classt505__piewrapper> div classt505__number t-title t-title_xs t-animate data-animate-styleanimatednumber>22%/div> canvas width300 height300 classt505__pie t505__pie1>/canvas> /div> div classt505__textwrapper>div classt505__title t-name t-name_lg fieldtitle stylecolor:#4b3c18;font-size:22px;>Польша/div>div classt505__subtitle t-descr t-descr_sm fieldsubtitle styleopacity:0.6; font-size:18px;font-weight:400;font-family:Roboto;opacity:0.60;>div stylecolor:#000000; data-customstyleyes>/div>/div>/div>/div>div classt505__col t-col t-col_4 t505__col-top-margin t-item t-animate data-animate-stylezoomin data-animate-chainyes> div classt505__piewrapper> div classt505__number t-title t-title_xs t-animate data-animate-styleanimatednumber>17%/div> canvas width300 height300 classt505__pie t505__pie2>/canvas> /div> div classt505__textwrapper>div classt505__title t-name t-name_lg fieldtitle2 stylecolor:#4b3c18;font-size:22px;>Турция/div> /div>/div>div classt505__col t-col t-col_4 t505__col-top-margin t-item t-animate data-animate-stylezoomin data-animate-chainyes> div classt505__piewrapper> div classt505__number t-title t-title_xs t-animate data-animate-styleanimatednumber>10%/div> canvas width300 height300 classt505__pie t505__pie3>/canvas> /div> div classt505__textwrapper> div classt505__title t-name t-name_lg fieldtitle3 stylecolor:#4b3c18;font-size:22px;>Франция/div>/div>/div>/div>/div>style> #rec230150018 .t505__number { color:#4b3c18; font-weight:400; font-size:30px; height:30px; }/style>script> $(document).ready(function() { t505__createPieChart(230150018,22,17,10,34,#4b3c18,#e1deba,#fff,3,10,160); });/script> /div>div idrec230150019 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;> Во время пандемии систему ОМС стали критиковать даже на самом высоком уровне. br />/div>/div>/div>/div>/div>div idrec230150020 classr t-rec t-rec_pt_0 t-rec_pb_15 stylepadding-top:0px;padding-bottom:15px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 t-prefix_4> div fieldtext stylecolor:#4b3c18;font-size:22px;line-height:1.5;font-weight:300;font-family:Roboto Slab;border-left-color:#352411; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> «Вы что-нибудь слышали про работу страховых компаний сейчас, в связи с коронавирусом? Которые работают в системе ОМС. Очень формальная система, — заявила Валентина Матвиенко в интервью России 24. — Это такая квазистраховая медицина, она огосударствленная, так скажем. Это просто такое промежуточное звено, которое перекачивает деньги Фонда ОМС, больниц». br />/div>/div> /div> /div>/div>/div>div idrec230150021 classr t-rec t-rec_pb_15 stylepadding-bottom:15px;  data-animationappearoff data-record-type396 >!-- T396 -->style>#rec230150021 .t396__artboard{height: 11px;overflow:visible;}#rec230150021 .t396__filter{height: 11px;}#rec230150021 .t396__carrier{height: 11px;background-position: center center;background-attachment: scroll;background-size:cover;background-repeat:no-repeat;}@media screen and (max-width: 1199px){#rec230150021 .t396__artboard{height: 21px;}#rec230150021 .t396__filter{height: 21px;}#rec230150021 .t396__carrier{height: 21px;background-attachment:scroll;}}@media screen and (max-width: 959px){#rec230150021 .t396__artboard{height: 450px;}#rec230150021 .t396__filter{height: 450px;}#rec230150021 .t396__carrier{height: 450px;}}@media screen and (max-width: 639px){}@media screen and (max-width: 479px){}#rec230150021 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> div classtn-atom > img classtn-atom__img t-img data-originalimages/tild3764-3731-4136-a265-323434333765___.png imgfieldtn_img_1600156312348> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230150021);});/script>!-- /T396 -->/div>div idrec230150022 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Ранее Матвиенко a hrefhttps://vademec.ru/news/2018/03/22/matvienko-predlozhila-sdelat-medstrakhovanie-dobrovolnym/ target_blank style>предложила упразднить/a> действующую систему ОМС, а деньги на лечение россиян направлять напрямую из федерального и регионального бюджетов. br />/div>/div>/div>/div>/div>div idrec230150023 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 t-prefix_4> div fieldtext stylecolor:#352411;font-size:22px;line-height:1.5;font-weight:300;font-family:Roboto Slab;border-left-color:#4b3c18; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> «То, что система ОМС a hrefhttps://ria.ru/20200513/1571376239.html target_blank style>должна трансформироваться/a>, однозначно», — заявил министр здравоохранения Михаил Мурашко.br />/div>/div> /div> /div>/div>/div>div idrec230156111 classr t-rec t-rec_pt_0 t-rec_pb_15 stylepadding-top:0px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Но дальше этих заявлений пока дело не пошло, и система остаётся несправедливой: разница тарифов в регионах страны ставит россиян в разные условия при получении медпомощи./div>/div>/div>/div>/div>div idrec230150024 classr t-rec t-rec_pt_15 t-rec_pb_0 stylepadding-top:15px;padding-bottom:0px;  data-animationappearoff data-record-type585 >!-- T585 -->div classt585> div classt-container> div classt-col t-col_8 t-prefix_4> div classt585__accordion t-animate data-animate-stylefadeinleft data-animate-chainyes data-accordionfalse data-scroll-to-expandedfalse> div classt585__wrapper> div classt585__header  style border-top: 1px solid #4b3c18> div classt585__title t-name t-name_xl fieldli_title__1480611044356 stylecolor:#352411;font-size:18px;font-family:Roboto Slab;>em>span data-redactor-tagspan stylefont-weight: 400;>Как коронавирус ударил по системе ОМС/span>/em>/div> div classt585__icon> div classt585__lines> svg width24px height24px viewBox0 0 24 24 xmlnshttp://www.w3.org/2000/svg xmlns:xlinkhttp://www.w3.org/1999/xlink> g strokenone stroke-width1 fillnone fill-ruleevenodd stroke-linecapsquare> g transformtranslate(1.000000, 1.000000) stroke#352411> path dM0,11 L22,11>/path> path dM11,0 L11,22>/path> /g> /g> /svg> /div> div classt585__circle stylebackground-color: transparent;>/div> /div> div classt585__icon t585__icon-hover> div classt585__lines> svg width24px height24px viewBox0 0 24 24 xmlnshttp://www.w3.org/2000/svg xmlns:xlinkhttp://www.w3.org/1999/xlink> g strokenone stroke-width1 fillnone fill-ruleevenodd stroke-linecapsquare> g transformtranslate(1.000000, 1.000000) stroke#e1deba> path dM0,11 L22,11>/path> path dM11,0 L11,22>/path> /g> /g> /svg> /div> div classt585__circle stylebackground-color: #352411>/div> /div> /div> div classt585__content > div classt585__textwrapper> div classt585__text t-descr t-descr_xs fieldli_descr__1480611044356 style>div stylefont-size:16px;color:rgba(0,0,0,0.5); data-customstyleyes> span stylefont-weight: 400;>em>Из-за того что многие россияне остались без работы, а расходов регионов выросли, внебюджетные фонды, в том числе ФОМС, могут совокупно недополучить от 200 млрд до 2,3 трлн рублей (от 2,5% до 30% поступлений страховых взносов в 2019 году), a hrefhttps://vademec.ru/news/2020/04/01/spetsialisty-vshe-sprognozirovali-problemy-s-finansirovaniem-ffoms/ target_blank style data-redactor-taga>подсчитали/a> сотрудники Института социальной политики НИУ ВШЭ. br />br /> «Пациент, скажем, из Тверской или Оренбургской области приезжает в Москву или Петербург получать медицинскую услугу, а ему отказывают, потому что региональный ФОМС задолжал столичному за лечение других пациентов, — a hrefhttps://republic.ru/posts/95867# target_blank style>рассказывает/a> нейрохирург и популярный блогер Алексей Кащеев. — Фонд, с одной стороны, самостоятельная структура, независимая от Минздрава. Но по факту в каждом регионе фонд работает в пределах отпущенного ему бюджета». /em>/span>br />/div>/div> /div> /div> /div> /div> div classt585__border styleheight: 1px; background-color: #4b3c18>/div> /div> /div>/div>script> $(document).ready(function(){ t585_init(230150024); });/script>/div>div idrec230150025 classr t-rec t-rec_pt_30 t-rec_pb_0 stylepadding-top:30px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>В нынешнем виде система ОМС не имеет заявленного страхового характера, a hrefhttps://www.vedomosti.ru/opinion/articles/2020/05/25/831062-reorganizovat-zdravoohranenie target_blank style>констатируют/a> заведующий Центром правового обеспечения социально-экономических реформ Института законодательства и сравнительного правоведения при правительстве Юрий Воронин и профессор ВШЭ Евгений Гонтмахер. br />/div>/div>/div>/div>/div>div idrec230150026 classr t-rec t-rec_pt_30 t-rec_pb_30 stylepadding-top:30px;padding-bottom:30px;  data-record-type372 >!-- T372 -->div classt372> div classt-container > div classt-col t-col_8 t-prefix_4 t-animate data-animate-stylefadeinup> div classt372__line  stylebackground-color: #4b3c18;height: 3px;>/div> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab; classt372__text t-text t-text_md t-text_weight_plus>div stylefont-size:22px; data-customstyleyes>По их мнению, в системе ОМС нарушаются базовые принципы обязательного социального страхования: платежи и выплаты не эквивалентны друг другу. Кроме того, в ней нет персонифицированного учёта платежей и накопленных обязательств перед каждым конкретным застрахованным лицом./div>/div> /div> /div>/div>/div>div idrec230150027 classr t-rec t-rec_pt_0 t-rec_pb_15 stylepadding-top:0px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Воронин и Гонтмахер предлагают вывести страхование из системы здравоохранения и перейти к бюджетной модели финансирования отрасли, «которая, согласно самым разным оценкам, показала свою относительно высокую эффективность в большинстве стран — членов ОЭСР (Организации экономического сотрудничества и развития. — Прим. Секрета)»./div>/div>/div>/div>/div>div idrec230150028 classr t-rec t-rec_pt_0 t-rec_pb_150 stylepadding-top:0px;padding-bottom:150px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;> Сами медики тоже голосуют за то, чтобы всё же ликвидировать систему ОМС — за такое решение высказались 72% опрошенных «Справочником врача». br />/div>/div>/div>/div>/div>div idrec230150029 classr t-rec style  data-animationappearoff data-record-type396 >!-- T396 -->style>#rec230150029 .t396__artboard{height: 800px;background-color: #16171d;overflow:visible;}#rec230150029 .t396__filter{height: 800px;background-image: -webkit-gradient( linear, left top, left bottom, from(rgba(22,23,29,1)), to(rgba(53,36,17,1)) );background-image: -webkit-linear-gradient(top, rgba(22,23,29,1), 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classtn-atom__img t-img data-originalimages/tild6561-3961-4935-b733-383239653462___1.png imgfieldtn_img_1600159213695> /div> /div> div classt396__elem tn-elem tn-elem__2301500291600177060797 data-elem-id1600177060797 data-elem-typeimage	data-field-top-value270	data-field-top-res-960-value180	data-field-top-res-640-value300	data-field-top-res-480-value325	data-field-top-res-320-value299	data-field-left-value-230	data-field-left-res-960-value-260	data-field-left-res-640-value160	data-field-left-res-480-value80	data-field-left-res-320-value-150	data-field-width-value40	data-field-width-res-320-value100	data-field-axisy-valuecenter	data-field-axisx-valuecenter	data-field-container-valuewindow	data-field-topunits-value	data-field-leftunits-value	data-field-heightunits-value	data-field-widthunits-value	data-animate-prxscroll	data-animate-prx-s110	data-animate-mobiley	data-field-filewidth-value1237	data-field-fileheight-value1201 > div classtn-atom > img classtn-atom__img t-img data-originalimages/tild6138-3633-4061-b666-613436383562___3.png imgfieldtn_img_1600177060797> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230150029);});/script>!-- /T396 -->/div>div idrec230150030 classr t-rec t-rec_pt_150 t-rec_pb_0 stylepadding-top:150px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;> Десять лет назад, в 2010 году, в России началась оптимизация здравоохранения, главной вдохновительницей которой стала Татьяна Голикова, тогда министр здравоохранения, а сейчас — вице-премьер и глава оперативного штаба по борьбе с коронавирусом. br />/div>/div>/div>/div>/div>div idrec230150031 classr t-rec t-rec_pt_30 t-rec_pb_30 stylepadding-top:30px;padding-bottom:30px;  data-record-type372 >!-- T372 -->div classt372> div classt-container > div classt-col t-col_8 t-animate data-animate-stylefadeinup> div classt372__line  stylebackground-color: #4b3c18;height: 3px;>/div> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab; classt372__text t-text t-text_md t-text_weight_plus>div stylefont-size:22px; data-customstyleyes>Идея была простой: закрыть неэффективные больницы, а на сэкономленные деньги повысить зарплаты медработникам. Но власти остались недовольны итогами реформы. Летом 2019 года Владимир Путин a hrefhttps://www.rbc.ru/rbcfreenews/5d5c42389a7947540856e39a target_blank style>заявил/a> о «провале» первичного звена российской медицины./div>/div> /div> /div>/div>/div>div idrec230150032 classr t-rec t-rec_pt_0 t-rec_pb_15 stylepadding-top:0px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Осенью того же года провал оптимизации a hrefhttps://www.rbc.ru/society/03/11/2019/5dbecba99a79470b57a29e69 target_blank style>признала/a> и сама Голикова. В результате реформ медиков сократили в 55 регионах стран, число больниц и поликлиник уменьшилось вдвое. А те, что остались, по a hrefhttps://tass.ru/obschestvo/7076039 target_blank style>словам/a> вице-премьера Антона Силуанова, находятся «в плохом, если не сказать ужасном состоянии». br />/div>/div>/div>/div>/div>div idrec230150033 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Значительная часть жителей — особенно в сельской местности и малых городах, где проживают a hrefhttps://rg.ru/2011/12/16/stat.html target_blank style>более/a> 40% россиян, — остались без доступной медицинской помощи, а врачи получали настолько нищенские зарплаты, что президент Владимир Путин пытался поднять их с помощью «майских указов». br />/div>/div>/div>/div>/div>div idrec230150034 classr t-rec t-rec_pt_30 t-rec_pb_30 stylepadding-top:30px;padding-bottom:30px;  data-record-type372 >!-- T372 -->div classt372> div classt-container > div classt-col t-col_8 t-animate data-animate-stylefadeinup> div classt372__line  stylebackground-color: #4b3c18;height: 3px;>/div> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab; classt372__text t-text t-text_md t-text_weight_plus>div stylefont-size:22px; data-customstyleyes>Впрочем, и эта инициатива a hrefhttps://vademec.ru/news/2019/06/03/skvortsova-podderzhala-uroven-zarplat-medikov-slovesnymi-interventsiyami/ stylecolor:rgb(53, 36, 17) !important; target_blank>провалилась/a>: врачей стали массово сокращать, а больницам приходилось брать кредиты, потому что все деньги шли на выполнение указов президента, а на закупку лекарств средств попросту не оставалось./div>/div> /div> /div>/div>/div>div idrec230150035 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Так, медучреждения Кемеровской области с 2010 года к началу 2019 года накопили 1,7 млрд рублей долгов. 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> div classtn-atom > img classtn-atom__img t-img data-originalimages/tild3262-3930-4463-b163-663266313736___3.png imgfieldtn_img_1600159441574> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230150036);});/script>!-- /T396 -->/div>div idrec230150037 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 > div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab;border-left-color:#352411; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> «Речь идёт об оптимизации площадей и административно-управленческого персонала. Эта работа уже даёт экономические результаты», — a hrefhttps://ako.ru/news/detail/elena-malysheva-reforma-zdravookhraneniya-kuzbassa-rezultat-ekspertnoy-otsenki-vrachebnogo-soobshche target_blank stylecolor:rgb(53, 36, 17) !important;>говорила/a> замгубернатора Кузбасса по вопросам социального развития Елена Малышева. br />/div>/div> /div> /div>/div>/div>div idrec230150038 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Но жителей небольших населённых пунктов эти «экономические результаты» едва ли порадуют. О том, как живётся в кузбасском 45-тысячном городе Березовский после оптимизации медучреждений, подробно a hrefhttps://tayga.info/150369 target_blank style>рассказала/a> местная жительница Валентина Цыбо:/div>/div>/div>/div>/div>div idrec230150039 classr t-rec t-rec_pt_0 t-rec_pb_45 stylepadding-top:0px;padding-bottom:45px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 > div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab;border-left-color:#352411; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> span stylefont-weight: 300;>«На завтрак — ломтик хлеба и чай. На обед — пустой супчик, на ужин — что Бог пошлёт. Так кормят пациентов в больнице Березовского. По городу, где я живу почти полвека, как и по всей стране, как катком проехалась оптимизация. В поликлиниках и в больницах почти не осталось врачей — терапевтов, хирургов, травматологов, гинекологов, стоматологов, а о врачах узких специальностей остаётся только мечтать. То есть лечить ни взрослых, ни детей практически некому. br />br /><...> Словом, приходится с горем пополам приноравливаться к тем осколкам советского здравоохранения, которые ещё не до конца добили реформаторы от медицины. И стационар ещё не закрыли, как это сделали в Челябинской области в шахтёрском посёлке Межозерный. Ни хирурга, ни травматолога. А шахтёры, бывает, травмируются. И умирают без помощи, потому что до больницы не успевают довезти». /span>br />/div>/div> /div> /div>/div>/div>div idrec230175416 classr t-rec style  data-record-type396 >!-- T396 -->style>#rec230175416 .t396__artboard{height: 14px;overflow:visible;}#rec230175416 .t396__filter{height: 14px;}#rec230175416 .t396__carrier{height: 14px;background-position: center center;background-attachment: scroll;background-size:cover;background-repeat:no-repeat;}@media screen and (max-width: 1199px){#rec230175416 .t396__artboard{height: 14px;}#rec230175416 .t396__filter{height: 14px;}#rec230175416 .t396__carrier{height: 14px;background-attachment:scroll;}}@media screen and (max-width: 959px){#rec230175416 .t396__artboard{height: 6px;}#rec230175416 .t396__filter{height: 6px;}#rec230175416 .t396__carrier{height: 6px;}}@media screen and (max-width: 639px){#rec230175416 .t396__artboard{height: 14px;}#rec230175416 .t396__filter{height: 14px;}#rec230175416 .t396__carrier{height: 14px;}}@media screen and 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classtn-atom__img t-img data-originalimages/tild6339-3365-4336-a332-643536643933___2_.png imgfieldtn_img_1600121210141> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230175416);});/script>!-- /T396 -->/div>div idrec230150041 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type501 >!-- t501 -->div classt501>div classt-section__container t-container>div classt-col t-col_12>div classt-section__topwrapper t-align_center>div classt-section__title t-title t-title_xs t-animate data-animate-stylefadeinleft data-animate-groupyes fieldbtitle>div stylefont-size:34px;color:#352411; data-customstyleyes>span stylefont-weight: 400;>Как в России оптимизировали медперсонал/span>/div>/div>div classt-section__descr t-descr t-descr_xl t-margin_auto t-animate data-animate-stylefadeinright data-animate-groupyes fieldbdescr>div stylefont-size:18px; data-customstyleyes>Источник: Росстатdiv stylefont-size:18px; data-customstyleyes>/div>/div>/div>/div>/div>/div> div classt501__container t-container>div classt-row>div classt501__col t-col t-col_4 t-item t-animate data-animate-stylefadeinup data-animate-chainyes>div classt501__title t-title t-title_md t-animate data-animate-styleanimatednumber stylecolor:#352411;font-size:22px;font-weight:400; fieldtitle>На 10% меньше /div> div classt501__line stylebackground-color: #352411; height: 3px; opacity:1;>/div>div classt501__text t-descr t-descr_sm stylefont-size:18px;font-weight:400;font-family:Roboto; fielddescr>div stylecolor:rgba(0,0,0,0.5); data-customstyleyes>стало врачей-инфекционистов по сравнению с началом медицинской реформы, эпидемиологов — почти в полтора раза.div stylecolor:rgba(0,0,0,0.5); data-customstyleyes>/div>/div>/div>/div>div classt501__col t-col t-col_4 t-item t-animate data-animate-stylefadeinup data-animate-chainyes>div classt501__title t-title t-title_md t-animate data-animate-styleanimatednumber stylecolor:#352411;font-size:22px;font-weight:400; fieldtitle2>с 10 700 в 2000 году до 5200 в 2019-мbr />/div>div classt501__line stylebackground-color: #352411; height: 3px; opacity:1;>/div>div classt501__text t-descr t-descr_sm stylefont-size:18px;font-weight:400;font-family:Roboto; fielddescr2>div stylecolor:rgba(0,0,0,0.5); data-customstyleyes>сократилось число больницdiv stylecolor:rgba(0,0,0,0.5); data-customstyleyes>/div>/div>/div>/div>div classt501__col t-col t-col_4 t-item t-animate data-animate-stylefadeinup data-animate-chainyes>div classt501__title t-title t-title_md t-animate data-animate-styleanimatednumber stylecolor:#352411;font-size:22px;font-weight:400; fieldtitle3>В 2,4 раза /div>div classt501__line stylebackground-color: #352411; height: 3px; opacity:1;>/div>div classt501__text t-descr t-descr_sm stylefont-size:18px;font-weight:400;font-family:Roboto; fielddescr3>div stylecolor:rgba(0,0,0,0.5); data-customstyleyes>сократилось и число коек инфекционного профиля: со 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 data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 > div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab;border-left-color:#352411; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> «В первое время медперсонала не хватало, и к работе с инфекционными больными привлекали самых разных специалистов, в том числе ребят — студентов старших курсов медицинских вузов и волонтёров. Была организована переподготовка с использованием интерактивных образовательных модулей более чем 1,5 млн человек. Рискуя собой, все они заботились о тех, кто заболел, иногда буквально жили в больницах, месяцами не видели свои семьи», — a hrefhttps://vademec.ru/news/2020/07/22/mishustin-otchitalsya-pered-deputatami-vot-chto-on-skazal-o-zdravookhranenii/ target_blank stylecolor:rgb(53, 36, 17) !important;>рассказывал/a> премьер Мишустин. br />/div>/div> /div> /div>/div>/div>div idrec230150048 classr t-rec t-rec_pt_0 t-rec_pb_150 stylepadding-top:0px;padding-bottom:150px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 >div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;> В мае глава Минздрава РФ отчитался, что пациентам с COVID-19 оказывают помощь более 400 000 медработников. 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> div classtn-atom > img classtn-atom__img t-img data-originalimages/tild3133-3737-4661-b565-646631323161___1.png imgfieldtn_img_1600160174142> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230150050);});/script>!-- /T396 -->/div>div idrec230150051 classr t-rec t-rec_pt_150 t-rec_pb_15 stylepadding-top:150px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;> Традиция работать ради галочки, ориентируясь не на пациента, а на «правильную» отчётность, крепко укоренилась в российском здравоохранении. Опрос «Секрета» и «Доктора на работе» показал: 36,5% медиков считают бюрократию главной проблемой отечественной медицины. br />/div>/div>/div>/div>/div>div idrec230150052 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 t-prefix_4> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab;border-left-color:#352411; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes>«Бумажная работа отнимает львиную долю времени, которое могло быть потрачено с большей пользой», «Развалили такую медицину — заменили менеджерами от медицины, которых интересуют только разноцветные бумажки», — сетовали врачи./div>/div> /div> /div>/div>/div>div idrec230150053 classr t-rec t-rec_pt_0 t-rec_pb_15 stylepadding-top:0px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Как следствие, приписки, назначение бесполезных исследований, на которые пациенты только тратят деньги, а врачи — время./div>/div>/div>/div>/div>div idrec230150054 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Когда в 2015 году появились личные кабинеты граждан в системе ОМС, люди обнаружили, что на них записаны визиты к врачам, которых не было./div>/div>/div>/div>/div>div idrec230150055 classr t-rec t-rec_pb_15 t-screenmax-980px stylepadding-bottom:15px;  data-animationappearoff data-record-type396 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classt396__elem tn-elem tn-elem__2301500561600161414606 data-elem-id1600161414606 data-elem-typeimage	data-field-top-value152	data-field-top-res-960-value248	data-field-top-res-640-value-69px	data-field-top-res-480-value-113px	data-field-top-res-320-value-70px	data-field-left-value-70	data-field-left-res-960-value-28	data-field-left-res-640-value15px	data-field-left-res-480-value15px	data-field-left-res-320-value15px	data-field-width-value529	data-field-width-res-960-value370	data-field-width-res-640-value410	data-field-width-res-480-value330	data-field-width-res-320-value150	data-field-axisy-valuebottom	data-field-axisx-valueleft	data-field-axisx-res-640-valuecenter	data-field-container-valuewindow	data-field-topunits-value	data-field-leftunits-value	data-field-heightunits-value	data-field-widthunits-value	data-animate-prxscroll	data-animate-prx-s90	data-field-filewidth-value993	data-field-fileheight-value400 > div classtn-atom > img classtn-atom__img t-img data-originalimages/tild6465-3735-4563-b632-636364313132___3.png imgfieldtn_img_1600161414606> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230150056);});/script>!-- /T396 -->/div>div idrec230150057 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 t-prefix_4> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab;border-left-color:#352411; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> «В нашу организацию такие пациенты тоже периодически обращаются: Слушайте, я пять лет жил за границей, приезжаю, у меня медкарта — целый талмуд. Оказывается, по два раза в месяц к врачам хожу, кучу диагнозов поставили!», — a hrefhttps://www.gazeta.ru/comments/2019/05/04_a_12329671.shtml target_blank stylecolor:rgb(53, 36, 17) !important;>рассказывал/a> президент Лиги защитников пациентов Александр Саверский. br />/div>/div> /div> /div>/div>/div>div idrec230150058 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Проблема коренится в советской привычке подтасовывать цифры по требованию начальства. Но в итоге система работает сама против себя: никто не понимает, эффективно ли лечение, хватает ли лекарств в регионах и a hrefhttps://diabetes.secretmag.ru/ target_blank style>есть ли какие-то осложнения/a> течений болезни от новых препаратов. br />/div>/div>/div>/div>/div>div idrec230150059 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Статистику осложнений и смертности внимательно изучают во всём мире./div>/div>/div>/div>/div>div idrec230150060 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 t-prefix_4> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab;border-left-color:#352411; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> «Больше всего осложнений в США, потому что там самая честная система учёта. У нас же вместо этого скрывают такие данные. Знаете, сколько в 2018 году в России было смертельных осложнений, связанных с введением наркоза, с анестезией? Ноль! Не зарегистрировано ни единого осложнения такого типа! Это полный бред, потому что это распространённое осложнение. Как можно работать над решением проблемы, если в официальных отчётах она не значится?» — задаётся вопросом Алексей Кащеев. br />/div>/div> /div> /div>/div>/div>div idrec230150061 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Неудивительно, что появились вопросы и к учёту коронавирусных больных: половина российских врачей считают, что статистика врёт про число заболевших и смертность от COVID-19, a hrefhttps://meduza.io/news/2020/07/07/fom-i-levada-tsentr-polovina-rossiyskih-vrachey-schitayut-statistiku-po-covid-19-nedostovernoy>показал/a> опрос.br />br />Другой аспект проблемы— уровень подготовки этих самых бюрократов. 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 data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Заказчик медицинских услуг — менеджер, поэтому системе оказываются безразличны пациентов и новые профессиональные подходы в лечении. Логика такая: больница должна работать эффективно, а её заслуги — отражаться в количественных показателях, таких как больничная летальность, удовлетворённость качеством оказанной медпомощи и выполнение плана по количеству врачебных посещений. А раз так — выходит, что пациенты только мешают бюрократической логике. br />/div>/div>/div>/div>/div>div idrec230150065 classr t-rec t-rec_pt_30 t-rec_pb_30 stylepadding-top:30px;padding-bottom:30px;  data-record-type171 >!-- T157 -->div classt157> div classt-container> div classt-col t-col_8 t-prefix_4> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab;border-left-color:#352411; classt157__text t-text t-text_sm t-animate data-animate-stylefadeinup>div stylefont-size:22px; data-customstyleyes> «Люди, которые занимают административные должности, начиная с заведующих и главных врачей и заканчивая чиновниками в министерствах, зачастую не имеют систематического образования в области управления, организации здравоохранения. Сама система обучения этому в России очень устарела, — a hrefhttps://republic.ru/posts/95867 target_blank style>объяснил/a> Кащеев. — Я окончил медицинский вуз в 2009 году. Самые бездарные из моих однокурсников пошли не в практикующие врачи, а в управление здравоохранением. Это те, у кого не было таланта и терпения освоить медицинскую специальность. Управление, администрирование — это те сферы, которые требуют глубоких знаний математики, социологии, маркетинга. Но у нас руководители этих знаний зачастую не имеют, а потому не могут грамотно руководить». br />/div>/div> /div> /div>/div>/div>div idrec230150066 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Печальным примером такого управленца во время пандемии стал главврач реутовской больницы Гарик Хачатрян. Как a hrefhttps://novayagazeta.ru/articles/2020/04/23/85067-vrachi-iz-reutova-trebuyut-karantina target_blank style>считают/a> его подчинённые, из-за его бездействия коронавирусом заразилось «огромное число сотрудников больницы», а инфекция распространилась по всему Реутову. br />/div>/div>/div>/div>/div>div idrec230150067 classr t-rec t-rec_pt_15 t-rec_pb_0 stylepadding-top:15px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;> В марте в больнице прошёл обыск, у полиции возникли вопросы к главному врачу. По одной из версий, всё дело в предыдущей работе Хачатрян: два года он руководил Егорьевской районной больницей, где начислял себе крупные премии и заместил бесплатную медпомощь платными услугами. Только в течение одного года из больницы уволились более 40 врачей. В прошлом сентябре в Егорьевске прошёл тысячный митинг, участники которого потребовали отставки Хачатряна. br />/div>/div>/div>/div>/div>div idrec230150068 classr t-rec t-rec_pt_30 t-rec_pb_0 stylepadding-top:30px;padding-bottom:0px;  data-record-type372 >!-- T372 -->div classt372> div classt-container > div classt-col t-col_8 t-prefix_4 t-animate data-animate-stylefadeinup> div classt372__line  stylebackground-color: #4b3c18;height: 3px;>/div> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab; classt372__text t-text t-text_md t-text_weight_plus>div stylefont-size:22px; data-customstyleyes>Подобные скандалы с участием главврачей и сотрудников больниц в последнее время происходят всё чаще. В 2019 году здравоохранение вышло на первое место по числу трудовых конфликтов за всё время наблюдений (с 2012 года), a hrefhttps://secretmag.ru/survival/mitingi-i-golodovki-pochemu-rossiyane-stali-chashe-protestovat-protiv-rabotodatelei.htm stylecolor:rgb(53, 36, 17) !important; target_blank>подсчитали/a> в Санкт-Петербургском гуманитарном университете профсоюзов. Медики спровоцировали более четверти от общего числа противостояний с работодателями./div>/div> /div> /div>/div>/div>div idrec230150069 classr t-rec t-rec_pb_15 t-screenmin-980px stylepadding-bottom:15px;  data-animationappearoff data-record-type396 data-screen-min980px >!-- T396 -->style>#rec230150069 .t396__artboard{height: 11px;overflow:visible;}#rec230150069 .t396__filter{height: 11px;}#rec230150069 .t396__carrier{height: 11px;background-position: center center;background-attachment: scroll;background-size:cover;background-repeat:no-repeat;}@media screen and (max-width: 1199px){#rec230150069 .t396__artboard{height: 21px;}#rec230150069 .t396__filter{height: 21px;}#rec230150069 .t396__carrier{height: 21px;background-attachment:scroll;}}@media screen and (max-width: 959px){#rec230150069 .t396__artboard{height: 260px;}#rec230150069 .t396__filter{height: 260px;}#rec230150069 .t396__carrier{height: 260px;}}@media screen and (max-width: 639px){#rec230150069 .t396__artboard{height: 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> div classtn-atom > img classtn-atom__img t-img data-originalimages/tild3366-3938-4632-b939-366164376439___1.png imgfieldtn_img_1600161806866> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230150070);});/script>!-- /T396 -->/div>div idrec230150071 classr t-rec t-rec_pt_0 t-rec_pb_0 stylepadding-top:0px;padding-bottom:0px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylecolor:#16171d;font-size:18px;font-weight:400;font-family:Roboto;>Все споры происходили в медучреждениях государственной формы собственности. Ещё один яркий пример — протесты против увольнения сразу 100 медиков из московской онкологической больницы №1 (бывшая гинекологическая больница №11), где после планёрки главврач a hrefhttps://secretmag.ru/news/prisylayut-rosgvardiyu-s-avtomatami-sotrudniki-moskovskoi-bolnicy-zayavili-o-massovykh-uvolneniyakh.htm target_blank style>вызвал/a> Росгвардию. br />/div>/div>/div>/div>/div>div idrec230150072 classr t-rec t-rec_pt_30 t-rec_pb_30 stylepadding-top:30px;padding-bottom:30px;  data-record-type372 >!-- T372 -->div classt372> div classt-container > div classt-col t-col_8 t-prefix_4 t-animate data-animate-stylefadeinup> div classt372__line  stylebackground-color: #4b3c18;height: 3px;>/div> div fieldtext stylecolor:#352411;font-size:22px;font-weight:300;font-family:Roboto Slab; classt372__text t-text t-text_md t-text_weight_plus>div stylefont-size:22px; data-customstyleyes>Власти годами безуспешно оптимизируют и модернизируют российское здравоохранение. Итог один: система всё сильнее обрастает долгами, утопает в бюрократии и захлёбывается от дичайшей загрузки врачей, а пациенты лишаются доступной медицинской помощи и в конечном итоге здоровья. Но если не начать решать эти проблемы уже сейчас, сколько ещё протянет российская медицина?/div>/div> /div> /div>/div>/div>div idrec230150073 classr t-rec t-rec_pt_45 t-rec_pb_30 stylepadding-top:45px;padding-bottom:30px;  data-record-type127 >!-- T119 -->div classt119>div classt-container > div classt-col t-col_8 t-prefix_4 t-animate data-animate-stylefadeinleft>div classt119__preface t-descr stylecolor:#4b3c18;font-size:30px;font-weight:400;font-family:Roboto Slab;opacity:1; fieldtext>div stylefont-size:34px; data-customstyleyes>P.S./div>/div>/div>/div>/div>/div>div idrec230150074 classr t-rec t-rec_pt_30 t-rec_pb_15 stylepadding-top:30px;padding-bottom:15px;  data-record-type106 >!-- T004 -->div classt004>div classt-container > div classt-col t-col_8 t-prefix_4>div fieldtext classt-text t-text_md t-animate data-animate-stylefadeinleft stylefont-size:18px;font-weight:400;font-family:Roboto;>Многие из врачей, принявших участие в опросе «Секрета фирмы» и «Доктора на работе», затруднились сказать, какая именно из описанных нами проблем российского здравоохранения самая опасная. По их мнению, они все стоят столь остро и так сильно связаны друг с другом, что выделять какой-то конкретный пункт нельзя. br />br /> Врачи назвали и другие вещи, которые их беспокоят. Некоторые реплики звучат как крик отчаяния: br />/div>/div>/div>/div>/div>div idrec230150075 classr t-rec t-rec_pt_0 t-rec_pb_30 stylepadding-top:0px;padding-bottom:30px;  data-record-type512 >!-- t512 -->div classt512>div classt-container> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild6666-6435-4035-b963-383562383062__-__empty__3.png data-originalimages/tild6666-6435-4035-b963-383562383062__3.png classt512__img t-img imgfieldli_img__1476961779840 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1476961779840>«Отсутствие достойной смены нам, врачам на пенсии»./div> /div> /div> div classt-clear t512__separator stylemargin-bottom:25px;>/div> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild3738-6666-4364-a561-303334356137__-__empty__3.png data-originalimages/tild3738-6666-4364-a561-303334356137__3.png classt512__img t-img imgfieldli_img__1584346208682 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1584346208682>«Зарплата зависит от начальства и не соответствует указам президента. Полное отсутствие финансирования рабочего места врача и медицинской сестры, отсутствие ремонта и новой мебели в течение 30–40 лет в военных госпиталях и многих больницах». br />/div> /div> /div> div classt-clear t512__separator stylemargin-bottom:25px;>/div> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild6630-6336-4539-b362-643262643330__-__empty__3.png data-originalimages/tild6630-6336-4539-b362-643262643330__3.png classt512__img t-img imgfieldli_img__1584345323095 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1584345323095>«Отсев врачей от бога и замена их формалистами». br />/div> /div> /div> div classt-clear t512__separator stylemargin-bottom:25px;>/div> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild3331-3562-4230-a239-663464353736__-__empty__3.png data-originalimages/tild3331-3562-4230-a239-663464353736__3.png classt512__img t-img imgfieldli_img__1600122197409 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1600122197409>«Позиция, идущая от управленцев: прежде всего экономия в ущерб качеству лечения». br />/div> /div> /div> div classt-clear t512__separator stylemargin-bottom:25px;>/div> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild3431-6462-4461-a566-333137633133__-__empty__3.png data-originalimages/tild3431-6462-4461-a566-333137633133__3.png classt512__img t-img imgfieldli_img__1600122209885 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1600122209885>«Просто беда со штрафами от страховщиков, когда за пропущенное в назначении слово медленно — штраф 10 000 рублей (при этом спасённая жизнь никак не учитывается)». br />/div> /div> /div> div classt-clear t512__separator stylemargin-bottom:25px;>/div> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild3539-3834-4666-b062-646638656330__-__empty__3.png data-originalimages/tild3539-3834-4666-b062-646638656330__3.png classt512__img t-img imgfieldli_img__1600122220099 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1600122220099>«Низкий авторитет врача, возможность его прижать к ногтю, организовать уголовное преследование. И если уж дело заведено, то процент оправдательных приговоров меньше 0,1. Вот где катастрофа». br />/div> /div> /div> div classt-clear t512__separator stylemargin-bottom:25px;>/div> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild3032-3334-4338-b930-323966333337__-__empty__3.png data-originalimages/tild3032-3334-4338-b930-323966333337__3.png classt512__img t-img imgfieldli_img__1600122247241 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1600122247241>«Врачи не могут посещать даже российские конгрессы, а за рубеж выехать нереально. Недоступно и дистанционное образование: много интересных вебинаров и курсов стали платными. Это печально, учитывая уровень заработной платы. Хорошо живут только руководители здравоохранения. Впрочем, как и во всей стране». br />/div> /div> /div> div classt-clear t512__separator stylemargin-bottom:25px;>/div> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild3730-6565-4830-a562-323962343935__-__empty__3.png data-originalimages/tild3730-6565-4830-a562-323962343935__3.png classt512__img t-img imgfieldli_img__1600122257310 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1600122257310>«Необходимо пересмотреть штатное расписание, нормы приёма, уменьшить отчётность, пересмотреть зарплату и вернуть медицину к профилактике». br />/div> /div> /div> div classt-clear t512__separator stylemargin-bottom:25px;>/div> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild3666-3736-4139-a666-623238376234__-__empty__3.png data-originalimages/tild3666-3736-4139-a666-623238376234__3.png classt512__img t-img imgfieldli_img__1600122271541 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1600122271541>«Почти тотальная коррупция среди медицинских чиновников высшего звена»./div> /div> /div> div classt-clear t512__separator stylemargin-bottom:25px;>/div> div classt-col t-col_8 t-prefix_4 t-item t-animate data-animate-stylefadeinright data-animate-chainyes> div classt-cell t-valign_top> div classt512__imgwrapper stylewidth:80px;> img srcimages/tild3431-6132-4631-b763-373263666463__-__empty__3.png data-originalimages/tild3431-6132-4631-b763-373263666463__3.png classt512__img t-img imgfieldli_img__1600122284260 /> /div> /div> div classt512__textwrapper t512__textwr_leftpadding t-cell t-valign_top style> div classt-descr t-descr_sm stylecolor:#030324;font-size:18px;font-weight:400;font-family:Roboto; fieldli_descr__1600122284260>«Огромный разрыв между медициной столиц и провинции — как в материально-техническом обеспечении, финансировании, так и в квалификации врачей. Но квалификация врача ничего не даст при отсутствии необходимой материально-технической базы». br />/div> /div> /div>/div>/div>/div>div idrec230150076 classr t-rec style  data-record-type396 >!-- T396 -->style>#rec230150076 .t396__artboard{height: 635px;overflow:visible;}#rec230150076 .t396__filter{height: 635px;}#rec230150076 .t396__carrier{height: 635px;background-position: center center;background-attachment: scroll;background-size:cover;background-repeat:no-repeat;}@media screen and (max-width: 1199px){#rec230150076 .t396__artboard{height: 505px;}#rec230150076 .t396__filter{height: 505px;}#rec230150076 .t396__carrier{height: 505px;background-attachment:scroll;}}@media screen and (max-width: 959px){#rec230150076 .t396__artboard{height: 495px;}#rec230150076 .t396__filter{height: 495px;}#rec230150076 .t396__carrier{height: 495px;}}@media screen and (max-width: 639px){#rec230150076 .t396__artboard{height: 465px;}#rec230150076 .t396__filter{height: 465px;}#rec230150076 .t396__carrier{height: 465px;background-position: center center;}}@media screen and (max-width: 479px){#rec230150076 .t396__artboard{height: 545px;}#rec230150076 .t396__filter{height: 545px;background-image: -webkit-gradient( linear, left top, left bottom, from(rgba(251,235,195,0)), to(rgba(251,235,195,0)) );background-image: -webkit-linear-gradient(top, rgba(251,235,195,0), rgba(251,235,195,0));background-image: linear-gradient(to bottom, rgba(251,235,195,0), rgba(251,235,195,0));background-color: unset;}#rec230150076 .t396__carrier{height: 545px;}}#rec230150076 .tn-elemdata-elem-id1470210011265{color:#e1deba;text-align:center;z-index:9;top: 201px;left: calc(50% - 185px + 0px);width:370px;}#rec230150076 .tn-elemdata-elem-id1470210011265 .tn-atom{color:#e1deba;font-size:14px;font-family:Arial,Arial,sans-serif;line-height:1.65;font-weight:400;letter-spacing:1px;opacity:0.7;background-position:center center;border-color:transparent;border-style:solid;}@media screen and (max-width: 1199px){#rec230150076 .tn-elemdata-elem-id1470210011265{top: 136px;left: calc(50% - 390px + 0px);width:780px;}#rec230150076 .tn-elemdata-elem-id1470210011265 .tn-atom{line-height:1.65;}}@media screen and (max-width: 959px){#rec230150076 .tn-elemdata-elem-id1470210011265{top: 131px;left: calc(50% - 300px + 0px);width:600px;}}@media screen and (max-width: 639px){#rec230150076 .tn-elemdata-elem-id1470210011265{top: 132px;left: calc(50% - 135px + 0px);width:270px;}}@media screen and (max-width: 479px){#rec230150076 .tn-elemdata-elem-id1470210011265{top: 183px;left: calc(50% - 140px + 0px);width:280px;}}#rec230150076 .tn-elemdata-elem-id1584304041412{z-index:7;top: 114px;left: calc(50% - 185.5px + 0px);width:371px;height:353px;}#rec230150076 .tn-elemdata-elem-id1584304041412 .tn-atom{background-color:#16171d;background-position:center center;border-color:transparent;border-style:solid;box-shadow: 0px 0px 20px 0px rgba(78,81,86,0.5);}@media screen and (max-width: 1199px){#rec230150076 .tn-elemdata-elem-id1584304041412{top: 57px;left: calc(50% - 185.5px + 1px);}}@media screen and (max-width: 959px){#rec230150076 .tn-elemdata-elem-id1584304041412{top: 69px;left: calc(50% - 185.5px + 1px);}}@media screen and (max-width: 639px){#rec230150076 .tn-elemdata-elem-id1584304041412{top: 85px;left: calc(50% - 153px + 0px);width:306px;height:349px;}}@media screen and (max-width: 479px){#rec230150076 .tn-elemdata-elem-id1584304041412{top: 124px;left: calc(50% - 146px + 0px);width:292px;height:372px;}#rec230150076 .tn-elemdata-elem-id1584304041412 .tn-atom{opacity:1;}}#rec230150076 .tn-elemdata-elem-id1584304469966{z-index:10;top: -236px;left: calc(50% - 600px + 8px);width:200px;}#rec230150076 .tn-elemdata-elem-id1584304469966 .tn-atom{opacity:0;background-position:center center;border-color:transparent;border-style:solid;}@media screen and (max-width: 1199px){}@media screen and (max-width: 959px){}@media screen and (max-width: 639px){}@media screen and (max-width: 479px){}#rec230150076 .tn-elemdata-elem-id1597928003748{z-index:6;top: -25px;left: calc(50% - 340px + 80px);width:680px;}#rec230150076 .tn-elemdata-elem-id1597928003748 .tn-atom{background-position:center center;border-color:transparent;border-style:solid;}#rec230150076 .tn-elemdata-elem-id1597928003748 .tn-atom{-webkit-transform:rotate(315deg); -moz-transform:rotate(315deg); transform:rotate(315deg);}@media screen and (max-width: 1199px){#rec230150076 .tn-elemdata-elem-id1597928003748{top: -105px;left: calc(50% - 340px + 40px);}#rec230150076 .tn-elemdata-elem-id1597928003748 .tn-atom{-webkit-transform:rotate(315deg); -moz-transform:rotate(315deg); transform:rotate(315deg);}}@media screen and (max-width: 959px){#rec230150076 .tn-elemdata-elem-id1597928003748{top: -75px;left: calc(50% - 340px + 70px);}}@media screen and (max-width: 639px){#rec230150076 .tn-elemdata-elem-id1597928003748{top: -145px;left: -180px;}}@media screen and (max-width: 479px){#rec230150076 .tn-elemdata-elem-id1597928003748{top: -80px;left: -340px;}#rec230150076 .tn-elemdata-elem-id1597928003748 .tn-atom{-webkit-transform:rotate(270deg); -moz-transform:rotate(270deg); transform:rotate(270deg);}}#rec230150076 .tn-elemdata-elem-id1600161973409{z-index:4;top: 60px;left: calc(50% - 340px + -54px);width:680px;}#rec230150076 .tn-elemdata-elem-id1600161973409 .tn-atom{background-position:center center;border-color:transparent;border-style:solid;}@media screen and (max-width: 1199px){#rec230150076 .tn-elemdata-elem-id1600161973409{top: -20px;left: calc(50% - 340px + -70px);}}@media screen and (max-width: 959px){#rec230150076 .tn-elemdata-elem-id1600161973409{top: 35px;left: calc(50% - 270px + -40px);width:540px;}}@media screen and (max-width: 639px){#rec230150076 .tn-elemdata-elem-id1600161973409{top: -80px;left: calc(100% - 490px + 190px);width:490px;}#rec230150076 .tn-elemdata-elem-id1600161973409 .tn-atom{opacity:0;}}@media screen and (max-width: 479px){}/style> div classt396>div classt396__artboard data-artboard-recid230150076	data-artboard-height635	data-artboard-height-res-960505	data-artboard-height-res-640495	data-artboard-height-res-480465	data-artboard-height-res-320545	data-artboard-height_vh	data-artboard-valigncenter data-artboard-upscalegrid	data-artboard-ovrflwvisible	> div classt396__carrier data-artboard-recid230150076>/div> div classt396__filter data-artboard-recid230150076>/div> div classt396__elem tn-elem tn-elem__2301500761470210011265 data-elem-id1470210011265 data-elem-typetext	data-field-top-value201	data-field-top-res-960-value136	data-field-top-res-640-value131	data-field-top-res-480-value132	data-field-top-res-320-value183	data-field-left-value0	data-field-left-res-960-value0	data-field-left-res-640-value0	data-field-left-res-480-value0	data-field-left-res-320-value0	data-field-width-value370	data-field-width-res-960-value780	data-field-width-res-640-value600	data-field-width-res-480-value270	data-field-width-res-320-value280	data-field-axisy-valuetop	data-field-axisx-valuecenter	data-field-axisx-res-640-valuecenter	data-field-container-valuegrid	data-field-container-res-640-valuewindow	data-field-topunits-valuepx	data-field-leftunits-valuepx	data-field-heightunits-value	data-field-widthunits-valuepx > div classtn-atom fieldtn_text_1470210011265 >Текст: strong>Анастасия Целыхbr>/strong>br>Иллюстрации: strong>Николай Острогорскийbr>/strong>br>© Все права защищеныbr>«Секрет фирмы», 2020 г. 18+br>br>a hrefmailto:mailto:%20sf@rambler-co.ru stylefont-family: Roboto, Arial, sans-serif; font-size: 16px; text-align: start; color: rgb(225, 222, 186);>sf@rambler-co.rubr>br>/a>a hrefhttps://secretmag.ru/about stylefont-family: Roboto, Arial, sans-serif; font-size: 16px; text-align: start; color: rgb(225, 222, 186);>Правовая информация/a>br>/div> /div> div classt396__elem tn-elem tn-elem__2301500761584304041412 data-elem-id1584304041412 data-elem-typeshape	data-field-top-value114	data-field-top-res-960-value57	data-field-top-res-640-value69	data-field-top-res-480-value85	data-field-top-res-320-value124	data-field-left-value0	data-field-left-res-960-value1	data-field-left-res-640-value1	data-field-left-res-480-value0	data-field-left-res-320-value0	data-field-height-value353	data-field-height-res-480-value349	data-field-height-res-320-value372	data-field-width-value371	data-field-width-res-480-value306	data-field-width-res-320-value292	data-field-axisy-valuetop	data-field-axisx-valuecenter	data-field-container-valuegrid	data-field-topunits-valuepx	data-field-leftunits-valuepx	data-field-heightunits-valuepx	data-field-widthunits-valuepx > div	classtn-atom	> /div> /div> div classt396__elem tn-elem tn-elem__2301500761584304469966 data-elem-id1584304469966 data-elem-typeimage	data-field-top-value-236	data-field-left-value8	data-field-width-value200	data-field-axisy-valuetop	data-field-axisx-valueleft	data-field-container-valuegrid	data-field-topunits-valuepx	data-field-leftunits-valuepx	data-field-heightunits-value	data-field-widthunits-valuepx > div classtn-atom > img classtn-atom__img t-img data-originalhttps://tilda.ws/img/imgfishsquare.gif imgfieldtn_img_1584304469966> /div> /div> div classt396__elem tn-elem tn-elem__2301500761597928003748 t-animate data-elem-id1597928003748 data-elem-typeimage	data-field-top-value-25	data-field-top-res-960-value-105	data-field-top-res-640-value-75	data-field-top-res-480-value-145	data-field-top-res-320-value-80	data-field-left-value80	data-field-left-res-960-value40	data-field-left-res-640-value70	data-field-left-res-480-value-180	data-field-left-res-320-value-340	data-field-width-value680	data-field-axisy-valuetop	data-field-axisx-valuecenter	data-field-axisx-res-480-valueleft	data-field-container-valuegrid	data-field-container-res-480-valuewindow	data-field-topunits-valuepx	data-field-leftunits-valuepx	data-field-heightunits-value	data-field-widthunits-valuepx	data-animate-stylezoomin	data-animate-duration1	data-animate-scale0.9	data-field-filewidth-value1365	data-field-fileheight-value1384 > div classtn-atom > img classtn-atom__img t-img data-originalimages/tild6539-6563-4966-a335-656662373638___2.png imgfieldtn_img_1597928003748> /div> /div> div classt396__elem tn-elem tn-elem__2301500761600161973409 t-animate data-elem-id1600161973409 data-elem-typeimage	data-field-top-value60	data-field-top-res-960-value-20	data-field-top-res-640-value35	data-field-top-res-480-value-80	data-field-left-value-54	data-field-left-res-960-value-70	data-field-left-res-640-value-40	data-field-left-res-480-value190	data-field-width-value680	data-field-width-res-640-value540	data-field-width-res-480-value490	data-field-axisy-valuetop	data-field-axisx-valuecenter	data-field-axisx-res-480-valueright	data-field-container-valuegrid	data-field-container-res-480-valuewindow	data-field-topunits-valuepx	data-field-leftunits-valuepx	data-field-heightunits-value	data-field-widthunits-valuepx	data-animate-stylezoomin	data-animate-duration1	data-animate-scale0.9	data-field-filewidth-value1166	data-field-fileheight-value1188 > div classtn-atom > img classtn-atom__img t-img data-originalimages/tild3335-6239-4232-a563-343635353031___2_.png imgfieldtn_img_1600161973409> /div> /div> /div> /div> script>$( document ).ready(function() { t396_init(230150076);});/script>!-- /T396 -->/div>div idrec230150077 classr t-rec style  data-animationappearoff data-record-type131 >!-- T123 -->div classt123 >div classt-container_100 >div classt-width t-width_100 >			!-- uSocial -->script async srchttps://usocial.pro/usocial/usocial.js?v6.1.4 data-scriptusocial charsetutf-8>/script>div classuSocial-Share data-pida9eff5a51e8b74169133bfc4e4658d3d data-typeshare data-optionsround-rect,style1,default,right,slide-down,size32,eachCounter0,counter0,upArrow-right data-socialfb,vk,twi,telegram,ok,bookmarks,email data-mobilevi,wa,sms>/div>!-- /uSocial -->			 			/div> /div>/div>/div>div idrec230150078 classr t-rec style  data-animationappearoff data-record-type394 >style>#allrecords .t-text a,#allrecords .t-descr a,#allrecords .t-heading a,#allrecords .t-title a,#allrecords .t-impact-text a,#allrecords .t-text-impact a,#allrecords .t-name:not(.t-feed__parts-switch-btn) a:not(.t794__typo):not(.t-menusub__link-item),#allrecords .t-uptitle a{ color: #16171d; 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Domain > medproblems.secretmag.ru

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