Правительство РФ утвердило принципы модернизации первичного звена здравоохранения

Наталья Ключевская

Правительство РФ утвердило принципы модернизации первичного звена здравоохранения
SergeyNivens / Depositphotos.com

Установленные постановлением Правительства РФ от 9 октября 2019 г. № 1304 принципы базируются на основных принципах охраны здоровья, установленных ст. 4 Федерального закона от 21 ноября 2011 г. № 323-ФЗ «Об основах охраны здоровья граждан в Российской Федерации».

Так, выделено1 четыре группы принципов модернизации первичного звена здравоохранения в России:

обеспечение доступности и качества первичной медико-санитарной помощи и медицинской помощи, оказываемой в сельской местности, поселках городского типа и малых городах с численностью населения до 50 тыс. человек;приоритет интересов пациента при оказании данной медицинской помощи и соблюдение прав граждан при оказании первичной медико­-санитарной помощи и обеспечение связанных с этими правами госгарантий;приоритет профилактики при оказании первичной медико-санитарной помощи;ответственность органов государственной власти и органов местного самоуправления, должностных лиц организаций за обеспечение прав граждан при организации первичной медико-санитарной помощи.

При этом перечислены конкретные мероприятия в рамках реализации каждого принципа с указанием их ожидаемого результата, сроков исполнения и ответственных исполнителей. Так, например, в рамках первого принципа предусматривается организация оказания медицинской помощи с приближением к месту жительства, месту обучения или работы исходя из потребностей всех групп населения с учетом трехуровневой системы оказания медицинской помощи, обеспечение транспортной доступности медорганизаций для всех групп населения, включая инвалидов и других групп населения с ограниченными возможностями здоровья, оснащение медорганизаций, на базе которых оказывается первичная медико-санитарная помощь, а также центральных районных и районных больниц оборудованием для оказания медпомощи с учетом особых потребностей инвалидов и других групп населения с ограниченными возможностями здоровья. Также намечено устранение дефицита кадров в первичном звене здравоохранения и повышение уровня их квалификации, в т. ч. в целях обеспечения возможности выбора медицинской организации и врача.

В числе мероприятий, направленных на реализацию принципов модернизации первичного звена здравоохранения, указаны, в частности:

проведение субъектами РФ инвентаризации объектов здравоохранения, на базе которых оказывается первичная медико-санитарная помощь населению, а также центральных районных и районных больниц и их кадрового обеспечения;разработка регионами оптимальных схем размещения объектов первичного звена здравоохранения, центральных районных и районных больниц, обеспечивающих их доступность, а также их паспортов с привязкой к кадровой укомплектованности медицинских организаций;с учетом схем размещения и паспортов медицинских организаций осуществление строительства, замены (в случае высокой степени износа, наличия избыточных площадей), капитального ремонта медицинских организаций и их отдельно стоящих подразделений, а также их оснащение необходимым оборудованием и транспортными средствами;изменение системы оплаты труда медицинских работников, в т. ч. оказывающих первичную медико-санитарную и скорую медицинскую помощь населению, медицинских работников центральных районных и районных больниц;реализация региональных мер социальной поддержки и стимулирования медработников;совершенствование системы оплаты первичной медико-санитарной помощи и т. д.

Кроме того, документом утверждены правила проведения экспертизы проектов региональных программ модернизации первичного звена здравоохранения, мониторинга и контроля за их реализацией.

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1 С текстом постановления Правительства РФ от 9 октября 2019 г. № 1304 «Об утверждении принципов модернизации первичного звена здравоохранения Российской Федерации и Правил проведения экспертизы проектов региональных программ модернизации первичного звена здравоохранения, осуществления мониторинга и контроля за реализацией региональных программ модернизации первичного звена здравоохранения» можно ознакомиться на официальном сайте Правительства РФ.

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Я чувствую, что эта статья является настоящим источником вдохновения. Она предлагает новые идеи и вызывает желание узнать больше. Большое спасибо автору за его творческий и информативный подход!

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Я хотел бы выразить свою благодарность автору этой статьи за исчерпывающую информацию, которую он предоставил. Я нашел ответы на многие свои вопросы и получил новые знания. Это действительно ценный ресурс!

Я хотел бы выразить свою благодарность автору этой статьи за исчерпывающую информацию, которую он предоставил. Я нашел ответы на многие свои вопросы и получил новые знания. Это действительно ценный ресурс!

Эта статья — источник вдохновения и новых знаний! Я оцениваю уникальный подход автора и его способность представить информацию в увлекательной форме. Это действительно захватывающее чтение!

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I have discovered that intelligent real estate agents everywhere are Promoting. They are realizing that it’s more than merely placing a sign in the front place. It’s really in relation to building relationships with these dealers who sooner or later will become consumers. So, once you give your time and effort to encouraging these sellers go it alone : the «Law associated with Reciprocity» kicks in. Thanks for your blog post.

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Another thing I’ve noticed is that often for many people, bad credit is the consequence of circumstances outside of their control. One example is they may have already been saddled through an illness so they have more bills for collections. It could be due to a employment loss and the inability to work. Sometimes divorce or separation can truly send the budget in a downward direction. Many thanks sharing your thinking on this web site.

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An additional issue is that video games can be serious in nature with the principal focus on finding out rather than enjoyment. Although, we have an entertainment aspect to keep your sons or daughters engaged, each and every game is usually designed to work with a specific experience or programs, such as mathmatical or science. Thanks for your article.

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