Patients assess all changes in medicine this year negatively. The worst marks were received by polyclinics (53.1%), emergency (47.2%) and emergency (43.1%) care, as well as hospitals (in terms of accessibility) … Reducing the availability of medical care in a pandemic has become the main topic of the All-Russian Congress of Patients, which this year took place online.
A study conducted by the All-Russian Union of Patients, during which the opinions of 1,300 Russians from all regions of the country were studied, did not show anything good. There are three times more of those who noted the deterioration of the health situation than those who did not notice changes, and nine times more of those who found changes for the better. In addition, every third respondent said that health workers began to treat patients worse.
But the citizens praised the work of the medical and social examination. Electronic services have become more in demand, but most of the respondents indicated that they use one such service: making an appointment with a doctor online. However, as the head of the Federal MHI Fund Elena Chernyakova said, it is planned to switch to a digital policy in the near future. Work is underway to create a mobile application that will increase the availability of insurance representatives. The head of the All-Russian Union of Insurers Igor Yurgens called the current situation with the pandemic “military-mobilization”. However, she showed that it is necessary to create a “self-adjusting system” that will allow in any emergency to distribute the available health care resources wisely, without infringing on the rights of either patients or doctors.
But until such a system is created, patients talk about a host of problems. One of the main ones is a decrease in the availability of drug provision and medical care for a wide range of diseases. Patients with oncohematological diseases found themselves in a very difficult situation, the problems of which were discussed at the round table at the Congress.
Lilia Matveeva, the head of the All-Russian Public Organization for Disabled People, All-Russian Society of Oncohematology, said that the pandemic further exacerbated the problems that were before her: “Our patients need uninterrupted provision of drugs, they cannot wait for everything to settle down. We conducted a survey among patients, which showed that today the problem with the availability of drugs and diagnostics is called urgent by more than 70% of respondents. Every second respondent experienced difficulties with a planned visit to a doctor during a pandemic. Every second person did not understand where to call, go or contact if the medical institution was closed. Difficulties with planned hospitalization were experienced by 18%, and with diagnosis – by half. Only 20% of patients are satisfied with the level of medical care in their region ”.
“Cancer is a significant risk factor for coronavirus,” said Kamil Kaplanov, head of the hematology department of the Moscow Botkin Hospital. – Patients with oncohematological diagnoses, chronic lymphocytic leukemia are especially vulnerable. Many are deprived of their own cellular immunity. Doctors recommend providing such patients with drugs for 2-3 months at once, so that they go to medical facilities less often. In addition, there are new targeted drugs that do not require hospitalization at all and allow you to receive treatment at home. The innovative fixed therapy frees patients from hospital visits.
According to a member of the State Duma Health Protection Committee, Alexander Petrov, from January 1, 2021, federal registries of patients, including oncohematological ones, will become mandatory in the country. They will allow you to understand exactly how much money is required for drug provision. In the pilot mode, the mechanism for reimbursing the cost of drugs purchased at a pharmacy on a prescription is being tested (working citizens can return up to 15,600 rubles through personal income tax). “We need to continue routine medical care and learn to live in a new situation, which could drag on for a long time,” Petrov said.