Military Review

Resuscitation of military medicine: is the patient rather alive? ..

29
If you answer the question about which branches in Russia you could be proud of at different times and you can be proud now besides ballet, astronautics and hockey, then you can also talk about military medicine. The level of medical care and its effectiveness in military hospitals in our country have been high ever since these institutions began to appear in Russian cities. The quality of medical services provided by military experts was not questioned either during the times of the Russian Empire or in the Soviet era. It would seem that if the industry has such a glorious history and brings obvious benefits to the citizens of the country, it must be supported and developed with all its might. However, the term “optimization” has reached military medicine, and this term, as we know, is such that it often provokes, let's say, rapid intervention in social organisms without any anesthesia.


The optimization of the military-medical sphere with the previous leadership of the Ministry of Defense reduced to the fact that instead of implementing a program to develop the industry, improve the training system for specialists and introduce innovative methods of medical care, mass cuts began on everything that could be cut, and even not too. The medical institutions of the Ministry of Defense, one after another, began to lose high-class specialists, falling under the optimization press: fewer staff - more wages for those who remain in their places. A kind of salary increase due to the very large-scale dismissal of colleagues has caused and continues to cause obvious bewilderment among military doctors.

In a conversation with a journalist from our publication, a former employee of a military medical institution, the Moscow Military District, shared information that the system for reducing the staff of military hospitals under the former Minister of Defense gained such momentum that the term “optimization of workers’ staff ”is the softest name that could be replaced the real state of things.
The 40-year-old military surgeon of the highest category fell under the "optimization" cleaning, having almost 20 years of experience in military medical institutions behind him. The man who saved the lives of hundreds of servicemen who fell on the operating table after the hostilities in the Chechen Republic, Dagestan, Ingushetia, after aviation accidents, road accidents and explosions; a man, whose hands brought people back literally from the other world, today is forced to work ... as an assistant locksmith in a private auto repair shop! Why did Russian military medicine suddenly cease to need such a highly qualified specialist is a mystery that lies in the intricacies of the military reform, when all the “superfluous” can be sent “to rest” in accordance with the wording “optimization of personnel”.

For obvious reasons, the military physicians, and all those who are not indifferent to the course of the reform, expressed satisfaction with the steps of the new Minister of Defense, remembering the actions of the previous minister in terms of reforming military medicine with strong words.
Sergei Shoigu, after exploring the steps that had been taken by his predecessor, came to the conclusion that if you didn’t start to deal with the urgent issue immediately, then all military medicine could be on the verge of survival. That is why one of the first orders of Sergei Shoigu was first to suspend and then cancel the decision to "move" the Kirov Military Medical Academy from the Northern capital to the Leningrad Region (Gorsky village). Various Russian media outlets repeatedly wrote about such a move, including the Military Review. Medical academics expressed bewilderment about the fact that it was necessary to transfer an educational institution that practices direct medical care to citizens in the region. After a series of corruption scandals related to financial fraud with real estate in the Ministry of Defense, materials appeared in the press that, perhaps, the building of the Military Medical Academy to some of the officials strongly "attracted", and therefore could be realized as non-core. One can imagine the extent to which someone could warm their hands on the implementation of a historic building in St. Petersburg ...

Sergei Shoigu decided to stop the "relocation" of the St. Petersburg Medical Academy. Kirov and instructed the most thorough way to understand the feasibility of disbanding around 30 military medical institutions providing medical services to thousands of military personnel and civilians. If it were not for the order of the Minister of Defense, these medical institutions would have to cease their activities by the end of this year.

Shoigu himself decided to take a closer look at the issues related to the process of reforming military medicine in Krasnogorsk near Moscow. Here is situated the famous Vishnevsky Clinical Hospital, which belongs to the Ministry of Defense of the Russian Federation. The minister said that the reform process itself cannot be done without serious consequences, but the task of himself (as the minister) and others responsible for the reform process must be that the reform is carried out in a balanced way. The updated ministry states that people who find themselves without work after the disbandment of military medical facilities should be provided with equivalent work in the relevant field, and patients would not be left alone with their illness after the disbandment of military hospitals.
Sergey Shoigu says:

“We must be aware of the consequences of this alarming trend. No professionals - no quality service. All the indicated problems require increased attention. ”


Obviously, in such a situation, the question of a single military surgeon, who suddenly turned out to be outside the scope of reform and forced to earn a living by far from medical practice, should be addressed to all military doctors who, no doubt, find themselves in a difficult situation.

So, Sergei Shoigu instructs his subordinates to stop the fever and to begin deliberate actions to analyze the current situation in the military-medical industry. It is obvious that the Minister could not remain indifferent even after the figures that the Acting President announced. Chief of the Main Military Medical Department of the Ministry of Defense Vyacheslav Novikov.

Novikov announced that the position of the military physicians had actually begun to deteriorate in the 2009 year, when, according to one of the orders of the regular staff category, medical service officers were lowered by at least one level. Naturally, this was reflected in the income level of most military doctors. The Ministry of Defense’s health service officers ’income increase was taken in a radical way: reducing the number of medical staff so that even Novikov today cannot give an exact figure for these reductions. However, even the reduction in the number of military medics, for some reason, did not lead to a serious increase in the wages of those lucky enough to remain in their workplaces. The fact is that the level of financing of the military-medical sector from the budget, as Vyacheslav Novikov claims, has more than doubled. This figure indirectly makes it clear the real extent of the reductions that have been carried out in the industry.

According to the correspondents of the Russian Newspaper, about 17 of the Russian regions have completely lost their medical institutions of the Ministry of Defense. This led to the fact that about 400 thousands (!) Of military personnel and military pensioners are now forced to apply to the already crowded civilian medical institutions. One can imagine the degree of increase in the burden on civilian health workers ... And if in some regions of Central Russia military retirees, theoretically, without any problems, can afford to seek medical help in civilian clinics and hospitals, that is, there are many such regions where to the settlement with the nearest hospital at least several hundred kilometers. Yakutia and Chukotka are vivid examples.

After reviewing the information of such a negative nature, the Minister of Defense immediately ordered to allocate 1,4 billion rubles for the purchase of new medical equipment, to re-equip military hospitals with graduates of medical universities, to resolve the issue of the need to put into operation the so-called hospital courts, to analyze in detail the very need to reduce the number of military medical facilities those or other regions of the country. In addition, Sergei Shoigu said that the Kirov Military Academy in St. Petersburg should remain in place, additional funds will be allocated for its development. Shoigu insisted that the authorities of the Northern capital together with the Department of Property of the Ministry of Defense would find reserves of city real estate for the expansion of the educational institution.

In Krasnogorsk, Sergei Shoigu announced that the most successful military medical centers should return the status of federal budgetary institutions selected from them already next year, which made them dependent on the local financial "microclimate".

Such orders of Sergei Shoigu can not but rejoice, because every year the military reform for military medicine became more and more alarming. Today, Minister Shoigu is shifting the reform in a single area to virtually manual control. After working in the Emergencies Ministry to solve such sharp questions, he is no stranger, and therefore we will expect positive results, and hope that experienced military specialists will return from the markets and garages to fulfill their professional duties in well-equipped military hospitals and polyclinics.
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  1. Brother Sarych
    Brother Sarych 7 December 2012 08: 13
    +7
    Let's wait for a while to rejoice!
    What was done with military medicine under the previous leadership can hardly be called a crime, but didn’t they manage to inflict a mortal blow? Will they be able to restore what was lost? Will there be enough desire, strength and means?
    It collapses easily - it is sometimes more difficult to restore than to create a new one ...
    Well, at least some glimmers of hope have arisen, but for a full-fledged conclusion, you need to look at how things will continue, otherwise it has already happened more than once that they are encouraging, but they won’t do anything ...
    1. Papakiko
      Papakiko 7 December 2012 18: 43
      -1
      Strongly agree!
      Below is for those who "hopefully" think about the "fresh wind" in the person of Shoigu's team.
      http://www.youtube.com/watch?v=_9bVxyc-iVY
      watch from 1.25
  2. omsbon
    omsbon 7 December 2012 08: 48
    +7
    I really want Storetkin's "affairs" to be transformed into big criminal case!
    I hope that it will be like that !
    1. deman73
      deman73 7 December 2012 13: 04
      +3
      I will not even doubt it if the authorities wanted to put Tubaretkin, then he would already be in jail
      1. omsbon
        omsbon 7 December 2012 16: 03
        0
        Dmitriy !
        For the "stool" they prepare a chamber-apartment with beautiful furniture so that the stool fits into the interior.
        Just planting is not an option, it is necessary to judge!
        1. carbofo
          carbofo 12 December 2012 11: 39
          0
          omsbon,
          We have on the Red Square "Place of execution" empty, it’s time to!
  3. Egen
    Egen 7 December 2012 09: 09
    +8
    here at least someone was found who correctly reflected the situation in medicine (I mean the author of the article). But let's analyze the inaccuracies.
    - "may be on the brink of survival" - there, in Moscow, in the ministries, they are very far away from life - not "can", but for a long time, this does not happen overnight, but as a result of long-standing wrong decisions.
    - "civilian medical institutions overcrowded with patients" - the point is that the situation in military medicine is only a reflection of what is happening in the country. The situation there is absolutely the same, where should I go?
    - "people who find themselves out of work after the disbandment of military medical institutions should be provided with an equivalent job in the relevant field" - which one? see paragraph above - so everywhere
    - "completing military hospitals by graduates of medical universities" - which ones? Universities still remain, but today's students cannot be allowed to work independently for 5 years! The problem is that there are no personnel - the old ones leave or are reduced, and the new ones or not, or like this :(
    Therefore, it is too early to rejoice, let's see how it ends, team changes alone at the "top" of the Ministry of Defense will not do anything, we need to change the deep roots of medicine in general.
    Threat Everyone rejoices in the salaries of lieutenants in 50 sp. On the one hand it’s good. But there is another. I remember myself a lieutenant - how stupid I was :) Now I wouldn’t give 50 tyr to myself :) But now, after 20 years, I don’t earn as much in civilian life. Doctors With the experience of 15 years, the head of the department in our regional hospital receives 15-18 sput, a simple surgeon of the 1 category in general, 10-12. And the nurse does not go to 20 less. So much for dialectics, and gentlemen in Moscow do not know this, do not understand and do not want to understand :(
    1. Ascetic
      Ascetic 7 December 2012 11: 28
      +4
      Quote: Egen
      "may be on the brink of survival" - there, in Moscow, in the ministries, they are very far removed from life - not "can", but for a long time, this does not happen overnight, but as a result of long-standing wrong decisions.


      The process has been going on since the 90s, at first there was a lack of funding, hospitals survived at the expense of paying clients in large cities and in the garrisons they were essentially degraded. Of all the meager funding, 90% were received by Burdenko, Vishnevsky and 25 Central Military Commissions of the Strategic Missile Forces (now a branch of the same Burdenko). Further, there was a reduction in VLU and a lowering of their status, and, accordingly, a decrease in the same funding and saturation with qualified specialists, Garrison hospitals turned into ordinary polyclinics. For example, a military hospital was closed in Kamyshin, and a military clinic was opened in its place, and in Kamyshin there are numerous military units, especially the Airborne Forces. Of course, many hospitals are already old, require major repairs, do not provide for the needs of military personnel, pensioners and family members. Therefore, according to Serdyukov, it was better to carry out "optimization", Since the army is shrinking, the VLU also needs to be reduced, personnel "optimized" by dismissal and real estate sold for kickbacks Indeed, why does the landing party need treatment after all, according to the saying "The paratrooper is not sick - he is either alive or not."
      “After the so-called reform of military medicine“ according to Serdyukov, ”military hospitals and clinics are absent in 47 subjects of Russia, where 43 thousand military personnel serve and more than 350 thousand military pensioners live. That is, both conscripts and officers along with veterans, contrary to our legislation, are denied the right to free medical care. It's just a mess»

      Alexandra Kanshin Member of the Public Chamber
      military doctors often cannot provide highly qualified medical care to their patients just because modern high-tech medical equipment cannot be placed in the old walls. And for some reason, the state does not allocate money to the military to solve this problem. Even the medical-medical elite is unhappy.
      “Soon we will celebrate the tenth anniversary of the construction of a new cardiology center in the Burdenko hospital (according to other sources, it has been under construction for more than 15 years.). We can’t complete the construction of the same center in the Vishnevsky hospital. Infectious center in Podolsk ... "

      Colonel of the Medical Service Vyacheslav Novikov, Acting Head of the Main Military Medical University
      If Burdenko and Vishnevsky are complaining, then what can we say about garrison hospitals and clinics.
      Of course, there are plans that were announced back in the "dohoiguvye times" but were never implemented. it construction of modern VMU. For example, in Anapa (CVKG). It is designed for 117-129 beds and combined with the sanatorium "Paratrooper" sanatorium complex "Anapsky", with a capacity of 10 thousand people. Its construction is close to completion. construction of a similar hospital has begun in the village of Veseloe, Sochi district, Krasnodar Territory. And then the construction of a series of the same hospitals will be deployed in Yekaterinburg, Orenburg, Chebarkul, Ryazan, Nizhny Novgorod and other cities of the country. Although regarding the construction of new hospitals, according to Shoigu, it is better to first complete the long-term construction, including in the hospitals of Burdenko, Vishnevsky, his branch in Khimki and Podolsk, and then deal with these projects, which were the image cover of Serdyukov's lawlessness and nothing more.
    2. Dyusseldorf
      Dyusseldorf 7 December 2012 15: 02
      +1
      Quote: Egen
      - "completing military hospitals by graduates of medical universities" - which ones? Universities still remain, but today's students cannot be allowed to work independently for 5 years! The problem is that there are no personnel - the old ones leave or are reduced, and the new ones or not, or like this :(

      what are these ??? medical universities hold a high educational level. Graduates are competent, trained specialists, many of whom have worked in medicine for more than one year (paramedics, nurses, orderlies).
      I declare this to you responsibly, having worked more than 20 years in domestic medicine (and continue to work)!
      PS and your "knowledge" is gleaned either from communication with the "grandmothers" on the bench near the entrance or from the series "INTERS". Your statements have nothing in common with modern medical realities.
      IMHO !!!
      1. d.gksueyjd
        d.gksueyjd 7 December 2012 16: 10
        0
        Having worked for 20 years, you are a doctor, and even the best graduate is honey. University is not yet a doctor. Military surgeon with 10g practice and graduate, compare them as specialists, to put it mildly pi ***** pain.
        1. Karish
          Karish 7 December 2012 19: 13
          +1
          Quote: d.gksueyjd
          Having worked for 20 years, you are a doctor, and even the best graduate is honey. University is not yet a doctor. Military surgeon with 10g practice and graduate, compare them as specialists, to put it mildly pi ***** pain.

          In general, depending on what we are talking about. There are doctors. who do not differ in service or profile from ordinary civilian doctors.
          And there is the military field (surgery), medical assistance in the places of military operations, help with injuries, contusion and the defeat of WMD. - these are the areas of medicine in which the civilian doctor is simply zero.
      2. vyatom
        vyatom 9 December 2012 23: 10
        0
        I really hope that Sergei Shoigu will get down to business and help the military doctors in earnest. Well, as for Stouretkin, as an "effective manager", send the felling site to manage, it is closer to him. Maybe he'll take his cheeks off his shoulders.
      3. Egen
        Egen 10 December 2012 11: 16
        0
        Quote: Dyusseldorf
        and your "knowledge" is gleaned


        Alas, no :( Kuzbass State Medical Academy (one of the best in the country, there was a military department before 1995) + Kemerovo regional hospital (also not the last one). 18 experience, 1 category, head of department. There are also a little responsibility :) Students not only honey but also other universities have been teaching in recent years that way 13 :) In recent years, I just remember 5 or 2 or 3 who worked in a lower position before and went to college. What city are you in? Come visit, exchange experience :)
        PS By the way, the benches at the porches were removed, the grandmothers have nowhere to sit :( This is seriously not good :( And the Interns are rulez! The coolest series! :)))))
  4. Spartak
    Spartak 7 December 2012 09: 39
    +12
    And this situation is not only with military medicine. Doctors of which can only be called people with golden hands.
    The former managed to "take care" of the children.
    "The heads of three" military "kindergartens have already received notifications about the end of the functioning of the institutions. The closure of kindergartens No. 5" Belochka ", No. 18" Zhakonya "in Severomorsk-3 and No. 35" Yakorёk "in Pechenga will make it impossible for children from military families to receive preschool education and residents of such municipalities as Severomorsk-3 and Pechenga. There these kindergartens are the only preschool educational institutions. "
    And how many such examples across the country ..... ???
  5. Oleg S.
    Oleg S. 7 December 2012 10: 24
    +7
    Shaigu is rebuilding the wasted infrastructure, doing everything right, as in Soviet times they said "a good army should have a good rear!"
  6. swarog57
    swarog57 7 December 2012 10: 32
    +5
    The "new look" of the Armed Forces is a policy aimed at reducing the combat potential of the army and transforming it into a police corps to solve, first of all, internal tasks. Reforming the army should be dealt with by military specialists, and not by civilian "effective managers" far from the concepts of army reality, and even with a thieves' bias.
    1. Egen
      Egen 7 December 2012 12: 07
      0
      I agree. Well, so far it may not be a policeman, but a defensive one, but the offensive capabilities are clearly .... uh ... they’ve become lower :(
      About the rear, it’s right - it must correspond to some strategic tasks of the Armed Forces (which are we setting now?), Now it needs to be practically recreated anew. But the question is - who should do this? Here we have compiled a collection of negative points, there are a lot of others in the next branch - in a good way, all these people somewhere in the Moscow Region, General Staff or the rear services should analyze and issue a program. But I suspect that in addition to the girls put under house arrest :) there is no one to do this :(
      therefore
      Quote: swarog57
      military specialists should be engaged

      - where are they now? Of course, I’m far from the tops and headquarters, but I don’t see a single one :( The roots of this are again in the general problem of education in the country, etc. Therefore, IMHO, no matter how hard you try, it will not work to reform the army separately from the state: ((((Let's hope that he nevertheless, as a clever guy, will understand the situation, and as an entrant to the president, he will be able to convey the correct global methods for correcting it ...
  7. d.gksueyjd
    d.gksueyjd 7 December 2012 11: 56
    +2
    Over the past 20 years, the Armed Forces of the Russian Federation have not only practically lost military medicine, but also the most important thing frames [/ b.] S.K. Shoigu will have to restore military schools capable of training worthy officers.
  8. Pula
    Pula 7 December 2012 12: 19
    0
    Uraaaa, Shoigu!
  9. toguns
    toguns 7 December 2012 13: 05
    0
    rather dead, in fact it is necessary to build and reform the entire system of military education everywhere one junk that really can not cure.
    ps
    a simple example we had such a hospital in the Pskov region for 10 parts in the district
    the maximum that the Aesculapius could do there is a fracture of appendicitis and so on in small things.
    and what to demand from the building in which the hospital was located if it is 30 years of construction equipment for almost the entire 60-70 years.
  10. deman73
    deman73 7 December 2012 13: 05
    +2
    thank god slowed down the collapse
  11. merkel1961
    merkel1961 7 December 2012 13: 11
    +1
    The strike on military medicine was coordinated with measures to reduce the "excessive force" of the RF Armed Forces, which, together with the diagnosis of the West, began to be "treated" by the healers - Serdyukov and Medvedev. God forbid that all persons involved in treason cases, and that is how corruption should be classified in MO, the rest of their lives were treated at the prison hospital, since they are still afraid to enter the "tower".
    1. Karish
      Karish 7 December 2012 19: 17
      0
      Quote: merkel1961
      The strike on military medicine was coordinated with measures to reduce the "excessive force" of the RF Armed Forces, which, together with the diagnosis of the West, began to be "treated" by the healers - Serdyukov and Medvedev. God forbid that all persons involved in treason cases, and that is how corruption should be classified in MO, the rest of their lives were treated at the prison hospital, since they are still afraid to enter the "tower".

      It’s good to blame the West for everything. Soon the lack of toilet paper in your toilet will be blamed on them.
      In general, one gets the impression that the Moscow Region is concerned about only one movement of money, * successful medication, and beautiful PR on TV.
  12. Shkodnik65
    Shkodnik65 7 December 2012 13: 43
    +2
    17 Russian regions completely lost medical facilities of the Ministry of Defense.


    For example, in the regional center - the city of Kuluga, the military hospital was generally reduced, forming LAZARET for fighters with 40 beds.
    Well, 3 TsVKG them. Vishnevsky is certainly a level in all respects. I had 3 operations there, on the heart and 2 on the spine. Doctors, the base is super. It's a pity if they "optimize"
  13. crambol
    crambol 7 December 2012 17: 32
    +2
    I wonder what other villainies (you can not say otherwise) we learn from the stool factory?
  14. KamikadZzzE1959
    KamikadZzzE1959 7 December 2012 17: 37
    +2
    Speaking of VMA in St. Petersburg, I was there recently. N
    Located in the center of St. Petersburg, a stone's throw from Finland Station, Liteiny Bridge
    The area is not one hectare, the buildings are old, capital ones, they stand for another hundred years. Each building has several plaques.
    Imagine how many cabbage would be cut down by JSC Serdyukov, Vasiliev and K "
    1. not good
      not good 7 December 2012 21: 21
      +1
      If Taburetkin had been engaged in reforms for several more years, we got the Kremlin Self-Defense Army, an open coast fleet and slightly war medicine forgotten by God at the exit. According to Shoigu's first deeds, there is hope for the best.
  15. sprut
    sprut 7 December 2012 21: 40
    0
    You look at the new Ministry of Defense of the Russian Federation and the soul rejoices - a serviceman, army general.
  16. Pilot200809
    Pilot200809 7 December 2012 22: 32
    +3
    And the patient was not going to die, just a little nap. I don’t know better than army medicine. (my personal opinion) They put such hopelessness on their feet. At one time, Burdenko saw one eye and a piece of meat. You see, after half a year already pops, and after a year already walks and trample girls. True, military cynical doctors are still those, but they always tell the truth and know their business well. So military medicine is alive and will live. And the new Moscow Region will not give her an insult. What I can not say about ours. Kiev is not the same as it was before. Old doctors went on vacation, and new ones wish for the best (I repeat - THIS IS MY PERSONAL OPINION)
    1. KamikadZzzE1959
      KamikadZzzE1959 7 December 2012 23: 31
      +1
      Pilot200809,
      I agree to all 100!
      Especially about cynics. It used to lie on their table, listen to their chatter, and I WANT TO LIVE SO IMPORTANT !!!
  17. wax
    wax 7 December 2012 22: 49
    +2
    I wish military medicine to be a worthy heir to the traditions and achievements of the great Pirogov Nikolai Ivanovich!
  18. WW3
    WW3 8 December 2012 05: 17
    +3
    Resuscitation of military medicine: is the patient more likely alive?

    The main thing is not to be like in the picture from the field of black humor ...

    17 Russian regions completely lost medical facilities of the Ministry of Defense. This has led to the fact that about 400 thousand (!) Military personnel and military pensioners are now forced to go to civilian medical institutions already crowded with patients
  19. Sergg
    Sergg 8 December 2012 22: 44
    +2
    There really is no better army medicine. Any normal person was shaken by this traitor Serdyukov when they heard the news about his "activities". Military medicine is the pride of Russia. I fully agree with the previous posts that Serdyukov's activities should be considered legally as treason to the Motherland. Humanly, we despise him, but for him this is too little.