Over the past few years, there have been many reforms in Kyrgyzstan. Medicine is no exception. Considering that the whole world, including Kyrgyzstan, have been combating coronavirus pandemic over the last 2 years, this topic is more relevant than ever. Nevertheless, some reforms are met with criticism, with dissenters believing that everything should remain as it is, but in that case, there will be no progress.
Mitalip Mamytov, a famous neurosurgeon from Kyrgyzstan, doctor of medical sciences, professor, academician of the National Academy of Sciences of the Kyrgyz Republic believes that Health Minister of Kyrgyzstan Alymkadyr Beishenaliev has taken the right course in reforming the ministry.
"There used to be a very good system in Soviet Union. Now our minister is working to restore the former lost health care system. One person is responsible for family doctors group, oblast hospital has its own chief, the sanitary and epidemiological services have own one, and a total of 5-6 doctors are in charge. Now the health minister has unified the system, and one organization such as the Oblast Department of the Health Ministry has become responsible for health care system in whole oblast. He has united oblasts and regions. That's the kind of thing he started to do,” Mamytov commented.
Regarding reform, there are several major changes. One of them is the change in the structure of acute care hospitals. For example, some hospitals in the capital, including those at the national level, can accept patients depending on the disease, the pathology of a particular case, i.e. decentralized emergency departments have been formed. Although the Center for Emergency Medicine in Bishkek has significantly improved the coordination of sending and transportation, the distinction between the "real" emergency situation and determining the most appropriate hospital remains a problem.
The Ministry of Health notes that multidisciplinary institutions are an example of inefficient use of funds and are unable to fully deal with emergency hospitalization. In addition, the clinical picture of patients arriving in an emergency is not completely clear, and this segment of patients and those injured is characterized by the likelihood of a cardinal change in diagnosis. When such a patient is admitted to a multidisciplinary institution, the time for the initiation of specialized treatment is considerably prolonged.
"The effective organization of acute care hospitals will require additional specialized staff training in the broadest range of emergency medicine issues. Reducing the number of unjustified refusals to hospitalization for emergency indications and cases of unjustified emergency hospitalization can be achieved through high-quality primary and secondary triage of incoming patients and the creation of short-stay wards directly at the hospital. When the diagnosis is clarified and patients are removed from a critical condition, they can be transferred routinely to specialized departments of the hospital itself or to other hospitals according to the profile of the disease (e.g., cardiac surgery, endocrinology, rheumatology, etc.)," the report said.
Optimization and restructuring also affected other departments of medicine. In order to implement the decree of the Government of the Kyrgyz Republic "On optimization of TB care in the Kyrgyz Republic for 2017-2026", to improve the system of TB care it was decided to optimize the TB service organizations of Batken oblast. Analysis of the effectiveness of the bed fund of TB health care organizations in the oblast showed the need for optimization and restructuring. As there is inefficient use of hospital beds, there are organizations with financial risks, some hospitals do not meet the standards of infection control.
"The Ministry of Health issued orders, according to which the Kyzyl-Kiya TB Interregional Hospital was liquidated. On the basis of its building , there will be opened an infectious disease department of the Kyzyl-Kiya Center of General Medical Practice, the second building will house the Kyzyl-Kiya Group of Family Doctors. On the basis of another building of the liquidated TB hospital located in the village of Kyzyl-Bulak an infectious disease department of the Kadamzhai Center of General Medical Practice will be opened. In addition, the TB department of the Sulukta Center of Public Health will be reoriented into an infectious disease department," the Ministry of Health reports.
It should be understood that at the moment the reforms in health care are only gaining momentum and are perceived by many with hostility. Nevertheless, industry experts note that the need for reform is long overdue, as for 30 years of independence, medicine in the country essentially stands in one place.
Chief physician of the National Hospital Toktobai Manaev believes progress in medicine is impossible without reforms.
"If we look at the last 30 years, we see that changes are observed only in regions, management changes, but in the capital, frankly, there are no changes. We need to replace the staff with young people," shared the doctor.
Manaev added that many factors prevent health care from functioning properly. In his opinion, it is necessary to close mini-centers and, adopting foreign experience, switch to clinics at universities.
"There needs to be a medical base at universities. We need to treat together. This is the only way to improve the situation," the chief physician added.
The specialist also said that now 60-70% of the population of the country is engaged in agriculture, many have problems with the musculoskeletal system, which need help.
"In this regard, a trauma unit was opened on the basis of the National Hospital,” Manaev concluded.
Comments
Post Comment