Facebook post of "Health and Law" NGO co-founder. "The management of regional medical centers is a step back to the Ministry of Health, spiced with corruption risks, it contradicts the current strategic documents.
A few days ago, the government approved the management of regional medical centers to hand over the administration of the Ministry of Health.
I state that such management was a concentration of the Soviet Union, when the principles of market, but also the principles of the planned economy were operated, and the organizations were in the model of Semashko.
For our day, this "reform" is a step towards and contradicts all the strategic documents in the field of healthcare.
In the context of balanced development of governments, management, available, affordable medical services will be obstacled for the development of regional health care. It turns out that the Health Policy Developer, a license to provide medical services, the head of state order, is the founder of those NGOs, Sam Sebe Rezhisser.
Government, Ministry of Health, Regionalities, Medical Centers The Balance of the Ministry of Health.
About the justifications of "reform".
"As a result of the study of information provided by health organizations, it was reported that there are no health care management skills, including financial management skills," said the healthcare capacity.
This "accusation" raises a lot of questions if this is the lack of financial management skills, then the governors are appointed by the Prime Minister, the decree of the President of the Republic.
And if it comes to the director of the MC (despite the law on the law on joint stock companies, the director is headed by the MC, and the governor is governed, but still, let us remind that the procedure of the regional MC directors' competition and winner will be considered a winner. The criteria are developed by the Ministry of Health, it turns out that it is the omission of the Ministry of Health that has not been opened in the regional MCs with financial management.
The next "accusation" is that the governor is that "the main share in the expenses is 73 to 89 percent, which is problematic for the health organization," it complements this mind "normal business." The cost of the health organization should not exceed 55% of total expenses in terms of salary. "Absurd" accusation ". Regional medical centers mainly provide general medical services, and more difficult cases, in case of expensive, complex, latest interventions, the regional resident is referred to Yerevan, third-level medical organizations.
Let me add that there are polyclinics in these MCs, the income of which turns out salaries, therefore, taking into account the regional MCs provide cheaper medical services and the polyclinics are included in their expenditures, then the general. The "73 to 89%" range of salary expenses is not a bad indicator.
As for the expenses of the MCs should not exceed 55% of the total costs, then why doesn't he raise the health organization to serve at least 300,000 residents for normal businesses?
Our biggest region is Kotayk, 292.4 thousand residents, where 4 medical centers operate. Therefore, the justifications have not been highlighted by Armenia's low-populated peculiarities, and so on.
Then the substantiation issues related to operational issues related to the average index of bank loans, overdrafts, leasing, substance, the impression that the aforestors of the Ministry of Internal Audit wrote about the healthcare system only The book reads. Now two most interesting "accusations" "are missing from health organizations to paid medical prices Calculation methodologies. "
In connection with this episode, a small reminder. Most of the prices of the RA Ministry of Health do not have price prices, which has been fixed repeatedly by the RA Academy of Sciences, the Ministry of Finance and other inspectors. Didn't you do that? This is a circus of absurdity.
It turns out that the RA Government, the Ministry of Health and the other, "order" in the non-effective manager and trumpet and the ministry more professional.
I will remind you that the governor of the bad governor's owner of the Ministry of Territorial Administration and Infrastructure was recently appointed to the use of double standards. About 843.0 regional city residents receive services in the polyclinics.
It turns out that the Ministry of Health is generously "trusts" the governance of rural outpatientizes. The minister does not want to manage the villages, not "interesting" ...
Why did this "reform"? "Perevalo Punkt" or will be given to the great private medical centers operating in Yerevan.
The Ministry of Health has a misconception that in the case of their director, the employees of the MCs will be more manageable.
Nikol Pashinyan, to understand how much this "reform" will serve to study by neutral labor scholars with the same tools in the regional MCs, and the NSS of the Republic of Armenia, for example, Fresh, Infectious Diseases National. center and so on.
In the case of impartial researchers, outstanding Channel / Who are real effective managers or not so fair?
One question, you have instructed the Department of Health Holding, how much additional funds will be required to organize these more than 50 organizations, and the management of "Favorite" directors will be organized, and to be inspected, regional business trips and others. PS: An innort corruption is created to serve the super profits of the chosen private MC, and let the principals sent from Yerevan to be adapted in the regions ....
Review: I would suggest that the regional NGOs present the communities to the communities in the context of the magnification and strengthening of the community, and the narrow professional MCs, psychiatric etc. ".
