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Sunday, March 18, 2018

Russian medicine is successfully moving forward

Pediatric surgeon, head of Department of pediatric surgery of the First Moscow medical University named after I. M. Sechenov Dmitry Morozov for more than 20 years dedicated to medicine and to save children’s lives. He told us about his vision of the situation in the health sector — both in Moscow and in Russia as a whole.

Photo: Ildar Sadreev

— Mr President, over the past few years, the situation with health care began to change dramatically and for the better. Hospital equip, operate electronic recording system and accounting. What other positive things you have said and what remains to be done?

The situation in the health sector is a serious positive dynamics. And this applies to both pediatric and adult medicine. We have growth of birth rate, decrease mortality. In such diseases, such as myocardial infarction, over the past five years we have achieved great results. There are some problems stroke, cancer, but we have accomplished a lot. There are good appliances, new drugs. The state also plans to offer certificates for medical assistance after a high-tech operations. There is a movement forward that’s for sure.

— You have been such an important area as children’s medicine: help kids, give the opportunity to return to a normal, happy life. The theme of the protection of life and health of children is a matter for absolutely everyone. According to your observations, how is the situation changing in this area of health? Is there a forward movement?

— Yes, medicine really is, and the work of the doctors, coupled with modern equipment provides new opportunities for the treatment of children. For example, we began to register children who are born weighing only 500 grams, it does not worsened the infant mortality rate and improve them. Now in Moscow the figure is 6.1 per thousand per thousand births. When I started, he was 14 ppm. We never thought that 10 will bring, and here’s the result! I think this is a very serious step forward.

— You cited the example of Moscow, where for many years working on their own. What are the main features of the capital of medicine? Do today in the city hospitals with modern equipment, are ready to accept patients with different types of diseases?

— Shortage of equipment, I do not watch. Modernization of health helped to equip hospitals with the most modern equipment: everywhere there are ultrasound devices expert class, MRI, endoscopic devices, and more. When I started working in surgery, we thought about this and could not dream. We treated and saved lives, but we have had nothing but an x-ray machine. Although I agree that access to such high-tech surveys uneven.

In addition, now in Moscow, we are working on the algorithm to the resources and capabilities of Federal medical centres were available to Muscovites. The fact that today in the Metropolitan polyclinic to get a referral to such a center, to put it mildly, difficult. For example, in the South-West of Moscow, the Federal agencies, but local residents apply there can’t. Patients from Novosibirsk and Vladivostok are treated here, and from Moscow — no, with rare exceptions.

— Well, if in General, comparing with the rest of the world — we look decent?

— In General, thanks to modern technology we can carry out comprehensive and precise study on the health, and this is a big breakthrough. In many areas we have much more experience than, say, Europe. Almost all industries we are able to provide qualified assistance to the patient. So when the question arises about the treatment abroad, I always say that you need to think twice whether to go somewhere, and if we in Russia can receive the same. We can do almost everything I do in the world.

Almost? So, are there any exceptions?

— There are only a few areas that are an exception. For example, children’s transplantation. To date, we have no law which would regulate this area. Society is not yet ready for it.

— Returning to the issues of capital health. You said that hardware is no problem. And what about frames?

— The shortage of doctors really is. But now this issue is given attention, both from the authorities and from the public. I think we will be able to equalize the situation. For example, next year will end a six-year cycles of training physicians and those who studied on a budgetary departments of medical universities, will come to work in our clinics and hospitals. In principle, to eliminate the shortage to three years — three issues. Changes we feel after next summer.

— How do you evaluate the preparation of young professionals? Are they ready for such an important job that requires a certain professional level, and complete dedication?

The generation that comes now, is quite another. It is very different from mine, for example. First of all, young people have a different way of thinking. They live in a huge flow of information, in the world of new technologies. To find the desired information, they do not have to read the book — enough to make two clicks on the computer. That’s fine, making progress, but it is important that the new technologies we have not lost the centre of healing the brain a doctor. This is the first.

And secondly, already at the stage of learning we must prepare the personality, the person who takes responsibility for other people’s lives and health. Often among young doctors we see amazingly educated people, great physically and mentally developed, but the ability to take responsibility and carry it they do not. So this is a very topical issue today. We must train leaders, and creators. This before we were tempered in battle, and now all the conditions for education, internships abroad, practice. We need to be a doctor was a strong personality, a patriot of his craft, a man with a good heart, who loves his patients and knows his job perfectly.


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