Why are hospitals closed in Moscow? Which hospitals will be closed in Moscow?

Recently, many residents of the capital have heard only one important question - why they close hospitals in Moscow. Some believe that such plans can lead simply to catastrophic changes in the medical field, but the state is sure that if you close half of the hospitals, you can give a second life to medical institutions that are in a poor state and can not provide themselves at the proper level. At the same time, emphasis is placed on the fact that only those institutions that are not in demand by the population are closed, in which case it turns out that it does not make any sense to keep such hospitals. Therefore, they began to be merged into branches, and then completely eliminated. Is this really so, consider in our article.

Reforms that will take place in the Ministry of Health

A law of the Department of Health has recently been issued, which popularly describes structural changes that will soon be implemented in Moscow medical institutions. Many compare this law with the schedule of closure of hospitals in Moscow. There are still sixty polyclinics, but according to the law, there will be only twenty-eight of them.

Many analysts say that in the near future there will be almost no hospitals in Moscow, but they refer to medical facilities that can provide free services to citizens. Naturally, this will entail a reduction in hospitals in Moscow, and this will cause a high level of unemployment among highly qualified doctors of the city. But the authorities for some reason quite sure that the work of polyclinics will be effective, and the quality of the treatment itself will improve. In addition, they promise that the salaries of doctors themselves will grow significantly, and those specialists who do not find a job by profession will be able to retrain and get a job, but in another field.

The mayor of Moscow proposes to distribute the burden to different hospitals of the Moscow Health Department, that is, now one of the polyclinics will deal with chronic illnesses, and others - with exceptionally severe diseases. The distribution of the load can contribute to the creation of centers that will carefully deal with only one direction. But the fact that not all patients can reach this center is not taken into account, since they will be located mainly on the outskirts of the city, all the main medical facilities of the center will be closed. It should be taken into account that the authorities consider only the advantages from the financial side, and from the fulfillment of the main task - healthcare - such reforms have a huge number of shortcomings. As a result, we can observe that hospitals are being liquidated, so that patients do not receive sufficient treatment. Now the availability of honey. Assistance has decreased significantly, low-income segments of the population can not afford treatment in an expensive center, which has already turned many city clinics.

The reasons why such reforms must be carried out

The main reason for this reform is saving. The budget now does not have enough money to keep health care at the same level. Too large embezzlement this year fell to Russia's share, so in order to survive, it is necessary to take such extreme measures. The fact that hospitals in prestigious urban areas will be closed can only testify that the district will now have only a couple of medical institutions.

But this is not the only reason why the state decided on such drastic measures. Along with the closure of public medical institutions private clinics will develop, and this is additional money to the treasury. Also, the main reasons can be attributed to the fact that it is not profitable to save clinics that plan to close, but in some cases it is also meaningless.

According to officials, such measures are simply necessary, otherwise healthcare in Moscow will soon be at a very low level, and with such reforms it is expected to improve the quality of treatment, increase salaries for doctors and install the latest equipment that can identify diseases at the initial stages. Providing twenty-eight hospitals is much easier than sixty. The state refers to the fact that it is in this way that it takes care of its citizens and everything is done only for the benefit of their health.

What polyclinics plan to close

The first clinic was 63 city clinical hospital. It is closed not so long ago and by competition, which is an important argument. It was located on Mira Avenue. The closure was gradual, for the beginning of the polyclinic combined into one, and then closed all the branches that were related to it, so it eventually reached the main hospital itself. It should be noted that the clinic was formerly owned by the European Medical Center.

Its peak was reached in the spring of 2015. Closed and children's hospitals in Moscow, and large polyclinics, while, however, only at the level of reductions offices. Thus, the branches that are least popular are being closed.

72 hospitals were closed, 59th and 71st clinics are closed. Hospitals in Moscow are massively closed, after the spring of 2015, most likely, only twenty-three percent of all medical institutions will remain. Many say that salaries for doctors will be raised, but the price of such salaries is the deprivation of jobs of other specialists. Many positions will simply be unclaimed.

The same doctors who really have nowhere to go, will have to acquire a new profession. It is worth noting that the transformation and implementation of reforms is done slowly and not very noticeably, so that citizens can get used to such changes. Immediately, simultaneously, do not close a large number of hospitals. So, for example, by order of the President, the peak of the closure of medical institutions will be in May 2015, which means that there will be a reduction in hospitals in Moscow. Closure of polyclinics began in October 2012.

List of clinics that will be closed first

The list of hospitals in Moscow, which will be closed, is constantly growing. These are twenty-eight medical institutions that are located not only in Moscow, but throughout the Moscow region. Maternity homes, as well as children's hospitals in Moscow, will be included. In the list, you can find medical institutions No. 6, No. 61, No. 59, No. 53, No. 19, No. 56, No. 54, No. 68, No. 72 and No. 11. But it should be noted that not all the hospitals have been closed from the list so far Yet draw any conclusions very early. The question of which hospitals will be closed in Moscow remains open.

For example, since July polyclinic No. 60 is no longer functioning, it was a veteran clinic, besides it was famous for specialists who worked there, even in the hospital there was a hematological unit. As a result, the hospital was sold to a private gastroenterological clinic.

Later, hospital No. 45 was closed, which dealt with the treatment of broncho-pulmonary diseases, and even later the same fate befell clinic number 47, where urological diseases were cured. Instead of closed medical institutions, they plan to make a neurological center and a rehabilitation clinic for athletes. Naturally, treatment there will take place on a fee basis.

I would also like to dwell on the fact that former children's hospitals with a capacity of up to seventy beds are now centers of nursing care for the elderly, maternity hospitals are turning into paid perinatal centers. For example, in the polyclinic № 12, which used to be considered one of the best hospitals for the treatment of childhood infections, they plan to open a hotel.

Now it becomes more clear why hospitals are closed in Moscow. Naturally, the organization of paid centers is nothing but a violation of constitutional rights, since now the majority of the population that really needs it can not get free qualified assistance.

How will the medical institutions be closed?

For many, the closure of medical facilities was a shock, as in 2013 they talked only about uniting hospitals and creating branches. Thus, they tried to save government spending, but, unfortunately, this method was not effective at all. Therefore, it was decided to liquidate about seventy-seven percent of clinics.

But even here the state found a way out: instead of liquidated institutions, Moscow's paid hospitals will appear, which will become large medical multi-purpose hospitals. Want to heal - pay money.

The Health Department explains its actions by the fact that the medical facilities that are on the list for closure do not meet the stated requirements. For example, in a city like Moscow, Hospital 68 is one of the clinics where doctors receive the lowest salary.

Many say that it is unlikely that such reforms will bring a lot of money to the treasury of the state, but the load on other polyclinics will greatly increase. Most likely, in the wards of hospitals that will remain working, there simply will not be enough places, that is, the state will not be able to take care of its citizens at the proper level. Because of this, paid chambers are created in which people who can afford it can stay, and all other segments of the population that are considered unprotected can be in the custody of the state. Officials believe that there is enough room for such people.

What to beware: expert opinion

If you carefully study the budget, there are reasons for fears. All health care costs will drop to twenty-three percent. They also say that the list of institutions is not yet complete, most likely, very soon there will be closed psychiatric hospitals in it. But it is worth noting that it is unlikely that hospitals will be liquidated on time, everything will be done as slowly and quietly as possible, so as not to cause excessive noise.

Some doctors are confused, because they do not understand why they shut down hospitals in Moscow. They are in a panic. The state should conduct an intelligible work that would enable qualified specialists to find their place in another medical institution. Only one question remains open: how many hospitals are closed and how many are planning to liquidate.

Before implementing such reforms and redirecting specialists, the initiators should carefully study their qualifications, since recently there has been a mismatch between the new position of the physician and his abilities. This may become another defect in the reform of medicine, which can lead to serious consequences.

Closure of hospital № 68 in Moscow

This hospital provided a full range of services for trauma, urological and therapeutic care. In addition, among the patients there were a lot of those who suffer from diabetes, are engaged in weight correction, and have problems in the field of gynecology. The hospital also offered urgent neurosurgical care, brain surgery was carried out within its walls. The polyclinic was a multi-profile state, located in the center of Moscow.

As it turned out, such a large city as Moscow (hospital 68, we note, was in the custody of the state) can not contain such a clinic, so it too was on the list of those subject to liquidation. But instead of it a specialized medical center will be opened, naturally, doctors' services in it will be paid.

Hospital closures

Some hospitals are on the "black" list, but will be closed only in October. So, the medical institution can no longer function, but it is finally to be liquidated much later. Some hospitals are transferred to the care of the European Medical Center, in which case it may remain state, but a special paid medical center will be created on its territory.

Rates are made for clinics that had a large influx of people before the closure, for example, there were always a lot of patients in the hospital 63 (statistics say that about 20,000 people were examined annually), there were about ten departments, even university departments. Separately, we can note the staff, which was five hundred people. At the moment it can not be said that the hospital is closed permanently, it functions, but not at full capacity. And over time, everything will change, it will be turned into a rehabilitation center.

Who is the victim of such reforms?

Naturally, such reforms will not pass without a trace for citizens. First of all, the following segments of the population will remain unprotected:

• Pensioners, because not everyone can afford to undergo treatment at a rehab center;
• People who are considered needy, because they can not be treated in expensive clinics, and there will be very few state hospitals, and they will not be in the center of the city, but on its outskirts;
• Specialists who, after such reforms, will lose their jobs, as their profession becomes unclaimed, they will have to look for options for acquiring new professions.

It is encouraging that the state still does not refuse some budgetary hospitals. Such institutions as tuberculosis, narcological and venereal clinics will continue to function and will not be touched at all.

To somehow calm people, an order was issued, which deals with creating so-called social beds, which pensioners and low-income families will be able to use.

Many Moscow doctors can not deal with the reform, but are already ready to move to a new system. Some are very worried about what hospitals will be closed in Moscow, because for the most part the reforms are affected by those clinics that have very narrow specialization, for example, the only center in Moscow that studied and treated multiple sclerosis was recently closed. "Thanks to" this reform, about seven thousand doctors will remain without work.

What could save Moscow from such reforms?

The only way that could be considered salvation is by investing. But there are few such investors who agree to work on the conditions that the city places. Such state clinics, sponsored by investors, could be considered as budgetary first-aid posts for at least certain segments of the population, but, unfortunately, not everyone decides to invest in state structures. The matter is that the majority of investors stop their choice on paid medicine in order to have profit from this.

Another option should be the revision of laws, the introduction of amendments to them, because only in this way it will be possible to avoid corruption in this area. Now it becomes more clear why hospitals are closed in Moscow. In fact, the state expects such reforms to improve the situation in the medical field, while the service of patient patients can bring a very good profit and replenish the treasury. The same money is planned to be spent on purchase of the newest equipment, which will promote qualitative examination and treatment.

Officials prefer to use the word "reorganization", but in fact, it should be understood as liquidation. If you calculate the costs, they are really huge, but officials believe that the best way to save the budget will be selling real estate to individuals. In their opinion, this will help optimize expenses at the expense of ordinary citizens, who will pay for the increased prices of medical personnel. Of course, no one will get sick after such reforms, which means that now you have to pay for your health.