The MOH gave approval for the first projects hospital districts
the Ministry of health monitors compliance with the methodology of creating hospital districts, and communities self-determine quantitative and qualitative composition of health facilities in the district hospital. This was stated by Deputy health Minister Pavlo Kovtonyuk, commenting on the issues of citizens who expressed concern about the possible closure of hospitals. "As hospitals will operate is a responsibility and decision of communities", – noted the Deputy Minister. "I want to draw attention that the boundaries of the hospital districts and administrative territorial districts – are two different things, and the Ministry does not matter where the local authority will determine the centers. The main thing – there should be a structure of the hospitals, which ensures the availability of every person to quality health services. If you have any questions regarding the attachment of territories to one or another of the hospital is exclusively the competence of local authorities", – said Pavlo Kovtonyuk. He recalled that rumors about closure of hospitals is not true, because law is prohibited. On the contrary, the idea of hospital districts is in planning the development of hospitals. However, the local authority needs to take responsibility, to explain to people the necessity of conversion of inefficient facilities or offices have social care institutions, rehabilitation centers. "To the Ministry and the Cabinet of Ministers began to receive letters, in which deputies of different levels complain of "bad" distribution of areas within the hospital districts. This demonstrates the desire of local government to shift responsibility for the lack of dialogue within communities on Central government. The MINISTRY of health of Ukraine once again underlines the business – management and decision-making is now a competence of the communities. We know that this process will be painful, but Ukraine should go the way of the administrative-command form of government, when the center indicated where and what to build, to democratic, when the local authorities will take responsibility for the quality of life of their community," said Pavlo Kovtonyuk. The Ministry of health of Ukraine and the Ministry of regional development, construction, housing and utilities of Ukraine prepared a letter addressed to the mayors, chairmen of regional state administration, district councils and regional councils with clarification on the responsibilities of local authorities at the stage of formation of hospital districts. Reference. We will remind, according to regulations, the composition of the district hospital shall include at least one multi-field hospital of intensive treatment in the first and/or second level health care facilities. The list of medical interventions with the provision of secondary (specialized) medical care will be approved by the MINISTRY of health, as well as the approximate time sheet of material and technical equipment of the hospitals. The document also identifies standards in quantity of patient care. So multi-field hospital of intensive treatment of 1-level must serve at least 120 thousand people, the 2nd level – not less than 200 thousand people. Boundaries and composition of hospital districts should be determined in such a way that the residents living there had access to secondary (specialized) medical assistance under the hospital district. The administrative center of the district hospital is determined by the locality, usually a city with a population of over 40 thousand people, which houses a multi-field hospital of intensive treatment the second level. The service area of a district hospital is determined by the timeliness of transport to General hospitals, and intensive treatment should not exceed 60 minutes and can be equivalent to the radius of the service area of 60 km. This was reported in the Zhytomyr regional state administrationÏåðåâåäåíî ñåðâèñîì "ßíäåêñ.Ïåðåâîä÷èê": translate.yandex.ru.
Source: http://uzinform.com.ua/
