At the same time, there are significant ...

At the same time, there are significant issues that have long held, and we're not talking about switching to gonorarny payment method. Set of paper work, which distracts from the doctor on his core responsibilities, the presence of several months in a year of so-called "drunk" when the number of visits to the clinic a little, and wages to pay in full. In addition to these causes can be noted quarantines in children's hospitals, but it is not treated patients and not the money, including on the salaries of medical workers. Annual planning reductions in hospitalization in the municipal order, mark the same number of workers, inflation, etc. Not hospitalized 200 patients with a minimum of 80 thousand rubles and us there is no guarantee to leave. As you can see all aimed at belt-tightening health care workers. Another problem for the medical institution performing the state guarantees for the treatment, examination and observation of children deprived of parental rights and youth in preparation for service in the Russian Army agency receives no money for them, and uses the funds for this purpose CBOs, thereby using them on non-target purpose. In this case, do the public challenge, too, are violating state law. Today, funding for health care facilities providing care in day hospitals is not rational and hinders the development of hospital replacement technology. Opening day care around the clock this is a necessary measure, as there is sufficient material and technical basis in clinics, so the conditions for financing should encourage development of day hospitals, rather than hinder it. The problem I have marked up the first year, and it is already understood by middle managers of health and even ordinary doctors, but the leadership of Mandatory Medical Insurance Fund and the department can not understand it or do not want. Day care for the child benefit is for parents or headache. According to the provisions on the organization of day care, section 1.6. mode is set head LPU, considering the amount held by medical interventions, usually in 2 shifts. At Children's Hospital day care is defined in one shift from 8 to 16 hours and I think that this is not contrary to applicable laws and convenient way for parents. With such a shift can parents work full-time multiplying and increasing the revenues of the mother company and its meager budget. According to paragraph 5.5.2 territorial program of the Amur region of childhood patients are provided with one meal (breakfast), which is provided from 7 rubles 25 kopecks to 8 rubles 61 kopecks. Given the prices in our market than you can feed a child? You can make minor changes in the formation and breakdown of tariff to reduce the power round the hospital and the increase in the daytime, I think it's a mutually beneficial solution. At the rate around the clock stay on board for some categories of patients required from 120 to 180 rubles.