About this in an interview & nbsp "Censor. NO "said a deputy of the city council, a member of the Commission on Health and Social Protection, Alexander Pabat. According to him, the money is spent ineffectively because of the distribution of budget expenditures for an extensive network of medical institutions.
"Now in Kiev, dental care is provided by 5 specialized public utilities, 9 dental clinics and 64 dental offices with consultative and diagnostic centers. Annually for the maintenance of the dental branch from the budget of the city of Kiev is spent more than 90 million. UAH, of which 88 million is spent on wages and energy. And only 2 million. UAH. For the purchase of medicines and equipment. As a result, we have a network of dental institutions that can not compete with private dentists in terms of quality of service and equipment, but at the same time they spend almost the annual budget of Vasilkov or Boyarka. The state gives premises to public clinics for 1 hryvna, and the main doctors take their money in their pocket, which doctors take from patients. And this is not even a sublease - the doctor is registered in the state, gets a salary from the city budget, the doctor says to him: "Dear, here I give you a cabinet, you do not run anywhere, do repair and work for yourself, but what you earn will be divided ". And the state contains this building, pays for utilities, pays salaries to this doctor. That is, you do not invest anything, but you get a steady stream of cache - a very good system. Every doctor, despite the fact that this is state property, feels himself the owner of everything, in their understanding they have already privatized it, "he said..
According to him, 90 million. UAH. - a sufficient amount for the maintenance of the industry, but the structure of costs should be different. "Now all the money goes to salaries and communal services. In many respects this is due to duplication of processes and a bloated managerial staff. Any attempt to change something meets serious resistance.
The head physician should be responsible for the quality of medical care, and for administration, accounting, procurement must meet the city, which all this contains. And most importantly with the new management, the patient will pay to the cashier, not to the doctor's pocket. This is the problem of the system - the money is not spent on dental treatment, but on the maintenance of buildings. The main goal of our reform is to get the money for the patient, "he said..