At the beginning of a full-scale war, more than 14.5 million Ukrainians with various professions left Ukraine in search of safe places for their families.. A huge number of medical workers turned out to be outside our state, writes Alla Kotlyar in her article for ZN. UA "

At the beginning of November last year ZN. UA sent a request to the National Health Service of Ukraine with a request to provide information on the number of doctors and nurses by months (from January 1 to November 1, 2022) by region.

“What was our surprise when we saw that over this period, in the country as a whole, the number of specialist doctors... increased by 4% (+4467), primary care doctors (PMD) - by 4.2% (+1080). We saw negative indicators only in Donetsk, Lugansk and Chernihiv regions,” the author writes..

In particular, if we believe the figures provided by the National Health Service, the medical staff from Ukraine from January 1 to November 1, 2022 not only did not leave, but, on the contrary, arrived. What could the following numbers mean

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According to Kotliar, such figures may mean that the National Health Service does not have information, does not know how many doctors there really are in the country, and therefore cannot correctly form the Medical Guarantee Program for the population of Ukraine (PMG). This, in turn, means that contracts are awarded to hospitals that deliberately do not meet the conditions of the procurement.. That is, the author explains, medical institutions, stating that they have the necessary medical staff to provide a particular medical service, in fact, they do not have it, and they receive payments for packages.

“And if, for example, a patient with a stroke was brought to a hospital that provides services under the package “Medical Care for Acute Cerebral Stroke” and receives money for this, it may well turn out that there are actually no relevant specialists who can help the patient. The scheme works, but the system loses the patient. In every sense,” writes Kotlyar.

At the same time, she notes that at this time some hospitals receive funding under the package “Ensuring the retention of human resources” (PKMU No. 1440, art.. 132(1). This is the so-called "

“And here is the question: if the NHSU does not have reliable data on the number of doctors and paramedical personnel in the country, then how does the NHSU verify such data? "

Hoping to clarify the situation with additional questions, including regarding the sources of data on the staffing of establishments when contracting, as well as how the verification of the reliability of information and documents entered into the UHSS takes place, November 15 ZN. UA sent another request to NSZU.

A week later, the editors received a letter that our request concerns the provision of a large amount of information, so the NSZU extends the consideration period to 20 working days. Meanwhile, all deadlines have long expired, but ZN's response. UA still has not received and intends to file a lawsuit against the NSZU.

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Due to the full-scale Russian invasion, the military and civilians in Ukraine are seriously injured and need prosthetics. In this regard, the government adopted a resolution "