Iryna Sysoyenko, people’s deputy of the Samopomich Union faction, Deputy Chairperson of the Verkhovna Rada Committee on Health
Taking care of disease prevention in the next year, we have no right to lose people whose lives depend on the work of emergency medical aid.
Ukrainian emergency aid doctors have learned to save the lives of patients having minimum resources – they know how to help a person with a heart attack, as well as a person with serious injuries after a road accident.
But if at the pre-hospital level success largely depends on the professional skills of the specialists, what actually happens to the patients next? There comes a stage of hospitalization.
If someone does not know, I will inform you that even in the capital here is just one emergency care hospital. The equipment and conditions in this institution are morally and physically obsolete.
A modern developed country must have a network of intensive care hospitals. And I hope that soon we are going to have such hospitals in a sufficient amount.
Step by step…
I support the Government’s initiatives on development of primary health care, on creation of a system of preventive measures, but I think that because of the fact that for many years our health care system has been lacking changes and improvements, the health of many people in our country is in critical condition, a large number of diseases are neglected, and in such cases prevention does not help anymore.
And it is the emergency medical service that plays a decisive role here.
What should we start with when it comes to the emergency aid in Ukraine?
With outdated ambulance vehicles that don’t have the necessary equipment?
With health care workers who work in awful conditions for a penny but still remain responsible and continue to save lives?
Should we recall the protests of doctors of emergency medical services held in several regional centers associated with the abolition of salary increment? These protests may entail collective resignation and the decay in the medical services sphere. Nevertheless, they remained without adequate response of the authorities. The situation, unfortunately, looks sad. Teams of doctors working in ambulances are becoming a rarity; in some regions there are no more than 5% of them. Sometimes it’s just a paramedic and a driver that come to the patients.
Or should we start with the arrival time standard – 5, 10 minutes? Or more than 30 minutes in rural areas? We all know how often one has to wait for the ambulance for hours, especially in remote areas and villages. Or maybe we should talk about the absence of the required number of general hospitals and emergency medical care hospitals for hospitalization of the injured patients and those in exigent condition, or patients with strokes, heart attacks, poisoning and so on.
Is such “reform” as medical training of police officers and rescue workers, introduction of paramedic positions, and retraining of doctors and paramedics, and the joint work of the police and fire services capable of bringing our emergency medical service onto the European level?
I think no. At first, we need to establish a “foundation” of the work of the emergency medical service and then to carry out training of pre-medical aid as secondary, not the main initiatives.
Therefore, creation of proper emergency medical services at the level of each region must be a priority in the state budget of Ukraine, with the appropriate funding provided!
Several times I appealed to the Government to allocate 392 million hryvnias – this is the sum needed to create centralized dispatch services, to provide them with modern server equipment, computer equipment, software for receiving and sending emergency calls, to install GPS and fuel consumption monitoring system in ambulance vehicles.
As for ambulances, the need in all regions of Ukraine for 2017 for the purchase of medical transport amounts to almost 4 billion hryvnias.
We must be sure to provide funds for salaries of health care workers in full (in accordance with Art. 11 of the Law of Ukraine “On emergency medical assistance” and the decree of the Cabinet of Ministers of 27.03. 2013 № 199).
The parliamentary Health Committee supported the initiative of development of the emergency services and submitted the relevant proposals to the Budget Committee and the Government.
Let’s see if the Cabinet hears all of us?