Rustem Akhtamyanov Biography

And now he intends to nominate the State Duma deputies from the New People party. In an interview with proofs. He also commented on a number of high -profile stories, of which he became a participant. He is sure that he acted as an “experimental rabbit” to run -in criminal cases with doctors. About criminal cases - you are known as a scandalous and "omnipotent" gynecologist.

You have a criminal case of fraud in which a large amount appeared. How did it end? I turned out to be extreme. For many years I have proved my innocence. However, I would like to say that on April 5, I had an arbitration dispute with a company, which presented me with 2.9 million debt remaining in circulation. Many years later, a refusal decision was made to all claims against me.

In the year, the Supreme Court of the Republic of Belarus also freed me from criminal liability. Moreover, the director of the company with the UAE appeared in Ufa appeared in the case - approx. But all these matters remained in the past, I have no criminal record. Also, in addition to this, I have no criminal cases of medical errors. Almost any doctor may be under criminal prosecution.

The doctor today has a presumption of guilt. But the doctor goes to work in the morning, having no intent or desire to harm someone. And the patient signs the document, which is familiar with the possible consequences of the operation, but still a priori, the doctor provides a "service" under the risk of a criminal case. When we take the drug, we do not sue the farm manufacturer, because the instructions say that there may be an allergy.

So, in theory, it should be. There should be no distortions that affect the doctors. But when the courts consider these cases, they evaluate it as a poor -quality service. At the same time, they do not take into account that the goals of patients pursue different ones, including receiving money compensation. The result was that now there is a lack of gynecologists, anesthesiologists, and neonatologists.

I believe that I have got into the initial stage of running cases on doctors, especially gynecologists - however, be that as it may, there are no criminal cases on me. There were civil cases to the hospital, but they started on many doctors of the institution, and continue. When one doctor is to blame, this may be his mistake, but when all doctors in the hospital are to blame, this is a systemic problem.

The root cause of the problem is that the doctor does not provide medical care, but a service. And so I'm going to the deputies.

I want to correct this situation. In addition, I want the deputies to report for the laws adopted by them, to bear responsibility for the resulting result. What are the expectations and reality? I understood that the team was doing the main work. I came as a manager and organizer. It was important for me to know who works, so the first thing I personally met with all the employees of the hospital: from nurses, nurses, paramedics to doctors and managers.

He collected all the wishes and, based on their needs, began to build work. It was necessary to build a system. When there are no systems, failures begin. But any order of the head physician must be brought to the last link. And by and large I needed a year to delve into all work and study the team. The second thing I started doing in the hospital is work in social networks. I can boast that we created the very first Tiktok service for creating and watching short videos - approx.

They are voiced by each patient, and here everything is duplicated. We laid out our work, shooting second videos. When with the beginning of the pandemic the system of entering the medical facility changed, they published videos, as to go to the hospital now. They opened their Telegram channel, the information was always duplicated in the public "Overheard Fedorovka".

We had 1, thousands of views in social networks. I am satisfied that we succeeded. The work went more dynamically - the barrier has left between the leadership and the doctors. I noticed that in the conditions of a shortage of personnel in the district hospital, the head physician does not steer doctors, but doctors rule the head physician. We had the same.

I tried not to offend a single doctor. I understood that if a doctor leaves me, then I just won’t drag anyone to the area: there’s no housing, there’s no big money, I myself lived in the office for a week until I rented an apartment. Not only because they have experience, but because in principle there are no doctors in the areas. Now we have already lost the continuity of generations of doctors - there are elderly and there are young people, there are no layers between them - middle age.

Now certification will also appear, in the next year or two there will be a large outcome of the elderly doctors. They told me that they would not go for accreditation: there are a thousand questions in tests, three -stage certification is difficult and dreary, high load. It is clear that all this is done allegedly in order to improve quality, but there is definitely nothing to do with reality.

Have you forced to hide the incidence? I can’t even say what mortality was correct, simply because I don’t know. I gave all the numbers to the opera station, as they think there - I am unknown. Now everyone already sees that Rospotrebnadzor and Rosstat in statistics have a difference. Propaganda worked not in favor of people.When I started talking just about the positive PCR in hospitals, they told me that only the operating system could give the numbers, and since I obeyed the rules, I deleted the post, although - yes, our numbers were different.

I really had good motives to make people be more careful. In general, I can say that our healthcare system has passed. Basically, thanks to the deputy minister Irina Kononova, who extended this situation. She was in touch around the clock and advised us, head physicians: she explained all the recommendations, methods of treatment, how to write reports, how to decipher codes.

There are heroes of their time. Insurance, plans and budget - reforms are required - what other problems were in the district hospital? We had the main equipment from the year received at the Healthcare national project. A year and a half I asked for a new ultrasound apparatus. A plan for a year is to earn million rubles. This, of course, is impossible to do this taking into account those prices for medical assistance that are registered in the budget of the compulsory medical insurance fund.

The point is not that there are no patients, the fact is that the amount of financing is ridiculous. Following this, all insurance companies reduced the cost of the services rendered. The coefficients decreased, respectively, medical institutions cannot have the opportunity to earn money. So, there will be creditor debts and there will be a lack of money for medicines and supplies. I can say that this cannot but be planned.

Those who accepted this clearly knew what they were doing. Whatever goal they pursue, the result was a complication of receiving help. It turns out two main problems in financing - a decrease in volumes and the distribution of budgets. The situation reminds me of the times of the end of the Soviet Union, when there was a continuous itty and formalism. The main thing is not to do something high quality, but to report.

She doesn't work. We are told that we have insurance medicine. But this is also not so. At least one case paid for the insurance company? Who pays? A person goes to court with a complaint about supposedly poor -quality assistance - the court wins. Who pays? Should insurance? And then why an insurance company? She must insure, and what is the essence of the insurance medicine then?

And why in the name "insurance", if it is not insurance. The whole essence of our healthcare system is that people do not understand this system. A large number of superstructures were created - Rospotrebnadzor, Roszdravnadzor, territorial insurance funds, insurance companies - and only a small number of people provide medical care directly. This is a system that is important to fix.