Legal regulation of paramedic-obstetric centers

Abstract

The article examines the problems of regulatory regulation of the legal status of paramedic and obstetric centers and the prospects for improving legislation in order to increase the availability of medical care to the rural population in Russia. The author reveals the problem of elimination of paramedic obstetric centers as structural divisions of medical institutions and offers a solution to this issue only depending on the needs of the rural population in this division. The regulation on the Ministry of health of the Russian Federation States that the Ministry is obliged to determine the requirements for the placement of medical organizations of the state health system and the municipal health system and other infrastructure facilities in the health sector based on the needs of the population, which was ignored by this Ministry. To date, there is no Federal standard for equipping paramedic and obstetric centers, which the author proposed to eliminate. The legal problems of the work of paramedic and obstetric centers include the lack of regulatory algorithms for the movement of patients and their treatment depending on the disease. In addition, it is emphasized that the diagnoses established by paramedics fall out of statistical records in the Russian Federation and are not transferred to the next level of medical care in a digital manner. The author emphasizes the lack of a unified Federal normative nomenclature of medicines to be sold through paramedic and obstetrics centers, which leads to a significant imbalance in the provision of medicines to the rural population in different regions of Russia. At the same time, the infrastructure and financing of this drug supply is not regulated. The paper highlights the danger of extending the provisions of the law on telemedicine to paramedic and obstetrics centers in the absence of financial incentives for medical workers and their overload.