"The surgeon will come home." The Ministry of health changes the rules of assistance

The Ministry of Health decided to update the procedure for providing surgical care to adults. The draft changes have already been prepared and public discussion is underway. If everything is approved, the new rules will work from January 1, 2027.

What will change? The most interesting thing is that surgeons will be able to operate outside the walls of the medical organization. For example, at the place of call of the ambulance team or directly in the vehicle during medical evacuation. They will also be able to participate in palliative care – this is the first time this has been included in the order.

Equipment standards will also be updated. Moreover, the requirements have become flexible: medical organizations will be able to choose from several options. For example, to measure pressure offer a choice of eight types of tonometers – from the usual mechanical to modern electronic.

In the surgeon's office and day hospital, there must be a defibrillator, layings for first aid and drugs for anaphylactic shock. Day hospitals will additionally receive medical gas systems and ventilators in case the patient suddenly becomes worse. And for the convenience of patients, modern beds with hydraulic drive will appear.

Requirements for managers have also been tightened. Heads of surgical departments and day hospitals must now have a specialized education in the organization of health care, experience as a surgeon for at least three years and undergo special training.

For pediatric surgery, similar changes have already been made, including the participation of surgeons in palliative care. So now the turn has reached the adults.

For Kuzbass, this means that hospitals and clinics will have to update equipment and possibly revise staffing requirements. But for patients, such changes are rather a plus: help will become more affordable and modern. The main thing is that all this works not only on paper.