Sergei Sobyanin In the coming years, hospitals and clinics will receive six thousand units of the state of the art equipment

February 24
Healthcare

The capital's health care system has withstood the strain connected with the coronavirus pandemic. The fact that physicians faced no shortage of medical equipment played an important role. The complete re-equipment of city hospitals and clinics took place in 2011-2013. Sergei Sobyanin advised thereof in his blog.

'We have changed absolutely everything - from thermometers to X-ray and ultrasound units. The most advanced equipment - surgical robots, tomographs, angiographs - was purchased in such volume for the first time. Moscow residents got used quickly to the fact that tomography can be done in an ordinary district polyclinic, and the waiting time for the examination, as a rule, does not exceed 7-10 days. During the pandemic, these tomographs saved thousands of human lives, making it possible to provide early diagnostics of covid-19 pneumonia and, therefore, timely treatment of sick people,' the Moscow Mayor said.

So, where 279 thousand CT examinations were carried out in city medical institutions in 2010, then there are more than 1.2 million in 2019 already. The number of MRI examinations for the same period increased from 59 thousand to 419 thousand.

"10 years ago we bought equipment then high-quality and state-of-the-art, a significant part of which will serve for many more years and even decades. But unfortunately, the “heavy” equipment for radiation diagnostics has to be changed much more often - about once every 8-10 years. Tomographs and ultrasounds become outdatednearly as fast as laptops and smartphones. And what was the best solution in 2011, is no longer enough today for truly high-quality treatment of people," Sergei Sobyanin explained.

For example, the latest generation of MRI machines includes an extended cardio package that helps assessing the state of the patient's heart and blood vessels more accurately. And what is more, state-of-the-art devices allow examining relatively large people and those who find it difficult to hold their breath. In 2011, non of such options was available. Therefore, even before the pandemic, in 2019, it was decided to completely update the high-technology equipment.

During 2020–2023, city hospitals and clinics are to receive six thousand units of new equipment. As of February 2021, 4.8 thousand pieces of equipment have already been purchased, including 41 angiographs, 146 computerized tomographs, 101 MRI machines, 193 X-ray machines  of the U-arc type, 2926  ultrasound machines.

The largest Moscow multi-speciality hospitals will be equipped with new equipment. City polyclinics will be equipped according to a unified Moscow standard. Headquarters of adult polyclinics will be equipped with expert class MRI, CT, ultrasound machines, endoscopic equipment, as well as densitometers - devices for examining bone tissue. Branches will have modern mammographs, X-ray machines, ultrasound machines and equipment for functional diagnostics.

Analog technique will be replaced with digital. All tomographs and X-ray machines will be connected to the Unified Radiological Information Service of Moscow (ERIS). This will allow deciphering images in a matter of minutes using computer vision technologies. Examination results will be automatically included in the patient's electronic medical record. In case obtaining a second opinion is necessary, Moscow residents will not need to take their images to another physician. The specialist can simply open the ERIS and see them.

All "heavy" equipment, ultrasound machines and endoscopic equipment are purchased under life cycle contracts.

"Manufacturers will not supply the equipment only, but will also service it for 7-10 years be their own force. All physicians need to know is the service telephone number, where they can call a service technician for troubleshooting. And this is also not necessary often - digital equipment is able to independently send an alarm signal to the service center. Moreover, no equipment downtime will be payable. Therefore, manufacturers are vitally interested in making their equipment run like clockwork," Sergei Sobyanin noted.

According to the Moscow Mayor, such a system obliges manufacturers to think of customers’ interests throughout the equipment life cycle. And hospitals and clinics will be relieved of the need to solve issues related to the maintenance and repair.

A significant part of the new equipment is already operating in Moscow medical institutions.

Source: mos.ru

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