Politics · Russia · 9 hrs ago
Krasnoyarsk Krai to reorganize health services under one management system
Krasnoyarsk Krai plans to reorganize its health system by joining medical organizations under shared legal and management structures.
Rural health posts, clinics and district hospitals will become branches of larger hospitals, but all local facilities will continue operating in their current locations.
The new model has three levels: local primary care, larger inter-district hospitals for complex tests and treatment, and regional specialist centres.
The change is intended to make referrals and staff cover easier to arrange across the system.
Specialists are expected to visit remote areas at least quarterly, while telemedicine will let residents get consultations closer to home.
The transition is due to begin in spring 2027, and a hotline is available for questions about the planned mergers.
Krasnoyarsk Krai plans to reorganize health services by joining medical institutions under larger legal entities and shared management.
Health Minister Alexey Konovalenko says the changes are intended to improve coordination, patient referrals and access to specialist care.
The reform is due to begin in spring 2027, and officials say local clinics, medical posts and district hospitals will continue operating.
The planned system has three levels, from primary care in local facilities to interdistrict hospitals and regional clinical centres.
A local outlet disputes the assurances, warning that the reorganization could worsen access and that some services in Nazarovo are already unavailable or facing closure.
- Who
- Krasnoyarsk Krai’s health authorities, led by Health Minister Alexey Konovalenko, are planning the changes.
- What
- Medical institutions will be reorganized into larger entities under shared management. Officials say facilities will remain open.
- When
- The transition is due to begin in spring 2027.
- Where
- Krasnoyarsk Krai, Russia.
- Why
- Officials say shared management will make referrals and coordination easier and improve access to diagnostic and specialist services.
Krasnoyarsk Krai health authorities
Zapad24
Purpose
Krasnoyarsk Krai health authorities
Authorities say the changes will improve coordination between levels of care and expand access to services.
Zapad24
Zapad24 questions the rationale and says the reform could disrupt a system that has worked for years.
Local services
Krasnoyarsk Krai health authorities
Authorities say district hospitals, medical posts and outpatient clinics will keep operating, with staff remaining in place.
Zapad24
Zapad24 points to services absent or threatened in Nazarovo, including its psychiatric department and maternity ward, and says other departments may close.
Access to care
Krasnoyarsk Krai health authorities
Authorities say specialists will travel to local areas and patients will be able to obtain documents locally.
Zapad24
Zapad24 says patients from Nazarovo are already sent to Achinsk for cardiac care and that some patients travel from Achinsk and Nazarovo to Krasnoyarsk for cancer medicines.
The two-level healthcare system that the new model will develop has been in place in the region since this year.
The reform concept was developed, according to Newslab.
Health Minister Alexey Konovalenko outlined the planned reorganization to journalists.
The transition to the new management system is due to begin.
- Transition begins
- Spring 2027
- System structure
- Three levels of care
- Planned catchment population
- 220,000 to 300,000 people per merged medical organization
- Specialist visits
- At least once a quarter to branches, according to Newslab
- Hotline
- 8-800-100-26-71
- Hotline hours
- 10:00–20:00 daily except Sunday
3 sources
What people are saying
This interaction: referring patients from villages to an interdistrict hospital and sending doctors to district hospitals will be much easier to organize.
We will, of course, try to organize this work so that it is as comfortable as possible for both the doctor and the patient.
This is a management task, a legal merger of several legal entities into one.