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English Language Page The clinics under survey disposed of a sufficient number of doctors and consultants that provide assistance within the realms of various medical specialties. Large hospitals which permanently employ therapeutists, neuropathologists, surgeons, gynecologists, lung specialists, pediatricians, oculists, otorhinolaryngologist, and dentists are in the most beneficial position. But problems with equipment still remain, as in some of the clinics it has become hopelessly obsolete, in others it has used up all of its resources and has been written off but continues to be used because there is no funds to buy new equipment (see Appendix 5). Psychiatric institutions have stable relationships with multi-profile general hospitals and other health care institutions in which it is possible to undertake necessary tests and provide required medical assistance to patients. Any assistance should be provided free of charge. Nevertheless, patients of certain psychiatric institutions have to pay for special medical assistance. For example, at the Republican neuro-psychiatric dispensary dental care is only available on the paid basis, while patients of the Orenburg regional psychiatric clinic #1 have to pay for computer tomography which is available at other medical institutions of the city. Given that in many psychiatric clinics non-psychiatric health care is provided by specialists of other medical institutions and in view of the shortage of vehicles patients sometimes are required to cover their transportation expenses. Thus, although assistance is offered free of charge patients incur certain expenses still. For example, the Troitsk psychiatric clinic of Buryatia has serious problems with transportation means therefore when a patient is taken to an examination at a health care institution located in a different district they have to pay for their transportation. Upon the whole patients of psychiatric institutions receive medical care at the level that is provided for by local authorities and that entirely depends on possibilities of the region and the hospital. |
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