HEMS, momwe kupulumutsira kwa helikopita kumagwirira ntchito ku Russia: kusanthula zaka zisanu pambuyo pa kukhazikitsidwa kwa All-Russian Medical Aviation Squadron
Ntchito za HEMS ndizofunikira komanso zofunika padziko lonse lapansi, kuphatikiza Russia, komwe kukhazikitsidwa kwa ntchito zoyendetsa ndege zachipatala zidasankhidwa zaka zisanu zapitazo.
Mu 2021, ndege ya National Air Ambulansi Service (NSSA), yopangidwa ndi zoyesayesa za Rostec State Corporation, itamaliza ntchito zopitilira 5,000, idathandizira kupulumutsa miyoyo ndi thanzi la odwala opitilira 6,000.
Pazaka zitatu zapitazi, msika wa helikopita wachulukitsa mtengo wake kasanu, kuchokera ku ma ruble 3,886 biliyoni mu 2018 kufika pa 16,672 biliyoni mu 2021.
Yuro imodzi ndiyofunika tikamalemba nkhaniyi za ma ruble 60.
Koma ndi njira yomwe sikuyenda bwino, ndipo ntchito yoyika pakati pa ma ambulansi apamlengalenga ikukumana ndi kukana komweko.
CHIDA CHABWINO CHABWINO KWA NTCHITO ZA HEMS? ENDWENI KUNKHANI YA NORTHWALL BOOTH PA EMERGENCY EXPO
HEMS ku Russia, kupangidwa kwa All-Russian Medical Aviation Squadron
Chiyambi cha polojekiti kulenga All-Russian Medical Aviation Squadron akhoza ali pafupifupi deti la 2011-2012, pamene gulu lapadera ntchito linakonzedwa pansi Unduna wa Zaumoyo wa Chitaganya cha Russia.
Cholinga chake chinali kukhazikitsa ndikuwongolera ntchito za helikopita.
Mu Okutobala 2013, Veronika Skvortsova, yemwe anali mkulu wa Unduna wa Zaumoyo, adapereka projekiti yoyeserera ndi ndalama zama ruble 2.2 biliyoni.
Zinkaganiziridwa kuti m'zaka ziwiri njira yoyendetsera ntchito yoyendetsa ndege idzagwiritsidwa ntchito ndipo maziko a malamulo adzakhazikitsidwa, ndipo ngati pogetto adachoka pansi, kukhazikitsidwa kwa kayendetsedwe ka ndege zachipatala mmwamba ndi pansi pa dziko kudzayamba. 2016.
Poganizira kukula kwa dzikoli, polojekiti yomwe inagwirizanitsa HEMS ndi MEDEVAC: Russia ili ndi zigawo zazikulu kwambiri.
Kwa maulendo apamtunda, polojekitiyi inali yogwiritsira ntchito ma helikopita ndi ndege zazing'ono, komanso maulendo apakatikati ndi apadziko lonse - ndege zapakati ndi zazitali.
Ziyenera kuganiziridwa kuti kukula kwake, Italy ndi nthawi 57 kukula kwa Russia.
Panthawiyo, gwero la Zashchita VTsMK, ndege zachipatala zinkagwira ntchito mokhazikika m'madera a 40, komabe, m'magawo atatu, ndi ntchito imodzi yokha.
M'magawo asanu ndi awiri, ntchito ya ambulansi ya ndege idaseweredwa ndi ma helikoputala a Unduna wa Zadzidzidzi ku Russia, m'magawo asanu ndi limodzi ndi zoyendera zanthawi zonse.
Zinthu zidayenda bwinoko ndi malo onyamulira: mwa mayunitsi a 234, 118 atha kufotokozedwa kuti ali ndi zida, pomwe 19 okha anali pafupi ndi zipatala.
Madera oyendetsa polojekitiyi anali Khabarovsk Territory, Sakha Republic (Yakutia), Arkhangelsk ndi Amur.
Mu 2016, Unduna wa Zaumoyo wa Chitaganya cha Russia udatengera pulogalamu yofunika kwambiri, malinga ndi zomwe zigawo za 34 zomwe zili ndi madera ovuta kufikako zitha kulandira thandizo la federal pakugula ntchito zachipatala.
Pachifukwa ichi, wowongolera adayika pambali ma ruble oposa 10 biliyoni mu bajeti mpaka 2020.
Mu July 2017, pa MAKS air show ku Zhukovsky (pafupi ndi Moscow), gulu lachipatala la Heli-Drive linapereka Purezidenti Putin ndi Ansat yatsopano ndi gawo lachipatala monga chitsanzo cha akuluakulu. bolodi za mtsogolo za NSSA.
Russia, lingaliro lakuyika pakati pa HEMS ndi MEDEVAC chithandizo chamankhwala pomaliza pake idapeza njira zake zogwirira ntchito kumapeto kwa 2017.
Anatoly Serdyukov, wamkulu wa gulu la ndege la Rostec State Corporation, adakhala kazembe wawo.
Zolinga za polojekitiyi zimayang'ana bungwe la bungwe limodzi la federal oyendetsa ndege zachipatala - ndi zombo zake, zomwe zimakhala ndi ma helikopita apanyumba okhala ndi ma modules azachipatala, malo otumizira anthu ambiri komanso ndondomeko zoyendetsera dziko lapansi.
Njira yoyendetsera pulojekitiyi poyamba idaganiziridwa ngati 'mutual infrastructure': kuperekedwa kwa ndege kumadera pofuna kutsimikiziranso kuti ndalama zochoka ku chithandizo chamankhwala zikuphatikizidwa mu inshuwaransi yokakamiza yachipatala.
Panthawi imodzimodziyo, JSC National Air Ambulance Service inakhazikitsidwa, 25% yomwe inalandiridwa kuchokera ku JSC Rychag, yomwe ili ndi Rostec, ndi 75% yotsala kuchokera ku Fund for Development of Air Ambulance.
Kukhazikitsidwa ndi chilolezo cha Vladimir Putin mu Januware 2018, NSSA patapita miyezi isanu ndi umodzi idalandira udindo wopereka chithandizo m'modzi kuchokera kuboma, kulola kuti ipange mgwirizano ndi zigawo ngati ingafune.
Wogwira ntchitoyo adalandiranso maulendo oyendetsa ndege a ku Russia ola limodzi: 295,000 rubles pa Mi-8s yakutali ndi 195,000 rubles kwa Ansats owala.
Panali vuto limodzi: kukonza zombo za HEMS ku Russia
Mu September 2018, mabungwe a Rostec Group of Companies - Russian Helicopters JSC, NSSA JSC ndi Aviacapital-Service LLC - adasaina mgwirizano wopereka ma helicopter 104 Ansats ndi 46 Mi-8AMT okhala ndi ma modules azachipatala.
Mtengo wa mgwirizanowu udawerengedwa kuti ndi ma ruble 40 biliyoni.
Pansi pa chitsimikiziro cha mgwirizano, Rostec idakonza zokweza ma ruble 30 biliyoni kudzera mu kampani yake yocheperako ya JSC RT-Finance popereka ma bond osinthanitsa ndi kukhwima kwa zaka 15.
Ma helikoputala asanu ndi atatu oyambilira - ma Ansats anayi ndi ma Mi-8AMT anayi mumtundu wapadera wofiyira ndi wachikasu - adatumizidwa kwa oyendetsa mu February 2019.
Zinkawoneka kuti palibe chomwe chingasokoneze kayendetsedwe ka ndege kwa NSSA mpaka kuchepetsedwa komwe kunakonzedwa, makamaka popeza ntchito yoyamba yopititsa patsogolo kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe ka kayendetsedwe kake boma mpaka 2021.
Kuphatikiza apo, a NCSA atha kugwiritsa ntchito ufulu wa general contractor-aggregator: kampaniyo idayenera kukwaniritsa zosachepera 30 peresenti ya dongosolo la boma palokha, ndikukwaniritsa zina zonse, kubwereka ma contract ang'onoang'ono.
HEMS ku Russia, kusanthula kwakupita patsogolo mu nthawi ya 2017 - 2021
Kuti mudziwe momwe msika wa ambulansi ya mlengalenga wasinthira ndi kubwera kwa HCSA, Analytical Center inasanthula mapangano ogulira a EIS a ntchito zotulutsira zamankhwala zomwe zatha zaka zisanu zapitazi.
Kuti tichite zimenezi, ntchito zakupki360.ru utumiki, ndi zogula mapangano analengeza 1 January 2017 kuti 31 December 2021 ndi OKPD 62.20.10.111 (ntchito zonyamula anthu ndi ndege pa hayala ndege) ndi 51.10.20. 000 (ntchito zobwereketsa ndege ndi ogwira nawo ntchito), zomwe zidatchula mawu osakira 'chisamaliro chamankhwala' kapena 'aero-ambulensi' m'mitundu iliyonse, komanso gulu lalikulu - 86.90.14.000 (ma ambulansi) ndi 52.23.19.115 (ntchito popereka chithandizo chamankhwala), m'makontrakitala omwe anali ndi mawu oti 'aviation'.
Msika wapadera wa malamulo a boma udaperekedwa ndi njira ziwiri: kuchokera ku bajeti ya federal (mu 2021, ma ruble 5.2 biliyoni adasungidwa pazinthu izi, mu 2022, ma ruble ena 5.4 biliyoni adakonzedwa kuti agawidwe) komanso kuchokera kumadera.
HEMS, mtengo wa ntchito za helikopita ku Russia wakula mpaka ma ruble 43.641 biliyoni m'zaka zisanu zapitazi.
Pofika chaka cha 2018, chiwonjezekocho chinali chochulukirapo: kuchokera ku ma ruble 3,886 biliyoni mu 2018 mpaka 7,552 biliyoni mu 2019, kenako kuchokera 11,657 biliyoni mu 2020 kufika pa 16,672 biliyoni mu 2021.
Otsatsa 74 okha ndi omwe adawonekera pamsika pazaka zapitazi, pomwe makampani a TOP25 amapereka 92% ya ntchito zomwe zachitika.
Kuchuluka kwa zogula pansi pa Federal Law 223, zomwe sizipereka kuvomerezedwa kwa mgwirizano ndi makontrakitala ndipo motero sizimalola umwini wawo kukhazikitsidwa, zinali ma ruble 2.554 biliyoni.
Mtsogoleri wa TOP25 akuti ndi NSSA JSC (msikawu ulinso ndi dzina lodziwika bwino la NSSA LLC, lotchedwa Heli-Drive Medspas LLC), lomwe pang'onopang'ono linakulitsa mgwirizano wake kuchokera ku ma ruble 10.7 miliyoni mu 2018 mpaka ma ruble 4.342 biliyoni mu 2021.
Komabe, kukulitsa kwa NSSA, komwe kukukula mothandizidwa ndi mnzake wamphamvu muulamuliro wadziko, sikungatchulidwe nkomwe kusewera kwa ana.
Nazi zitsanzo zochepa chabe.
Mu Januware 2021, NSSA idapambana mgwirizano ndi Chipatala Chachigawo cha Nenets chotchedwa NI RI Batmanova, ndipo tsiku lotsatira, pakutha kwa mgwirizano, zidapezeka kuti NSSA siyingathe kupereka ndege.
Zotsatira zake? "Wogwiritsa ntchito watsopanoyo sanaloledwe kutera ma helikoputala pa eyapoti yakumaloko. Kotero, kwenikweni, wopambana pa mpikisanowo adalandidwa mwayi wogwira ntchito, "adatero gwero la Rostec Group of Companies.
Mkanganowo unathetsedwa pothetsa mgwirizanowu potengera NSSA.
Nkhani yofananira, ngakhale ili ndi zotsatira zina, idachitika ku Tyumen: kumeneko, mu Novembala 2021, NSCA idapambana ma tender ndi othandizira amderalo, JSC UTair - Helicopter Services, ndi mtengo wotsatsa wa ma ruble 139.9 miliyoni.
Komabe, Chipatala cha Regional Clinical No. 1, chomwe chimagwira ntchito ngati kasitomala, chinasaina mgwirizano ndi UTair, kutsimikizira chigamulocho ndi umboni wakuti NCSA sidzatha kukwaniritsa mgwirizanowu chifukwa inalibe malo otsetsereka.
NCSA, komabe, yanena kuti m'maganizo mwake vutoli ndi losiyana, ndilokuti matumba a kukana kugwirizanitsa pakati pa ntchitoyi ndi chifukwa cha malo a ndege zamtundu wamba zomwe sizinayambe zakhalapo mwapadera pa kayendetsedwe ka ndege, koma kusangalala ndi chithandizo. makasitomala aboma omwe amati 'ndalama zizikhala mderali'.
NCSA ikuyesera kuthana ndi mikhalidwe yoletsa mipikisano yachigawo pokhapokha ndi njira zamalamulo, kampaniyo ikutsimikizira.
Mu April 2019, mu Order No. zida mu Ndondomeko Yopereka Chithandizo Chamankhwala Mwadzidzidzi: mndandanda wofunikira unaphatikizapo mpweya wabwino, zida zopumira ndi zotsitsimutsa, zoyikapo ndi gawo lachipatala ndi machira.
Lamuloli linalola ojambula omwe ali ndi zida zopanda zida kuti asalowe mu dongosolo la boma.
Ndipo mu Seputembala 2019, owongolera adavomereza mgwirizano wokhazikika wogwirira ntchito zam'mlengalenga popereka chithandizo chamankhwala, chomwe chidakhala chovomerezeka kuyambira February 2022, kutanthauza kukonzekera kwazomwe zikugwiritsidwa ntchito pogula anthu.
Komabe, kwa zaka zisanu panjira ya NSSA yakugonjetsa msika wonse, mavuto akulu abuka kuposa mikangano ndi opikisana nawo pawokha kapena makasitomala amalingaliro oyipa.
Ndi funso lodzipangira nokha zombo. Ndondomeko yoyamba yogula ma helikopita a 150, yomwe ikanatembenuza HCSA kukhala imodzi mwazinthu zazikulu kwambiri zapadziko lonse za mayendedwe a helikopita, inayimitsidwa nthawi yomweyo: mabungwe azachuma anali osakonzeka kubwereketsa kampani yatsopano popanda zitsimikizo ndi zitsimikizo.
Zotsatira zake, m'malo mwa ndege 50 zokonzekera 2019, woyendetsa boma adalandira zisanu ndi zitatu zokha.
Zinthu zidangoyenda bwino kumayambiriro kwa 2021.
Atalandira zitsimikizo kuchokera ku Boma la Russian Federation ndi Rostec State Corporation, NSSA inasaina mapangano awiri ndi JSC PSB Avialeasing popereka ma helicopter 66 - 29 Mi-8MTV-1s ndi 37 Ansats - pa ma ruble 21.4 biliyoni.
Panalinso zolephera pa wopanga - KVZ, pomwe dongosolo la boma la NSCA linali lalikulu kwambiri pazaka 30.
Kutumiza kunangoyenda bwino pakati pa 2021, pomwe ma helikoputala atsopano a 14 adatumizidwa ku kampaniyo.
Pofika pa 1 February 2022, zombo za NSSA zinali kale ndi magalimoto 22: 11 Ansats ndi 11 Mi-8s iliyonse.
HEMS ku Russia, kuchepa kwa ma helikopita ake kunakakamiza NSSA kuwonjezera gawo la ma subcontracts
Mu 2020-2021, kampaniyo idasaina makontrakitala ofunika ma ruble 2.2-2.7 biliyoni pachaka.
Kukula kwina kwa chiwongola dzanja chimodzi mu 2021 kudakwaniritsidwanso makamaka pokopa ndege zomwe zinkagwira ntchito m'zigawo NCSA isanadze ngati mnzake.
M'chigawo Novgorod Mwachitsanzo, RVS JSC anasaina subkontrakitala, mu Altai - Altai Avia gawo (22 malo, 0.323 biliyoni rubles), ndi mtengo wa ola ndege mu mgwirizano sekondale nthawi zambiri 10-20 zikwi rubles m'munsi kuposa waukulu. mtengo.
NCSA ikufotokoza kusiyana kwake, ngakhale kuli kochepa, ndi ndalama zawo zothandizira zomangamanga komanso kukhazikitsidwa kwa miyezo ya ambulansi ya ndege m'madera, pamene ma subcontractors amangowuluka ndipo samasulidwa ku ndalama zoterezi.
Osewera odziwa bwino amalipira kuchepa kwa msika wamadongosolo aboma ndikupanga ma niches atsopano.
Mwachitsanzo, RVS JSC, m'modzi mwa opikisana nawo akuluakulu a NSSA pazachipatala, adagwirizana ndi Medsi Gulu mu Meyi 2021 kuti apange chithandizo chothamangitsira odwala ku zipatala zaku Moscow.
Mgwirizanowu umaphatikizapo kukonza kayendetsedwe ka ndege kuchokera ku dera la Moscow ndi madera ena kupita ku malo a chipatala cha Otradnoye kapena malo a RVS ku Odintsovo, kumene odwala adzatumizidwa ndi ambulansi kupita ku zipatala za gululo.
Zimaganiziridwa kuti mtengo wautumiki udzayamba kuchokera ku ma ruble 15, malingana ndi malo ndi nthawi yothawa.
Malinga ndi Sergey Khomyakov, wachiwiri kwa mkulu wa RVS, mgwirizanowu udzatengera ma ambulansi a ndege ku Russia 'ku mlingo watsopano wa khalidwe'.
Kufunika kopanga nsanja imodzi, yapakatikati ya IT kuti igwirizanitse ntchito za HEMS ku Russia
Zina mwa ntchito zomwe NSSA imagwiritsa ntchito ndikukhazikitsa nsanja ya IT pomwe pamakhala pakati HEMS njira yotumizira ndege idzamangidwa.
Mu February 2019, pamsonkhano wa Unduna wa Zaumoyo ku Russian Federation, malangizo adapangidwa kuti aphatikize kagawo kakang'ono ka 'Emergency and Emergency Medical Care Management' mu Uniform State Health Information System, kuphatikiza gawo la ambulansi yomwe ili mkati mwake.
Kontrakitala wopanga Uniform State Health Information System mpaka 2021 adakhalabe Rostec yemweyo.
Kuphatikiza apo, m'chilimwe cha 2019, malinga ndi magwero a ndege a Kommersant, Rostec adaphatikiza gawo lowongolera mu NCSA.
Mpaka pano, udindo wogawira katundu wokhawo sunapitirire ku NSSA.
Malinga ndi bungweli, palibe malingaliro oletsa ndalama za federal zothandizira ndege zachipatala: chitukuko cha ntchitoyi chikuphatikizidwa mndandanda wa zolinga za dziko mpaka 2030, komabe, katundu wa ndalama zogwirira ntchito pomanga ma heliports adzanyamulidwabe. dera.
Komabe, kuthekera kothandizira ndalama zothandizira malowa pansi pa projekiti ina ya boma - 'Njira Zotetezeka ndi Zapamwamba' - ikuganiziridwa.
Kuwongolera kwatsopano kwawonjezera kuopsa kwa NSSA pamzere wopangira zombo: mu Marichi 2022, zidapezeka kuti gawo laku Canada la American Pratt & Whitney layimitsa kuperekedwa kwa injini za PW207K ku KVZ, pomwe Ansat amawulukira.
Analogue yapakhomo - "injini" ya VK-650V yopangidwa ndi ODK-Klimov - ilipo mu mtundu woyesera, ndipo kutsimikizika kwake sikunayembekezere mpaka 2023.
Chimodzi mwazinthu zomwe zimaganiziridwa pamakampani, kuwonjezera pa kufulumizitsa njira za VK-650V, ndikuphatikizana kwa magetsi a VK-800V pazosowa za Ansat.
Komabe, chomera cha helikopita cha Kazan chikufuna kupanga ma helicopter a 44 Ansat mu 2022 - mwinamwake, ena mwa iwo adzasonkhanitsidwa kuchokera ku katundu.
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