Healthcare in Arvor

Healthcare in Arvor is divided into two general types: health services and health security. The former is provided through the State Medical Service (Gosmed) an independent arm of the Ministry of National Health that provides healthcare to all citizens of the Arvorian Democratic Republic (ADR) that is free at the point of use and paid for from general taxation. The latter is managed through the Health Security Service (Сбз or SBZ), an umbrella organisation which encompasses several subordinate agencies whose functions focus on medical research, disease and epidemic prevention, and biosecurity.

Gosmed

Main article: State Medical Service

The State Medical Service (Gosmed) provides healthcare free at the point of use for the patient, though there are some limited charges associated with certain services. Gosmed provides all healthcare in the ADR, including primary care, in-patient care, long-term healthcare, ophthalmology and dentistry. The National Healthcare Act came into effect at the beginning of 7570 RH is the governing statute of the organisation.

Gosmed is headquartered in the Ustinova Building in the Levoberezhny district of the nation's capital of Cherenovsk.

Funding and management

Funding for Gosmed is maintained by the National Health Trust, a fund maintained by the Ministry of Finance which holds and allocates the funding the healthcare system needs, shifting and modifying disbursements as accordingly as requirements change. The taxes drawn from individual citizens appears on their deductions slip with their weekly pay packet under the listing "National Health" (Arvorian: Национальное здравоохранение). All firms have their contributions listed on the deductions report provided by the State Taxation Service (Gosnalo) following their monthly filings. Leading examples of purchases the Trust makes are for general practice physician service, community nursing, and local clinics. Outside of these, the larger share of funding goes to the more complex and specialsed services provided by medical centres. The healthcare programme itself is overseen and regulated by the Ministry of Health.

Every medical centre owns specific assets (the facilities and equipment in them) which is purchased for the nation and held in trust for them. The same arrangement exists for polyclinics, clinics, ambulance services, and home care services.

Gosmed is divided into four regional branches. These regional branches are further divided into sub-branches of each of the forty-eight oblasts. For all citizens, the primary point of contact with the national healthcare system is via their general doctor, who works out of a municipal clinic or polyclinic, the number of which varies depending on the size of the municipality itself. For more advanced or specialised care, citizens will be referred to a local medical centre. All medical centres are divided into five units, each of which focuses on specific services and concerns - general treatment, emergency treatment, surgical services, psychiatric services, and rehabilitative services.

Each regional and oblast branch of Gosmed is overseen by a director. Each individual medical centre is overseen by a qualified chief of staff who co-ordinates the administrative side of the complex, and a chief of medicine who oversees all medical operations. The chief of staff is supported in governance of the medical centre by an eight-member executive committee elected every two years by the staff. Under the chief of medicine are the chiefs of the five respective units, and beneath each of them the chiefs of their component departments. Each unit has a dedicated chief of nursing who likewise co-ordinates the nursing staff assigned to that unit, and every department has a charge nurse who oversees nurses during each shift.

Gosmed is one of the world's largest healthcare services.

SBZ

The Health Security Service (Arvorian: Служба безопасности здоровья) serves as the umbrella agency responsible for disease and epidemic prevention, medical research, biosecurity, and public health awareness. Unlike Gosmed, the SBZ is a direct component arm of the Ministry of National Heath, and its operations comprise the ministry's four primary operating agencies:

• Central Institutes for Health (Центральный институт здравоохранения, TsIZ)
  • Centre for Allergies and Infectious Diseases (TsIZ-AIZ)
  • Centre for Biomedical Imaging and Bioengineering (TsIZ-BVB)
  • Centre for Cancer Research (TsIZ-OI)
  • Centre for Communication Disorders (TsIZ-KR)
  • Centre for Dental and Craniofacial Research (TsIZ-SCLI)
  • Centre for Dermatological and Musculoskeletal Diseases (TsIZ-DSMZ)
  • Centre for Diabetic, Digestive, and Endocrinological Research (TsIZ-DPEI)
  • Centre for Environmental Health Sciences (TsIZ-NGOS)
  • Centre for General Medicine (TsIZ-OM)
  • Centre for Heart, Lung, and Blood Research (TsIZ-ISLK)
  • Centre for Mental Health (TsIZ-PZ)
  • Centre for Neurological Diseases (TsIZ-NZ)
  • National Library of Medicine (TsIZ-NMB)
• Centre for Disease Control (TsKZ)
  • National Hygienic Laboratory (NGL)
• Consumables Quality Authority (UKRM)
• Therapeutic Goods Authority (UTT)

The Central Institutes for Health (TsIZ) are the arm of the People's Government responsible for biomedical and public health research and are one of the largest such organisations in the world, with a combined roster of approximately 800 principal investigators and more than 2,500 postdoctoral associates in basic, translational, and clinical research. The Institutes are headquartered at the TsIZ campus in Provda, northwest of Cherenovsk. They work in parallel to the other national think tank, the Central Institutes for Science and Technology (TsINK).