Nyuta Federmesser, Head, Moscow Multidisciplinary Center for Palliative Care of the Moscow City Health Department; Founder, Vera Charitable Hospice Foundation
Konstantin Khabensky, Founder of the Konstantin Khabensky Charitable Foundation; Artistic Director of the A.P. Chekhov Moscow Art Theater
As a result of accelerating scientific and technological progress, modern medicine is increasingly coping with diseases that until recently were considered incurable: new medicines extend life expectancy and fatal diseases become chronic; new technologies make it possible to preserve the quality of life throughout the entire life.
Medicine is becoming more expensive, the state is forced to invest more and more money in healthcare and the social sphere.
However, the level of trust in medicine, in doctors is not growing. On the contrary, there is a growing dissatisfaction with polyclinics and hospitals. And doctors, nurses and nursing staff themselves are increasingly on the verge of complete emotional burnout.
Numerous public discussions about mercy, empathy and conscious sympathy remain interesting talks of nice people, and professional programs of "patient-centeredness," "client-centeredness," etc. remain only programs well written in comfortable offices, and in practice everything ends after the first three phrases at the registration desk window. Loneliness, humiliation and, most importantly, the loss of the right to be oneself, a human being, rather than an appendix to one's own illness, have been and still are a constant companion of people who face health problems and are in need of help.
Can this situation be changed? Who should start changing this and how?
• Can a physician be taught professional empathy and compassion?
• Why do even very good doctors shut themselves off to the psychological state of their patients?
• How to provide the country with highly qualified personnel in medicine and what competencies should be developed?
• How do patients choose where to go for treatment? What is the key to trust in a healthcare organization — technology or services?
• What can public medicine learn from the private and third sector?
• What is patient-centeredness and how do we get there?
• Is it possible to calculate how much mercy costs?