Vesel\u012bbas ministrija (VM) pied\u0101v\u0101 p\u0101riet uz tr\u012bs l\u012bme\u0146u slimn\u012bcu modeli \u2013 lok\u0101laj\u0101m, re\u0123ion\u0101laj\u0101m un daudzprofilu slimn\u012bc\u0101m\u00a0\u2013, aizst\u0101jot l\u012bdz\u0161in\u0113jo piecu l\u012bme\u0146u dal\u012bjumu. To ministrija rosina informat\u012bvaj\u0101 zi\u0146ojum\u0101 par slimn\u012bcu t\u012bkla att\u012bst\u012bbu.\u00a0<\/p>\n
\u012aSUM\u0100:<\/p>\n
K\u0101p\u0113c reforma nepiecie\u0161ama<\/p>\n
Pa\u0161reiz\u0113j\u0101 situ\u0101cija r\u0101da, ka slimn\u012bc\u0101s tr\u016bkst person\u0101la, kas b\u016btiski ietekm\u0113 sp\u0113ju nodro\u0161in\u0101t paredz\u0113to \u0101rstniec\u012bbu. Ir slimn\u012bcas, kas nenodro\u0161ina neatliekamo medic\u012bnisko pal\u012bdz\u012bbu atbilsto\u0161\u0101 apjom\u0101 person\u0101la tr\u016bkuma d\u0113\u013c, t\u0101d\u0113\u013c nepiecie\u0161ams l\u012bdz\u0161in\u0113jo k\u0101rt\u012bbu p\u0101rskat\u012bt.<\/p>\n
Par to, ka slimn\u012bcu t\u012bkl\u0101 izmai\u0146as ir nepiecie\u0161amas, Latvijai vair\u0101kk\u0101rt ir nor\u0101d\u012bju\u0161i Eiropas Komisijas un Pasaules bankas eksperti. Ar\u012b Valsts kontrole nesenaj\u0101 zi\u0146ojum\u0101<\/a> iest\u0101j\u0101s par to, cik b\u016btiskas ir p\u0101rmai\u0146as, secinot \u2013<\/p>\n viena l\u012bme\u0146a slimn\u012bc\u0101s past\u0101v lielas at\u0161\u0137ir\u012bbas gan pakalpojumu nodro\u0161in\u0101\u0161an\u0101, gan kvalit\u0101t\u0113.<\/p>\n<\/blockquote>\n Ir nepietiekams speci\u0101listu skaits un nesp\u0113ja nodro\u0161in\u0101t nepiecie\u0161amo \u0101rstu diennakts de\u017e\u016bras. Tas negat\u012bvi ietekm\u0113 ne tikai vienl\u012bdz\u012bgas apr\u016bpes pieejam\u012bbu un vesel\u012bbas apr\u016bpes sist\u0113mas jau t\u0101 nepietiekam\u0101 finans\u0113juma, par ko pesimistiska n\u0101kotnes aina, efekt\u012bvu izlietojumu, bet ar\u012b pacientu dro\u0161\u012bbu.<\/p>\n Pied\u0101v\u0101 p\u0101reju no piecu uz tr\u012bs l\u012bme\u0146u modeli<\/p>\n T\u0101d\u0113\u013c VM pied\u0101v\u0101 p\u0101rskat\u012bt l\u012bdz\u0161in\u0113jo sist\u0113mu un p\u0101riet uz tr\u012bs l\u012bme\u0146u slimn\u012bcu modeli, iedalot slimn\u012bcas daudzprofilu, re\u0123ion\u0101laj\u0101s un lok\u0101laj\u0101s.<\/p>\n Eso\u0161\u0101 piecu l\u012bme\u0146u p\u0101rvald\u012bba rad\u012bjusi\u00a0sadrumstalot\u012bbu un nepiln\u012bgus pakalpojumus. Slimn\u012bcu l\u012bme\u0146us un stacion\u0101ro pakalpojumu kl\u0101stu turpm\u0101k rosina noteikt p\u0113c slimn\u012bcas kapacit\u0101tes, pieejam\u0101 \u0101rstniec\u012bbas person\u0101la, infrastrukt\u016bras un sniegto pakalpojumu sare\u017e\u0123\u012bt\u012bbas.<\/p>\n Dzemd\u012bbu pal\u012bdz\u012bbai un atsevi\u0161\u0137iem citiem profiliem pl\u0101notas stingr\u0101kas pras\u012bbas gan person\u0101la, gan apr\u012bkojuma zi\u0146\u0101.<\/p>\n Pl\u0101ns paredz, ka neatliekamo medic\u012bnisko pal\u012bdz\u012bbu nodro\u0161in\u0101s vis\u0101s slimn\u012bc\u0101s neatkar\u012bgi no to l\u012bme\u0146a, bet ne uz vis\u0101m dosies Neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas dienesta (NMPD) brig\u0101des.<\/p>\n Katr\u0101 no slimn\u012bc\u0101m iedz\u012bvot\u0101jiem b\u016bs pieejami \u0101rsti, atbalsta person\u0101ls, laboratoriskie un diagnostiskie izmekl\u0113jumi nep\u0101rtraukt\u0101 re\u017e\u012bm\u0101.\u00a0<\/p>\n<\/blockquote>\n L\u012bdz 2029. gadam, pl\u0101nojot finans\u0113jumu slimn\u012bc\u0101m, v\u0113rt\u0113s ar\u012b sniegto vesel\u012bbas apr\u016bpes pakalpojumu kvalit\u0101ti, lai m\u0113r\u0137tiec\u012bgi stiprin\u0101tu t\u0101s \u0101rstniec\u012bbas iest\u0101des, kas darbojas efekt\u012bv\u0101k, nevis vien\u0101di uztur\u0113tu visas slimn\u012bcas neatkar\u012bgi no rezult\u0101tiem. Skaidro Vesel\u012bbas ministrs Hosams Abu Meri (“Jaun\u0101 Vienot\u012bba”):<\/p>\n Vesel\u012bbas ministrs Hosams Abu Meri (“Jaun\u0101 Vienot\u012bba”) par nepiecie\u0161am\u012bbu p\u0101rskat\u012bt slimn\u012bcu modeli<\/p>\n “M\u0113s nevaram m\u0101n\u012bt sevi un sabiedr\u012bbu, ka konkr\u0113t\u0101 viet\u0101 ir visi \u0101rsti, bet, kad pacienti n\u0101k un prasa pal\u012bdz\u012bbu, tad nevar pal\u012bdz\u0113t un pacients j\u0101p\u0101rved citur.<\/p>\n \u013boti skaidri defin\u0113sim \u0101rstniec\u012bbas personas uz vietas, ko vi\u0146\u0161 var un nevar dar\u012bt. L\u012bdz ar to NMPD b\u016btu viegl\u0101k str\u0101d\u0101t un uzreiz p\u0101rvest pacientu, kuram tie\u0161\u0101m nepiecie\u0161ama pal\u012bdz\u012bba.”<\/p>\n At\u0161\u0137ir\u012bgus risin\u0101jumus pied\u0101v\u0101 pierobe\u017eas novadu slimn\u012bc\u0101m<\/p>\n \u012apa\u0161i uzman\u012bba tiks piev\u0113rsta slimn\u012bc\u0101m \u0101r\u0113j\u0101s robe\u017eas tuvum\u0101, lai nodro\u0161in\u0101tu neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas pieejam\u012bbas nep\u0101rtraukt\u012bbu. Papildus tiks stiprin\u0101ta sadarb\u012bba ar Neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas dienestu, analiz\u0113ts brig\u0101\u017eu izvietojums un pl\u0101nota t\u012bkla papla\u0161in\u0101\u0161ana.<\/p>\n Vesel\u012bbas ministrs Hosams Abu Meri (“Jaun\u0101 Vienot\u012bba”) par iesp\u0113jamiem risin\u0101jumiem pierobe\u017eas slimn\u012bc\u0101s<\/p>\n “\u0145emsim v\u0113r\u0101 pierobe\u017eas rajonus \u2013 Al\u016bksnes, Balvu, Kr\u0101slavas, Ludzas novadus. Iesp\u0113jams, tur m\u0113\u0123in\u0101sim pilotprojektu ar V\u0101cijas vai Austrijas modeli, kad vien\u0101 slimn\u012bc\u0101 tr\u012bs dienas noda\u013ca ir piln\u0101 sast\u0101v\u0101, bet \u010detras dienas maz\u0101k\u0101 sast\u0101v\u0101. Pie robe\u017eas j\u0101b\u016bt \u012bpa\u0161am statusam. \u0145emsim v\u0113r\u0101 ar\u012b dro\u0161\u012bbas aspektu gan pie robe\u017eas, gan pils\u0113t\u0101s, kur pl\u0101no izvietot Nacion\u0101lo bru\u0146oto sp\u0113ku b\u0101zes,” pauda vesel\u012bbas ministrs.<\/p>\n Zi\u0146ojum\u0101 uzsv\u0113rta ar\u012b nov\u0113ro\u0161anas pakalpojumu att\u012bst\u012bba, kas \u013caus samazin\u0101t nepamatotu hospitaliz\u0101ciju skaitu un uzlabot apr\u016bpes efektivit\u0101ti. Vienlaikus top vienoti kvalit\u0101tes r\u0101d\u012bt\u0101ji, kas \u013caus v\u0113rt\u0113t slimn\u012bcu sniegumu un sasaist\u012bt to ar finans\u0113jumu.\u00a0<\/p>\n T\u0101pat ar\u012b noteiktas konkr\u0113tas pras\u012bbas attiec\u012bb\u0101 uz person\u0101lu un apr\u012bkojumu dzemd\u012bbu, \u0137irur\u0123ijas, traumatolo\u0123ijas un citiem profiliem attiec\u012bb\u0101. Piem\u0113ram, j\u0101b\u016bt ne maz\u0101k k\u0101 200 dzemd\u012bb\u0101m gad\u0101. P\u0113rn nedaudz virs 200 dzemd\u012bb\u0101m bija tr\u012bs slimn\u012bc\u0101s, savuk\u0101rt zem \u2013 vien\u0101.<\/p>\n VM uzsver, ka\u00a0nav pie\u0146emti l\u0113mumi par konkr\u0113tu slimn\u012bcu profilu p\u0101rskat\u012b\u0161anu vai reorganiz\u0101ciju.\u00a0<\/p>\n Zi\u0146ojum\u0101 apl\u016bkoti principi slimn\u012bcu t\u012bkla organiz\u0113\u0161anai, nevis individu\u0101lu iest\u0101\u017eu darb\u012bbas izmai\u0146as.\u00a0<\/p>\n<\/blockquote>\n T\u0101pat tiks p\u0101rskat\u012bts finans\u0113\u0161anas modelis, lai stiprin\u0101tu t\u0101s slimn\u012bcas, kas darbojas dro\u0161i, efekt\u012bvi un kvalitat\u012bvi.\u00a0<\/p>\n Ar slimn\u012bcu t\u012bkla att\u012bst\u012bbas informat\u012bvo zi\u0146ojumu iesp\u0113jams iepaz\u012bties Ties\u012bbu aktu port\u0101l\u0101<\/a>. Nozares ministrija sagaida priek\u0161likumus, iebildumus un koment\u0101rus l\u012bdz 6. novembrim.\u00a0<\/p>\n Slimn\u012bcu t\u012bklu p\u0101rskata ar\u012b Igaunij\u0101, Lietuv\u0101, V\u0101cij\u0101, \u012arij\u0101, Austrij\u0101, Slov\u0101kij\u0101 un cit\u0101s valst\u012bs, piebilda VM.<\/p>\n Nozar\u0113 da\u017e\u0101di viedok\u013ci par pl\u0101nu<\/p>\n Latvijas Pa\u0161vald\u012bbu savien\u012bbas padomnieks Aigars Rublis VM informat\u012bvo zi\u0146ojumu sauca par visp\u0101r\u012bgu,\u00a0esot gr\u016bti veikt secin\u0101jumus. Tas balstoties jau iepriek\u0161\u0113jos gados sast\u0101d\u012btos zi\u0146ojumos un piemin\u0113taj\u0101 pilotprojekt\u0101, kura rezult\u0101ti neesot publiski analiz\u0113ti.<\/p>\n Ar\u012b Slimn\u012bcu biedr\u012bbas vad\u012bt\u0101js Jevg\u0113nijs Kal\u0113js atz\u012bm\u0113ja, ka esot daudz neskaidr\u012bbu:<\/p>\n “Kaut vai viena no pras\u012bb\u0101m, ka slimn\u012bcas vad\u012bt\u0101jiem ir j\u0101nodro\u0161ina person\u0101ls, kas \u0101rst\u0113 pacientus. Princip\u0101 par to ir j\u0101r\u016bp\u0113jas Latvijas valstij. Un to m\u0113s esam vair\u0101kk\u0101rt teiku\u0161i.<\/p>\n Un, protams, visliel\u0101kie iebildumi ir par tiem kvalit\u0101tes indikatoriem, kas \u0161obr\u012bd\u00a0nav saprotami. Piem\u0113ram, slod\u017eu skaits, sertific\u0113tu \u0101rstu slod\u017eu skaits.<\/p>\n<\/blockquote>\n Tas jau nav kvalit\u0101tes indikators. Kvalit\u0101tes indikators ir vairum\u0101 gad\u012bjumu saist\u012bts ar pacientu, ar pacientu vesel\u012bbu.”<\/p>\n Kuld\u012bgas slimn\u012bcas vad\u012bt\u0101js Andris Ani\u0146\u0161 savuk\u0101rt pauda\u00a0\u2013 p\u0101rmai\u0146as slimn\u012bcu t\u012bkl\u0101 ir \u013coti nepiecie\u0161ama, ir p\u0113d\u0113jais br\u012bdis:\u00a0<\/p>\n “Pats p\u0113d\u0113jais br\u012bdis to main\u012bt un p\u0101rskat\u012bt. M\u0113s jau \u0161obr\u012bd jau saskaramies ar t\u0101diem pacientiem, kas ir aizvesti l\u012bdz citas slimn\u012bcas durv\u012bm. Un tur pasaka: “N\u0113, mums vietas nav, vai mums daktera\u00a0nav,”\u00a0un vi\u0146i ved t\u0101l\u0101k uz citurieni. Nu labi, ka vismaz tagad [b\u016bs izmai\u0146as]. Protams, tur ir daudz da\u017e\u0101du\u00a0deta\u013cu\u00a0un nian\u0161u, ko p\u0101rskat\u012bt, jo tas, kas ir iesniegts TAP port\u0101l\u0101, ir sal\u012bdzino\u0161i nepiln\u012bgs, bet to visu var nosl\u012bp\u0113t un papildin\u0101t.”<\/p>\n KONTEKSTS:<\/p>\n VM jau vair\u0101kus gadus pl\u0101no slimn\u012bcu t\u012bkla sak\u0101rto\u0161anu ar galveno m\u0113r\u0137i\u00a0paaugstin\u0101t \u0101rstniec\u012bbas kvalit\u0101ti<\/a>. To iecer\u0113ts pan\u0101kt, tuv\u0101k cilv\u0113ku dz\u012bvesvietai saglab\u0101jot pamat\u0101 neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas noda\u013cas un terapeitisko apr\u016bpi, bet sare\u017e\u0123\u012bt\u0101ka veida pal\u012bdz\u012bbu koncentr\u0113jot re\u0123ion\u0101la un nacion\u0101la l\u012bme\u0146a slimn\u012bc\u0101s.<\/p>\n\n
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