![\"\"](\"https:\/\/www.europesays.com\/lv\/wp-content\/uploads\/2025\/11\/MAF-logo.jpg\"){kind=logo}
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\n\tVesel\u012bbas ministrija ir sagatavojusi informat\u012bvo zi\u0146ojumu par slimn\u012bcu t\u012bkla att\u012bst\u012bbu, kas dr\u012bzum\u0101 non\u0101ks uz vald\u012bbas galda. Ministrija p\u0101rskata l\u012bdz\u0161in\u0113jo sist\u0113mu un pl\u0101no p\u0101riet uz tr\u012bs l\u012bme\u0146u slimn\u012bcu modeli \u2013 lok\u0101laj\u0101m, re\u0123ion\u0101laj\u0101m un daudzprofilu slimn\u012bc\u0101m, aizst\u0101jot pa\u0161reiz\u0113jo piecu l\u012bme\u0146u dal\u012bjumu. Gaid\u0101mie p\u0101rk\u0101rtojumi visliel\u0101k\u0101s iedz\u012bvot\u0101ju ba\u017eas ir rad\u012bju\u0161i par to, vai vis\u0101s slimn\u012bc\u0101s, kur patlaban ir neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas noda\u013ca, t\u0101 tiks saglab\u0101ta ar\u012b turpm\u0101k. Lai uzzin\u0101tu, k\u0101 slimn\u012bcu p\u0101rtap\u0161ana ietekm\u0113s re\u0123ionu iedz\u012bvot\u0101jus, \u00abLatvijas Av\u012bze\u00bb kop\u0101 ar novadu laikrakstiem \u017eurn\u0101listiem kop\u012bg\u0101 sarun\u0101 Bausk\u0101 iztauj\u0101ja vesel\u012bbas ministru Hosamu Abu Meri.<\/p>\n
\n\t\u00a0<\/p>\n
\n\t\u00a0 \u00a0 \u00a0M\u0101ra Libeka, \u00abLatvi\u00adjas Av\u012bze\u00bb: \u2013 M\u016bsu valsts iedz\u012bvot\u0101ji gaida gar\u0101s rind\u0101s, lai tiktu viz\u012bt\u0113 pie speci\u0101listiem. Ta\u010du, iepaz\u012bstoties ar Eiropas Sa\u00advien\u012bbas vid\u0113jiem r\u0101d\u012bt\u0101jiem, ir re\u00addzams, ka Lat\u00advij\u0101 nemaz nav liels \u0101rstu defic\u012bts \u2013 tas ir nedaudz zem vid\u0113j\u0101 ES r\u0101d\u012bt\u0101ja: vid\u0113ji 3,2 \u0101rsti uz 1000 iedz\u012bvot\u0101jiem. K\u0101p\u0113c re\u0123ionu nodro\u0161in\u0101\u0161ana ar \u0101rstiem k\u013cuvusi par tik lielu probl\u0113mu?<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Atg\u0101din\u0101\u0161u, ka 2009. gada kr\u012bzes laik\u0101 daudzi \u0101rsti aizbrauca no Latvijas. P\u0113d\u0113jie dati gan ir pozit\u012bvi, jo tikai desmit procenti no jaunajiem \u0101rstiem v\u0113las str\u0101d\u0101t \u0101rzem\u0113s. Cilv\u0113kre\u00adsursu probl\u0113ma medic\u012bn\u0101 pak\u0101peniski samazin\u0101s, bet tom\u0113r t\u0101 joproj\u0101m ir j\u016btama. J\u0101\u0146em v\u0113r\u0101, ka, piem\u0113ram, divas tre\u0161da\u013cas \u0123imenes \u0101rstu, kuri str\u0101d\u0101, ir pensijas vecum\u0101 vai tuvu tam.<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Cilv\u0113ks no re\u0123iona atbrauc viz\u012bt\u0113 pie invaz\u012bv\u0101 kardiologa Paula Stradi\u0146a kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101, lai sa\u0146emtu nepiecie\u0161amo medic\u012bnisko proced\u016bru. Bet p\u0113c vair\u0101kiem m\u0113ne\u0161iem vai pusgada vi\u0146am rodas vesel\u012bbas probl\u0113ma, piem\u0113ram, sirds aritmija, un vi\u0146\u0161 v\u0113las tikt viz\u012bt\u0113 pie kardiologa. Vislab\u0101k pie t\u0101 pa\u0161a, kur\u0161 veica proced\u016bru, vai ar\u012b pie \u0161\u012bs specialit\u0101tes \u0101rsta tuv\u0101k dz\u012bvesvietai. Diem\u00ad\u017e\u0113l \u013coti bie\u017ei tas nav iesp\u0113jams, jo re\u0123ionos kardiologu katastrof\u0101li tr\u016bkst, bet, lai tiktu pie Stradi\u0146a slimn\u012bcas \u0101rsta, j\u0101gaida m\u0113ne\u0161iem par valsts kvotu un ar\u012b priv\u0101taj\u0101 \u0101rstniec\u012bbas iest\u0101d\u0113, kur \u0161is \u0101rsts pie\u0146em, ir gara rinda. K\u0101da j\u0113ga tais\u012bt d\u0101rgas proced\u016bras sirds un asinsvadu slimniekiem, ja \u0101rst\u0113\u0161an\u0101 nepast\u0101v p\u0113ctec\u012bba?<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Ja run\u0101jam par re\u0123i\u00adoniem, mums ir j\u0101saprot \u2013 katr\u0101 polikl\u012bnik\u0101 un novad\u0101 neb\u016bs kardiologa. Jaunaj\u0101 sirds un asinsvadu slim\u012bbu pl\u0101n\u0101 ir noteikts, ka ir j\u0101b\u016bt pieejamiem speci\u0101listiem, \u012bpa\u0161i pla\u0161a profila slimn\u012bc\u0101s, taj\u0101 skait\u0101 ar\u012b re\u0123ion\u0101laj\u0101s slimn\u012bc\u0101s.\u00a0<\/p>\n
\n\tNav jau katru reizi j\u0101iet pie kardiologa, ja radu\u0161\u0101s sirds vesel\u012bbas probl\u0113mas. Pacientam p\u0113c invaz\u012bv\u0101s \u0101rst\u0113\u0161anas var pal\u012bdz\u0113t ar\u012b \u0123imenes \u0101rsti un internisti.\u00a0<\/p>\n
\n\tPa\u0161reiz\u0113j\u0101s piecu l\u012bme\u0146u slimn\u012bc\u0101s daudzi speci\u0101listi str\u0101d\u0101 nepilnas slodzes te vien\u0101, te otr\u0101 viet\u0101. T\u0101p\u0113c, ievie\u0161ot jauno sist\u0113mu, kad piecu l\u012bme\u0146u slim\u00adn\u012bcu viet\u0101 b\u016bs tr\u012bs l\u012bme\u0146i, b\u016bs iesp\u0113jams vair\u0101k koncentr\u0113t speci\u0101listus vien\u0101 \u0101rstniec\u012bbas iest\u0101d\u0113.<\/p>\n
\n\t\u00a0 \u00a0 Daudzu specialit\u0101\u0161u \u0101rstu konsult\u0101ciju cenas, ko apmaks\u0101 Nacion\u0101lais vesel\u012bbas dienests, ir krietni zem\u0101kas nek\u0101 priv\u0101taj\u0101s \u0101rstniec\u012bbas iest\u0101d\u0113s. Spe-ci\u0101listi izv\u0113las t\u0101s \u0101rstniec\u012bbas iest\u0101des, kur vi\u0146i var vair\u0101k nopeln\u012bt. Tas, ko maks\u0101 valsts, diem\u017e\u0113l nav konkur\u0113tsp\u0113j\u012bga samaksa, sal\u012bdzinot ar priv\u0101taj\u0101m medic\u012bnas iest\u0101d\u0113m. T\u0101p\u0113c re\u0123ionos ir probl\u0113mas ne tikai ar kardiologiem, bet ar\u012b, piem\u0113ram, ar ginekologiem un dzemd\u012bbu speci\u0101listiem.<\/p>\n
\n\t\u00a0 \u00a0\u2013 Tad atkl\u0101ti vajadz\u0113tu pateikt iedz\u012bvot\u0101jiem, ka maksas pakalpojumu b\u016bs arvien vair\u0101k!<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Mums nav nepiecie\u0161ama uzreiz \u0161\u0101da radik\u0101la pieeja. Esam paredz\u0113ju\u0161i koncentr\u0113t vien\u0101 \u0101rstniec\u012bbas iest\u0101d\u0113 tos speci\u0101listus, kuri patlaban mazliet str\u0101d\u0101 vien\u0101, otr\u0101 un tre\u0161\u0101 neliel\u0101 \u0101rstniec\u012bbas iest\u0101d\u0113 nepilnu darba laiku. Ja re\u0123ion\u0101laj\u0101 slimn\u012bc\u0101 ir, piem\u0113ram, invaz\u012bv\u0101 kardiolo\u0123ija, tad tur speci\u0101listiem ir j\u0101b\u016bt pilnu darba slodzi.<\/p>\n
\n\t\u00a0 \u00a0\u2013 2024. gad\u0101 gandr\u012bz puse jeb 42,5% no visiem hospitaliz\u0113tajiem pacientiem bija terapijas profila pacienti. \u0160aj\u0101 profil\u0101 tiek uz\u0146emti ar\u012b pacienti, kas tiek p\u0101rvesti no augst\u0101ka l\u012bme\u0146a slimn\u012bc\u0101m terapijas turpin\u0101\u0161anai. Vesel\u012bbas mi\u00adnistrija uzskata, ka, pie\u0146emot 75% gultu noslodzi par v\u0113lamo l\u012bmeni, terapijas gultu skaits b\u016btu j\u0101palielina \u00a0atbilsto\u0161i iedz\u012bvot\u0101ju vajadz\u012bb\u0101m. K\u0101 zin\u0101ms, cilv\u0113ki dz\u012bvo ilg\u0101k un vajadz\u012bba p\u0113c terapeitiem palielin\u0101s. Un te atkal jaut\u0101jums: kur tiks \u0146emti terapeiti?<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Latvij\u0101 ir 660 sertific\u0113tu terapeitu, un tas nav maz. Terapeitiem tikpat k\u0101 nav iesp\u0113jams sa\u0146emt papildus pie algas par veiktaj\u0101m medic\u012bniskaj\u0101m manipul\u0101cij\u0101m, k\u0101 tas ir citiem speci\u0101listiem, kur \u0161o manipul\u0101ciju ir daudz vair\u0101k.<\/p>\n
\n\tR\u012bgas Austrumu kl\u012bniskaj\u0101 universit\u0101tes slimn\u012bc\u0101 (RAKUS) 2026. gad\u0101 tiks s\u0101kts pilotprojekts, lai p\u0101rliecin\u0101tos par to, vai terapeitiem, \u0137\u012bmijterapeitiem un citiem speci\u0101listiem, kuriem nav iesp\u0113jams no\u00adpeln\u012bt papildus par medic\u012bnisk\u0101m proced\u016br\u0101m, b\u016btu j\u0101maina atalgojuma sist\u0113ma.<\/p>\n
\n\t\u0160ogad rezident\u016br\u0101 in\u00adternistiem bija 20 valsts bud\u017eeta vietas, bet pieteic\u0101s 16 rezidenti. M\u0113s pied\u0101v\u0101jam valsts apmaks\u0101tas vietas, bet jaunie\u0161i t\u0101s neaizpilda, jo uzskata, ka internista atalgojums ir neliels, sal\u012bdzinot ar citiem speci\u0101listiem. T\u0101d\u0113\u013c mums ir j\u0101str\u0101d\u0101 pie tarifu no\u00adteik\u0161anas tiem speci\u0101listiem, kuriem nav iesp\u0113ju nopeln\u012bt vair\u0101k.<\/p>\n
\n\t\u00a0 \u00a0B\u016btu gan j\u0101\u0146em v\u0113r\u0101, ka visi speci\u0101listi ir tr\u012bs gadus m\u0101c\u012bju\u0161ies ar\u012b interno medic\u012bnu, t\u0101p\u0113c terapeitisk\u0101 profila slimniekus vajadz\u0113tu sp\u0113t \u0101rst\u0113t ar\u012b, piem\u0113ram, gastroenterologiem, nefrologiem un ci\u00adtiem speci\u0101listiem.<\/p>\n
\n\t\u00a0 \u00a0 RAKUS nesen ir uzs\u0101kts pilotprojekts \u00abSlimn\u012bca m\u0101j\u0101s\u00bb. Pacientu, kuram ir hroniska saslim\u0161ana, bet nav nepiecie\u0161ama intens\u012bva \u0101rst\u0113\u0161ana, izraksta no slimn\u012bcas un izsniedz plan\u0161eti, lai slimn\u012bcas \u0101rsts var\u0113tu monitor\u0113t vi\u0146a vesel\u012bbas st\u0101vokli. Tie ir pacienti, kuri dz\u012bvo piecdesmit kilometru att\u0101lum\u0101 no RAKUS.<\/p>\n
\n\tNav iesp\u0113jams visu paveikt vien\u0101 gad\u0101, jo ir j\u0101\u0146em v\u0113r\u0101, ka past\u0101v finans\u0113\u0161anas un likumdo\u0161anas jaut\u0101jums. Mazo slimn\u012bcu \u012bpa\u0161nieki ir pa\u0161\u00advald\u012bbas, un ar\u012b ar t\u0101m ir j\u0101vienojas, t\u0101p\u0113c tas nav tik vienk\u0101r\u0161i, k\u0101 izskat\u0101s. Visu vasaru run\u0101j\u0101m ar slimn\u012bcu vad\u012bt\u0101jiem par p\u0101rmai\u0146\u0101m, bet ar pa\u0161vald\u012bbu vad\u012bt\u0101jiem \u2013 pat divus gadus. Patlaban es neredzu, ka b\u016btu lielas pretenzijas, bet joproj\u0101m ir nepiecie\u0161ams skaidrot un izv\u0113rt\u0113t cilv\u0113kresursu kapacit\u0101ti attiec\u012bgajos re\u0123ionos. J\u0101run\u0101 ar\u012b ar iedz\u012bvot\u0101jiem, jo vi\u0146i ir satrauku\u0161ies, pa\u00addzirdot, ka tuv\u0101kaj\u0101 slimn\u012bc\u0101 \u00a0vairs neb\u016b\u0161ot neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas. Bet t\u0101 nav taisn\u012bba, jo b\u016bs cita kapacit\u0101te. M\u0113s neatst\u0101sim Latvijas iedz\u012bvot\u0101jus bez pal\u012bdz\u012bbas. Jebkuru uzlabojumu ievie\u0161anai ir nepiecie\u0161ami \u010detri pieci gadi. J\u0101\u0146em v\u0113r\u0101 ar\u012b tas, ka medic\u012bnas tehnolo\u0123ijas att\u012bst\u0101s, t\u0101p\u0113c m\u0113s gribam iesaist\u012bt pacientu \u0101rst\u0113\u0161an\u0101 arvien vair\u0101k telemedic\u012bnu. \u0160aj\u0101 zi\u0146\u0101 \u012bpa\u0161i labi re\u0123ion\u0101laj\u0101s slimn\u012bc\u0101s darbojas insulta vien\u012bbas, kas nepiecie\u0161am\u012bbas gad\u012bjum\u0101 sazin\u0101s, piem\u0113ram, ar Stradi\u0146a slimn\u012bcu, lai konsult\u0113tos par konkr\u0113tu pacientu \u0101rst\u0113\u0161anu. N\u0101kotn\u0113 lok\u0101laj\u0101m slimn\u012bc\u0101m b\u016bs iesp\u0113ja sazin\u0101ties ar augst\u0101ka l\u012bme\u0146a slimn\u012bcu speci\u0101listiem, lai nekav\u0113joties pal\u012bdz\u0113tu konkr\u0113tam pacientam uz vietas.<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Telemedic\u012bna prasa naudu, jo neviens \u0101rsts par velti nekonsult\u0113s.<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Nacion\u0101lais vesel\u012bbas dienests ir noteicis tarifu par \u0161\u0101d\u0101m konsult\u0101cij\u0101m. Es zinu, ka Stradi\u0146a slimn\u012bcai un RAKUS diezgan strauji palielin\u0101s telemedic\u012bnas konsult\u0101ciju skaits.<\/p>\n
\n\t\u00a0 \u00a0 \u00a0Ing\u016bna Johansone, Valkas un Smiltenes no\u00advadu re\u0123ion\u0101l\u0101 laikraksta \u00abZieme\u013clatvija\u00bb galven\u0101 redaktore: \u2013 Vai neatliekam\u0101 medic\u012bnisk\u0101 pal\u012bdz\u012bba (NMP) nav p\u0101rv\u0113rtusies par t\u0101du k\u0101 taksometru, lai p\u0101rvad\u0101tu pacientus uz Vidzemes slimn\u012bcu Valmier\u0101? Cilv\u0113\u00adki mums nereti st\u0101sta, ka medi\u0137iem neesot nepiecie\u0161amo medikamentu, ka ne vienm\u0113r esot vajadz\u012bg\u0101 aparat\u016bra, lai sniegtu pal\u012bdz\u012bbu uz vietas, nov\u0113rstu ak\u016bto vesel\u012bbas probl\u0113mu. Ta\u010du ir \u00a0situ\u0101cijas, kad aizved uz slimn\u012bcu, tur ievada z\u0101les un saka: brauciet m\u0101j\u0101s! Mums ir st\u0101st\u012bts, ka vec\u0101ki atved b\u0113rnu pie NMP brig\u0101des, kad traumpunkts vairs nestr\u0101d\u0101, un l\u016bdz izvilkt \u0113rci. Tur at\u00adbild, ka nevarot, jo tas neesot vi\u0146u darbs, un iesaka braukt uz Val\u00admieru. Bet l\u012bdz turienei ir piecdesmit kilometri. Valkas iedz\u012bvot\u0101js izv\u0113las p\u0101riet p\u0101ri robe\u017eai, lai l\u016bgtu pal\u012bdz\u012bbu Valgas NMP medi\u0137iem. Tur nav jaut\u0101jumu \u2013 medic\u012bnas m\u0101sa pa\u0146em pincet\u012bti un izrauj \u0113rc\u012bti. Pacients samaks\u0101 piecus eiro, un probl\u0113ma ir atrisin\u0101ta. Divas valstis ar da\u017e\u0101d\u0101m attieksm\u0113m pret pacientiem.<\/p>\n
\n\t\u00a0 \u00a0\u2013 Bet k\u0101p\u0113c nev\u0113r\u0161as pie \u0123imenes \u0101rsta?<\/p>\n
\n\t\u00a0 \u00a0 \u2013 T\u0101p\u0113c, ka vi\u0146\u0161 tad nestr\u0101d\u0101 \u2013 pulkstenis ir septi\u0146i vakar\u0101.<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Neatliekam\u0101 medic\u012bnisk\u0101 pal\u012bdz\u012bba un \u0101tr\u0101 medic\u012bnisk\u0101 pal\u012bdz\u012bba ir divi da\u017e\u0101di nosaukumi. M\u0113s visi labi atceramies, ka agr\u0101k atbrauca \u0101tr\u0101s pal\u012bdz\u012bbas medi\u0137i, ie\u0161pric\u0113ja, pacientam k\u013cuva lab\u0101k, un vi\u0146i aizbrauca. \u0160obr\u012bd nav t\u0101das kapacit\u0101tes, lai medi\u0137i brauktu iepot\u0113t. Vi\u0146i pie pacienta dodas neatliekam\u0101 k\u0101rt\u0101, ja cilv\u0113kam ir apdraud\u0113ta dz\u012bv\u012bba. B\u0113rnu, kuram pies\u016bkusies \u0113rc\u012bte, neved\u012bs uz slimn\u012bcu, jo tas nav neatliekams gad\u012bjums. NMP medi\u0137iem ir medikamenti, kas ir nepiecie\u0161ami, lai sniegtu neatliekamo pal\u012bdz\u012bbu.<\/p>\n
\n\t\u00a0 \u00a0 \u00a0\u2013 T\u0101 nav taisn\u012bba. Ir biju\u0161i gad\u012bjumi, kad pa\u00adcientam ir stipras s\u0101pes un ir nepiecie\u0161amas prets\u0101pju z\u0101les, bet NMP brig\u0101de sakot, ka \u0161\u0101du z\u0101\u013cu vi\u0146iem neesot. Ved\u012b\u0161ot pacientu uz slimn\u012bcu, tur ie\u0161pric\u0113\u0161ot.<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Es par to esmu p\u0101rsteigts, neticu, ka NMPD nav prets\u0101pju medikamentu. Lai \u0161o jaut\u0101jumu apspriestu, ir j\u0101zina konkr\u0113ti, kas t\u0101s ir par z\u0101l\u0113m, un konkr\u0113ti gad\u012bjumi, kad nav bijis z\u0101\u013cu.<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Lauku re\u0123ionos m\u0113s paz\u012bstam tos medi\u0137us, kas str\u0101d\u0101 NMP brig\u0101d\u0113s. Vi\u0146i mums pa\u0161i st\u0101sta, ka vairs neesot to medikamentu, k\u0101di ag\u00adr\u0101k biju\u0161i vi\u0146u r\u012bc\u012bb\u0101, ka z\u0101\u013cu saraksts brig\u0101d\u0113m esot krietni sarucis un t\u0101 z\u0101\u013cu somi\u0146a esot pavisam maza.<\/p>\n
\n\t\u00a0 \u00a0 Linda Rasa, \u00abLatvijas Av\u012bzes\u00bb galven\u0101 redaktore: \u2013 Nesen Latvijas Telev\u012bzij\u0101 bija si\u017eets par k\u0101du gad\u012bjumu, kas p\u0101rsteidza sabiedr\u012bbu. K\u0101 var b\u016bt t\u0101, ka Tukuma slimn\u012bc\u0101, kur ir neatliekam\u0101 medic\u012bnisk\u0101 pal\u012bdz\u012bba, nav nepiecie\u0161am\u0101s aparat\u016bras, lai pal\u012bdz\u0113tu izgl\u0101bt dz\u012bv\u012bbu v\u012brietim, kur\u0161 zaud\u0113ja sama\u0146u pils\u0113tas tirgus laukum\u0101 un p\u0113c tam nomira, jo abas NMP brig\u0101des bija devu\u0161\u0101s izsaukum\u0101 \u0101rpus pils\u0113tas? Tukuma slimn\u012bcas galvenais \u0101rsts Igors Punculis intervij\u0101 LTV sac\u012bja, ka neesot iesp\u0113jas aizbraukt ar medikamentiem, ar aparat\u016bru l\u012bdz tirgus laukumam un slimn\u012bcai neesot ar\u012b t\u0101das funkcijas.<\/p>\n
\n\t\u00a0 \u00a0 \u00a0\u2013 Es ne\u00adgribu nevienam p\u0101rmest, bet \u0161aj\u0101 situ\u0101cij\u0101 bija j\u0101iesaist\u0101s visiem kop\u0101. Pro\u00adtams, ir j\u0101saprot, ko dar\u012bt, bet taj\u0101 pa\u0161\u0101 laik\u0101, ja slimn\u012bc\u0101 ir speci\u0101listi, tad nedr\u012bkst b\u016bt t\u0101, ka cilv\u0113ks paliek viens pats ar savu smago vesel\u012bbas probl\u0113mu uz ielas.<\/p>\n
\n\t\u00a0 \u00a0 Aivita Lizdika, \u00abAl\u016bk\u00adsnes un Malienas Zi\u0146u\u00bb galven\u0101s redaktores vietniece: \u2013 M\u016bsu laikraksta las\u012bt\u0101ji l\u016bdza ministram pajaut\u0101t \u2013 ko valsts konkr\u0113ti dara, lai piesaist\u012btu lauku re\u0123ioniem speci\u00ad\u0101listus? Vi\u0146i rosina, ka tos jaunos medi\u0137us, kuri stud\u0113 par valsts bud\u017eeta l\u012bdzek\u013ciem, var\u0113tu novirz\u012bt str\u0101d\u0101t k\u0101du laiku uz t\u0101m slimn\u012bc\u0101m, kur konkr\u0113to specialit\u0101\u0161u \u0101rsti ir visvair\u0101k vajadz\u012bgi. Tie, kuri rezident\u016br\u0101 m\u0101c\u0101s par savu naudu, lai nu dara, k\u0101 v\u0113las.<\/p>\n
\n\t\u00a0 \u00a0 \u2013 \u0160\u0101ds jaut\u0101jums pa\u00adst\u0101v jau gadiem. \u0160ogad rezident\u016br\u0101 par valsts naudu ir 299 rezidentu vietas. Pirms diviem ga\u00addiem, kad s\u0101ku str\u0101d\u0101t par ministru, m\u0113s main\u012bj\u0101m sist\u0113mu, lai \u0101rsti nekoncentr\u0113tos p\u0101rsvar\u0101 lielaj\u0101s R\u012bgas slimn\u012bc\u0101s. \u0160obr\u012bd ir viegl\u0101k nek\u0101 agr\u0101k rezidentus novirz\u012bt ar\u012b uz ne\u00adlielaj\u0101m slimn\u012bc\u0101m. Al\u016bk\u00adsnes slimn\u012bc\u0101 ar\u012b patlaban str\u0101d\u0101 rezidenti. Tas, vai vi\u0146i tur paliks, atkar\u012bgs no attieksmes darba kolekt\u012bv\u0101, no priek\u0161roc\u012bb\u0101m, ko jaunajiem \u0101rstiem pie\u0161\u0137ir pa\u0161vald\u012bba.<\/p>\n
\n\t\u00a0 \u00a0 Al\u016bksn\u0113 ir j\u0101dara viss iesp\u0113jamais, lai tur b\u016btu traumatologi, jo j\u0101\u0146em v\u0113r\u0101, ka tur atrodas Na\u00adcion\u0101lie bru\u0146otie sp\u0113ki un Zemessardze. Vesel\u012bbas ministrija kop\u0101 ar Aiz\u00adsardz\u012bbas ministriju str\u0101d\u0101 pie t\u0101, lai slimn\u012bcas atbilstu valsts dro\u0161\u012bbai nepiecie\u0161amajiem krit\u0113rijiem. Te ir runa ne tikai par Al\u016bksnes slimn\u012bcu, bet ar\u012b J\u0113kabpils re\u0123ion\u0101lo slimn\u012bcu, Kr\u0101s\u00adlavas, Balvu, Ludzas slimn\u012bc\u0101m, kuras atrodas pierobe\u017e\u0101. Latvijas pierobe\u017ea ar Krieviju un Baltkrieviju ir strat\u0113\u0123iskas noz\u012bmes teritorija, un atbilsto\u0161as medic\u012bnisk\u0101s pal\u012bdz\u012bbas pieejam\u012bba \u0161aj\u0101 re\u0123ion\u0101 ir valsts notur\u012bbas elements. L\u012bdz ar to augst\u0101kas izmaksas uz vienu pacientu \u0161aj\u0101 teritorij\u0101 ir pamatots ieguld\u012bjums valsts dro\u0161\u012bb\u0101.\u00a0<\/p>\n
\n\t\u00a0 \u00a0 \u00a0\u0100rstniec\u012bbas iest\u0101d\u0113s, kur\u0101s ir mazs NMP brig\u0101\u017eu medi\u0137u atvesto pacientu skaits, pl\u0101nots pilot\u0113t steidzam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas noda\u013cas, t\u0101d\u0113j\u0101di izv\u0113rt\u0113jot NMPD iesp\u0113ju nog\u0101d\u0101t pacientu stundas laik\u0101 uz tuv\u0101ko slimn\u012bcu, kur ir neatliekam\u0101s pal\u012bdz\u012bbas un pacientu uz\u0146em\u0161anas noda\u013ca. Steidzam\u0101s me\u00addic\u012bnas pal\u012bdz\u012bbas no\u00adda\u013c\u0101s iedz\u012bvot\u0101jiem ak\u016btas saslim\u0161anas vai traumu gad\u012bjumos, kad netiek nopietni apdraud\u0113ta pa\u00adcientu dz\u012bv\u012bba, sertific\u0113ts \u0101rsts sniegs nepiecie\u0161amo pal\u012bdz\u012bbu. Savuk\u0101rt situ\u0101cij\u0101s, kad saslim\u0161anas vai traumu d\u0113\u013c pacienta dz\u012bv\u012bba tiks apdraud\u0113ta vai, nov\u0113rt\u0113jot pacienta vesel\u012bbas st\u0101vokli, b\u016bs aizdomas par nopietn\u0101ku saslim\u0161anu vai traumu, nek\u0101 tas s\u0101\u00adkotn\u0113ji diagnostic\u0113ts, steidzam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas noda\u013c\u0101 str\u0101d\u0101jo\u0161\u0101 person\u0101la pien\u0101kums b\u016bs izsaukt NMPD brig\u0101di pacienta t\u0101l\u0101kai novirz\u012b\u0161anai uz augst\u0101ka l\u012bme\u0146a iest\u0101di, kur t\u0101l\u0101k tiks pie\u0146emts l\u0113mums par pacienta \u0101rst\u0113\u0161anu. Steidzam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas noda\u013c\u0101s \u0101rsts (internists vai \u0137irurgs) b\u016bs pieejams konkr\u0113tas darba stundas diennakt\u012b, kuras tiks noteiktas, v\u0113rt\u0113jot katras \u0101rstniec\u012bbas iest\u0101des iesp\u0113jas piesaist\u012bt speci\u0101listus un \u0146emot v\u0113r\u0101 atsevi\u0161\u0137u teritoriju \u0123eogr\u0101fisk\u0101s \u012bpat\u00adn\u012bbas. Atliku\u0161o laiku \u0101rsts b\u016bs pieejams slimn\u012bc\u0101. Savuk\u0101rt radiologa asistents, medic\u012bnas m\u0101\u00adsas, \u0101rsta pal\u012bgi vai m\u0101sas pal\u012bgi steidzam\u0101s medic\u012bnas pal\u012bdz\u012bbas noda\u013c\u0101 b\u016bs pieejami visu diennakti septi\u0146as dienas ned\u0113\u013c\u0101.<\/p>\n
\n\t\u00a0 \u00a0 \u0160o pilotprojektu m\u0113s pl\u0101nojam \u012bstenot 2026. gada otraj\u0101 pus\u0113, lai redz\u0113tu, k\u0101 str\u0101d\u0101 divas sist\u0113mas kop\u0101. Var rasties jaut\u0101jums: k\u0101p\u0113c tik v\u0113lu? T\u0101p\u0113c ka Ministru kabinets v\u0113l nav apstiprin\u0101jis zi\u0146ojumu par slimn\u012bcu t\u012bkla att\u012bst\u012bbu. Par \u0161o jaut\u0101jumu v\u0113l b\u016bs pla\u0161as diskusijas gan politi\u0137u, gan sabiedr\u012bbas vid\u016b. T\u0101d\u0101 veid\u0101 m\u0113s v\u0113lamies noskaidrot, k\u0101da ir pacientu pl\u016bsma un cilv\u0113kresursu pieejam\u012bba. Patlaban ir t\u0101, ka uz\u0146em\u0161anas noda\u013c\u0101s speci\u0101listi nereti ir tikai uz pap\u012bra, un, kad NMP brig\u0101de tur grib vest pacientus, izr\u0101d\u0101s, ka re\u0101li speci\u0101lists nav pieejams. Ir ar\u012b t\u0101, ka me\u00addic\u012bnisk\u0101 aparat\u016bra sestdien, sv\u0113tdien nestr\u0101d\u0101, jo br\u012bvdien\u0101s nav speci\u0101listu. Iedz\u012bvot\u0101jiem ir skaidri j\u0101zina, k\u0101di speci\u0101listi slimn\u012bc\u0101s ir pieejami visu diennakti.<\/p>\n
\n\t\u00a0 \u00a0 \u00a0Zem\u0101ka profila slimn\u012bc\u0101m ir j\u0101sadarbojas ar augst\u0101ka l\u012bme\u0146a slimn\u012bc\u0101m un otr\u0101di. T\u0101da sadarb\u012bba, k\u0101da \u0161obr\u012bd ir, piem\u0113ram, Bauskas slimn\u012bcai ar lielaj\u0101m slimn\u012bc\u0101m, daudzviet nepast\u0101v. Te, protams, rodas jaut\u0101jums: k\u0101p\u0113c lielaj\u0101m slimn\u012bc\u0101m ir j\u0101pie\u0146em tik daudz pa\u00adcientu, ja par vi\u0146u \u0101rst\u0113\u0161anu rodas zaud\u0113jumi? N\u0101\u00adkamgad tiks main\u012bts finans\u0113\u0161anas \u00a0modelis t\u0101, lai finans\u0113jums sekotu slimniekam. L\u012bdz ar to finans\u0113\u0161anas modelis k\u013c\u016bs taisn\u012bg\u0101ks.<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Laikraksta \u00abBr\u012bv\u0101 Daugava\u00bb r\u012bc\u012bb\u0101 non\u0101kusi pl\u0101not\u0101 slimn\u012bcu p\u0101rveides karte, kur novadu teritorijas iekr\u0101sotas atbilsto\u0161i slimn\u012bcu l\u012bme\u0146iem. Tom\u0113r \u0161is kr\u0101sojums vis\u0101m re\u0123ion\u0101laj\u0101m slimn\u012bc\u0101m nav vien\u0101ds: piecas \u2013 Ventspils, Liep\u0101\u00adjas, R\u0113zeknes, Daugav\u00adpils, Valmieras \u2013 ir vien\u0101 ton\u012b ar universit\u0101tes slim\u00adn\u012bc\u0101m (un ar\u012b nor\u0101d\u012bts, ka t\u0101s sniedz speci\u00adaliz\u0113tu pal\u012bdz\u012bbu), bet Jelgavas un J\u0113kabpils re\u0123ion\u0101l\u0101s slimn\u012bcas ie-kr\u0101sotas ton\u012b, kas atbilst vid\u0113j\u0101 l\u012bme\u0146a statusam (un nav nor\u0101d\u012bts, ka t\u0101s sniegtu specializ\u0113tu pal\u012bdz\u012bbu). L\u012bdz \u0161im vis\u0101m re\u0123ion\u0101laj\u0101m slimn\u012bc\u0101m bija pras\u012bba nodro\u0161in\u0101t noteiktu specializ\u0113to pa\u00adl\u012bdz\u012bbu noteikt\u0101 l\u012bmen\u012b, bet, piem\u0113ram, J\u0113kabpils slimn\u012bc\u0101 ilgsto\u0161i nav pilnv\u0113rt\u012bgas insulta grupas. Vai tas noz\u012bm\u0113, ka n\u0101kotn\u0113 \u0161\u0101das pras\u012bbas vairs netiks izvirz\u012btas vismaz k\u0101 v\u0113lams m\u0113r\u0137is ar domu par vid\u0113j\u0101 l\u012bme\u0146a slimn\u012bcu izaugsmes ne\u00adpiecie\u0161am\u012bbu, lai dz\u012bv\u012bbai svar\u012bgi pakalpojumi (piem\u0113ram, insulta grupa) tom\u0113r b\u016btu vis\u0101s vid\u0113j\u0101 l\u012bme\u0146a slimn\u012bc\u0101s?<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Vesel\u012bbas ministrija \u0161obr\u012bd str\u0101d\u0101 pie slimn\u012bcu pakalpojumu t\u012bkla pilnveides, un diskusijas joproj\u0101m tiek turpin\u0101tas. V\u0113lamies uzsv\u0113rt, ka \u0161obr\u012bd nav pie\u0146emti l\u0113mumi par konkr\u0113tu slimn\u012bcu p\u0101rveido\u0161anu. Informat\u012bvaj\u0101 zi\u0146ojum\u0101 tiek run\u0101ts par principiem, k\u0101 organiz\u0113t slimn\u012bcu t\u012bklu. Zi\u0146ojums \u0161obr\u012bd ir nodots sabiedriskajai apsprie\u0161anai, ar to ikviens var iepaz\u012bties Ministru kabineta Ties\u012bbu aktu projektu publiskaj\u0101 port\u0101l\u0101, sniegt savus koment\u0101rus un priek\u0161likumus.<\/p>\n
\n\tPirms informat\u012bv\u0101 zi\u0146ojuma nodo\u0161anas publiskajai apspriedei Vesel\u012bbas ministrijas komanda tik\u0101s ar visu slimn\u012bcu p\u0101rst\u0101vjiem un p\u0101rrun\u0101ja pl\u0101not\u0101s izmai\u0146as. Informat\u012bvais zi\u0146ojums ir ce\u013ca karte p\u0101rmai\u0146\u0101m slimn\u012bcu t\u012bkla att\u012bst\u012bb\u0101 l\u012bdz 2029. gadam. Kvalit\u0101tes pras\u012bbas tiks ieviestas pak\u0101peniski, sadarbojoties ar slimn\u012bc\u0101m.<\/p>\n
\n\t\u00a0 \u00a0Sandra Apine, laikraksta \u00abAl\u016bksnes un Malie\u00adnas Zi\u0146as\u00bb galven\u0101 re\u00addaktore: \u2013 K\u0101 b\u016btu j\u0101sak\u0101rto slimn\u012bcu t\u012bkls Lat\u00advij\u0101, raugoties no milit\u0101r\u0101s medic\u012bnas viedok\u013ca?<\/p>\n
\n\t\u00a0 \u00a0 \u2013 Lai ienaidnieks neuzzin\u0101tu, es patlaban nedr\u012bkstu publiski run\u0101t par to, kuru slimn\u012bcu m\u0113s uzskat\u0101m par galveno \u00abX stund\u0101\u00bb. Medi\u0137i tren\u0113jas, lai sp\u0113tu sniegt pal\u012bdz\u012bbu ikvienam politraumu un citos gad\u012bjumos.<\/p>\n
\n\t\u00a0 \u00a0 L. Rasa: \u2013 K\u0101 j\u016bs uz\u00adskat\u0101t \u2013 vai tas ir pie\u013caujams, ka da\u013ca \u0101rstu vienlaikus str\u0101d\u0101 piec\u0101s se\u0161\u0101s darba viet\u0101s valsts, pa\u0161\u00advald\u012bbu un priv\u0101t\u0101s iest\u0101d\u0113s (da\u017es pat priv\u0101tfirm\u0101, kas nodarbojas ar medic\u012bnas iek\u0101rtu tirdz\u00adniec\u012bbu)? Labi, varb\u016bt labi medi\u0137i, pateicoties sav\u0101m zin\u0101\u0161an\u0101m, prasm\u0113m un ieguld\u012btajam laikam m\u0101c\u012bb\u0101s, ir peln\u012bju\u0161i sa\u0146emt divdesmit, tr\u012bsdesmit t\u016bksto\u0161us un pat \u010detrdesmit t\u016bksto\u0161us eiro m\u0113nes\u012b, k\u0101 tas bija re\u00addzams VID publiskotaj\u0101 visvair\u0101k pelno\u0161o \u0101rstu sarakst\u0101. Ta\u010du jaut\u0101jums \u2013 cik kvalitat\u012bvi ir \u0161\u0101da \u0101rsta sniegtie medic\u012bnas pakalpojumi, ja vi\u0146\u0161 skraida no vienas darba vie\u00adtas uz otru un tre\u0161o?<\/p>\n
\n\t\u00a0 \u00a0– \u00a0 Neviens \u0101rsts nestr\u0101d\u0101 cauru diennakti bez gul\u0113\u0161anas un atp\u016btas. Agr\u0101k es str\u0101d\u0101ju sav\u0101 \u0101rsta praks\u0113 un v\u0113l div\u0101s pa\u0161vald\u012bbu \u0101rstniec\u012bbas iest\u0101d\u0113s, las\u012bju \u0101rstiem lekcijas un ar\u012b str\u0101d\u0101ju ar rezidentiem, un to var\u0113ja apvienot. Es zinu, ka ir radiologi, kuri no Latvijas str\u0101d\u0101 Anglij\u0101 un \u012arij\u0101. Vi\u0146iem ats\u016bta veikt\u0101 izmekl\u0113juma att\u0113lu, lai vi\u0146i to var\u0113tu aprakst\u012bt, un par to maks\u0101 krietni vair\u0101k nek\u0101 Latvij\u0101. Nedr\u012bkst\u0113tu uzskat\u012bt, ka visi \u0101rsti, kas str\u0101d\u0101 vair\u0101k\u0101s darba viet\u0101s, nesp\u0113j str\u0101d\u0101t kvalitat\u012bvi. Ir da\u017e\u0101di.<\/p>\n
\n\t\u00a0 \u00a0 \u00a0Vesel\u012bbas ministrijas valsts sekret\u0101re ir piepras\u012bjusi universit\u0101tes slimn\u012bc\u0101m vair\u0101k inform\u0101cijas par \u013coti labi atalgotajiem \u0101rstiem. M\u0113s v\u0113lamies p\u0101rliecin\u0101ties, tie\u0161i par ko \u0161iem \u0101rstiem tiek maks\u0101ts valsts slimn\u012bc\u0101s, k\u0101 tiek apr\u0113\u0137in\u0101ts vi\u0146u atalgojums. Bet ministrijai nav ties\u012bbu kontrol\u0113t, k\u0101 veidojas vi\u0146u atalgojums priv\u0101taj\u0101s medic\u012bnas iest\u0101d\u0113s.<\/p>\n
\n\t\u00a0<\/p>\n
\n\t\u00a0<\/p>\n
\n\t\t\u00a0<\/p>\n
\n\t\tPublik\u0101cija tapusi projekt\u0101 \u00abSare\u017e\u0123\u012bt\u0101 Latvija: no valsts l\u012bdz novadam\u00bb, kur\u0101 \u00abBr\u012bv\u0101 Daugava\u00bb sadarbojas ar laikrakstiem \u00abStaburags\u00bb, \u00abDzirkstele\u00bb, \u00abZieme\u013clatvija\u00bb, \u00abBauskas Dz\u012bve\u00bb, \u00abAl\u016bksnes un Malienas Zi\u0146as\u00bb un \u00abLatvijas Av\u012bze\u00bb.<\/p>\n
\t\t<\/p>\n
\n\t\tMediju atbalsta fonda ieguld\u012bjums no Latvijas valsts bud\u017eeta l\u012bdzek\u013ciem. <\/p>\n
\n\t\tPar publik\u0101cijas saturu atbild \u00abBr\u012bv\u0101 Daugava\u00bb<\/p>\n
\n\t\u00a0<\/p>\n
\n\t\u00a0<\/p>\n","protected":false},"excerpt":{"rendered":"
Vesel\u012bbas ministrija ir sagatavojusi informat\u012bvo zi\u0146ojumu par slimn\u012bcu t\u012bkla att\u012bst\u012bbu, kas dr\u012bzum\u0101 non\u0101ks uz vald\u012bbas galda. Ministrija…\n","protected":false},"author":2,"featured_media":45566,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[23,6802,28,29,32,33,22,30,31,35,39,38,36,37,34,40,12759,20,26,27,24,25,181,21],"class_list":{"0":"post-45565","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-aktualitates","8":"tag-aktualitates","9":"tag-arsts","10":"tag-breaking-news","11":"tag-breakingnews","12":"tag-featured-news","13":"tag-featurednews","14":"tag-headlines","15":"tag-latest-news","16":"tag-latestnews","17":"tag-latvia","18":"tag-latvian","19":"tag-latviesu","20":"tag-latviesu-valoda","21":"tag-latviesuvaloda","22":"tag-latvija","23":"tag-lv","24":"tag-meri","25":"tag-news","26":"tag-popularakas-zinas","27":"tag-popularakaszinas","28":"tag-top-stories","29":"tag-topstories","30":"tag-veseliba","31":"tag-zinas"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@lv\/115527399779129491","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/45565","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/comments?post=45565"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/45565\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media\/45566"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media?parent=45565"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/categories?post=45565"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/tags?post=45565"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}