Ba\u017eas par Dobeles slimn\u012bcas n\u0101kotni: viens \u0101rsts uz\u0146em\u0161anas noda\u013c\u0101?<\/p>\n
Dobeles un apk\u0101rtnes slimn\u012bca pau\u017e nopietnas ba\u017eas par t\u0101s turpm\u0101ko past\u0101v\u0113\u0161anu un iesp\u0113jamu degrad\u0101ciju l\u012bdz lok\u0101la l\u012bme\u0146a medic\u012bnas iest\u0101dei. Pa\u0161reiz\u0113j\u0101 situ\u0101cij\u0101, kad uz\u0146em\u0161anas noda\u013c\u0101 str\u0101d\u0101 se\u0161i speci\u0101listi, past\u0101v re\u0101ls drauds, ka turpm\u0101k paliks vien\u012bgi viens terapeits. \u0160\u0101das izmai\u0146as rad\u012btu milz\u012bgu spiedienu uz eso\u0161o person\u0101lu un apdraud\u0113tu pacientu apr\u016bpes kvalit\u0101ti. Slimn\u012bcas vad\u012bba uzsver, ka viens \u0101rsts nesp\u0113tu nodro\u0161in\u0101t nepiecie\u0161amo medic\u012bnisko pal\u012bdz\u012bbu vis\u0101s specialit\u0101t\u0113s, ko paredz likumdo\u0161ana.<\/p>\n
Re\u0123ion\u0101l\u0101s slimn\u012bcas saskaras ar kr\u012bzi: person\u0101la tr\u016bkums un finans\u0113juma probl\u0113mas<\/p>\n
Situ\u0101cija Dobeles slimn\u012bc\u0101 nav vienreiz\u0113js gad\u012bjums, bet gan atspogu\u013co pla\u0161\u0101ku tendenci Latvijas vesel\u012bbas apr\u016bpes sist\u0113m\u0101. Re\u0123ion\u0101l\u0101s slimn\u012bcas vis\u0101 valst\u012b saskaras ar katastrof\u0101lu speci\u0101listu tr\u016bkumu, kas atspogu\u013cojas ar\u012b cit\u0101s slimn\u012bc\u0101s, piem\u0113ram, Daugavpil\u012b, kur tr\u016bkst \u0137irurgu de\u017e\u016br\u0101m. \u0100rsti dod priek\u0161roku darbam R\u012bg\u0101 vai priv\u0101taj\u0101s praks\u0113s, bet jaunie speci\u0101listi bie\u017ei vien izv\u0113las doties str\u0101d\u0101t uz \u0101rzem\u0113m. Zemo atalgojumu d\u0113\u013c valsts un pa\u0161vald\u012bbu slimn\u012bcas nesp\u0113j konkur\u0113t ar priv\u0101to sektoru, liekot eso\u0161ajiem medi\u0137iem str\u0101d\u0101t l\u012bdz izs\u012bkuma robe\u017eai. \u0160\u0101da situ\u0101cija rada nopietnas sekas pacientu apr\u016bpes kvalit\u0101t\u0113 un pieejam\u012bb\u0101, it \u012bpa\u0161i neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas nodro\u0161in\u0101\u0161an\u0101. K\u0101 nor\u0101d\u012bts, speci\u0101listu tr\u016bkums ir vis\u0101s nozar\u0113s \u2013 s\u0101kot ar \u0137irurgiem un anesteziologiem, beidzot ar psihiatriem un citiem. Tas rada situ\u0101ciju, kur\u0101 daudzu speci\u0101listu pakalpojumi ir pieejami tikai par maksu, bet diennakts de\u017e\u016bras neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas snieg\u0161anai ir arvien gr\u016bt\u0101k nodro\u0161in\u0101t.<\/p>\n
Dobeles slimn\u012bcas pacientu pl\u016bsma un t\u0101s noz\u012bme<\/p>\n
Dobeles un apk\u0101rtnes slimn\u012bc\u0101 \u0161obr\u012bd str\u0101d\u0101 ap 260 cilv\u0113ku, tai skait\u0101 80 \u0101rsti un vair\u0101ki rezidenti. Pag\u0101ju\u0161aj\u0101 gad\u0101 uz\u0146em\u0161anas noda\u013c\u0101 tika apkalpoti gandr\u012bz 7000 pacientu. J\u0101atz\u012bm\u0113, ka liela da\u013ca no vi\u0146iem ir gados veci cilv\u0113ki no Dobeles, T\u0113rvetes, Jelgavas un pat Saldus novadiem, k\u0101 ar\u012b no pansion\u0101tiem, kas atrodas slimn\u012bcas tuvum\u0101. Pa\u0161laik slimn\u012bca ir tre\u0161\u0101 l\u012bme\u0146a slimn\u012bca, kas nodro\u0161ina neatliekamos pakalpojumus internaj\u0101 medic\u012bn\u0101, \u0137irur\u0123ij\u0101, radiolo\u0123ij\u0101, pediatrij\u0101, ginekolo\u0123ij\u0101 un dzemdniec\u012bb\u0101, k\u0101 ar\u012b reanimatolo\u0123ij\u0101. Lai gan Neatliekam\u0101s medic\u012bnisk\u0101s pal\u012bdz\u012bbas dienests uz Dobeli diennakts laik\u0101 nog\u0101d\u0101 vid\u0113ji tikai tr\u012bs pacientus, slimn\u012bcas person\u0101ls nor\u0101da, ka daudzi cilv\u0113ki, \u012bpa\u0161i gados veci, v\u0113r\u0161as uz\u0146em\u0161an\u0101, jo nesp\u0113j laic\u012bgi sa\u0146emt pal\u012bdz\u012bbu pie \u0123imenes \u0101rsta, kur j\u0101gaida ned\u0113\u013cu vai pat ilg\u0101k. \u0160is aspekts rada \u012bpa\u0161as raizes slimn\u012bcas vad\u012bbai, dom\u0101jot par n\u0101kotni.<\/p>\n
Slimn\u012bcu t\u012bkla reformas un to sekas<\/p>\n
Vesel\u012bbas ministrijas pl\u0101not\u0101s izmai\u0146as slimn\u012bcu t\u012bkl\u0101 ir izpeln\u012bju\u0161\u0101s kritiku no nozares p\u0101rst\u0101vjiem. Lai gan pl\u0101nojot pakalpojumu pieejam\u012bbu, tiek \u0146emta v\u0113r\u0101 teritori\u0101l\u0101 pieejam\u012bba, izskan\u0113ju\u0161\u0101s ba\u017eas par Dobeles slimn\u012bcas iesp\u0113jamo lok\u0101l\u0101 statusa pie\u0161\u0137ir\u0161anu rada satraukumu. \u0160\u0101ds solis noz\u012bm\u0113tu, ka slimn\u012bc\u0101 de\u017e\u016br\u0113tu tikai viens terapeits, kas nesp\u0113tu nodro\u0161in\u0101t visu nepiecie\u0161amo pal\u012bdz\u012bbu. Lai gan Dobeles slimn\u012bca p\u0113rn str\u0101d\u0101jusi ar nelielu pe\u013c\u0146u, vad\u012bba uzskata, ka \u0161\u0101das p\u0101rmai\u0146as apdraud\u0113tu t\u0101s stabilit\u0101ti. Saeimas priek\u0161s\u0113d\u0113t\u0101ja Daiga Mieri\u0146a ir paudusi nopietnas ba\u017eas par Latvijas slimn\u012bcu, \u012bpa\u0161i re\u0123ion\u0101lo, st\u0101vokli, uzsverot, ka t\u0101s tiek sist\u0113miski atst\u0101tas nov\u0101rt\u0101 un saskaras ar dzi\u013c\u0101m finansi\u0101l\u0101m un operat\u012bv\u0101m gr\u016bt\u012bb\u0101m. Vi\u0146a uzsver, ka risin\u0101jums sl\u0113pjas ne tik daudz papildu finansi\u0101los ieguld\u012bjumos, cik sist\u0113mas sak\u0101rto\u0161an\u0101 un birokr\u0101tijas mazin\u0101\u0161an\u0101. K\u0101 v\u0113l viena b\u016btiska probl\u0113ma tiek identific\u0113ts nepietiekami skaidrs slimn\u012bcu profilu un l\u012bme\u0146u sadal\u012bjums, kas apgr\u016btina efekt\u012bvu resursu izmanto\u0161anu un pakalpojumu pl\u0101no\u0161anu valsts m\u0113rog\u0101. Tas rada nevajadz\u012bgu fragment\u0101ciju un neefektivit\u0101ti.<\/p>\n
Ilgtermi\u0146a risin\u0101jumi vesel\u012bbas apr\u016bpes kr\u012bzei<\/p>\n
Lai risin\u0101tu ak\u016bt\u0101s cilv\u0113kresursu probl\u0113mas vesel\u012bbas apr\u016bpes sist\u0113m\u0101, nepiecie\u0161ama visaptvero\u0161a pieeja. Speci\u0101listi nor\u0101da uz cilv\u0113kresursu pl\u0101no\u0161anas att\u012bst\u012b\u0161anu, lai risin\u0101tu ak\u016bt\u0101s probl\u0113mas ar person\u0101la piesaisti un notur\u0113\u0161anu visos vesel\u012bbas apr\u016bpes l\u012bme\u0146os. T\u0101 k\u0101 pa\u0161vald\u012bb\u0101m ir ierobe\u017eoti resursi, lai finansi\u0101li atbalst\u012btu darbinieku p\u0101rcel\u0161anos, nepiecie\u0161ama valsts l\u012bme\u0146a atbalsta politika, kas balst\u012bta uz prognoz\u0113m. T\u0101 var\u0113tu ietvert p\u0101rcel\u0161an\u0101s pabalstus un dz\u012bvok\u013ca \u012bres kompens\u0101cijas. T\u0101pat svar\u012bgi ir risin\u0101t gr\u016bt\u012bbas jaunajiem \u0101rstiem iek\u013c\u016bt darba tirg\u016b un p\u0101rskat\u012bt eso\u0161o \u0101rstu sniegumu ar caurredzam\u0101kiem resertifik\u0101cijas standartiem. Neliel\u0101s atalgojuma at\u0161\u0137ir\u012bbas da\u017e\u0101diem vesel\u012bbas apr\u016bpes darbiniekiem ar at\u0161\u0137ir\u012bg\u0101m prasm\u0113m un atbild\u012bbas l\u012bmeni ar\u012b ir j\u0101risina, palielinot algas, lai motiv\u0113tu speci\u0101listus palikt str\u0101d\u0101t Latvij\u0101. Vesel\u012bbas apr\u016bpes darbinieku tr\u016bkums palielina s\u0101ncens\u012bbu darbinieku piesaist\u0113, \u012bpa\u0161i re\u0123ionos. Lai gan finan\u0161u stimuli ir svar\u012bgi, dal\u012bbnieki uzskata, ka tiem ir bijusi ierobe\u017eota ietekme. Lai nov\u0113rstu turpm\u0101ku vesel\u012bbas apr\u016bpes kvalit\u0101tes pasliktin\u0101\u0161anos un nodro\u0161in\u0101tu t\u0101s pieejam\u012bbu visiem iedz\u012bvot\u0101jiem, ir nepiecie\u0161amas sist\u0113miskas p\u0101rmai\u0146as un ilgtsp\u0113j\u012bgi risin\u0101jumi.<\/p>\n","protected":false},"excerpt":{"rendered":"Ba\u017eas par Dobeles slimn\u012bcas n\u0101kotni: viens \u0101rsts uz\u0146em\u0161anas noda\u013c\u0101? Dobeles un apk\u0101rtnes slimn\u012bca pau\u017e nopietnas ba\u017eas par t\u0101s…\n","protected":false},"author":2,"featured_media":51114,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[5],"tags":[23,13992,28,29,13991,32,33,22,30,31,35,39,38,36,37,34,40,20,13995,26,27,13994,24,25,13993,21],"class_list":{"0":"post-51113","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-aktualitates","8":"tag-aktualitates","9":"tag-arstu-trukums","10":"tag-breaking-news","11":"tag-breakingnews","12":"tag-dobeles-slimnica","13":"tag-featured-news","14":"tag-featurednews","15":"tag-headlines","16":"tag-latest-news","17":"tag-latestnews","18":"tag-latvia","19":"tag-latvian","20":"tag-latviesu","21":"tag-latviesu-valoda","22":"tag-latviesuvaloda","23":"tag-latvija","24":"tag-lv","25":"tag-news","26":"tag-personala-krize","27":"tag-popularakas-zinas","28":"tag-popularakaszinas","29":"tag-regionalas-slimnicas","30":"tag-top-stories","31":"tag-topstories","32":"tag-veselibas-aprupe-latvija","33":"tag-zinas"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@lv\/115560716896766918","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/51113","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=51113"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/51113\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media\/51114"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media?parent=51113"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/categories?post=51113"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/tags?post=51113"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}