{"id":60061,"date":"2025-11-27T19:05:27","date_gmt":"2025-11-27T19:05:27","guid":{"rendered":"https:\/\/www.europesays.com\/lv\/60061\/"},"modified":"2025-11-27T19:05:27","modified_gmt":"2025-11-27T19:05:27","slug":"no-nakama-gada-mainisies-valsts-apmaksatas-rehabilitacijas-sanemsana-berniem","status":"publish","type":"post","link":"https:\/\/www.europesays.com\/lv\/60061\/","title":{"rendered":"No n\u0101kam\u0101 gada main\u012bsies valsts apmaks\u0101tas rehabilit\u0101cijas sa\u0146em\u0161ana b\u0113rniem"},"content":{"rendered":"<p>Ar m\u0113r\u0137i moderniz\u0113t eso\u0161o sist\u0113mu un risin\u0101t t\u0101s probl\u0113mas, <a rel=\"noopener nofollow\" target=\"_blank\" href=\"https:\/\/www.delfi.lv\/temas\/45254002\/nacionalais-veselibas-dienests\" tag-id=\"45254002\">Nacion\u0101lais vesel\u012bbas dienests<\/a> (<a rel=\"noopener nofollow\" target=\"_blank\" href=\"https:\/\/www.delfi.lv\/temas\/48980403\/nvd\" tag-id=\"48980403\">NVD<\/a>) ir izstr\u0101d\u0101jis reformu ambulatoro <a rel=\"noopener nofollow\" target=\"_blank\" href=\"https:\/\/www.delfi.lv\/temas\/51226351\/rehabilitacija\" tag-id=\"51226351\">rehabilit\u0101cijas<\/a> pakalpojumu sa\u0146em\u0161anas k\u0101rt\u012bb\u0101 b\u0113rniem, daudzas atsevi\u0161\u0137as manipul\u0101cijas dz\u0113\u0161ot no saraksta, preciz\u0113jot nosaukumus vai apmaksas nosac\u012bjumus, k\u0101 ar\u012b izveidojot jaunas. Kas sagaida pacientus un vi\u0146u vec\u0101kus no n\u0101kam\u0101 gada 1. janv\u0101ra?<\/p>\n<p>K\u0101 uzsv\u0113ra NVD, reformas m\u0113r\u0137is ir nov\u0113rst sist\u0113mas sadrumstalot\u012bbu, nodro\u0161in\u0101t, lai katrs pacients sa\u0146emtu individualiz\u0113tus rehabilit\u0101cijas pakalpojumus, kas balst\u012bti pacienta vajadz\u012bb\u0101s un funkcion\u0113\u0161anas nov\u0113rt\u0113jum\u0101 un v\u0113rsti uz konkr\u0113tu rehabilit\u0101cijas m\u0113r\u0137u sasnieg\u0161anu.<\/p>\n<p class=\"MsoNormal\">T\u0101pat m\u0113r\u0137is ir veidot caursp\u012bd\u012bgu apmaksas modeli, kas paredz\u0113tu l\u012bdzv\u0113rt\u012bgu apmaksu visiem speci\u0101listiem, tre\u0161dien, 26. novembr\u012b, tiekoties ar \u017eurn\u0101listiem, skaidroja NVD Pakalpojumu att\u012bst\u012bbas noda\u013cas vad\u012bt\u0101ja vietniece Linda Celmi\u0146a-\u0136eze.<\/p>\n<p class=\"MsoNormal\">Vi\u0146a mierin\u0101ja, ka reforma nav dom\u0101ta, lai kaut ko nogrieztu vai samazin\u0101tu, bet efektiviz\u0113tu speci\u0101listu darbu un samaksu par to padar\u012btu caursp\u012bd\u012bg\u0101ku.<\/p>\n<p class=\"MsoNormal\">K\u0101 prezent\u0101cij\u0101 nor\u0101d\u012bja Celmi\u0146a-\u0136eze, no n\u0101kam\u0101 gada paredz\u0113tas tr\u012bs jaunas manipul\u0101cijas ar tarifu, tiek izveidotas 25 jaunas statistikas manipul\u0101cijas, 69 manipul\u0101cijas tiek dz\u0113stas, k\u0101 ar\u012b devi\u0146\u0101m manipul\u0101cij\u0101m noteikti redakcion\u0101li preciz\u0113jumi jeb main\u012bti apmaksas nosac\u012bjumi un nosaukums.<\/p>\n<p class=\"MsoNormal\">Paskaidrojot, k\u0101p\u0113c tik daudzas manipul\u0101cijas no saraksta tiek dz\u0113stas, vi\u0146a nor\u0101d\u012bja, ka speci\u0101listiem maks\u0101 par kontaktlaiku ar pacientu nevis pielietotaj\u0101m metod\u0113m, kas ar\u012b vi\u0146iem p\u0113c tam j\u0101nor\u0101da talon\u0101, p\u0113c kura p\u0113c tam speci\u0101listam r\u0113\u0137ina darba samaksu.<\/p>\n<p>Kas main\u012bsies?<\/p>\n<p class=\"MsoNormal\">B\u016btisk\u0101k\u0101 izmai\u0146a b\u016bs pacienta ce\u013c\u0101 l\u012bdz pakalpojuma sa\u0146em\u0161anai, jo \u0123imenes \u0101rsts vairs vienk\u0101r\u0161i nevar\u0113s izsniegt nos\u016bt\u012bjumu mas\u0101\u017eai, baseinam, fizik\u0101lajai terapijai un tad pacients dodas sa\u0146emt \u0161o konkr\u0113to terapijas metodi.<\/p>\n<p class=\"MsoNormal\">No 1. janv\u0101ra \u0123imenes \u0101rsts var\u0113s nos\u016bt\u012bt pie funkcion\u0101l\u0101 speci\u0101lista, kur\u0161 izv\u0113rt\u0113s konkr\u0113t\u0101 pacienta funkcion\u0113\u0161anas l\u012bmeni, izgl\u012btos pacientu un pieder\u012bgos, vienosies par terapijas m\u0113r\u0137i, sagatavos pl\u0101nu un realiz\u0113s to. V\u0113l\u0101k tiks sniegts nov\u0113rt\u0113jums un rekomend\u0101cijas, zi\u0146ojums par terapijas rezult\u0101tu un m\u0113r\u0137u sasnieg\u0161anu. \u0160ie dati tiks uzkr\u0101ti un analiz\u0113ti.<\/p>\n<p class=\"MsoNormal\">Vi\u0146a uzsv\u0113ra, ka galven\u0101s reformas izmai\u0146as var\u0113s paman\u012bt tikai ilglaic\u012bgi, jo ar\u012b ambulatori turpm\u0101k b\u016bs j\u0101m\u0113ra terapijas rezult\u0101ts, veiktais darbs tikts atspogu\u013cots ar statistikas manipul\u0101cij\u0101m, kas balst\u012btas PVO interven\u010du pakotn\u0113s un izstr\u0101d\u0101tas sadarb\u012bb\u0101 ar rehabilit\u0101cijas speci\u0101listiem.<\/p>\n<p class=\"MsoNormal\">T\u0101pat pakalpojumu grozs b\u0113rniem un pieaugu\u0161ajiem tiks vien\u0101dots \u2013 ambulatori monoprofesion\u0101li fizik\u0101l\u0101s terapijas metodes, mas\u0101\u017ea, baseins vairs netiek apmaks\u0101ti.<\/p>\n<p class=\"MsoNormal\">T\u0101pat Celmi\u0146a-\u0136eze akcent\u0113ja, ka reforma tiek \u012bstenota, balstoties PVO zi\u0146ojum\u0101: Latvij\u0101 ir nepietiekams finans\u0113jums pret vajadz\u012bb\u0101m, netiek veikta vajadz\u012bbu tria\u017e\u0113\u0161ana, neefekt\u012bvi izmantotas funkcion\u0101lo speci\u0101listu kompetences, darbasp\u0113ka tr\u016bkums, tiek apmaks\u0101tas intervences ar v\u0101ju pier\u0101d\u012bjumu b\u0101zi k\u0101 izol\u0113ta terapijas metode, kur viss kopum\u0101 izjauc objekt\u012bvu priek\u0161statu par rehabilit\u0101cijas noz\u012bmi un t\u0101s ieguld\u012bjumu. Paredz\u0113ts, ka reforma pal\u012bdz\u0113s to uzlabot.<\/p>\n<p class=\"MsoNormal\">Savuk\u0101rt VSIA &#8220;Nacion\u0101lais rehabilit\u0101cijas centrs &#8220;Vaivari&#8221;&#8221; Metodisk\u0101 vad\u012bbas centra rehabilit\u0101cijas jom\u0101 vad\u012bt\u0101ja Guna B\u0113rzi\u0146a papildin\u0101ja, ka mas\u0101\u017eas b\u016bs pieejamas dienas stacion\u0101r\u0101 k\u0101 da\u013ca no kompleksas terapijas, bet ne k\u0101 atsevi\u0161\u0137a valsts apmaks\u0101ta manipul\u0101cija ambulatori, k\u0101 tas bija ierasts l\u012bdz \u0161im.<\/p>\n<p class=\"MsoNormal\">Speci\u0101listes uzsver, ka pacientam mas\u0101\u017ea nav j\u0101sniedz &#8220;tikai labb\u016bt\u012bbai, ja tas nesniedz lielu pienesumu&#8221;.<\/p>\n<p class=\"MsoNormal\">NVD ieskat\u0101 \u0161ai reformai nevajadz\u0113tu pagarin\u0101t rindu garumu uz pakalpojumu sa\u0146em\u0161anu, jo t\u0101 tiek veikta vienlaic\u012bgi ar elektronisk\u0101s pieraksta sist\u0113mas izveidi, kas ne\u013cauj ar\u012b pierakst\u012bties uz vair\u0101k\u0101m pakalpojuma sa\u0146em\u0161anas viet\u0101m vienlaic\u012bgi. <\/p>\n<p class=\"MsoNormal\">K\u0101 atkl\u0101ja Celmi\u0146a-\u0136eze, \u0161obr\u012bd rinda pie funkcion\u0101lajiem speci\u0101listiem sv\u0101rst\u0101s ap 90 dien\u0101m.<\/p>\n<p class=\"m-0\">Seko &#8220;Delfi&#8221; ar\u012b  <a target=\"_blank\" href=\"https:\/\/www.instagram.com\/delfi.lv\/\" rel=\"nofollow noopener\">Instagram<\/a>  un <a target=\"_blank\" href=\"https:\/\/www.youtube.com\/channel\/UCw5foWtcJvAbUm64rv7jwUQ\" rel=\"nofollow noopener\">YouTube<\/a>  profil\u0101 \u2013 pievienojies, lai uzzin\u0101tu svar\u012bg\u0101ko un interesant\u0101ko pirmais!<\/p>\n<p>Publik\u0101cijas saturs vai t\u0101s jebk\u0101da apjoma da\u013ca ir aizsarg\u0101ts autorties\u012bbu objekts Autorties\u012bbu likuma izpratn\u0113, un t\u0101 izmanto\u0161ana bez izdev\u0113ja at\u013caujas ir aizliegta. Vair\u0101k lasi  <a target=\"_blank\" href=\"https:\/\/www.delfi.lv\/noteikumi#autortiesibas\" rel=\"nofollow noopener\">\u0161eit<\/a><script async src=\"\/\/www.instagram.com\/embed.js\"><\/script><\/p>\n","protected":false},"excerpt":{"rendered":"Ar m\u0113r\u0137i moderniz\u0113t eso\u0161o sist\u0113mu un risin\u0101t t\u0101s probl\u0113mas, Nacion\u0101lais vesel\u012bbas dienests (NVD) ir izstr\u0101d\u0101jis reformu ambulatoro rehabilit\u0101cijas&hellip;\n","protected":false},"author":2,"featured_media":60062,"comment_status":"","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12],"tags":[23,28,29,32,33,22,30,31,35,39,38,36,37,34,40,8944,20,15913,26,27,9678,24,25,21],"class_list":{"0":"post-60061","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-latvija","8":"tag-aktualitates","9":"tag-breaking-news","10":"tag-breakingnews","11":"tag-featured-news","12":"tag-featurednews","13":"tag-headlines","14":"tag-latest-news","15":"tag-latestnews","16":"tag-latvia","17":"tag-latvian","18":"tag-latviesu","19":"tag-latviesu-valoda","20":"tag-latviesuvaloda","21":"tag-latvija","22":"tag-lv","23":"tag-nacionalais-veselibas-dienests","24":"tag-news","25":"tag-nvd","26":"tag-popularakas-zinas","27":"tag-popularakaszinas","28":"tag-rehabilitacija","29":"tag-top-stories","30":"tag-topstories","31":"tag-zinas"},"share_on_mastodon":{"url":"https:\/\/pubeurope.com\/@lv\/115623226672618771","error":""},"_links":{"self":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/60061","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=60061"}],"version-history":[{"count":0,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/posts\/60061\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media\/60062"}],"wp:attachment":[{"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/media?parent=60061"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/categories?post=60061"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.europesays.com\/lv\/wp-json\/wp\/v2\/tags?post=60061"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}