{"id":114405,"date":"2014-11-20T16:11:44","date_gmt":"2014-11-20T16:11:44","guid":{"rendered":"https:\/\/bm.dev.synology.me\/?p=114405"},"modified":"2014-11-20T16:11:44","modified_gmt":"2014-11-20T16:11:44","slug":"presedintele-cnas-in-spitale-gasim-toate-medicamentele-scumpe-dar-nu-gasim-vata-sau-seringi","status":"publish","type":"post","link":"https:\/\/bm.dev.synology.me\/?p=114405","title":{"rendered":"Pre\u015fedintele CNAS: \u00cen spitale g\u0103sim toate medicamentele scumpe, dar nu g\u0103sim vat\u0103 sau seringi"},"content":{"rendered":"<p>\nCiurchea a spus, joi, la prima edi\u0163ie a Conferin\u0163ei Na\u0163ionale de Farmaeconomie \u015fi Management Sanitar de la T\u00e2rgu Mure\u015f, c\u0103 trebuie eficientizate costurile, \u00eentruc\u00e2t institu\u0163ia pe care o conduce pl\u0103te\u015fte o sum\u0103 &#8220;pe tarif pe caz\u201d, care trebuie foarte bine gestionat\u0103, astfel \u00eenc\u00e2t bolnavului s\u0103 i se ofere servicii medicale de calitate, dar care s\u0103 se reflecte, apoi, \u00een cre\u015fteri de venituri, transmite corespondentul MEDIAFAX.<\/p>\n<p>\nPotrivit pre\u015fedintelui CNAS, poate fi f\u0103cut\u0103 economie printr-o \u201dnegociere foarte bun\u0103 pe materiale sanitare, pe tot ce compune actul medical\u201d.<\/p>\n<p>\n&#8220;Dac\u0103 acei bani \u00eei consuma\u0163i ref\u0103c\u00e2nd analize, ref\u0103c\u00e2nd investiga\u0163ii, f\u0103c\u00e2ndu-le de c\u00e2teva ori, este treaba dumneavoastr\u0103. Eu pl\u0103tesc cazul. Dar din acei bani \u00eencerca\u0163i s\u0103 fi\u0163i c\u00e2t mai eficien\u0163i \u015fi bolnavul s\u0103 vin\u0103 investigat din ambulator sau, dac\u0103 are deja un set de analize, s\u0103 nu te apuci s\u0103 i le faci tot pe acelea, s\u0103-i faci altele. Sigur c\u0103 pute\u0163i ajunge la ceva economii. Mai pute\u0163i ajunge la ceva economii \u015fi dac\u0103 ave\u0163i o negociere foarte bun\u0103 pe materiale sanitare, pe tot ce compune actul medical. S-a aprobat \u015fi acea m\u0103rire de salariu \u00een sistemul medical, problema se pune dac\u0103 pute\u0163i face servicii medicale ca s\u0103 fie acoperit\u0103 aceast\u0103 sum\u0103. Va trebui s\u0103 v\u0103 g\u00e2ndi\u0163i foarte bine la cheltuielile de personal, la chetuielile de \u00eentre\u0163inere \u015fi s\u0103 \u00eencerca\u0163i s\u0103 g\u00e2ndi\u0163i ce mai r\u0103m\u00e2ne de actul medical\u201d, a spus pre\u015fedintele CNAS.<\/p>\n<p>\nEl a ad\u0103ugat c\u0103 managerii trebuie s\u0103 fie interesa\u0163i de cre\u015fterea calit\u0103\u0163ii actului medical, subliniind c\u0103 se spune &#8220;pe bun\u0103 dreptate\u201d c\u0103, de\u015fi \u00een fiecare an au existat cre\u015fteri de buget pe toate domeniile, inclusiv pe spitale, &#8220;nu se vede nimic \u00een calitatea actului medical, pacien\u0163ii sunt la fel de nemul\u0163umi\u0163i \u015fi societatea \u00een general\u201d.<\/p>\n<p>\nCiurchea a afirmat c\u0103 inclusiv reprezentan\u0163ii spitalelor trebuie s\u0103 vrea ca sistemul s\u0103 se reformeze \u015fi s\u0103 se g\u00e2ndeasc\u0103 foarte bine la eficientizarea cheltuielior de personal \u015fi de \u00eentre\u0163inere, intruc\u00e2t un spital \u00een care, din 15 sec\u0163ii, patru sunt \u00een c\u00e2\u015ftig, este greu s\u0103 fie eficient.<\/p>\n<p>\nEl a mai spus c\u0103 este nevoie \u015fi de &#8220;o disciplinare\u201d a pacientului, care poate primi \u015fi medicamente generice, care au acela\u015fi efect cu cele originale, dar sunt mult mai ieftine, remarc\u00e2nd, \u00een acest context, c\u0103 &#8220;\u00een spitale g\u0103se\u015fti toate medicamentele scumpe, dar nu g\u0103se\u015fti vat\u0103, nu g\u0103se\u015fti sering\u0103\u201d.<\/p>\n<p>\n&#8220;Trebuie s\u0103 \u00eencerc\u0103m s\u0103 convingem bolnavul c\u0103 dac\u0103 st\u0103 \u00een spital \u015fi are o supraveghere medical\u0103 24 din 24, putem s\u0103-i d\u0103m \u015fi un medicament generic, c\u0103 efectul este acela\u015fi. Nu \u00eenseamn\u0103 c\u0103 dac\u0103 este medicament generic, nu este bun. Ba, din contr\u0103, este foarte bun. \u015ei atunci spitalul \u015fi-ar mai reduce din cheltuieli. Din ceea ce \u015ftiu eu, \u00een spitale g\u0103se\u015fti toate medicamentele scumpe, nu le g\u0103se\u015fti pe cele ieftine, nu g\u0103se\u015fti vat\u0103, nu g\u0103se\u015fti sering\u0103. Trebuie s\u0103 ne \u00eentreb\u0103m de ce. Sunt prea ieftine, nu merit\u0103 cump\u0103rate? Crede\u0163i c\u0103 \u015fi le poate permite pacientul? Haide\u0163i s\u0103 g\u0103sim solu\u0163iile \u00eempreun\u0103 \u015fi s\u0103 \u00eencerc\u0103m s\u0103 \u015fi rezolv\u0103m&#8221;, a conchis pre\u015fedintele CNAS.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pre\u015fedintele CNAS, Vasile Ciurchea, face apel la managerii de spitale s\u0103 fac\u0103 economie, inclusiv printr-o negociere foarte bun\u0103 pentru pre\u0163ul materialelor sanitare, remarc\u00e2nd, \u00een acest context, c\u0103 \u00een spitale se g\u0103sesc toate medicamentele scumpe, dar nu \u015fi vat\u0103 sau seringi.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[510],"tags":[16268,9039],"class_list":["post-114405","post","type-post","status-publish","format-standard","hentry","category-actualitate","tag-cnas","tag-spitale"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/114405","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=114405"}],"version-history":[{"count":0,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/114405\/revisions"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=114405"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=114405"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=114405"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}