{"id":120913,"date":"2015-04-21T20:29:00","date_gmt":"2015-04-21T20:29:00","guid":{"rendered":"https:\/\/bm.dev.synology.me\/?p=120913"},"modified":"2015-04-21T20:29:00","modified_gmt":"2015-04-21T20:29:00","slug":"cnas-romanii-care-vor-sa-se-trateze-in-strainatate-sa-se-informeze-inainte-altfel-pot-plati-mult","status":"publish","type":"post","link":"https:\/\/bm.dev.synology.me\/?p=120913","title":{"rendered":"CNAS: Rom\u00e2nii care vor s\u0103 se trateze \u00een str\u0103in\u0103tate s\u0103 se informeze \u00eenainte, altfel pot pl\u0103ti mult"},"content":{"rendered":"<p>\n&#8220;Vorbimd despre sistemele sanitare din alte \u0163\u0103ri. Ne uit\u0103m la ceilal\u0163i \u015fi spunem: sistemul din Fran\u0163a este cel mai bun. Dar dac\u0103 \u00eei \u00eentrebi pe francezi \u015fi ei au foarte multe nemul\u0163umiri. Ne uit\u0103m \u00een Germania: sistemul nem\u0163esc este foarte bun. Este adev\u0103rat c\u0103 Legea asigur\u0103rilor a fost luat\u0103 dup\u0103 sistemul german &#8211; dar am f\u0103cut-o noi rom\u00e2ne\u015fte, \u015fi atunci e adev\u0103rat c\u0103 nu mai seam\u0103n\u0103 -, dar \u015fi ei au nemul\u0163umiri. Se duce lumea la Viena, la AKH, ca la Mecca, dar \u015fi acolo sunt limite. \u015ei de acolo se \u00eentorc pacien\u0163i nemul\u0163umi\u0163i, dar cu costuri foarte mari&#8221;, a spus Vasile Ciurchea, mar\u0163i, la dezbaterea &#8220;Drepturile pacien\u0163ilor &#8211; \u00eentre teorie \u015fi practic\u0103&#8221;.<\/p>\n<p>\n<strong>Pre\u015fedintele CNAS a ar\u0103tat c\u0103 foarte mul\u0163i pacien\u0163i rom\u00e2ni se duc \u00een afar\u0103 f\u0103r\u0103 a fi bine documenta\u0163i.<\/strong><\/p>\n<p>\n&#8220;Noi, Casa de Asigur\u0103ri, decont\u0103m casei de acolo, nu decont\u0103m pacientului, nu decont\u0103m medicului, nu decont\u0103m clinicii, decont\u0103m casei din \u0163ara respectiv\u0103. \u015ei decont\u0103m at\u00e2t c\u00e2t spitalul are prev\u0103zut \u00een contractul cu casa. Dac\u0103 din 100 la sut\u0103 din pre\u0163 spitalul respectiv are contract cu casa 80 la sut\u0103, noi decont\u0103m 80 la sut\u0103, restul este pe banii pacientului. Pacientul, ne\u015ftiind de la \u00eenceput, r\u0103m\u00e2ne extrem de surprins \u015fi, mai grav, \u00een imposibilitatea de a completa acea sum\u0103, \u015fi \u00eencep tot felul de discu\u0163ii, cereri. Dar sunt anumite lucruri pe care nu le putem face pentru c\u0103 nu ne las\u0103 legea&#8221;, a explicat Ciurchea.<\/p>\n<p>\n<strong>CNAS pl\u0103te\u015fte aproximativ 70 de milioane de euro pe an pentru tratamente \u00een str\u0103in\u0103tate.<\/strong><\/p>\n<p>\n&#8220;Exist\u0103 directiva european\u0103 care-\u0163i spune c\u0103, dac\u0103 la un anume moment nu po\u0163i s\u0103-\u0163i tratezi un pacient \u00een \u0163ar\u0103, el poate fi tratat \u00eentr-un spital dintr-un stat al Uniunii Europene, iar noi (CNAS, n.r.) trebuie s\u0103 pl\u0103tim \u015fi asta se \u015fi \u00eent\u00e2mpl\u0103&#8221;, a spus Ciurchea.<\/p>\n<p>\n<strong>Pe de alt\u0103 parte, el a punctat c\u0103 Rom\u00e2nia are un corp medical &#8220;extrem de bine preg\u0103tit&#8221;, &#8220;cu foarte mult\u0103 d\u0103ruire \u015fi cu o foarte mare putere de munc\u0103&#8221;<\/strong>.<\/p>\n<p>\n&#8220;Niciunde \u00een afar\u0103 nu st\u0103 medicul p\u00e2n\u0103 la 3.00 &#8211; 4.00 &#8211; 5.00 dup\u0103-mas\u0103 s\u0103 consulte to\u0163i bolnavii de la u\u015f\u0103. Acolo exist\u0103 program, la 13.00 s-a \u00eencheiat programul, medicul a plecat, nu intereseaz\u0103 pe nimeni c\u0103 mai sunt \u00eenc\u0103 cinci bolnavi. E adev\u0103rat c\u0103 la ei totul func\u0163ioneaz\u0103 pe baz\u0103 de program\u0103ri, la noi Doamne fere\u015fte s\u0103 programezi un bolnav peste trei s\u0103pt\u0103m\u00e2ni &#8211; o lun\u0103 la un CT, la un RMN&#8221;, a mai spus Ciurchea.<\/p>\n<p>\nPre\u015fedintele CNAS a mai enumerat \u015fi o serie de obliga\u0163ii pe care pacien\u0163ii le au pe l\u00e2ng\u0103 drepturi: s\u0103 se \u00eenscrie pe lista unui medic de familie; s\u0103 anun\u0163e medicul de familie ori de cate ori apar modificari \u00een starea lor de s\u0103n\u0103tate, s\u0103 se prezinte la controalele profilactice \u015fi periodice stabilite prin contractul-cadru, s\u0103 anun\u0163e \u00een termen de 15 zile medicul de familie \u015fi casa de asigur\u0103ri asupra modific\u0103rilor datelor de identitate sau modific\u0103rilor referitoare la \u00eencadrarea lor \u00eentr-o anumit\u0103 categorie de asigura\u0163i, s\u0103 respecte cu stricte\u0163e tratamentul \u015fi indica\u0163iile medicului, s\u0103 aib\u0103 o conduit\u0103 civilizat\u0103 fa\u0163\u0103 de personalul medico-sanitar, s\u0103 achite contribu\u0163ia datorat\u0103 fondului \u015fi suma reprezent\u00e2nd coplata \u00een condi\u0163iile stabilite prin contractul-cadru, s\u0103 prezinte furnizorilor de servicii medicale documentele justificative ce atest\u0103 calitatea de asigurat.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Rom\u00e2nii care vor s\u0103 plece la tratament \u00een str\u0103in\u0103tate trebuie s\u0103 o fac\u0103 \u00een cuno\u015ftin\u0163\u0103 de cauz\u0103, s\u0103 se informeze la surs\u0103, \u015fi nu la cuno\u015ftin\u0163e, pentru c\u0103 altfel risc\u0103 s\u0103 pl\u0103teasc\u0103 foarte mult, a aten\u0163ionat, mar\u0163i, pre\u015fedintele Casei Na\u0163ionale de Asigur\u0103ri de S\u0103n\u0103tate (CNAS), Vasile Ciurchea.<\/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":[39662,12655,12923],"class_list":["post-120913","post","type-post","status-publish","format-standard","hentry","category-actualitate","tag-ciurchea","tag-strainatate","tag-tratament"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/120913","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=120913"}],"version-history":[{"count":0,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/120913\/revisions"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=120913"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=120913"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=120913"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}