{"id":183726,"date":"2020-06-11T11:03:01","date_gmt":"2020-06-11T11:03:01","guid":{"rendered":"https:\/\/bm.dev.synology.me\/?p=183726"},"modified":"2020-06-11T11:03:01","modified_gmt":"2020-06-11T11:03:01","slug":"anomalie-institutionala-oamenii-vin-la-spital-cu-sutele-sa-fie-consultati-si-nu-se-fac-programari-dar-la-terase-trebuie-programare-si-rezervare","status":"publish","type":"post","link":"https:\/\/bm.dev.synology.me\/?p=183726","title":{"rendered":"Anomalie institu\u0163ional\u0103: oamenii vin la spital cu sutele s\u0103 fie consulta\u0163i \u015fi nu se fac program\u0103ri, dar la terase trebuie programare \u015fi rezervare"},"content":{"rendered":"

\n\u2666 Pacien\u0163ii care ajung la spitalele de stat non-covid sunt \u00eenghesui\u0163i \u00een curtea spitalului p\u00e2n\u0103 trec prin triajul spitalului pentru a fi prelua\u0163i \u2666 \u201eNu exist\u0103 un sistem de programare, se fac pe agende, nimeni nu coreleaz\u0103 program\u0103rile cu capacitatea\u201c, spune Vasile Barbu, reprezentant al Asocia\u0163iei de Pacien\u0163i \u2666 \u201eAvem serviciu de program\u0103ri \u015fi pacien\u0163ii sunt de la ora 7 \u00een fa\u0163a spitalului. De aici \u00eencolo a\u015fa va ar\u0103ta s\u0103n\u0103tatea. Nu am solu\u0163ii la ora aceasta\u201c, spune Lelia Croitoru, director medical al Spitalului Jude\u0163ean Vaslui.<\/strong><\/p>\n

\nCriza sanitar\u0103 dup\u0103 r\u0103sp\u00e2n\u00addirea coronavirusului a scos la iveal\u0103 \u00eenc\u0103 un aspect care nu func\u0163io\u00adneaz\u0103 \u00een sistemul de s\u0103n\u0103tate de stat \u2013 program\u0103rile din spitale, care acum, \u00een contextul riscului unor focare de virus \u00een zonele aglomerate, ar putea reduce presiunea pe spitale \u015fi medici.<\/p>\n

\n\u201eAm avut sesiz\u0103ri pentru  Spitalele Floreasca \u015fi Universitar \u00een care cei care veneau erau programa\u0163i diminea\u0163a la ora 8. Nu exist\u0103 acele program\u0103ri. \u0162ine de managementul fiec\u0103rei unit\u0103\u0163i care trebuie s\u0103 fac\u0103 program\u0103ri. O s\u0103 urm\u0103resc zilele urm\u0103toare ce se va \u00eent\u00e2mpla. \u0162ine de management. Solu\u0163ia e ca fiecare management al unit\u0103\u0163ii medicale s\u0103 fie f\u0103cut de un manager adev\u0103rat. \u00cen m\u0103sura \u00een care sunt \u00een coordonarea Ministerului S\u0103n\u0103t\u0103\u0163ii putem lua aceste m\u0103suri. A\u015ftept o legisla\u0163ie \u00een care putem modifica acest lucru\u201c, a spus Nelu T\u0103taru pentru ZF.<\/p>\n

\n\"\"<\/p>\n

\n\u00cen mediul privat pacien\u0163ii nu merg f\u0103r\u0103 programare, dar \u00een sistemul de stat s-a continuat aceast\u0103 practic\u0103, iar pacien\u0163ii continu\u0103 s\u0103 a\u015ftepte s\u0103 fie prelua\u0163i de medici \u015fi c\u00e2teva ore.<\/p>\n

\n\u00cen acela\u015fi timp autorit\u0103\u0163ile, prin structurile de la Ministerul S\u0103n\u0103t\u0103\u0163ii \u015fi Ministerul Afacerilor Interne, sf\u0103tuiesc cet\u0103\u0163enii s\u0103 respecte regulile de distan\u0163are social\u0103 c\u00e2nd num\u0103rul de cazuri de coronavirus cre\u015fte, de\u015fi \u00een curtea proprie – \u00een spitalele de stat, aceast\u0103 posibilitate a distan\u0163\u0103rii nu exist\u0103.<\/p>\n

\nTotodat\u0103, la terasele restaurantelor care primesc clien\u0163i dup\u0103 m\u0103surile de relaxare nu se poate merge dec\u00e2t cu rezervare f\u0103cut\u0103 din timp, la fel cum se \u00eent\u00e2mpl\u0103 \u015fi la cabinetele de sto\u00admatologie \u2013 o pia\u0163\u0103 majoritar privat\u0103, la saloanele de \u00eenfrumuse\u0163are.<\/p>\n

\n\u201eNu exist\u0103 un sistem de pro\u00adgramare, se fac pe agende, nimeni nu coreleaz\u0103 program\u0103rile cu capacitatea. Spitalele acum au nevoie de o alt\u0103 structur\u0103, care face s\u0103 diminueze num\u0103rul de paturi \u015fi atunci trebuie s\u0103 corelezi noua capacitate cu progra\u00adm\u0103rile, cu num\u0103rul de pacien\u0163i pe zi. Sunt importante \u015fi num\u0103rul de zile de spitalizare pentru fiecare pacient \u00een parte care este \u00een dinamic\u0103, mai ales dup\u0103 ce s-au acumulat foarte multe complica\u0163ii ale bolilor dup\u0103 lunile de \u00eent\u00e2rziere\u201c, a spus Vasile Barbu, pre\u015fedintele Asocia\u0163iei pentru Protec\u0163ia Pacien\u0163ilor.<\/p>\n

\nEl a men\u0163ionat c\u0103 pacien\u0163ii nu au avut unde s\u0103 mearg\u0103 pentru problemele lor, spitalele primind \u00een perioada st\u0103rii de urgen\u0163\u0103 doar cazurile grave, iar timpul de a\u015fteptare cre\u015fte.<\/p>\n

\n\u201eProbabilitatea s\u0103 vin\u0103 la un spital un pacient contaminat este mult mai mare dec\u00e2t cea \u00een care merge la restaurant, la o pensiune sau alte zone \u00een care oamenii se aglo\u00admereaz\u0103\u201c, a mai precizat Vasile Barbu.<\/p>\n

\n <\/p>\n

\nF\u0103r\u0103 nicio solu\u0163ie<\/strong><\/p>\n

\nJurnali\u015ftii de la Adev\u0103rul au prezentat o imagine care arat\u0103 zeci de pacien\u0163i afla\u0163i ieri, 10 iunie, \u00een curtea Spitalului Jude\u0163ean Vaslui, pentru inter\u00adnare.<\/p>\n

\nContactat\u0103 de Ziarul Financiar, Lelia Croitoru, directorul medical al spitalului, a spus c\u0103 exist\u0103 sistem de programare, \u00eens\u0103 pacien\u0163ii nu \u00eel respect\u0103.<\/p>\n

\n\u201eTo\u0163i pacien\u0163ii \u00een aceast\u0103 perioad\u0103 trebuie s\u0103 treac\u0103 printr-un punct epidemiologic. Urgen\u0163ele trec printr-un punct, cei cu bilete de trimitere pentru c\u0103 se fac \u015fi intern\u0103ri \u00een limita locurilor disponibile pentru pacien\u0163ii cronici prin alt loc. Noi gestion\u0103m urgen\u0163ele din tot jude\u0163ul. Oamenii vin cu bilet de trimitere de la medical de familie, nu trec prin ambulatoriu. Mai mult dec\u00e2t s\u0103 iau un registrator de la biroul de intern\u0103ri \u015fi s\u0103-l duc \u00een punctul epidemiologic, nu am avut alt\u0103 solu\u0163ie. A\u015fa probabil c\u0103 va fi \u015fi de aici \u00eencolo. Avem serviciu de program\u0103ri \u015fi pacien\u0163ii sunt de la ora 7 \u00een fa\u0163a spitalului\u201c, a spus Lelia Croitoru.<\/p>\n

\nEa a precizat c\u0103 pacien\u0163ii vin din mediul rural, depind de mijloacele de transport \u00een comun, iar acest lucru \u00eei face s\u0103 aglo\u00admereze curtea spita\u00adlului \u00eenc\u0103 de la primele ore ale dimine\u0163ii.<\/p>\n

\n\u201eAcum e bine c\u0103 nu plou\u0103. Nu am solu\u0163ii la ora aceasta, altele dec\u00e2t le-am g\u0103sit p\u00e2n\u0103 acum. Nu avem dec\u00e2t doi registratori la biroul de intern\u0103ri, al\u0163i oameni s\u0103 iau din serviciul de urgen\u0163\u0103 s\u0103 duc acolo nu am. Pe sec\u0163ii de abia reu\u015fim s\u0103 acoperim graficele de lucru. S\u0103 vedem ce o s\u0103 decid\u0103 guvernul mai departe. Ar fi de dorit ca medicul de familie s\u0103 fac\u0103 progra\u00admarea pacientului \u00een amb\u00adulatoriul de specialitate, s\u0103-i comunice pacientului c\u00e2nd e programat, la ce or\u0103\u201c, a mai spus Lelia Croitoru.<\/p>\n","protected":false},"excerpt":{"rendered":"

Criza sanitar\u0103 dup\u0103 r\u0103sp\u00e2n\u00addirea coronavirusului a scos la iveal\u0103 \u00eenc\u0103 un aspect care nu func\u0163io\u00adneaz\u0103 \u00een sistemul de s\u0103n\u0103tate de stat \u2013 program\u0103rile din spitale, care acum, \u00een contextul riscului unor focare de virus \u00een zonele aglomerate, ar putea reduce presiunea pe spitale \u015fi medici.<\/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":[46484,46485,8584,408,205,14542,12918],"class_list":["post-183726","post","type-post","status-publish","format-standard","hentry","category-actualitate","tag-anomalie-institutionala","tag-consultatie","tag-ministerul-sanatatii","tag-pacienti","tag-sanatate","tag-spital","tag-terase"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/183726","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=183726"}],"version-history":[{"count":0,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/183726\/revisions"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=183726"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=183726"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=183726"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}