{"id":193160,"date":"2021-04-19T09:54:14","date_gmt":"2021-04-19T09:54:14","guid":{"rendered":"https:\/\/bm.dev.synology.me\/?p=193160"},"modified":"2021-04-19T09:54:14","modified_gmt":"2021-04-19T09:54:14","slug":"alt-scandal-in-sanatate-medicii-spun-ca-medicina-primara-devine-domeniu-de-experiment-pentru-cnas","status":"publish","type":"post","link":"https:\/\/bm.dev.synology.me\/?p=193160","title":{"rendered":"Alt scandal \u00een s\u0103n\u0103tate: medicii spun c\u0103 medicina primar\u0103 devine domeniu de experiment pentru CNAS"},"content":{"rendered":"<p>\nPotrivit unui comunicat de pres\u0103, Societatea Na\u0163ional\u0103 de Medicina Familiei (SNMF) solicit\u0103 ferm \u015fi f\u0103r\u0103 echivoc prelungirea actualului Contract Cadru p\u00e2n\u0103 la 31.12.2021 pentru a permite finalizarea unor negocieri reale \u00eentre Colegiul Medicilor din Rom\u00e2nia (CMR) \u015fi Casa Na\u0163ional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate (CNAS) cu privire la viitorul contract. Prelungirea este solicitat\u0103 deoarece medicii de familie nu sunt de acord cu modific\u0103rile propuse de autorit\u0103\u0163i.<\/p>\n<p>\n\u201eSurpriza a venit de la deciden\u0163i, care au lansat un proiect de norme de aplicare a Contractului Cadru cu reglement\u0103ri diferite fa\u0163\u0103 de cele ast\u0103zi \u00een vigoare. Schimb\u0103rile au ap\u0103rut \u00een baza unor consult\u0103ri \u015fi negocieri mimate \u015fi nefinalizate \u015fi nu sunt, cu certitudine, \u00een avantajul medicilor sau al pacien\u0163ilor. Dac\u0103 \u00een actualele condi\u0163ii de criz\u0103 economic\u0103 \u015fi social\u0103, unui singur medic de familie i se reduc veniturile, atunci schimb\u0103rile propuse de CNAS nu sunt bune. Dac\u0103 li se reduc veniturile la mult mai mul\u0163i, atunci schimb\u0103rile propuse sunt gre\u015fite de-a dreptul\u201d, sus\u0163in reprezentan\u0163ii SNMF.<\/p>\n<p>\nNoile norme ar duce la o sc\u0103dere a calit\u0103\u0163ii serviciilor medicale, consider\u0103 medicii.<\/p>\n<p>\n\u201e\u00cen proiectul CNAS, finan\u0163area, \u00een principiu, a r\u0103mas aceea\u015fi \u2013 nu s-au modificat sumele \u015fi procente generale de finan\u0163are. Normele noi, \u00eens\u0103, determin\u0103 medicul de familie s\u0103 se concentreze pe calcule financiare pentru a face ca praxisul s\u0103u s\u0103 supravie\u0163uiasc\u0103\u201d, mai spun cei de la SNMF.<\/p>\n<p>\nReprezentan\u0163ii maI vorbesc despre lips\u0103 de respect \u015fi despre destabilizarea sistemului.<\/p>\n<p>\n\u201eEste de ne\u00een\u0163eles cum deciden\u0163ii aleg s\u0103 reorganizeze acum sistemul de asisten\u0163\u0103 medical\u0103 primar\u0103, \u00een condi\u0163iile \u00een care finan\u0163area stagneaz\u0103 dar mai ales \u00een contextul pandemic, \u00een care medicii de familie \u00ee\u015fi concentreaz\u0103 efortul de a men\u0163ine active serviciile de care depinde siguran\u0163a pacien\u0163ilor \u015fi stabilitatea cabinetelor de medicina de familie. Aceste aspecte se suprapun unei st\u0103ri de spirit de extrem\u0103 iritare datorat\u0103 dispropor\u0163iei uria\u015fe \u00eentre activitatea depus\u0103 de medicii de familie \u015fi lipsa de recunoa\u015ftere din partea autorit\u0103\u0163ilor pentru medicina de familie, specialitate medical\u0103 lipsit\u0103 de orice sprijin \u015fi profund nedrept\u0103\u0163it\u0103 \u00een pandemie\u201d, scrie \u00een comunicatul SNMF.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medicii de familie sus\u0163in c\u0103 \u00een plin\u0103 criz\u0103, medicina primar\u0103 devine domeniu de experiment pentru deciden\u0163ii din Casa Na\u0163ional\u0103 de Asigur\u0103ri de  S\u0103n\u0103tate (CNAS). Medicii sunt sup\u0103ra\u0163i c\u0103 autorit\u0103\u0163ile vor s\u0103 schimbe regulile \u015fi consider\u0103 c\u0103 astfel sunt ne\u00eendrept\u0103\u0163i\u0163i.<\/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":[16268,9675,23025],"class_list":["post-193160","post","type-post","status-publish","format-standard","hentry","category-actualitate","tag-cnas","tag-contract","tag-medici-de-familie"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/193160","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=193160"}],"version-history":[{"count":0,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/193160\/revisions"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=193160"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=193160"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=193160"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}