{"id":206482,"date":"2022-07-17T16:00:00","date_gmt":"2022-07-17T16:00:00","guid":{"rendered":"https:\/\/bm.dev.synology.me\/?p=206482"},"modified":"2022-07-17T16:00:00","modified_gmt":"2022-07-17T16:00:00","slug":"importanta-serviciilor-de-second-opinion-cum-trebuie-coordonat-corect-acest-demers-medical-o-discutie-cu-marinela-stanculete-doctor-si-director-medical-concierge-medical-enayati-medical-city","status":"publish","type":"post","link":"https:\/\/bm.dev.synology.me\/?p=206482","title":{"rendered":"Importan\u0163a serviciilor de Second Opinion. Cum trebuie coordonat corect acest demers medical? O discu\u0163ie cu Marinela St\u0103nculete, doctor \u015fi director medical, Concierge Medical, Enayati Medical City"},"content":{"rendered":"<div>\nMarinela St\u0103nculete, doctor \u015fi director medical, Concierge Medical, Enayati Medical City: \u201eMajoritatea diagnosticelor pentru care am cerut Second Opinion au fost confirmate. Asta este o not\u0103 foarte bun\u0103 pentru medici rom\u00e2ni.\u201d<\/div>\n<div>\n&nbsp;<\/div>\n<div>\nUna dintre cele mai frecvente practici \u00een industria medical\u0103 local\u0103 este ca pacientul diagnosticat cu o boal\u0103 sever\u0103 \u2013 \u015fi nu numai, s\u0103 mearg\u0103 la o multitudine de doctori pentru a cere o a doua, a treia sau a patra opinie, lucru tradus \u00eentr-un consum major de timp \u015fi de bani. O solu\u0163ie pentru a combate aceast\u0103 practic\u0103 e reprezentat\u0103 de serviciile de Second Opinion, oferite \u00een mediul privat. Cum ar trebui s\u0103 fie coordonat corect acest demers medical?<\/div>\n<div>\n&nbsp;<\/div>\n<div>\n\u201eConceptul de Second Opinion presupune str\u0103dania, deseori reu\u015fit\u0103, de a ob\u0163ine un diagnostic corect sau de a maximiza \u015fansele de a ob\u0163ine un diagnostic corect \u015fi, implicit, planul de terapie adecvat\u201d, a spus Marinela St\u0103nculete, doctor \u015fi director medical, Concierge Medical, Enayati Medical City, primul ora\u015f medical din Rom\u00e2nia, \u00een cadrul celei mai recente edi\u0163ii a emisiunii BM Medical City News. Potrivit ei, acest serviciu presupune ni\u015fte ac\u0163iuni foarte precise care implic\u0103 o echip\u0103 medical\u0103, dar \u00een primul r\u00e2nd \u00eel implic\u0103 pe pacient, \u015fi \u00eenseamn\u0103 \u00een primul r\u00e2nd dorin\u0163a lui de a-\u015fi elucida problemele medicale. \u201eC\u00e2nd a doua opinie se d\u0103 de c\u0103tre o echip\u0103 medical\u0103, probabilitatea ca ea s\u0103 gre\u015feasc\u0103 este doar teoretic\u0103. Nu imposibil\u0103. E doar teoretic\u0103, \u015fi \u0163ine deseori de limitele de cunoa\u015ftere medical\u0103\u201d, explic\u0103 Marinela St\u0103nculete.<\/div>\n<div>\n&nbsp;<\/div>\n<div>\n\u00cen cadrul echipei medicale, exist\u0103 \u015fi un medic-manager de caz, care analizeaz\u0103 dosarul, vorbe\u015fte cu pacientul, reconstituie istoricul, str\u00e2nge toate elementele legate de posibilele implica\u0163ii ale istoricului medical personal, al istoricului medical familial, ale predispozi\u0163iilor, ale obiceiurilor de via\u0163\u0103 care pot influen\u0163a sau determina apari\u0163ia unei boli. \u201eAcesta este rolul lui \u2013 s\u0103 aib\u0103 aceast\u0103 viziune de ansamblu pe datele existente \u015fi s\u0103 evalueaze nevoia de a face investiga\u0163ii sau consulturi suplimentare pentru a se apropia de diagnostic. \u015ei, \u00een momentul \u00een care diagnosticul are toate elementele, atunci adreseaz\u0103 aceast\u0103 situa\u0163ie medical\u0103 complet\u0103 c\u0103tre clinica care face Second Opinion, unde se analizeaz\u0103 situa\u0163ia respectiv\u0103 \u015fi se emite diagnosticul \u015fi se fac recomand\u0103rile, pentru c\u0103 uneori sunt necesare alte investiga\u0163ii, alteori se poate deja elabora planul terapeutic.\u201d Aceast\u0103 integrare de c\u0103tre medicul manager de caz, adaug\u0103 Marinela St\u0103nculete, face diferen\u0163a uria\u015f\u0103 \u00eentre ini\u0163iativa de a merge la Second Opinion, \u015fi continuarea ei \u00een mod adecvat. \u201ePentru c\u0103 foarte mul\u0163i pacien\u0163i vin pentru second opinion dar se dovede\u015fte c\u0103 foarte mul\u0163i dintre ei de fapt nu au nevoie de second opinion, c\u0103 diagnosticul e limpede. Pentru c\u0103 uneori, \u00een caz de boli foarte grave, chiar \u015fi complexe, e doar o pierdere de timp \u015fi noi le spunem asta pacien\u0163ilor. Dar sigur c\u0103 dac\u0103 pacientul dore\u015fte \u00een continuare, facem Second Opinion. Dar ideea nu este s\u0103-l \u00eencuraj\u0103m s\u0103 fac\u0103 Second Opinion, cu orice pre\u0163, ci s\u0103 fac\u0103 ceea ce este nevoie pentru el. \u015ei atunci deseori este nevoie de fapt de un management de caz adecvat.\u201d<\/div>\n<div>\n&nbsp;<\/div>\n<div>\nCosturile unui astfel de demers pot fi de la mici\/moderate, p\u00e2n\u0103 la mari, la Enayati Medical City media fiind de 1.000 de euro. P\u00e2n\u0103 \u00een prezent, apropape 500 de pacien\u0163i au apelat la serviciile de Second Opinion ale companiei. \u201eDar nu to\u0163i au avut nevoie de Second Opinion. Noi am \u00eenfiin\u0163at acest serviciu ca \u015fi component\u0103 foarte important\u0103 pentru afec\u0163iuni severe, \u00een cadrul unui demers de medicin\u0103 integrative \u2013 \u00een sensul de abordare integral\u0103 a pacientului.\u201d<\/div>\n<div>\n&nbsp;<\/div>\n<div>\nDe obicei, cei care apeleaz\u0103 la serviciile de Second Opinion coordonate de Enayati Medical City se impart \u00een dou\u0103 categorii. Majoritari sunt cei care vin pe zona de oncologie \u2013 adul\u0163ii care afl\u0103 care au o boal\u0103 grav\u0103, de obicei cancer, \u015fi care vin s\u0103 se asigure c\u0103 fac tot ce se poate face. Cel\u0103lalt profil este al copiilor cu boli foarte severe, pentru care p\u0103rin\u0163ii caut\u0103 solu\u0163ii \u00een \u0163ar\u0103, nu le g\u0103sesc, \u015fi atunci nu \u015ftiu unde s\u0103 apeleze, unde s\u0103 mearg\u0103 \u00een str\u0103in\u0103tate. Marinela St\u0103nculete spune c\u0103, \u00een general, serviciile de Second Opinion ar fi necesare \u015fi \u00eencep s\u0103 fie solicitate de pacien\u0163i cu v\u00e2rsta de peste 40 de ani, bolile grave, statistic vorbind, fiind mai prezente la oamenii de v\u00e2rst\u0103 medie \u015fi \u00eenaintat\u0103, \u015fi asta pentru c\u0103 persoanele v\u00e2rstnice sunt mai expuse la a dezvolta boli cornice.<\/div>\n<div>\n&nbsp;<\/div>\n<div>\n\u00cen general, spune Marinela St\u0103nculete, majoritatea diagnosticelor pentru care Enayati Medical City a cerut Second Opinion au fost confirmate. \u201eAsta este o not\u0103 foarte bun\u0103 pentru medici rom\u00e2ni.\u201d<\/div>\n<div>\n&nbsp;<\/div>\n<div>\nEa subliniaz\u0103 c\u0103 e important ca \u015fi companiile s\u0103 includ\u0103 acest beneficiu \u00een pachetul de beneficii extrasalariale, pentru c\u0103, de\u015fi abonamentele medicale pe care le ofer\u0103 angajatorii sunt axate \u00een primul r\u00e2nd pe preven\u0163ie, cu toate acestea \u00een multe \u0163\u0103ri din Europa de Est \u015fi de Sud-Est, inclusiv \u00een Rom\u00e2nia, oamenii nu apeleaz\u0103 a\u015fa cum ar trebui la partea aceasta de preven\u0163ie \u015fi de gestiune a bolilor \u00een stadii incipiente.<\/div>\n","protected":false},"excerpt":{"rendered":"<p>Marinela St\u0103nculete, doctor \u015fi director medical, Concierge Medical, Enayati Medical City: \u201eMajoritatea diagnosticelor pentru care am cerut Second Opinion au fost confirmate. Asta este o not\u0103 foarte bun\u0103 pentru medici rom\u00e2ni.\u201d &nbsp; Una dintre cele mai frecvente practici \u00een industria medical\u0103 local\u0103 este ca pacientul diagnosticat cu o boal\u0103 sever\u0103 \u2013 \u015fi nu numai, s\u0103 [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[510,52020],"tags":[32947,18470,406,15],"class_list":["post-206482","post","type-post","status-publish","format-standard","hentry","category-actualitate","category-medical-city-news","tag-coordonare","tag-demers","tag-medici","tag-servicii"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/206482","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=206482"}],"version-history":[{"count":0,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/206482\/revisions"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=206482"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=206482"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=206482"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}