{"id":230632,"date":"2024-10-04T11:14:28","date_gmt":"2024-10-04T11:14:28","guid":{"rendered":"https:\/\/bm.dev.synology.me\/?p=230632"},"modified":"2024-10-04T11:14:28","modified_gmt":"2024-10-04T11:14:28","slug":"prof-dr-alexandru-ulici-medic-primar-manager-spitalul-grigore-alexandrescu-suntem-asaltati-de-pacienti-care-vin-din-spitale-universitare-din-alte-orase-care-isi-declina-competenta-e-un-dezechil","status":"publish","type":"post","link":"https:\/\/bm.dev.synology.me\/?p=230632","title":{"rendered":"Prof. Dr. Alexandru Ulici, medic primar, manager Spitalul Grigore Alexandrescu: Suntem asalta\u0163i de pacien\u0163i care vin din spitale universitare din alte ora\u015fe, care \u00ee\u015fi declin\u0103 competenta. E un dezechilibru \u00eentre ce e \u00een \u0163ar\u0103 \u015fi ce e \u00een Bucure\u015fti"},"content":{"rendered":"<p style=\"text-align: justify;\" text-align:=\"\">\nSpitalul de copii Grigore Alexandrescu din Bucure\u015fti are circa 800 de pacienti \u00een fiecare zi, multi dintre ei venind din alte ora\u015fe, inclusiv din zone care au spitale universitare, dar care \u00ee\u015fi declin\u0103 competenta pe anumite afectiuni, a declarat Prof. Dr. Alexandru Ulici,&nbsp;medic primar, profesor doctor ortopedie pediatrica, manager, Spitalul Grigore Alexandrescu \u00een cadrul conferintei ZF<strong><em -webkit-text-stroke-width:=\"\" background-color:=\"\" color:=\"\" font-family:=\"\" font-size:=\"\" font-style:=\"\" font-variant-caps:=\"\" font-variant-ligatures:=\"\" font-weight:=\"\" letter-spacing:=\"\" orphans:=\"\" text-align:=\"\" text-decoration-color:=\"\" text-decoration-style:=\"\" text-decoration-thickness:=\"\" text-indent:=\"\" text-transform:=\"\" white-space:=\"\" widows:=\"\" word-spacing:=\"\"> <\/em><\/strong><span -webkit-text-stroke-width:=\"\" background-color:=\"\" color:=\"\" display:=\"\" float:=\"\" font-family:=\"\" font-size:=\"\" font-style:=\"\" font-variant-caps:=\"\" font-variant-ligatures:=\"\" font-weight:=\"\" inline=\"\" letter-spacing:=\"\" orphans:=\"\" text-align:=\"\" text-decoration-color:=\"\" text-decoration-style:=\"\" text-decoration-thickness:=\"\" text-indent:=\"\" text-transform:=\"\" white-space:=\"\" widows:=\"\" word-spacing:=\"\">Health &#038;<span>&nbsp;<\/span><\/span><em -webkit-text-stroke-width:=\"\" background-color:=\"\" color:=\"\" font-family:=\"\" font-size:=\"\" font-style:=\"\" font-variant-caps:=\"\" font-variant-ligatures:=\"\" font-weight:=\"\" letter-spacing:=\"\" orphans:=\"\" text-align:=\"\" text-decoration-color:=\"\" text-decoration-style:=\"\" text-decoration-thickness:=\"\" text-indent:=\"\" text-transform:=\"\" white-space:=\"\" widows:=\"\" word-spacing:=\"\">Pharma<\/em><span -webkit-text-stroke-width:=\"\" background-color:=\"\" color:=\"\" display:=\"\" float:=\"\" font-family:=\"\" font-size:=\"\" font-style:=\"\" font-variant-caps:=\"\" font-variant-ligatures:=\"\" font-weight:=\"\" inline=\"\" letter-spacing:=\"\" orphans:=\"\" text-align:=\"\" text-decoration-color:=\"\" text-decoration-style:=\"\" text-decoration-thickness:=\"\" text-indent:=\"\" text-transform:=\"\" white-space:=\"\" widows:=\"\" word-spacing:=\"\"><span>&nbsp;<\/span>Summit 2024.<\/span><\/p>\n<p style=\"text-align: justify;\" text-align:=\"\">\n\u201d\u015ei la Spitalul Marie Curie e cam aceea\u015fi situatie. E un dezechilibru \u00eentre ce e \u00een \u0163ar\u0103 \u015fi ce e \u00een Bucure\u015fti. E trist s\u0103 primim pacien\u0163i de peste tot, inclusiv din centre universitare, care \u00ee\u015fi declin\u0103 competen\u0163a. E adev\u0103rat c\u0103 sunt probleme medicale pe care nu le po\u0163i acoperi peste tot, cum este chirurgia coloanei. Dar elementele de baz\u0103 ale pediatriei se pot face oriunde, mai ales \u00een centrele universitare.&nbsp; Suntem asalta\u0163i de pacien\u0163i care vin din spitale universitare din alte ora\u015fe\u201d.<\/p>\n<p style=\"text-align: justify;\" text-align:=\"\">\nManagerul atrage atentia c\u0103 principala problem\u0103 cu care se confrunt\u0103 spitalul nu este deficitul de personal medical, ci al personalului TESA \u015fi remuneratia lor. Spitalul Grigore Alexandrescu are \u00een administrare nou\u0103 cl\u0103diri \u015fi dou\u0103 uzine, care asigur\u0103 independenta energetic\u0103 a unit\u0103tiii, dar care contin instalatii complexe, care trebuie \u00eentretinute de doar trei angajati.<\/p>\n<p style=\"text-align: justify;\" text-align:=\"\">\n\u201dNu putem externaliza aceste servicii c\u00e2nd ai posturi vacante. Dar la 4000 de lei pe lun\u0103 nu po\u0163i aduce oameni.&nbsp; Directorul de achizi\u0163ii are 6.000 lei net \u015fi el lucreaz\u0103 lunar cu achizitii de peste 1 milion de euro. E greu s\u0103 motivezi pe cineva s\u0103 r\u0103spund\u0103 pentru 1,5 mil. euro c\u00e2nd el are 6000 lei. Inginerul \u015fef are 6500 lei \u015fi acest om nu pleac\u0103 din spital, el verific\u0103 prizele, toat\u0103 aparatura, \u00een permanen\u0163\u0103. M\u0103 \u00eentreb c\u00e2t va mai sta.&nbsp; Avem 3 aparate de RMN, 3 CT-uri Tesla, dar ele trebuie b\u0103gate \u00een priz\u0103 \u015fi asta cost\u0103\u201d.<\/p>\n<p style=\"text-align: justify;\" text-align:=\"\">\nProf. Dr. Alexandru Ulici a explicat c\u0103 spitalul prime\u015fte fonduri raportat la num\u0103rul de paturi, de pacienti, tin\u00e2nd cont de anumiti indici, la care se adaug\u0103 banii primiti prin programele nationale de la CNAS, pentru materiale, \u015fi banii pentru zona de ATI, traumatologie \u015fi neonatologie, care sunt ac\u0163iuni prioritare, plus sponsoriz\u0103ri.<\/p>\n<p style=\"text-align: justify;\" text-align:=\"\">\n\u201dA\u015fa ies banii pe un an, care se \u00eempart de fapt la 11 luni, iar a 12-a lun\u0103 e pe zero. Din banii \u0103\u015ftia pl\u0103tim tot. Cre\u015fterile salariale cauzate de infla\u0163ie sunt acoperite de minister.&nbsp; Dar fondul major este \u201eprodus\u201d de pacient. Noi trebuie s\u0103 facem economie c\u00e2t putem ca s\u0103 avem toate serviciile pe care le avem\u201d.<\/p>\n<p style=\"text-align: justify;\" text-align:=\"\">\nSpitalul Grigore Alexandrescu are \u00een plus \u015fi o problem\u0103 legat\u0103 de administrare, \u00een conditiile \u00een care pare neclar \u00een subordinea cui este \u015fi cine ar trebui s\u0103 se ocupe de cl\u0103dire.<\/p>\n<p style=\"text-align: justify;\" text-align:=\"\">\n\u201dMinisterul S\u0103n\u0103t\u0103tii spune c\u0103 nu apar\u0163inem de ei, prim\u0103ria de sector spune c\u0103 nu apar\u0163inem nici de ei. La Prim\u0103ria General\u0103 nu ne bag\u0103 nimeni \u00een seam\u0103.&nbsp; P\u00e2n\u0103 acum 3 ani eram la Prim\u0103ria Sector 1. Acum ne-au dat nou\u0103 administrarea, dar Ministerul nu ne poate da fonduri de repara\u0163ii pentru c\u0103 nu este proprietarul cl\u0103dirii. Proprietar ar fi PMB, dar nu se \u015ftie. Spitalul este \u00een patrimoniul public \u015fi, dac\u0103 prim\u0103ria nu \u00eel doneaz\u0103, nu \u00eel po\u0163i prelua\u201d.<\/p>\n<p style=\"text-align: justify;\" text-align:=\"\">\n&nbsp;Managerul este de p\u0103rere c\u0103 \u00een Rom\u00e2nia se discut\u0103 foarte mult de v\u00e2rful piramidei \u00eengrijirii medicale, dar baza este cam roas\u0103. De exemplu, \u00een zona de pediatrie, ar trebui s\u0103 existe centre de \u00eengrijire general\u0103 pentru copii care s\u0103 \u00eemp\u00e2nzeasc\u0103 tara. Iar pentru specialit\u0103ti, precum oncologia, chirurgia coloanei sau alt tip de chirurgie de ni\u015f\u0103 sau transplant ar trebuie create mari centre medicale.&nbsp;<\/p>\n<p style=\"text-align: justify;\">\n&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Spitalul de copii Grigore Alexandrescu din Bucure\u015fti are circa 800 de pacienti \u00een fiecare zi, multi dintre ei venind din alte ora\u015fe, inclusiv din zone care au spitale universitare, dar care \u00ee\u015fi declin\u0103 competenta pe anumite afectiuni, a declarat Prof. Dr. Alexandru Ulici,&nbsp;medic primar, profesor doctor ortopedie pediatrica, manager, Spitalul Grigore Alexandrescu \u00een cadrul conferintei [&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],"tags":[306,33375,408,14542],"class_list":["post-230632","post","type-post","status-publish","format-standard","hentry","category-actualitate","tag-bucuresti","tag-grigore-alexandrescu","tag-pacienti","tag-spital"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/230632","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=230632"}],"version-history":[{"count":0,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/230632\/revisions"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=230632"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=230632"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=230632"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}