Am luat ca exemplu situa\u0163ia asisten\u0163ei cu medicamente \u00een Rom\u00e2nia \u015fi am subliniat c\u0103 nu exist\u0103 \u00eenc\u0103 o strategie na\u0163ional\u0103 a medicamentului, care s\u0103 clarifice care sunt direc\u0163iile \u00een care Rom\u00e2nia trebuie, de exemplu, s\u0103 fac\u0103 stocuri \u00een eventualitatea unor situa\u0163ii de for\u0163\u0103 major\u0103. Lipsa unei strategii na\u0163ionale a dus la problemele semnalate \u00een ultimii ani la Institutul Cantacuzino sau la sc\u0103derea drastic\u0103 a volumelor medicamentelor fabricate \u00een Rom\u00e2nia din totalul medicamentelor utilizate \u00een \u0163ar\u0103, de la 62% \u00een 2006 la 42% \u00een 2010. Sau, \u015fi mai scandalos, lipsa unor reglement\u0103ri \u015fi analize a nevoilor de medicamente a condus la majorarea aloc\u0103rilor pentru medicamente de la aproximativ 350 milioane euro \u00een 2007 la aproximativ 1,1 miliarde euro \u00een 2011 (adic\u0103 aproximativ 25% din totalul resurselor financiare alocate s\u0103n\u0103t\u0103\u0163ii), f\u0103r\u0103 o \u00eembun\u0103t\u0103\u0163ire evident\u0103 a accesului la medicamente, a st\u0103rii de s\u0103n\u0103tate a pacien\u0163ilor sau a speran\u0163ei de via\u0163\u0103. Toate aceste evolu\u0163ii ineficiente, datorate lipsei unei strategii multianuale \u015fi transpartinice au f\u0103cut ca Rom\u00e2nia, o \u0163ar\u0103 cu o tradi\u0163ie industrial\u0103 bogat\u0103 \u00een sectorul farmaceutic, s\u0103 fie doar o \u0163int\u0103 pentru importuri, care ar putea fi oric\u00e2nd sistate, risc\u00e2ndu-se astfel accesul la medicamente al pacien\u0163ilor.<\/p>\n
Am subliniat de asemenea c\u0103, la nivel conceptual, legea s\u0103n\u0103t\u0103\u0163ii, stabileste exclusiv cadrul general, no\u0163iunile definitorii, structurile componente, sursele de finan\u0163are \u015fi r\u0103spunderea pentru un sistem sanitar func\u0163ional. Proiectul noii legi a s\u0103n\u0103t\u0103\u0163ii care a cauzat foarte multe confrunt\u0103ri, multe din ele politizate \u015fi \u00een necuno\u015ftin\u0163\u0103 de cauz\u0103, nu va avea efectele scontate f\u0103r\u0103 o legisla\u0163ie secundar\u0103 pe m\u0103sur\u0103, care s\u0103 fie cl\u0103dit\u0103 pe priorit\u0103\u0163i strategice. Astfel, legisla\u0163ia secundar\u0103 \u015fi ter\u0163iar\u0103 va trebui s\u0103 se pronun\u0163e asupra a \u015fase direc\u0163ii strategice de reformare a sistemului, dup\u0103 cum urmeaz\u0103:<\/p>\n
– Prioritizarea: care sunt prorit\u0103\u0163ile sistemului sanitar (dar \u015fi care sunt argumentele care stau la baza deciziei): s\u0103n\u0103tatea public\u0103, sistemul de urgen\u0163\u0103, medicina primar\u0103, ambulatorie, serviciile spitalice\u015fti, programele na\u0163ionale, etc.? La urma-urmei, doar consensul asupra priorit\u0103\u0163ilor va asigura alocarea corect\u0103 \u015fi transparent\u0103 de resurse;<\/p>\n
– Standardizarea: serviciile medicale trebuie s\u0103 p\u0103streze standarde uniforme, \u00een a\u015fa fel \u00eenc\u00e2t actul medical s\u0103 aib\u0103 aceea\u015fi calitate \u015fi acela\u015fi cost indiferent de cadrul \u00een care este prestat;<\/p>\n
– Finan\u0163area: \u00een func\u0163ie de priorit\u0103\u0163i \u015fi de serviciile contractate \u015fi cu identificarea clar\u0103 de resurse; \u00een a\u015fa fel \u00eenc\u00e2t s\u0103 nu se promit\u0103 mult \u015fi s\u0103 se ofere foarte pu\u0163in, cum este \u015fi cazul asisten\u0163ei cu medicamente;<\/p>\n
– Privatizarea: care sunt structurile ce trebuie privatizate \u015fi care sunt cele ce trebuie s\u0103 r\u0103m\u00e2n\u0103 publice, \u00een a\u015fa fel \u00eenc\u00e2t accesul pacien\u0163ilor s\u0103 nu fie condi\u0163ionat exclusiv de considerente materiale?<\/p>\n
– Informatizarea, despre care nu sunt necesare alte comentarii \u015fi<\/p>\n
– Managementul: cine se va ocupa de administrarea structurilor \u015fi resurselor sistemului, cine va evalua \u00eendeplinirea indicatorilor de performan\u0163\u0103, etc.?<\/p>\n
Drago\u015f Damian este CEO al companiei farmaceutice Terapia-Ranbaxy \u015fi pre\u015fedintele Asocia\u0163iei Produc\u0103torilor de Medicamente Generice din Rom\u00e2nia.<\/p>\n","protected":false},"excerpt":{"rendered":"
La \u00eent\u00e2lnirea cu MS am subliniat c\u0103 industria consider\u0103 c\u0103 sistemul sanitar este alienat din cauza lipsei de viziune, de finan\u0163are (capital) \u015fi competitivitate. Adic\u0103 tocmai parametrii care sunt de prim\u0103 importan\u0163\u0103 \u00een industria farmaceutic\u0103, \u015fi care, atunci c\u00e2nd sunt statua\u0163i, o fac at\u00e2t de eficient\u0103.<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[529],"tags":[12396,558,205],"class_list":["post-53541","post","type-post","status-publish","format-standard","hentry","category-opinii","tag-comentariu","tag-dragos-damian","tag-sanatate"],"_links":{"self":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/53541","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=53541"}],"version-history":[{"count":1,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/53541\/revisions"}],"predecessor-version":[{"id":70219,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=\/wp\/v2\/posts\/53541\/revisions\/70219"}],"wp:attachment":[{"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=53541"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=53541"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bm.dev.synology.me\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=53541"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}