Latvijas Krona un Kol\u012bta Slimnieku Biedr\u012bba (LKKSB) jau vair\u0101kus gadus cen\u0161as piev\u0113rst sabiedr\u012bbas un valsts iest\u0101\u017eu uzman\u012bbu nepietiekamajam z\u0101\u013cu kompens\u0101cijas apjomam krona un \u010d\u016blain\u0101 kol\u012bta slim\u012bbu (neinfekciozi enter\u012bti un kol\u012bti – K50; K51) \u0101rst\u0113\u0161anai. <\/p>\n\n\n\n
Nacion\u0101lais vesel\u012bbas dienests (NVD) atbildes v\u0113stul\u0113 Nr. 03.2-04.1-22\/10111 2013. gada 19. novembr\u012b LKKSB rakst\u012bja:<\/p>\n\n\n\n
NVD atbalsta priek\u0161likumu kompens\u0101cijas kategorijas mai\u0146ai Krona slim\u012bbai un \u010d\u016blainajam kol\u012btam, paaugstinot kompens\u0101cijas apm\u0113ru uz 100%, t\u0101pat k\u0101 cit\u0101m autoim\u016bn\u0101m saslim\u0161an\u0101m, kam pa\u0161laik z\u0101\u013cu ieg\u0101des kompens\u0101cijas sist\u0113m\u0101 jau tiek kompens\u0113ta z\u0101\u013cu ieg\u0101de 100% apm\u0113r\u0101. Par to NVD savas kompetences ietvaros vair\u0101kk\u0101rt ir rakstiski inform\u0113jis ar\u012b Vesel\u012bbas mimistriju.<\/p><\/blockquote>\n\n\n\n
Un tik tie\u0161\u0101m, Vesel\u012bbas ministrijas 2013. gada INFORMAT\u012aVAJ\u0100 ZI\u0145OJUM\u0100 par Finan\u0161u situ\u0101ciju vesel\u012bbas apr\u016bpes jom\u0101, pamato nepiecie\u0161am\u012bbu paaugstin\u0101t kompens\u0101cijas % Krona slim\u012bbai un \u010c\u016blainajam kol\u012btam (27.lpp):<\/p>\n\n\n\n
2. Kompens\u0101cijas apm\u0113ra palielin\u0101\u0161anai no 50% uz 100% Krona slim\u012bbai un \u010d\u016blainajam kol\u012btam<\/p><\/blockquote>\n\n\n\n
Pa\u0161laik z\u0101\u013cu ieg\u0101des kompens\u0101cijas sist\u0113m\u0101 jau tiek kompens\u0113ta z\u0101\u013cu ieg\u0101de 100% apm\u0113r\u0101 pacientiem ar\u00a0cit\u0101m autoim\u016bn\u0101m saslim\u0161an\u0101m, piem\u0113ram, ar reimato\u012bdo artr\u012btu, juvenilo artr\u012btu, psori\u0101tisko artr\u012btu, ankiloz\u0113jo\u0161o spondil\u012btu. T\u0101 k\u0101 ar\u012b Krona slim\u012bbai un \u010d\u016blainajam kol\u012btam ir l\u012bdz\u012bga izcelsme (autoim\u016bns process), palielinot kompens\u0101cijas apm\u0113ru l\u012bdz 100%, tiktu nodro\u0161in\u0101ta vienl\u012bdz\u012bba z\u0101\u013cu pieejam\u012bb\u0101 pacientu vid\u016b ar l\u012bdz\u012bg\u0101m saslim\u0161an\u0101m.\u00a0\u0160obr\u012bd\u00a0Krona slim\u012bbas un \u010d\u016blain\u0101 kol\u012bta \u0101rst\u0113\u0161anai kompens\u0113jamo z\u0101\u013cu sarakst\u0101 iek\u013cauti \u0161\u0101di medikamenti: Azathioprinum, Dexamethasonum, Mercaptopurinum, Mesalazinum, Methylprednisolonum, Prednisolonum, Sulfasalazinum.\u00a0Lai palielin\u0101tu kompens\u0101cijas apm\u0113ru no 50% uz 100% Krona slim\u012bbai un \u010d\u016blainajam kol\u012btam k\u0101 autoim\u016bn\u0101m saslim\u0161an\u0101m\u00a0– nepiecie\u0161ams papildus gad\u0101\u00a0122 266 lati<\/strong>,\u00a0pusgad\u0101 61\u00a0133 lati<\/strong> (skat. tabulu).<\/p>\n\n\n\n
Kompens\u0101cijas apm\u0113ra izmai\u0146as no 50% uz 100% Krona slim\u012bbai un \u010d\u016blainajam kol\u012btam<\/h5>\n\n\n\n
% apm\u0113rs<\/th> Unik\u0101lo pacientu skaits<\/th> Viena unik\u0101l\u0101 pacienta vid\u0113j\u0101s izmaksas, Ls<\/th> Kop\u0113j\u0101s izmaksas, Ls<\/th><\/tr><\/thead> 50% kompens\u0101cija<\/td> 1 576<\/td> 77,58<\/td> 122 266<\/td><\/tr> 100% kompens\u0101cija<\/td> 1 576<\/td> 155,16<\/td> 224 532<\/td><\/tr> Izmaksu palielin\u0101jums gad\u0101, Ls<\/strong><\/td> <\/td> <\/td> 122 266<\/strong><\/td><\/tr><\/tbody><\/table> Avots: Nacion\u0101lais vesel\u012bbas dienests<\/figcaption><\/figure>\n\n\n\n Vesel\u012bbas ministrija atbildes v\u0113stul\u0113 LKKSB (Nr. 01-12.01\/4542) rakst\u012bja:<\/p>\n\n\n\n
Attiec\u012bb\u0101 uz iesniegum\u0101 min\u0113to l\u016bgumu Ministru prezidentam nov\u0113rst netaisn\u012bbu un Krona slim\u012bbas un \u010d\u016blaina kol\u012bta \u0101rst\u0113\u0161anai z\u0101\u013cu ieg\u0101des izdevumus kompens\u0113t 100% apm\u0113r\u0101 v\u0113lamies inform\u0113t, ka Vesel\u012bbas ministrija, apzinot un izv\u0113rt\u0113jot situ\u0101ciju par valsts apmaks\u0101to vesel\u012bbas apr\u016bpes pakalpojumu pieejam\u012bbu iedz\u012bvot\u0101jiem, iesniedza Ministru kabinet\u0101 informat\u012bvo zi\u0146ojumu \u201eFinan\u0161u situ\u0101cija vesel\u012bbas apr\u016bpes jom\u0101\u201d (pie\u0146emts Ministru kabineta 2013. gada 28. maija s\u0113d\u0113, protokola Nr. 32 66.\u00a7), kas paredz\u0113ja papildu valsts bud\u017eeta finans\u0113jumu informat\u012bvaj\u0101 zi\u0146ojum\u0101 min\u0113to pas\u0101kumu \u012bsteno\u0161anai 2013. gad\u0101 34\u00a0306\u00a0502 latu apm\u0113r\u0101, 2014. gad\u0101 66\u00a0148\u00a0868 latu apm\u0113r\u0101 un 2015. gad\u0101 66\u00a0368\u00a0209 latu apm\u0113r\u0101, tai skait\u0101, papildu finans\u0113jumu samazin\u0101t\u0101 z\u0101\u013cu kompens\u0101cijas apm\u0113ra atjauno\u0161anai iepriek\u0161\u0113j\u0101 l\u012bmen\u012b, k\u0101 ar\u012b 122\u00a0266 latus katru gadu Krona slim\u012bbas un \u010d\u016blain\u0101 kol\u012bta z\u0101\u013cu kompens\u0101cijas apm\u0113ra palielin\u0101\u0161anai no 50% uz 100%,<\/span> \u0146emot v\u0113r\u0101, ka Krona slim\u012bbas un \u010d\u016blain\u0101 kol\u012bta slim\u012bbas ir autoim\u016bnas hroniskas un smagas saslim\u0161anas, un \u0161obr\u012bd z\u0101\u013cu ieg\u0101des izdevumu kompens\u0101cijas sist\u0113m\u0101 jau tiek kompens\u0113ta z\u0101\u013cu ieg\u0101de 100% apm\u0113r\u0101 pacientiem ar cit\u0101m autoim\u016bn\u0101m saslim\u0161an\u0101m (reimato\u012bdais artr\u012bts, juven\u012blais artr\u012bts u.c).<\/p>
Atbilsto\u0161i Ministru kabineta 2013.gada 12.j\u016bnija r\u012bkojumam Nr.247 \u201ePar pamatbud\u017eeta apropri\u0101cijas p\u0101rdali starp Finan\u0161u ministriju un Vesel\u012bbas ministriju\u201d tika atbalst\u012bta finans\u0113juma p\u0101rdale Vesel\u012bbas ministrijai 2013.gad\u0101, paredzot ambulatorajai \u0101rst\u0113\u0161anai nepiecie\u0161amo z\u0101\u013cu un medic\u012bnisko ier\u012b\u010du ieg\u0101des izdevumu defic\u012bta da\u013c\u0113jai seg\u0161anai 1\u00a0627 358 latu apm\u0113r\u0101<\/span>. Papildu finans\u0113juma pie\u0161\u0137ir\u0161ana 2009.gad\u0101 samazin\u0101t\u0101 kompens\u0101cijas apm\u0113ra atjauno\u0161anai, k\u0101 ar\u012b Krona slim\u012bbas un \u010d\u016blain\u0101 kol\u012bta slim\u012bbas z\u0101\u013cu kompens\u0101cijas palielin\u0101\u0161anai l\u012bdz 100% netika atbalst\u012bta<\/strong>. Pamatojoties uz min\u0113to, v\u0113lamies inform\u0113t, ka kop\u0113jais finans\u0113jums ambulatorajai \u0101rst\u0113\u0161anai paredz\u0113to z\u0101\u013cu un medic\u012bnisko ier\u012b\u010du ieg\u0101des kompens\u0101cijai ar papildu pie\u0161\u0137irtajiem l\u012bdzek\u013ciem 2013. gad\u0101 ir 82\u00a0181\u00a0391 lata apm\u0113r\u0101, kas nesasniedz 2012.gada finans\u0113juma l\u012bmeni.<\/p><\/blockquote>\n\n\n\n
Beidzot 2014. gada decembra beig\u0101s VM public\u0113ja sabiedriskajai apsprie\u0161anai projektu par izmai\u0146\u0101m MK 899 noteikumos, kas ietv\u0113ra sev\u012b ar\u012b z\u0101\u013cu kompens\u0101cijas apjoma paaugstin\u0101\u0161anu l\u012bdz 100%:<\/p>\n\n\n\n
\u201cVesel\u012bbas ministrija, \u0146emot v\u0113r\u0101 z\u0101\u013cu ieg\u0101des izdevumu kompens\u0101cijas sist\u0113mas iev\u0113rojamu lomu sabiedr\u012bbas vesel\u012bbas nodro\u0161in\u0101\u0161an\u0101, bija noteikusi t\u0101s att\u012bst\u012bbu k\u0101 vienu no priorit\u0101t\u0113m Sabiedr\u012bbas vesel\u012bbas pamatnost\u0101dn\u0113s 2014.-2020.gadam, kas tika apstiprin\u0101tas ar Ministru kabineta 2014.gada 14.oktobra r\u012bkojumu Nr.589 \u201dPar Sabiedr\u012bbas vesel\u012bbas pamatnost\u0101dn\u0113m 2014.-2020.gadam\u201d (turpm\u0101k \u2013 Pamatnost\u0101dnes).<\/p>
Kompens\u0101cijas k\u0101rt\u012bbas ietvaros ir atz\u012bm\u0113ta ar\u012b\u00a0kompens\u0101cijas apm\u0113ra palielin\u0101\u0161ana Krona slim\u012bbas un \u010d\u016blain\u0101 kol\u012bta (K50; K51) pacientiem no 50% uz 100%,\u00a0t.sk. terapijai ar biolo\u0123isk\u0101s izcelsmes medikamentiem,<\/strong> k\u0101 ar\u012b\u00a0kompens\u0101cijas apm\u0113ra palielin\u0101\u0161ana psori\u0101zes (L40) pacientiem no 50% uz 100%,\u00a0t.sk.,\u00a0terapijai ar biolo\u0123isk\u0101s izcelsmes medikamentiem. Diagno\u017eu grupas K50, K51 un L40 ir smagas autoim\u016bn\u0101s saslim\u0161anas, kuru \u0101rst\u0113\u0161anai b\u016btu nepiecie\u0161ama ar\u012b \u0101rst\u0113\u0161ana ar biolo\u0123isk\u0101s izcelsmes medikamentiem, kuru pieejam\u012bba pacientiem to augstu cenu d\u0113\u013c ir apgr\u016btin\u0101ta. Noteikumu projekta 1.14. apak\u0161punkts, izpildot Deklar\u0101cij\u0101 noteikto uzdevumu\u00a0samazin\u0101t pacientu\u00a0l\u012bdzmaks\u0101jumus par z\u0101\u013cu un medic\u012bnisko ier\u012b\u010du ieg\u0101di,\u00a0paredz paaugstin\u0101t kompens\u0101cijas apm\u0113ru diagnozei\u201dKrona (Crohn) slim\u012bba (re\u0123ion\u0101ls enter\u012bts)\u201d (K50), \u201d\u010c\u016blainais (ulcerozs) kol\u012bts\u201d (K51) un \u201dZv\u012b\u0146\u0113de (psoriasis)\u201d (L40), uzlabojot medikamentoz\u0101s terapijas pieejam\u012bbu pacientiem ar min\u0113taj\u0101m diagnoz\u0113m\u201d.<\/p><\/blockquote>\n\n\n\n
2015. gada 13. janv\u0101r\u012b VM notika \u0161\u012b groz\u012bjumu projekta sabiedrisk\u0101 apsprie\u0161ana, kur nekas projekt\u0101 netika main\u012bts. Krona slim\u012bbai un \u010d\u016blainajam kol\u012btam palika sp\u0113k\u0101 piepras\u012bjums paaugstin\u0101t z\u0101\u013cu kompens\u0101cijas apjomu l\u012bdz 100%.<\/p>\n\n\n\n
Nesaprotamu iemeslu d\u0113\u013c<\/span> n\u0101ko\u0161aj\u0101 ned\u0113\u013c\u0101 (22.01.) jau tika izmain\u012bts projekts un kompens\u0101cijas apm\u0113rs – no 100% uz 75%. \u0160\u0101ds projekts tika nos\u016bt\u012bts uz Finan\u0161u Ministriju un Valsts sekret\u0101riem.<\/p>\n\n\n\n
\u201cVesel\u012bbas ministrija, \u0146emot v\u0113r\u0101 z\u0101\u013cu ieg\u0101des izdevumu kompens\u0101cijas sist\u0113mas iev\u0113rojamu lomu sabiedr\u012bbas vesel\u012bbas nodro\u0161in\u0101\u0161an\u0101, bija noteikusi t\u0101s att\u012bst\u012bbu k\u0101 vienu no priorit\u0101t\u0113m Sabiedr\u012bbas vesel\u012bbas pamatnost\u0101dn\u0113s 2014.-2020. gadam, kas tika apstiprin\u0101tas ar Ministru kabineta 2014. gada 14. oktobra r\u012bkojumu Nr. 589 \u201dPar Sabiedr\u012bbas vesel\u012bbas pamatnost\u0101dn\u0113m 2014.-2020. gadam\u201d (turpm\u0101k \u2013 Pamatnost\u0101dnes). Kompens\u0101cijas k\u0101rt\u012bbas ietvaros ir atz\u012bm\u0113ta ar\u012b kompens\u0101cijas apm\u0113ra palielin\u0101\u0161ana Krona slim\u012bbas un \u010d\u016blain\u0101 kol\u012bta (K50; K51) pacientiem,\u00a0t.sk., terapijai ar biolo\u0123isk\u0101s izcelsmes medikamentiem, k\u0101 ar\u012b kompens\u0101cijas apm\u0113ra palielin\u0101\u0161ana psori\u0101zes (L40) pacientiem,\u00a0t.sk., terapijai ar biolo\u0123isk\u0101s izcelsmes medikamentiem. Diagno\u017eu grupas K50, K51 un L40 ir smagas autoim\u016bn\u0101s saslim\u0161anas, kuru \u0101rst\u0113\u0161anai b\u016btu nepiecie\u0161ama ar\u012b \u0101rst\u0113\u0161ana ar biolo\u0123isk\u0101s izcelsmes medikamentiem, kuru pieejam\u012bba pacientiem to augsto cenu d\u0113\u013c ir apgr\u016btin\u0101ta. Noteikumu projekta 1.15. un 1.17. apak\u0161punkts, pildot Deklar\u0101cij\u0101 noteikto uzdevumu samazin\u0101t pacientu l\u012bdzmaks\u0101jumus par z\u0101\u013cu un medic\u012bnisko ier\u012b\u010du ieg\u0101di, paredz ar 2015. gada 1. j\u016bliju (Noteikumu projekta 1.12. apak\u0161punkts) paaugstin\u0101t kompens\u0101cijas apm\u0113ru diagnozei \u201dKrona (Crohn) slim\u012bba (re\u0123ion\u0101ls enter\u012bts)\u201d (K50), \u201d\u010c\u016blainais (ulcerozs) kol\u012bts\u201d (K51) un \u201dZv\u012b\u0146\u0113de (psoriasis)\u201d (L40), no 50% uz 75%<\/strong>, uzlabojot medikamentoz\u0101s terapijas pieejam\u012bbu pacientiem ar min\u0113taj\u0101m diagnoz\u0113m.\u201d<\/p><\/blockquote>\n\n\n\n
Viss teksts, visi skaistie pamatojumi un iemesli paliku\u0161i bez izmai\u0146\u0101m, tikai nomain\u012bts skaitlis, kas nor\u0101da kompens\u0101cijas apjomu.<\/p>\n\n\n\n
- K\u0101d\u0113\u013c vair\u0101ku gadu garum\u0101 vajadz\u0113ja apgalvot ka Finan\u0161u ministrija nepie\u0161\u0137ir l\u012bdzek\u013cus, ja tagad pati VM nol\u0113ma ka nevajag?<\/strong><\/span><\/li>
- K\u0101d\u0113\u013c vajadz\u0113ja r\u012bkot sabiedrisko apsprie\u0161anu, ja to ne\u0146em v\u0113r\u0101?<\/strong><\/span><\/li>
- K\u0101 ar tiesisko pa\u013c\u0101v\u012bbu, ja Valsts iest\u0101de apspriesto un pie\u0146emto l\u0113mumu var p\u0113c ned\u0113\u013cas main\u012bt?<\/strong><\/span><\/li><\/ul>\n","protected":false},"excerpt":{"rendered":"
Latvijas Krona un Kol\u012bta Slimnieku Biedr\u012bba (LKKSB) jau vair\u0101kus gadus cen\u0161as piev\u0113rst sabiedr\u012bbas un valsts iest\u0101\u017eu uzman\u012bbu nepietiekamajam z\u0101\u013cu kompens\u0101cijas apjomam krona un \u010d\u016blain\u0101 kol\u012bta slim\u012bbu (neinfekciozi enter\u012bti un kol\u012bti – K50; K51) \u0101rst\u0113\u0161anai. Nacion\u0101lais vesel\u012bbas dienests (NVD) atbildes v\u0113stul\u0113 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_themeisle_gutenberg_block_has_review":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-664","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/posts\/664","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/lkksb.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=664"}],"version-history":[{"count":10,"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/posts\/664\/revisions"}],"predecessor-version":[{"id":1414,"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/posts\/664\/revisions\/1414"}],"wp:attachment":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=664"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lkksb.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=664"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lkksb.lv\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=664"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}