{"id":855,"date":"2017-08-23T22:12:39","date_gmt":"2017-08-23T20:12:39","guid":{"rendered":"http:\/\/lkksb.lv\/?p=855"},"modified":"2020-04-21T18:11:09","modified_gmt":"2020-04-21T15:11:09","slug":"vestule-veselibas-ministrijai-par-medikamentu-kompensacijas-paaugstinasanu","status":"publish","type":"post","link":"https:\/\/lkksb.lv\/?p=855","title":{"rendered":"V\u0113stule Vesel\u012bbas ministrijai par medikamentu kompens\u0101cijas paaugstin\u0101\u0161anu"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">R\u012bg\u0101, 2017. gada 18. august\u0101<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u013boti cien\u012bjam\u0101 ministres kundze!<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Par iekais\u012bgu zarnu slim\u012bbu un psori\u0101zes medikamentu kompens\u0101cijas paaugstin\u0101\u0161anu<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Atzin\u012bgi v\u0113rt\u0113jam, ka J\u016bs personiski ieguld\u0101t lielu ener\u0123iju, lai virz\u012btu nepiecie\u0161am\u0101s izmai\u0146as vesel\u012bbas apr\u016bpes sist\u0113mas uzlabo\u0161an\u0101.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tom\u0113r p\u0113c Vesel\u012bbas ministrijas v\u0113stules Nr. 01-17.1\/3786 sa\u0146em\u0161anas esam spiesti izteikt neizpratni par taj\u0101 pied\u0101v\u0101to risin\u0101jumu un uzskat\u0101m, ka Krona slim\u012bbas, \u010d\u016blain\u0101 kol\u012bta un psori\u0101zes \u0101rst\u0113\u0161anai paredz\u0113to z\u0101\u013cu kompens\u0101cijas apjoma palielin\u0101\u0161ana no 75% l\u012bdz 100% no 2018. gada ir piln\u012bga fikcija no vesel\u012bbas ieguvumu un finan\u0161u izlietojuma efektivit\u0101tes viedok\u013ca, jo:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>P\u0113c kompens\u0101cijas paaugstin\u0101\u0161anas netiek apmaks\u0101ta biolo\u0123isk\u0101 terapija (to pl\u0101nots nodro\u0161in\u0101t tikai no 2019. gada, nevis k\u0101 vair\u0101kk\u0101rt esam l\u016bgu\u0161i no 2017.&nbsp;gada vidus vai rudens), l\u012bdz ar to efekt\u012bva \u0101rst\u0113\u0161ana neb\u016bs pieejama pacientiem ar \u0161o slim\u012bbu smag\u0101kaj\u0101m form\u0101m \u2013 t\u0101 ir pacientu grupa, kura, sa\u0146emot biolo\u0123isko terapiju, sasniedz iev\u0113rojamu vesel\u012bbas st\u0101vok\u013ca uzlabo\u0161anos un atg\u016bst darba sp\u0113jas. B\u016bt\u012bb\u0101 \u0161\u012b pacientu grupa tiks diskrimin\u0113ta. K\u0101 jau vair\u0101kk\u0101rt sarakst\u0113 esam nor\u0101d\u012bju\u0161i, apr\u0113\u0137ini r\u0101da, ka p\u0113c \u0161o medikamentu cenas pilnas apmaksas ievie\u0161anas bud\u017eeta ietaup\u012bjums (atgrie\u0161an\u0101s darba tirg\u016b, \u0101rst\u0113\u0161anas, pabalstu izmaksu samazin\u0101jums) uz vienu pacientu gad\u0101 veidotu vismaz 1&nbsp;000 eiro, sal\u012bdzinot ar izdevumiem pa\u0161laik;<\/li><li>saglab\u0101sies psori\u0101zes pacientu diskrimin\u0101cija, jo at\u0161\u0137ir\u012bb\u0101 no citu autoim\u016bno slim\u012bbu pacientu grup\u0101m vi\u0146iem joproj\u0101m 2018. gad\u0101 neb\u016bs pieejama efekt\u012bva biolo\u0123isk\u0101 terapija;<\/li><li>ir neskaidra situ\u0101cija ar tiem vair\u0101kiem Krona slim\u012bbas pacientiem, kuri efekt\u012bvu biolo\u0123isko terapiju \u0161obr\u012bd sa\u0146em, jo sp\u0113j samaks\u0101t 25% l\u012bdzmaks\u0101jumu. Nav saprotams, vai no 2018. gada \u0161iem pacientiem terapija tiks apmaks\u0101ta piln\u0101 apjom\u0101, kas b\u016btu lo\u0123isks solis, vai ar\u012b saglab\u0101sies l\u012bdzmaks\u0101jums. Ar\u012b \u0161aj\u0101 situ\u0101cij\u0101 past\u0101v nevienl\u012bdz\u012bgas attieksmes risks vienas pacientu grupas ietvaros, jo da\u013cai pacientu efekt\u012bva terapija joproj\u0101m neb\u016bs pieejama;<\/li><li>kompens\u0101cijas palielin\u0101\u0161ana no 75% uz 100% attiektos uz mazliet vair\u0101k nek\u0101 10&nbsp;000 (v\u0113rt\u0113jot p\u0113c NVD 2016.&nbsp;gada datiem) Krona slim\u012bbas, \u010d\u016blain\u0101 kol\u012bta, psori\u0101zes pacientiem, kuriem nav \u0161o slim\u012bbu smagas formas. Ja kompens\u0101cijas palielin\u0101\u0161anai 2018.&nbsp;gad\u0101 paredz\u0113ti apm\u0113ram 211 000 eiro, viegli apr\u0113\u0137in\u0101t, ka vienam pacientam m\u0113nes\u012b ieguvums b\u016bs aptuveni 1,70 eiro \u2013 z\u0101l\u0113m, kur\u0101m ir zema cena un zema iedarb\u012bba. \u0160\u0101du l\u012bdzek\u013cu izlietojumu publiski b\u016bs sare\u017e\u0123\u012bti pamatot k\u0101 lietder\u012bgu.<\/li><\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Ar r\u016bgtumu j\u0101secina, ka p\u0113c pacientu un \u0101rstu daudzu gadu garum\u0101 vair\u0101kk\u0101rt izteiktiem l\u016bgumiem paaugstin\u0101t medikamentu pieejam\u012bbu Vesel\u012bbas ministrija pied\u0101v\u0101 risin\u0101jumu, kur\u0161 ir nelo\u0123isks un bezj\u0113dz\u012bgs no vesel\u012bbas un finan\u0161u ieguvuma viedok\u013ca, jo netiks \u0101rst\u0113ti smag\u0101k slimie pacienti, kuri nevar\u0113s atg\u016bt vesel\u012bbu un atgriezties pilnv\u0113rt\u012bg\u0101 personiskaj\u0101 un darba dz\u012bv\u0113. \u0160\u0101ds risin\u0101jums ir ar\u012b pretrun\u0101 ar vesel\u012bbas apr\u016bpes reformas b\u016bt\u012bbu, k\u0101 ar\u012b neatbilst Eiropas Komisijas izvirz\u012btajiem nosac\u012bjumiem par efekt\u012bv\u0101ku vesel\u012bbas apr\u016bpes l\u012bdzek\u013cu izlietojumu. \u0160\u0101ds risin\u0101jums ar\u012b neatbilst J\u016bsu l\u012bdz\u0161in\u0113jiem centieniem uzlabot vesel\u012bbas apr\u016bpes kvalit\u0101ti un finan\u0161u efektivit\u0101ti.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>L\u016bdzam Krona slim\u012bbas, \u010d\u016blain\u0101 kol\u012bta un psori\u0101zes \u0101rst\u0113\u0161anai paredz\u0113to medikamentu cenas kompens\u0101ciju paaugstin\u0101t l\u012bdz 100%, k\u0101 ar\u012b iek\u013caut biolo\u0123isko terapiju pacientiem ar smag\u0101m slim\u012bbas form\u0101m no \u0161\u0101 gada 1.&nbsp;oktobra.<\/strong> \u0160\u0101ds risin\u0101jums nodro\u0161in\u0101s gan vesel\u012bbas, gan finan\u0161u ieguvumu un b\u016bs publiski apsveicams.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>L\u016bdzam J\u016bs p\u0113c iesp\u0113jas \u0101tr\u0101k m\u016bs pie\u0146emt, lai vienotos par kop\u0113ju r\u012bc\u012bbu un nov\u0113rstu to, kas, cerams, ir tikai neveikls p\u0101rpratums<\/strong>. Pacientu nost\u0101ju, k\u0101 ar\u012b l\u016bgumu par tik\u0161anos atbalsta ar\u012b \u0101rsti speci\u0101listi (k\u0101 viens no vi\u0146iem P.Stradi\u0146a KUS Gastroenterolo\u0123ijas, hepatolo\u0123ijas un uztura terapijas centra virs\u0101rsts, LU Asoc. Prof. Aldis Pu\u0137\u012btis), kuri ir gatavi sniegt ekspertu viedokli un nepiecie\u0161amo papildinform\u0101ciju.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Esam aicin\u0101ju\u0161i ar\u012b citus iekais\u012bgu zarnu slim\u012bbu un psori\u0101zes pacientus individu\u0101li v\u0113rsties pie Vesel\u012bbas ministrijas vad\u012bbas un politi\u0137iem ar l\u016bgumu nekav\u0113joties nodro\u0161in\u0101t efekt\u012bvu z\u0101\u013cu pieejam\u012bbu. Akt\u012bvi inform\u0113sim ar\u012b pla\u0161\u0101ku sabiedr\u012bbu par Latvijas vesel\u012bbas apr\u016bpes sist\u0113m\u0101 joproj\u0101m past\u0101vo\u0161o atsevi\u0161\u0137u pacientu grupu diskrimin\u0101ciju.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.tvnet.lv\/zinas\/latvija\/674291-biedriba_vm_parmet_neveribu_pret_iekaisigu_zarnu_slimibu_un_psoriazes_smagak_slimo_pacientu_vajadzibam\" target=\"_blank\" rel=\"noreferrer noopener\">TVNET: Biedr\u012bba VM p\u0101rmet nev\u0113r\u012bbu pret iekais\u012bgu zarnu slim\u012bbu un psori\u0101zes smag\u0101k slimo pacientu vajadz\u012bb\u0101m<\/a><br><a href=\"https:\/\/www.pietiek.com\/raksti\/aicinam_veselibas_ministriju_izbeigt_pacientu_manisanu\">Pietiek.com: Aicin\u0101m Vesel\u012bbas ministriju izbeigt pacientu m\u0101n\u012b\u0161anu<\/a><br><a href=\"http:\/\/medicine.lv\/raksti\/biedriba-vm-parmet-iekaisigu-zarnu-slimibu-un-psoriazes-smagak-slimo-pacientu-vajadzibu-atliksanu-uz-velaku-laiku\">Medicine.lv: Biedr\u012bba VM p\u0101rmet nev\u0113r\u012bbu pret iekais\u012bgu zarnu slim\u012bbu un psori\u0101zes smag\u0101k slimo pacientu vajadz\u012bb\u0101m<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>R\u012bg\u0101, 2017. gada 18. august\u0101 \u013boti cien\u012bjam\u0101 ministres kundze! Par iekais\u012bgu zarnu slim\u012bbu un psori\u0101zes medikamentu kompens\u0101cijas paaugstin\u0101\u0161anu Atzin\u012bgi v\u0113rt\u0113jam, ka J\u016bs personiski ieguld\u0101t lielu ener\u0123iju, lai virz\u012btu nepiecie\u0161am\u0101s izmai\u0146as vesel\u012bbas apr\u016bpes sist\u0113mas uzlabo\u0161an\u0101. Tom\u0113r p\u0113c Vesel\u012bbas ministrijas v\u0113stules Nr. [&hellip;]<\/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-855","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"_links":{"self":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/posts\/855","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=855"}],"version-history":[{"count":6,"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/posts\/855\/revisions"}],"predecessor-version":[{"id":1325,"href":"https:\/\/lkksb.lv\/index.php?rest_route=\/wp\/v2\/posts\/855\/revisions\/1325"}],"wp:attachment":[{"href":"https:\/\/lkksb.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=855"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/lkksb.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=855"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/lkksb.lv\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=855"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}