შემოსავლებიოს მიხედვით კატეგორიებად დაყოფილ მოქალაქეებს საკუთარ ჯანმრთელობაზე ზრუნვას გვაჩვევენ…
ირმა ცეცხლაძე 27 48 94
`qarTulma ocnebam~ arakad qceuli sayovelTao jandacvis ufaso dazRveva iseve moulodnelad daasrula, rogorc daiwyo da moqalaqeTa Semosavlebis diferencirebiT daadgina, vis ramdeni unda gadaexada operaciebisa Tu mkurnalobisTvis. umuSevrobiT, dabali xelfasebiT,
sabanko kreditebiT da gaZvirebuli produqtebiT gaRizianebuli mosaxleoba, romlis nawili im ufaso
eqimamdec ver midioda medikamentebis astronomiuli
fasebis gamo, uares mdgomareobaSi Cavarda
asea Tu ise, am sferos maRal postebze myofi eqimebi cuds verafers xedaven am procesSi, piriqiT, Tvlian, rom msgavsi dayofa adrec unda momxdariyo, maTi TqmiT: `moqalaqeebi unda SeeCvion im azrs, rom Tavadac unda izrunon, Tundac wilobrivad, sakuTar janmrTelobaze~. piradad me veTanxmebi am mosazrebas, Tumca upriani iqneboda, 1000 laramde xelfasiT ki ar ganesazRvraT Tanadafinanseba, aramed 400 laramde, Semdeg 1000-mde da a. S. Tu ras gulisxmobs es cifrebi da ra Seicvala jandacvis sferoSi TanagadamxdelTaTvis, amaze da sxva Temebze saubrobs aWaris janmrTelobisa da socialuri dacvis ministri zaal miqelaZe.
– batono zaal, daviwyoT iqidan, Tu ra gakeTda yvelaze mniSvnelovani jandacvis sferoSi?
– uamravia sakmaod wonadi da mosaxleobisaTvis mniSvnelovani cvlileba, Tumca yvelaferi es SemuSavebuli iyo piradad Cemi Tanamonawileobis gareSe – me rom movedi saministroSi, programuli biujeti ukve damtkicebuli damxvda. TavisTavad, Cven vagrZelebT mis Sesrulebas, magram paralelurad, vatarebT informaciuli saxis Sexvedrebs aWaris municipalitetebSi, sxvadasxva klinikis medpersonalTan, organizaciebSi, raTa gavarkvioT, ra ufro sWirdeba dResdReobiT Cvens mosaxleobas da raze unda gakeTdes aqcenti Tanxebis miznobrivad gaxarjvis dros. swored am gziT miRebuli winadadebebis SemweobiT gamoikveTa mTeli rigi programebi, romlebsac davamuSavebT da 2018 wlisTvis ukve axali SeTavazebebiT warvsdgebiT Cveni regionis mosaxleobis winaSe. garwmunebT, Semdegi wlis biujeti srulad iqneba orientirebuli maT moTxovnebsa da saWiroebebze.
– konkretulad ra Seicvala axal biujetSi?
– Seicvala Tanagadaxdis programa, romelic aWaras manamdec hqonda, magram centraluri jandacvis programebSi Setanilma koreqtivebma TavisTavad gamoiwvia cvlilebebi CvenTanac.
– swored am cvlilebaze visaubroT. mosaxleoba panikaSia, isedac Zviria medikamentebi da axla maT gamosaweradac veRar mivalT eqimTano. ra sistemiT daiyvnen moqalaqeebi?
– sayovelTao jandacviT dazRveuli kontingenti daiyo Semosavlebis mixedviT. TveSi 1000 laramde visac aqvs xelfasi; 1000 larze zemoT, magram weliwadSi ara umetes 40 000-isa da 40 000 wliur Semosavalze meti.
– 40 000-ze meti Tu aqvT Semosavali, imaT raRa dafinanseba undaT?
– Cvens programaSi gamonaklisis saxiT, magram am moqalaqeebisTvisac aris gankuTvnili daxmareba. gansakuTrebiT vcdilobT daxmareba gavuwioT iseTi rTuli daavadebebis CamonaTvalSi moxvedrilT, rogoric onkologiaa. aseTi sneulebisTvis davfaravT TiTqmis nebismier Tanagadaxdasac ki, radgan damateba SeiZleba procentulad cota Cans, magram saboloo jamSi sakmaod did Tanxas Seadgens, romelic araerTxel aqvs gadasaxdeli Tavad pacients an mis ojaxs da mZime finansur tvirTad awveba. cxadia, yvela Rones vixmarT, rom saqarTvelos moqalaqeebs mivceT gadarCenis Sansi, rasac moklebulni iqnebian Cveni Tanadgomis gareSe.
– ras gulisxmobs es `Tanadgoma~?
– gadasaxdeli Tanxis ZiriTad nawils saqarTvelos jandacvis onkologiurad daavadebulTa programa faravs, danarCens Cven vafinansebT. aseve, saministro axorcielebs rigi kardioqirurgiuli operaciebis Tanadafinansebas. mogexsenebaT, adre TiToeul moqalaqeze 15 aTasi lari iyo gamoyofili.
– axla aRar aris?
– ki, rogor ara, magram sul sxvas vambob… kerZod, zogierTi am tipis operacia 19-21 aTasic ki Rirs. 3-4 aTasis damateba dabalSemosavlians ki ara, maRali xelfasis mqone adamiansac uWirs, aRarafers vambob socialurad daucvelebze. adamiani, romelic ver poulobs damatebiT Tanxas, cxadia, ver ikeTebs operacias da mis janmrTelobas sasikvdilo safrTxe eqmneba. amitom kardioqirurgiaSi am problemas Cven movugvarebT, oRond, kidev erTxel vimeoreb, aWaraSi registrirebul moqalaqeebs, radgan Cveni saministros programebi mxolod Cvens regionSi mcxovrebT exeba.
– rogorc vici, bevri moqalaqe dainteresebulia sazRvargareT operaciebis dafinansebiT. am kuTxiT Tu moqmedebs raime programa?
– es Tema araerT Cvens Sexvedraze wamoiWra. vapirebT am kuTxiT Cveni wvlilis Setanas. ukve SemuSavebulia, magram jer damtkicebuli ar aris sazRvargareT mkurnalobis dafinansebis programa. imedi gvaqvs, mTavroba mxars dagviWers da daamtkicebs mas, radgan marTlac sakmaod aqtualuri gaxda msgavsi daxmareba. mogexsenebaT, saqarTvelos jandacvis saministro ukve afinansebs ucxoeTSi urTules operaciebs, magram mcire odenobiT, radgan iq sazRauri Zalian didia.
– es marTlac didi mxardaWera iqneba maTTvis, visTvisac msgavsi operacia sikvdil-sicocxlis sakiTxia.
– diax, asea, magram aqve minda davamato, mavanT fuWi molodini rom ar hqondeT – am dafinansebis misaRebad aucilebeli iqneba warmoadginon eqspertis daskvna, rom msgavsi operacia saqarTvelos arc erT klinikaSi ar keTdeba. nu warmoidgenen Cveni moqalaqeebi, rom nebismier operaciaze SeuZliaT moiTxovon Tanadafinanseba sabiujeto Tanxebidan. yvelam kargad icis, rom Cveni biujeti ar iZleva amis saSualebas. ra Tqma unda, yvelas gvinda axlobels saerTaSoriso, Zvirad Rirebul specialistTan Cautardes operacia, amiT imedic matulobs da gadarCenis Sansic, magram arc is unda daviviwyoT, rom riski yvela operacias axlavs da saxelmwifo mxolod survilis mixedviT ver gascems Tanxebs, romelic mTeli mosaxleobis janmrTelobis dacvisTvisaa gamiznuli.
– magram xom aris operaciebi, romelsac aq ver akeTeben saTanado doneze? Tavad eqimebic ki 50 procentis garantias iZlevian maSin, rodesac igive operacia ucxoeTis romelime qveyanaSi lamis 100 procentiT gadarCenis SansiT keTdeba?
– nebismier operacias axlavs garTuleba da procentuli riskis Semadgenlobac TiTqos sxvadasxvaa sxvadasxva klinikaSi, magram Tuki qirurgi akeTebs ama Tu im operacias, e. i. mas amis licenzia gaaCnia da araviTar maCvenebelze saubari ar SeiZleba iyos. kidev erTxel vimeoreb, am programis amuSavebis Semdeg qveynis datovebis molodini ar unda hqondeT im pacientebs, romlebic ver warmoadgenen eqspertis saTanado daskvnas.
– rogor miiRebT gadawyvetilebas, sayovelTao jandacva arafers daafinansebs?
– rogor ara, sayovelTao jandacviT misi wili dafinansdeba, Semdeg ki sakiTxi ganixileba individualurad, komisiis mier. SesaZlebelia, zogierTs 5 aTasi miscen, zogs – 10…
– xom ver dagvikonkretebT, ra moculobis Tanxis gadaxda Caido axal programaSi, romelic male amoqmeddeba?
– nebismier SemTxvevaSi davafinansebT operaciis Rirebulebis 50%-s, romelsac gamoakldeba sayovelTao jandacvis mier gadaxdili Tanxa… magram ara umetes 15 aTasi larisa, radgan aris operaciebi, 60-70-80 aTasic rom Rirs. amas Cveni biujeti, samwuxarod, ver gaswvdeba.
– maSin ra azri aqvs Tqvens monawileobas, Tuki operacia srulad ver dafinansdeba. adamiani, romelic ver ixdis 15 aTas lars, axlandeli kursiT 7 aTasi dolaric rom ar aris, verc darCenil 70 aTass iSovis.
– Cven vcdilobT daviwyoT TanamonawileobiT, xeli SevaSveloT, radgan msgavsi operaciebi, rogorc wesi, saTanado fondebis dafinansebiT xorcieldeba. isic ar daiviwyoT, rom is fondebic ufro dainteresdebian daxmarebiT, rodesac naxaven, rom saxelmwifoc, SeZlebisdagvarad, gaswevs xarjebs. e.i. Cven am SemTxvevaSi vaxorcielebT Tanagadaxdas, raTa saxelmwifos mier Setanili wvlili sakuTari moqalaqis sicocxlis gadarCenis mcdelobaSi ufro soliduri iyos, vidre Cveni monawileobis gareSe iqneboda.
– maxsovs, bevrs saubrobdnen, rom biujeti ver gaswvdeba da sayovelTao dazRveva fasiani gaxdeba – asec moxda..?
– aranairi fasiani ar gamxdara. absoluturad SenarCunebulia is SeRavaTebi, rac iyo, mxolod Tanamonawileoba ganisazRvra 2 kategoriis mixedviT (40 aTasze meti wliuri Semosavali visac aqvs, imas aRar vTvliT). 1000 laramde Semosavlis mqone 500 lars ixdis. xom unda iswavlon Cvenma moqalaqeebma sakuTar janmrTelobaze zrunva. magaliTad, Tu Rirs operacia 1200 lari, gadaixdi 500-s. Tu gaqvs 1000 larze meti xelfasi (weliwadSi – 40 000-mde), maSin gadaixdi 1000-s.
– Tuki 300 laramde maqvs xelfasi?
– mainc 500-s gadaixdi. xom axerxeb, yoveldRiurad ikvebo, gadaixado komunaluri gadasaxadi, avtomobilSi benzini Caasxa an transportiT isargeblo?
– vai, aseT moxerxebas, am Semosavlebis patronebi rom axerxeben… adre xom iyo es momsaxureba ufaso?
– arc adre iyo… 30%-iani TanadafinansebiT tardeboda operaciebi, gegmuric da gadaudebelic. rac Seexeba im moqalaqeebs, romlebic, rogorc aRniSneT, ver axerxeben Tavis Senaxvas, anu socialurad daucvelebi (Tu 100 aTasamde qula aqvT, ar maqvs saubari, imaT arc axla sTxovs vinme raimes gadaxdas), maTTvis, iseve rogorc adre, axlac ufasoa jandacva. aseve darCaT SeRavaTebi pensionerebs, studentebs, mSobiareebs, axalSobilebs da a. S. yvela es segmenti Zveli tarifebiT finansdeba, maTTvis araferi Secvlila, Seicvala Semosavlis mqone mosaxleobisTvis.
– saswrafo daxmarebis manqana rom migiyvanda samedicino dawesebulebaSi, maSin xom ar iyo Tanagadaxda?
– saswrafom Tu migiyvana da reanimaciaSi moxvdi, axlac araferia gadasaxdeli, ufasoa, magram adre, saswrafosac rom mieyvane da naRvlis buStze gaekeTebinaT klinikaSi laparaskopiuli saswrafo operacia, mainc iyo gadasaxdeli 30 procenti Tanadafinanseba. Aaxla, Tuki 10 000 Rirs operacia, Sen 3000-s (30%-s) ki ara, mxolod 500-s gaxdevineben.
– gasagebia, Tu am logikas mivyvebiT, mogebulic ki aRmoCndnen is moqalaqeebi, romlebsac dabali xelfasi aqvT… kidev ra siaxle gaqvT?
– kidev erTi axali programa minda warmogidginoT, romelic momavali wlisTvis gvqonda dagegmili, magram misi sensitiurobidan da saWiroebidan gamomdinare, ukve wels, 1 ivliss avamoqmedeT. es aris fsiqikuri problemebis mqone geriatriuli pacientebis TavSesafriT uzrunvelyofa. am mizniT aWaris fsiqiatriul saavadmyofoSi ori axali ganyofileba gaixsna.
reabilitirebuli sivrce gaTvaliswinebulia 65 wlisa da 65 wels gadacilebuli moxucebis 24-saaTiani TavSesafriT uzrunvelyofisaTvis, aseve fsiqosomaturi aSlilobis mqone (nevrozuli registris) pacientTa stacionaruli momsaxurebisaTvis. axali teqnikiT da inventariT aRWurvili geriatriuli ganyofileba 50 pacientzea gaTvlili, fsiqosomaturi aSlilobis mqone beneficiarebisTvis gaTvaliswinebulia 15 adgili. ganyofilebebisTvis gankuTvnil farTs sruli reabilitacia Cautarda. mkurnaloba iTvaliswinebs movla-patronobas, samjerad kvebas, higienuri nivTebiT uzrunvelyofas. aRniSnul programebs Cveni saministro afinansebs. aqve minda aRvniSno, rom aWaraSi registrirebuli moqalaqeebisTvis momsaxureba ufasoa.
– `qalTa oTaxebs~ da saministros Soris gaformebuli urTierTTanamSromlobis memorandumi ras gulisxmobs?
– memorandumis safuZvelze, Cveni saministro aWaris municipalur servisebTan – `qalTa oTaxebTan~ TanamSromlobiT, uzrunvelyofs mosaxleobis informirebas janmrTelobisa da socialuri dacvis sakiTxebze, saministros mier ganxorcielebul programebze. mxareebi iTanamSromleben SezRuduli SesaZleblobebis mqone pirebisa da mosaxleobis socialurad daucveli fenebisaTvis socialuri dacvis RonisZiebebis ganxorcielebisas. `qalTa oTaxebi~ uzrunvelyofen samizne jgufebisa da mosaxleobis informirebas saministros mier ganxorcielebuli programebis Sesaxeb, miawvdian saministros informacias mosaxleobaSi gamovlenil saswrafod gadasaWrel sakiTxebze.
– infeqciuri centric wesrigdeba?