აჭარაში ონკოპაციენტების მკურნალობა 2 მილიონი ლარით დაფინანსდება
ირმა ცეცხლაძე 27 48 94
aWaris sazogadoebrivi jandacvis centris direqtoris avtonomiuri respublikis janmrTelobisa da socialuri dacvis ministris pirveli moadgilis postze gadayvana sasiamovno siaxle iyo maTTvis, vinc icnobs qalbaton
nino niJaraZes rogorc pirovnebas da profesionals
am sferoSi muSaobis lamis 20-wliani gamocdileba aqvs da miaCnia, rom axal Tanamdebobaze ufro metis gakeTebas SesZlebs aWaris mosaxleobisaTvis.
cnobisaTvis: nino niJaraZem muSaoba daiwyo 1999 wels sazogadoebriv jandacvaSi, rogorc mTavarma specialist-epidemiologma arainfeqciuri daavadebebis marTvaSi. Semdeg gaxda programebis marTvis epidemiologi da mTavari specialisti. 2012 wels daawinaures sazogadoebrivi jandacvis centris direqtoris moadgiled, xolo 2016 wlidan – direqtorad. am xnis ganmavlobaSi paralelurad muSaobda saerTaSoriso organizacia USAD-is dafinansebul tuberkulozis winaaRmdeg brZolis programis koordinatorad. bolo ori welia universitetSi atarebs leqciebs, rogorc miwveuli leqtor-maswavlebeli.
– qalbatono nino, upirveles yovlisa, gilocavT, rogor grZnobT Tavs axal postze?
– didi madloba. simarTle giTxraT, radikalurad raRac Seicvala-meTqi, ver vityvi, radgan adrec, praqtikulad, erTad vakeTebdiT saqmes saministros TanamSromlebis uSualo mxardaWeriT, Tumca arc is SemiZlia vTqva, rom ar vgrZnob gansakuTrebul pasuxismgeblobas. mimaCnia, Cemi gamocdileba damexmareba ufro produqtiul, intensiur muSaobaSi, miT umetes, rom saministros aRebuli aqvs gezi janmrTeli mosaxleobis prevenciis kuTxiT, gaaumjobesos regionSi samedicino servisi da maqsimalurad aRmofxvras daavadebebis gaCenis wina pirobebi.
– msgavsi praqtikiT gamoirCeva amerikuli da evropuli medicinis ZiriTadi mimarTulebebi. TiToeuli moqalaqis lamis yovelwliuri gegmuri kvlevebi da analizebi, mowinave qveynebis medikosebs saSualebas aZlevs, avadmyofoba sawyis etapze aRmoaCinon, rac Tanamedrove pirobebSi iolad ikurneba.
– swored aqeTken mivdivarT Cvenc da imedi maqvs, yvelaferi ise iqneba, rogorc amas moiTxovs Tanamedrove medicina. janmrTel mosaxleobaSi profilaqtikis gatareba gacilebiT nakleb danaxarjebs moiTxovs, vidre ukve Camoyalibebuli diagnozis mkurnaloba, amasTan, am SemTxvevaSi, materialuri xarjis garda, saqme gvaqvs pirovnebis fsiqologiur tramvirebasa da mis Selaxul janmrTelobasTan. aqedan gamomdinare gadawyda, rom prioritetad avirCioT jandacvis profilaqtikuri mimarTuleba. saministro iqneba maqsimalurad orientirebuli rogorc mosaxleobisaTvis daavadebis gamomwvevi riskebis acilebaze, aseve regionis mosaxleobis janmrTelobis dacvis mizniT moqalaqeTa finansuri riskebis Semcirebaze.
– ras gvetyviT ufaso medikamentebze?
– es gaxlavT saqarTvelos jandacvis saministros iniciativa da exeba saqarTvelos yvela moqalaqes. cvlileba amoqmedda seqtembridan SSm pirebisa da pensionerebisTvis. exeba e.w. wamyvani daavadebebis anu gulsisxlZarRvTa, farisebrTa jiryvlis, diabetis da filtvebis qronikul samkurnalo medikamentebis fasis ganaxevrebas. daregistrireba ar aris rTuli. beneficiari unda mivides Tavisi ojaxis/soflis eqimTan an eqim-specialistTan, sadac miiRebs recepts da forma #100-s, Semdeg mimarTavs socialuri momsaxurebis saagentos axlomdebare ofiss, iq daregistrirdeba da ukve PSP-s afTiaqSi piradobisa da receptis wardgenis safuZvelze iRebs medikamentebs. nebadarTulia erTbaSad sami Tvis wamlis SeZena. aqve aRvniSnav, rom yvela preparati aris jandacvis msoflio organizaciis mier prekvalificirebuli. minda Sevaxseno Tqvens mkiTxvelebs, rom jandacvis saministrom 2017 wlidan aamoqmeda programa, romelic socialurad daucvel mosaxleobas qronikuli daavadebebis samkurnalo 23 medikamentis simbolur fasad – 1 larad SeZenis saSualebas aZlevs. 2018 wlis 13 agvistodan ki saqarTvelos yvela moqalaqes SesaZlebloba aqvs, diabetis meore tipis samkurnalo medikamentebze, sxvadasxva saafTiaqo qselSi, 50%-mde fasdaklebiT isargeblos. programis gafarToeba uaxloes periodSi kvlav igegmeba.
– rac Seexeba C hepatitis programas, rogorc gaJRerda, iqac aris cvlilebebi…
– cvlilebebi seqtembridan amoqmedda – 140 lariT Semcirda diagnostikis ZviradRirebuli kvlevis Rirebuleba. axla ukve pacientis mier gadasaxdeli Tanxa Seadgens maqsimum 160 lars. Tumca aWaraSi registrirebuli pirebisaTvis aRniSnuli Tanxis did nawils faravs sazogadoebrivi jandacvis centri da meria.
– ra cvlilebebia mosalodneli jandacvaSi 2019 wlisTvis?
– Cven gvaqvs ramdenime programa, romlis biujeti izrdeba an beneficiarTa zrdis an Tavad programuli RonisZiebebis moculobis gafarToebis gamo. sxvaTa Soris, aRvniSnav, rom saministro saqveuwyebo dawesebulebebTan erTad 32 programas ganaxorcielebs. aqve xazs gavusvam im garemoebas, rom `mosaxleobisaTvis individualuri samedicino daxmarebis~ programiT Zvlis tvinisa da RviZlis transplantaciis ZviradRirebuli samedicino momsaxurebis xarjebi dafinansdeba (sul 10 pacientisTvis). RviZlis transplantaciis saWiroebis SemTxvevaSi gaizrdeba pacientebis dafinanseba 15 aTasiT da 50 aTasis nacvlad gaxdeba 65 aTasi lari. rac Seexeba onkohematologiuri daavadebebis mqone pacientebs, Zvlis tvinis transplantaciis saWiroebis SemTxvevaSi qveprogramis farglebSi, pirvelad daufinansdebaT Zvlis tvinis autologiuri transplantacia (80 aTasi lari) da Zvlis tvinis alogenuri transplantacia (150 aTasi lari). gafantuli skleroziT daavadebul 55 wlamde pacientebs, dadasturebuli diagnoziT, daufinansdebaT gafantuli sklerozis mkurnalobisTvis saWiro maRalefeqturi medikamentebis kursis Rirebuleba (wlis ganmavlobaSi araumetes 10 pacienti, wliuri limiti – 25 000 lari). Sesabamisad, gaizrdeba qveprogramis biujeti 500 000 lariT da gaxdeba 1 800 000 lari.
– rac Seexeba pacientTa sazRvargareT mkurnalobis programas?
– am qveprogramaSi gaizrdeba beneficiarebis dafinansebis zRvruli tarifi (dafinansebis arsebuli proporciebis dacviT) da 15 aTasis nacvlad gaxdeba 25 aTasi lari. Sesabamisad, gaizrdeba programis biujeti 200 000-iT da gaxdeba 700 000 lari. `zogierTi socialuri kategoriis mosaxleobis samedicino momsaxurebis Tanadafinansebis~ qveprogramiT ganxorcieldeba ZviradRirebuli (romelTa Rirebuleba saxelmwifo programiT damtkicebuli tarifiT aRemateba wliur limits – 15 aTas lars) qirurgiuli operaciuli mkurnalobis (rogorc gegmuri, aseve urgentuli) Tanagadaxda srulad saxelmwifo programiT damtkicebuli tarifis farglebSi. TavisTavad, qveprogramis biujeti gaizrdeba 150 aTasi lariT da gaxdeba 400 000 lari.
– onkologiuri pacientebis dafinansebaSi Tu aris zrda?
– diax, `avTvisebiani sisivniT daavadebul pacientTa samedicino momsaxurebis~ qveprogramaSi moimatebs strategiuli, imunoTerapiuli da bisfosfonatebis jgufis medikamentebis dafinansebis wliuri limiti
(5 aTasi lariT) da gaxdeba 15 aTasi lari. finansurad kidev ufro xelmisawvdomi iqneba ZuZus kiboTi daavadebuli pacientebis mkurnaloba. kerZod: pacientebs mkurnalobis saWiroebidan gamomdinare HER2-metastazuri ZuZus kibos diagnozis SemTxvevaSi, srulad daufinansdebaT medikament everolimusis (afinitori) mkurnalobis kursis Rirebuleba (erT pacientze 8 cikli). wlis ganmavlobaSi dafinansdeba araumetes 10 pacienti. qveprogramis biujeti gaxdeba 2 milioni lari.
ar SeiZleba ar aRvniSnoT, rom socialuri dacvis mimarTulebiT dagegmilia 2 axali programa: `menj-barZayis saxsris displaziisa da Tandayolili amovardnilobis mqone bavSvTa reabilitacia~ da `smenaprotezirebul bavSvTa reabilitacia~. aseve, farTovdeba martoxela dedaTa da bavSvTa TavSesafriT uzrunvelyofis programa. momavali wlidan mas beneficiarad daemateba sxvadasxva problemis mqone dedebi. amasTan, gaizrdeba socialuri dacvis yvela programis biujeti da beneficiarTa raodenoba.
– ramdenad warmatebulia samedicino reabilitaciis programa?
– programa Zalian kargad mimdinareobs. masSi Cadebulia gulsisxlZarRvTa da centraluri nervuli sistemis nebismieri daavadebis Semdgomi reabilitacia, rasac uzrunvelyofs specialuri sareabilitacio centrebi fizioTerapiuli, samkurnalo masaJebiT Tu fizkulturiT.
– aWaris jandacvis saministro sxva regionebis analogiuri datvirTvis samsaxurebisgan xelgaSlilobiT gamoirCeva…
– diax. Cven gagvaCnia saamiso biujeti da saministro ZiriTadad muSaobs sayovelTao jandacvis miRma darCenili procentebis anazRaurebaze, iseT samedicino servisebze, romelic ver finansdeba sayovelTao jandacviT. ZiriTadi samizne jgufebia socialurad daucveli mosaxleoba, SSm pirebi, 18 wlamde bavSvebi, omis veteranebi da a.S. Tumca, gvaqvs programebi, romelic ar aris orientirebuli aRniSnulze da afinansebs ara mxolod socialurad daucvelebs.
