“გაყიდული წამლებიდან რაღაც რაოდენობის “ქეშბექი” ექიმს რომ ერგება, ეს ფაქტია”
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midixarT eqimTan, giwerT wamlebs, Tan receptze aRniSnavs, romel afTiaqSi unda iyidoT, sadaa ukeTesi fasebi da xarisxiani medikamentebi. cxadia, mis miTiTebas pirnaTlad asrulebT, Tumca, Semdeg, SesaZloa sxva afTiaqSi ufro nakleb fasad naxoT ukeTesi farmacevtuli kompaniis wamlebi.
msgavsi istoriebi isea momravlebuli, rom Cveulebriv movlenad miaCniaT, da umravlesoba arc aprotestebs, radgan Tvlis _ asea saWiro. is moqalaqeebi ki, romlebic ukeT erkvevian farmaciaSi, TurqeTis afTiaqebSi iZenen wamlebs an sxva eqimTan midian da yuradRebiT amowmeben receptebs.
eqimebis nawili sajarod alaparakda imaze, rom arcTu iSviaTad, maTi kolegebi farmacevtul kompaniebTan garigebiT, pacientebs usargeblo medikamentebs uniSnaven. arRveven Tu ara eqimebi pacientebis uflebebs, eTikur da profesiul standartebs piradi gamorCenis mizniT da erTvebian Tu ara e.w. araeTikuri marketingis sqemebSi?
gaixseneT, eqimis kabinetidan gamosuls, ramdenjer gadagikiTxavT daniSnuli wamlebis grZeli CamonaTvali da ramdenjer SegparviaT eWvi, nuTu yvela mWirdeba?! pacientisTvis, rogorc wesi, TiTqmis SeuZlebelia imis gadamowmeba, amoZravebda Tu ara eqims piradi interesi daniSnulebis dawerisas.
`eqimma wamlis gamoweraSi procenti ar unda aiRos. odesme unda dasruldes es simaxinje, rac iwvevs wamlebisa da sxva `arawamlebis~ panta-puntiT daniSvnas~, – es nawyvetia gastroenterologis jaba zarquas sajaro feisbuqpostidan, romelic man ramdenime dRis win dawera da Tqva, rom amaze saubari `sustad da xmadabla~, magram Tavad eqimebs Sorisac nel-nela iwyeba.
ra aris da rogoria araeTikuri marketingi samedicino sferoSi da wamlis gayidvis ra sqemebi moqmedebs saqarTveloSi?
garigebis sqemebze saubrobs Cveni respondenti eqimi, romelic mxolod anonimurobis dacvis pirobiT dagvTanxmda interviuze da im sqemis ramdenime detalze saubrobs, romelic samedicino sferoSi didi xania moqmedebs.
eqimTan midis romelime farmacevtuli firmis warmomadgeneli, misi kompaniis wamlebis daniSvnas sTavazobs da utovebs blankian furcels, romelzec es wamlebia Camowerili. roca eqimi maT dauniSnavs, blankze uTiTebs Tavis saxelsa da gvars. es blanki pacientis xelidan afTiaqSi rCeba.
ase martivad kontroldeba, daniSna Tu ara eqimma konkretuli kompaniis wamali. Tu am gziT gaiyida medikamenti, eqims sanacvlod ergeba saCuqari – kosmetika, raime brendirebuli nivTi, tkbileuli an sxva wamaxalisebeli ram . . . da rac mTavaria, fuli.
`pirdapir SemouTavazebiaT – Tuki me davniSnavdi, magaliTad, 35-larian antibiotiks, TiTo gayiduli wamlidan 5 lari me Camericxeboda. moiTxoves Cemi angariSis nomeric~. – gviyveba eqimi gela T., romelic miuReblad Tvlis am praqtikas, Tumca SeTavazebis faqts adasturebs. SemoTavazebas mohyveba xol-me e.w. fasdaklebis baraTebi, romlebic damatebiT xiblavs pacientebs. yvelam ar icis, rom afTiaqebs fasdaklebis aqciebi isedac aqvT da es baraTebi wamlebis iafad sayidlad saerTod ar aris saWiro.
yofila SemTxveva, rodesac Cveni respondentisTvis farmacevtuli kompaniebis warmomadgenlebs misi pacientebis sakontaqto informaciac uTxoviaT imisTvis, rom mogvianebiT maTTan gadaemowmebinaT, namdvilad SeiZines Tu ara daniSnuli preparati.
xdeba garigeba klinikasa da konkretul laboratorias Sorisac. Cveni respondenti ar asaxelebs im saavadmyofos, romlis laboratoriasTan maT klinikas hqonda SeTanxmeba, Tumca ambobs, rom analizebis gakeTebas isini pacientebs swored am laboratoriaSi urCevdnen, xolo Semdeg es laboratoria maT Semosavlis garkveul procents uricxavda.
Cven mier gamokiTxuli 55 adamianidan 45-ma gviTxra, rom eqimma maT swored safirmo blankze Camowerili medikamentebi dauniSna da SesaZenad konkretuli afTiaqic urCia.
nunu g. ixsenebs, rogor dauricxes ramdenimeaTaslariani honorari klinikaSi, radgan misma pacientma iq Caitara Zviriani samedicino procedurebi. misi TqmiT, konkretuli procedura ar dauniSnavs da amitom arc honorari auRia. amtkicebs, rom xSirad masTan moxvedrilan iseTi pacientebi, romlebsac daniSnuli hqondaT, magaliTad, RviZlis damcavi saSualebebi, hepatoproteqtorebi, romlebic pacients ar sWirdeboda.
`miWirs vTqva, ramdenia an ra saxis es gasamrjelo, magram gayiduli wamlebidan raRac raodenobis `qeSbeqi~ eqims rom ergeba, es faqtia~, _ ambobs qalbatoni nunu. misive TqmiT, msgavsi qceva, mTeli samedicino speqtris avtoritetze aisaxeba da absoluturad gansxvavebulia imisgan, rac dasavleTSi xdeba: iq avtoritetiani eqimebi wamlebs ar asaReben.
dasavleTSi Tuki eqimi romelime farmacevtuli kompaniis sareklamo kampaniaSi monawileobs, es sajarod gacxadebuli faqtia.
radio Tavisuflebam gamoaqveyna avstriaSi moRvawe qarTveli eqimis irma kvicariZis avstriuli gamocdileba: `iq kategoriulad dauSvebelia, rom eqimma aiRos Tanxa farmacevtuli firmisgan. sawer-kalamsac ki ver aiReb firmis warweriT. aq es korufciaa. xolo Tu romelime eqimma miiRo wamlis kvlevaSi monawileoba da misi sastumro an mgzavroba gadaixada farmafirmam, es eqimi valdebulia, vidre moxsenebas daiwyebs, auditoriis winaSe gamoacxados, ramdeni gadauxada mas farmafirmam an ra xarjebi daufara. amiT unda gamoiricxos moxsenebis mikerZoebuloba. avstriaSi wamlis daniSvna kontroldeba specialuri wesebiT, gaidlainebiT da saxelmwifo sadazRvevo sistemis mier.~
Tu saqstatis monacemebs moviSveliebT, 2018 wels jandacvisa da socdaxmarebis sferoSi qalis xelfasi iyo 854 lari, xolo mamakacis, amave sferoSi – 1337 lari.
ramdenime evropulma farmacevtulma kompaniam ukve datova saqarTvelos bazari, maT Soris iseTebma, rogorebic arian G”glaxo”, “sandoz”, “astelas farma”. – yvela maTgani farmacevtuli kompaniebis warmomadgenelTa asociaciis wevri iyo. maTi wasvla bazridan e.w. araeTikur marketingTan pirdapir kavSirSia, – ambobs asociaciis direqtori irakli margvelaSvili. dasavluri kompaniebi iseTi mkacri marketinguli kodeqsebiT xelmZRvaneloben, rom maT brendirebuli kalmis Cuqebac ki akrZaluli aqvT eqimebisTvis. am fonze ki, rodesac sxva kompania eqims araTu kalmiT, aramed sxva saCuqriT an fuladi anazRaurebiT xiblavs da Sedegad, mis preparats aniSninebs, konkurenciis gaweva Zalian rTuli saqmea.
irakli margvelaSvils mohyavs kompania Gglaxo-s magaliTi, romelic brendul (original) wamlebs awarmoebs. am kompaniis erT-erTi antibiotiki saqarTveloSi iyideboda daaxloebT orjer-samjer iafad, vidre erT-erTi generikuli wamali. saerTaSoriso standartiT farmakologiuri kompania eqims awvdis yvela saWiro informacias medikamentsa da mis gverdiT movlenebzec, xolo eqimi Tavad wyvets, daniSnos Tu ara es wamali.
ra aris gamosavali, sanam es sqema saqarTveloSi yvela eqimis SemTxvevaSi ar muSaobs?
dainteresebuli pirebs `farmaciuli produqciis Sesaxeb~ axali kanonis imedi aqvT, amboben, SesaZloa masSi Cadebulma standartebma Secvalos bevri ram sferoSi. Tumca es kanonproeqti jer jandacvis komitetSi damuSavebis etapzea.
isic ar unda daviviwyoT, rom saqarTveloSi sayovelTao dazRveva medikamentebis safasurs ar faravs, xolo wamlebi moqalaqeebis jibidan gadaxdili yvelaze mTavari xarjia. finansuri kontroli aq, faqtobrivad, SeuZlebelia. jandacvis yofili ministri zura WiaberaSvili ixsenebs, rom misi ministrobis periodSi is moqalaqeebi, visac ar hqonda dazRveva, yovel as larze daaxloebiT 55 lars xarjavdnen wamlebSi sakuTari jibidan, xolo visac kerZo dazRveva hqonda, maTi xarji iyo gacilebiT naklebi – anu sadazRvevo kompania akontrolebda Tavis dazRveulebs. Sida sistemis saSualebiT is xedavda, mis provaider klinikaSi esa Tu is eqimi ra wamals niSnavda da daeWvebis SemTxvevaSi kiTxvebsac svamda.
dRes, roca eleqtronuli receptebis sistema arsebobs, saerTo suraTis danaxva SeuZlebelia. da radgan es sfero kontrols miRma rCeba, farmacevtuli kompaniebi amiT sargebloben.
polipragmazia – Zveli problema 2016 wlis kvlevidan
`saerTaSoriso gamWvirvaloba _ saqarTvelo~ qveyanaSi farmacevtul bazars ikvlevda jer 2012 wels, Semdeg 2016 welsac. maT mier 2016 wels Catarebuli kvlevis erT-erTi mTavar migneba swored is aris, rom:
polipragmazia anu avadmyofisaTvis erTdroulad gaumarTleblad mravali wamlisa da samkurnalo proceduris daniSvna saqarTveloSi gadauWreli problemaa;
farmakozedamxedvelobis srulyofili sistema ar arsebobs.
am problemebis gadaWris erT-erT gzad `saerTaSoriso gamWvirvalobac~ asaxelebda, erTi mxriv, eleqtronuli receptebis ufro masStabur/savaldebulo SemoRebas da eleqtronuli receptebis erTiani eleqtronuli bazis Seqmnas. meore mxriv, im protokolebis, wesebis, standartebis SemoRebas, romlebic gansazRvravda, rogor daisvas diagnozi da rogor umkurnalon konkretul daavadebas. am gamokvlevis erT-erTi rekomendacia farmakozedamxedvelobis problemis gadasaWrelad iyo isic, rom kanons daevaldebulebina registraciiT dainteresebuli piri, registraciis procesSi warmoedgina gverdiTi efeqtebis monitoringis gegma. problema arc 2020 wels mogvarebula.
