“შარშან დავიწყეთ გულის ტრანსპლანტაციის დაფინანსებაც…”
მარიამ ხითარიშვილი: 27 48 93 –
janmrTelobis dacvis programebis SemuSavebasa da warmatebiT ganxorcielebisaTvis aWaris avtonomiuri respublikis sapatio wodeba mieniWa janmrTelobisa da socialuri dacvis saministros janmrTelobis dacvis departamentis xelmZRvanel manana faRavas. gazeTi `aWara~ ulocavs Rvawlmosil eqims sapatio jildos da gTavazobT masTan intervius.
– qalbatono manana, ra grZnoba dageuflaT, rodesac mTavrobam dagifasaT amdeni wlis Rvawli?
– ra Tqma unda, Zalian gamixarda. yvelas madlobas vuxdi.
– ramdeni gaxda saministros biujeti axali wlidan?
– 2021 wlis biujeti 27 200 000 lari iyo, 2022 wlis biujeti – 28 121 900 laria, anu zrda gvaqvs 3,38%. rac Seexeba programebs, yvela darCa. Cven Zalian kargi programebi gvaqvs, TiToeuli maTgani morgebulia mosaxleobis samedicino saWiroebebze, ubralod, Seicvala maTi biujeti da beneficiarTa raodenoba.
– yvelaze ukeT romeli programa muSaobs?
– yvela kargad muSaobs da popularobiTac sargeblobs momxmarebelTa Soris. aviRoT, Tundac, `mosaxleobis individualuri samedicino daxmareba~, romelic iTvaliswinebs garkveuli socialuri kategoriis mosaxleobis mkurnalobasTan dakavSirebuli im finansuri riskebisagan dacvas, romelic ver ifareba moqmedi saxelmwifo programebiT. 2022 wels am programis biujeti gaizarda 3 300 000 laramde. siaxlec minda gacnoboT – dagegmilia idiopaTiuri maankilozirebuli spondilitiT, fsoriaziTa da fsoriazuli arTritiT daavadebuli pacientebis mkurnalobis dafinanseba Zvirad Rirebuli biologiuri medikamentebiT. rCeba Zvlis tvinis transplantaciis dafinanseba. ukve wels daiwyeba Zvlis tvinis haploiduri transplantaciis dafinanseba 180 000 lariT, xolo Zvlis tvinis alogenuri transplantaciis dafinanseba – 160 000 laramde. benficiarTa raodenoba 30-mde gaizrdeba. aseve vafinansebT RviZlis gadanergvas, SarSan ki daviwyeT gulis transplantaciis dafinansebac da ukve ori pacientis sicocxle gadavarCineT.
– avTvisebiani simsivniT daavadebul pacientTa damatebiT samedicino momsaxurebaze ras gvetyviT?
– am programis biujeti 2 300 000 lari gaxda, rac saSualebas gvaZlevs, avTvisebiani simsivniT daavadebuli pacientebis mkurnalobisaTvis saWiro, simsivnis sawinaaRmdego medikamentebis dafinansebis wliuri limiti 23 000 laramde gavzardoT. Seicvleba, dafinansebis meTodologiac. analogiurad daufinansdebaT simsivnis sawinaaRmdego medikamentebis Rirebuleba sayovelTao janmrTelobis dacvis saxelmwifo programis, individualuri da korporaciuli dazRveviT mosargebleebs limitis amowurvis Semdeg. am kategoriis pacientebisaTvis momatebulia wliuri limiti 15 000 laramde. gaizarda im samedicino momsaxurebis dafinansebis procentuli wili, romelic sayovelTao janmrTelobis dacvis saxelmwifo programiT ar finansdeba. kerZod: mkurnalobis Rirebuleba – 1000 laris CaTvliT-100%-iT; mkurnalobis Rirebuleba – 1000 larze meti – 3000 laris CaTvliT – 90%-iT; mkurnalobis Rirebuleba – 3000 larze meti – 80%-iT, magram araumetes 7000 larisa. adreuli ZuZus agresiuli HE
receptordadebiTi diagnozis mqone pirebis medikament trastuzumabiT (herceptiniT) mkurnaloba dafinansdeba srulad, Tanagadaxdis gareSe, 15 cikli. garTulebuli/Sors wasuli adreuli ZuZus agresiuli HE receptordadebiTi diagnozis mqone pacientebs damatebiT daufinansdebaT trastuzumabiT (herceptiniT) mkurnalobis 3 cikli (araumetes 18 cikli) Semdegi proporciebis dacviT: 100 000-is CaTvliT sareitingo qulis mqone pacientebs daufinansdebaT 80%-iT; sxva danarCen pacients – 50%-iT. gaizrdeba ZuZus agresiuli H receptordadebiTi metastazuri ZuZus kibos diagnozis SemTxvevaSi medikament pertuzumabi/lapatinibisa da trastuzumabTan (herceptini) erTad (1 pacientze – 10 cikli), wlis ganmavlobaSi dafinansebul pacientTa raodenoba – 15 pacienti 10 pacientis nacvlad.
– sazRvargareT mkurnaloba isev ZalaSia?
– araTu ZalaSia, mosaxleobis sazRvargareT mkurnalobis Tanadafinanseba 2022 wlis biujetis mixedviT, gaizarda kidec 1 410 000 laramde. beneficiarebs daufinansdebaT darCenili Tanxis 80% (araumetes 30 000 larisa).
– yvelas daufinansdeba?
– programiT ifareba im pacientebis sazRvargareT mkurnalobis Tanadafinanseba, romlebic nawilobriv dafinansebulia saqarTvelos Sromis, janmrTelobisa da socialuri dacvis saministros programiT `mosaxleobis samedicino momsaxurebis miwodeba prioritetul sferoebSi~. xorcieldeba aseve, 18 wlamde asakis onkohematologiuri daavadebis mqone pacientebisaTvis Zvirad Rirebuli Zvlis tvinis Rerovani ujredebis gadanergvisa (100 000 laridan 210 000 laramde) da gulis transplantaciis dafinanseba ori pacientisaTvis, TiToeul pacientze – 200-200 aTasi lari.
– saxsrebis endoproTezireba ra pirobebiT imoqmedebs?
– biujeti gaizarda 560 000 laramde. mosaxleobis moTxovniT, moimata beneficiarebis dafinansebam da zRvruli limiti gaxda 7000 lari. `mozrdili mosaxleobis samedicino reabilitaciis~ 2022 wlis biujeti 600 aTasi lari gaxda. 2022 wlisaTvis pacientebs samedicino momsaxurebis kursis Rirebuleba momarTvis TariRis gaTvaliswinebiT, daufinansdebaT saSualod 3 TveSi erTxel, nacvlad 4 Tvisa. kargad muSaobs `gulis qirurgiis damatebiTi samedicino momsaxureba~. am programiT ifareba kardioqirurgiuli operaciebis Tanagadaxda, gulis gegmiuri an/da koronaluri arteriebis angiografia saxelmwifo programiT damtkicebuli tarifis farglebSi. 2022 wels programis biujeti Seadgens 1 300 aTas lars.
– xSirad iTxoven diagnostirebisTvis maRalteqnologiur kvlevebs . . .
– diax, ambulatoriuli maRalteqnologiuri diagnostikuri kvlevebi finansdeba. qveprogramis mizania socialurad daucveli da sxva socialuri kategoriis mosaxleobisaTvis maRalteqnologiur diagnostikur kvlevebze finansuri xelmisawvdomobis uzrunvelyofa. wels programis biujeti 610 000 lariT finansdeba. `zogierTi socialuri kategoriis mosaxleobis samedicino momsaxurebis Tanadafinanseba~ iTvaliswinebs mosaxleobisaTvis sayovelTao janmrTelobis dacvis saxelmwifo programis gegmuri samedicino momsaxurebis Tanagadaxdis srulad dafinansebas programiT damtkicebuli tarifis farglebSi. am programis biujeti gaxda 450 000 lari. warmatebulad muSaobs programa `soflis pirveladi jandacvis centrebSi dasaqmebuli samedicino personalis profesiuli gadamzadeba da finansuri motivaciis gazrda.~ igi iTvaliswinebs aWaris soflebSi samedicino personalisTvis (soflis eqimi, eqTani) socialuri daxmarebis daniSvnas maTi soflebSi damagrebis mizniT. soflis mosaxleobisaTvis uwyveti, bazisuri samedicino momsaxurebis miwodebis uzrunvelyofas. 2022 wels programis biujeti gaxda 429 600 lari.
– bavSvebisTvis ra programebi moqmedebs?
– `bavSvTa samedicino da socialuri reabilitaciis~ programa, romelic iTvaliswinebs SSm statusis mqone bavSvTa samedicino da socialuri reabilitaciis RonisZiebebis ganxorcielebas, ganviTarebis etapebis Seferxebis, autizmis speqtris darRvevebis, smenadaqveiTebuli/smenaproTezirebuli, Zval-saxsrovani sistemis sxvadasxva deformaciis mqone bavSvTa reabilitacias. 2022 wels programis biujeti gaizarda 3 905 200 laramde, amis meSveobiT, gaizrdeba sareabilitacio kursebis raodenobisa da programuli dafinansebis moculoba. `bavSvTa fsiqomaturo abilitacia/reabilitacia~ ki iTvaliswinebs gansazRvruli diagnozis mqone bavSvTa specifikur abilitacias, reabilitacias, fizikuri janmrTelobis gaumjobesebas, adaptaciuri SesaZleblobebis gaZlierebas da socialuri integraciis xelSewyobas. wels programis biujeti gaizarda 2 376 000 laramde da 714 beneficiaris nacvlad, dafinansdeba 900. mowonebiT sargeblobs `bavSvTa adreuli ganviTarebis~ programac, romelic xels uwyobs bavSvebis ganviTarebis stimulirebas skolamdel an zogadsaganmanaTleblo programebSi CarTvisa da socialuri integraciis xelSewyobis gziT, aseve, bavSvisa da ojaxis gaZlierebas. am programis biujeti gaizarda 912 000 laramde, 300-is nacvlad ki dafinansdeba 500 beneficiari.
– Zval-saxsrovani sistemis sxvadasxva deformaciis mqone bavSvTa reabilitacia grZeldeba?
– ki. mogexsenebaT, es programa iTvaliswinebs (maT Soris, sxvadasxva xarisxis sqoliozis, menj-barZayis Tandayolili amovardnilobis, displaziis, terfmrudobisa da sxva) 18 wlamde asakis mozardebisaTvis reabilitaciis kursebis miwodebas. axla ukve biujeti gaxda 176 000 lari. 178 laris nacvlad, beneficiari dafinansdeba 220 lariT. mokled rom vTqvaT, 2022 wlisaTvis ucvlelad gagrZeldeba sxva socialuri programebic. `fsiqikuri problemebis mqone geriatriuli pacientebis TavSesafriT uzrunvelyofac~ isev iqneba. es programa iTvaliswinebs: fsiqikuri problemebis mqone asakovani pacientebisa da maTi ojaxis wevrebis socialur da fsiqologiur mxardaWeras.
– ra asakidan?
– samizne jgufia 60 wlis qalebi da 65 wlis mamakacebi. biujeti gansazRvrulia 638 750 lariT. aseve sacxovrebeliT uzrunvelvyofT fsiqikuri aSlilobis mqone SSm pirebs. programa iTvaliswinebs: 24 beneficiarze gaTvlil, Sesabamisi adamianuri resursebiT dakompleqtebul sacxovrisSi kvebiT, piradi higienis nivTebiT, beneficiaris saWiroebebisa da interesebis Sesabamisad aRWurvili fizikuri garemoTi uzrunvelyofas, pacientebis fsiqo-socialur reabilitacias. biujeti – 919 800 laria.
– ra xdeba ekomigrantebTan, aqac Seicvala biujeti?
– diax. sasixaruloa, rom ekomigranti ojaxebis sacxovrebliT uzrunvelyofis programis dafinanseba gaizarda, biujeti gaxda 3 000 000 lari. Sedegad, ki 25 000 laris nacvlad, aRniSnuli kategoriis ojaxebi dafinasdeba 30 000 lariT.
– ramdenad kmayofilia mosaxleoba? rogorc vici, bevri Caewera kidec aWaraSi sxva municipalitetebidan, am programebiT rom isargeblon.
– ase amboben, magram CvenTan wlis ganmavlobaSi mainc unda iyos piri Cawerili, rom zemoT aRniSnuli programebiT isargeblos. amasTan, imasac vityvi, rom saamayoa, Tuki regions aqvs SesaZlebloba, sxvebsac daexmaros.
– rogor dgeba programebi? rogor axerxebT, rom zustad asaxulia moTxovnebi?
– amaze muSaoben specialistebi, romlebic swavloben mosaxleobis moTxovnebs, aanalizeben, romeli samedicino servisi moiTxovs ufro met CarTulobas saministros mxridan. amaSi gvexmareba xalxis gancxadebebi, romelTa gadaxedva – SejamebiT viRebT sruliad axal, efeqtur programas. Cveni saministro, Tavad ministri da mTeli gundi, maqsimalurad vcdilobT mosaxleobas SevumciroT is finansuri riskebi, romlis winaSec dgebian piradi an ojaxis wevris avadmyofobis gamo.
– ra problemebi geqmnebaT?
– principSi, ar gveqmneba problemebi, radgan jer ar gvqonia SemTxveva, rom aqedan gulnakluli gagveSva pacienti an misi ojaxis wevri. arasodes gviTqvams, rom ar gvaqvs biujetSi Tanxa, ris gamoc ver vafinansebT. rogorc ki deficituri xdeba romelime programis biujeti, maSinve ivseba igi, anu Tanxis uqonlobis gamo ar vazaralebT beneficiars.
