{"id":37300,"date":"2019-06-15T09:00:01","date_gmt":"2019-06-15T06:00:01","guid":{"rendered":"https:\/\/www.bghaber.org\/bghaber\/?p=37300"},"modified":"2019-06-24T18:19:35","modified_gmt":"2019-06-24T15:19:35","slug":"eczacilar-ve-hastalar-acilen-devletin-ilac-politikasinda-reformlar-yapmasini-bekliyor","status":"publish","type":"post","link":"https:\/\/www.bghaber.org\/bghaber\/eczacilar-ve-hastalar-acilen-devletin-ilac-politikasinda-reformlar-yapmasini-bekliyor\/","title":{"rendered":"Eczac\u0131lar ve hastalar acilen devletin ila\u00e7 politikas\u0131nda reformlar yapmas\u0131n\u0131 bekliyor"},"content":{"rendered":"<p><b>Hasatalar, yakla\u015f\u0131k 160 ilac\u0131n piyasadan kayboldu\u011funu s\u00f6yl\u00fcyor. \u00dclkede ila\u00e7 eksikli\u011finden sadece hastalar de\u011fil, doktorlar da \u015fikayet\u00e7i. Ulusal Eczac\u0131l\u0131k Odas\u0131 ba\u015fkan\u0131 Anton V\u0131lev BNR\u2019ye yapt\u0131\u011f\u0131 a\u00e7\u0131klamas\u0131nda online bilgilendirme platformunda 450 ila\u00e7 i\u00e7in soru geldi\u011fini s\u00f6yl\u00fcyor. V\u0131lev\u2019e g\u00f6re, son y\u0131llarda b\u00fcy\u00fck oranda ya\u015fam kurtaran ila\u00e7 piyasadan \u00e7ekilmi\u015ftir.<\/b><\/p>\n<p>Sebepler aras\u0131nda V\u0131lev, ila\u00e7 \u015firketlerinin finansal iste\u011finin kaybolmas\u0131na yol a\u00e7an \u00e7ok eski fiyat belirleme sistemini g\u00f6steriyor. Di\u011fer sebeplerden biri de genel olarak \u00f6zel a\u011f\u0131r hastal\u0131klar\u0131 olan ve nakliye yap\u0131lan hastalar i\u00e7in pahal\u0131 ya\u015fam kurtaran ila\u00e7lar\u0131n yetersizli\u011fine yol a\u00e7an yeniden ihracat.\u00a0<i>\u201cProblem sistematik ve derindir\u201d\u00a0<\/i>diyor Anton V\u0131lev ve devam ediyor:<\/p>\n<p><i>\u201cAcil olarak global devlet \u00f6nlemleri al\u0131nmal\u0131. Bizim, bu gibi kriz d\u00f6nemlerinde ne yap\u0131laca\u011f\u0131n\u0131 belirlemi\u015f bir ulusal ila\u00e7 politikam\u0131z ve sistemimiz mevcut de\u011fil. Bizim, bir hastan\u0131n Bulgaristan\u2019da \u00f6zel tedavasi yap\u0131lamad\u0131\u011f\u0131nda bunu ba\u015fka bir yerden alabilmesine y\u00f6nelik planlanan \u00f6nlemlerimiz bulunmuyor.\u201d<\/i><\/p>\n<p>Mevcut sa\u011fl\u0131k d\u00fczenlemesine g\u00f6re, hastane Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131 arac\u0131l\u0131\u011f\u0131 ile ila\u00e7 talebinde bulunabilir, bu hasta i\u00e7in \u00f6nemliyse devlet onu getirtiyor. Ancak bu prosed\u00fcr idari y\u00f6nden o kadar a\u011f\u0131r ki, \u00e7o\u011fu zaman hasta bunun sonucunu bekleyemiyor.\u00a0<i>\u201cD\u00fc\u015f\u00fcnme bi\u00e7imi tamamen de\u011fi\u015fmeli ve ila\u00e7 da\u011f\u0131t\u0131m sistemi merkeze al\u0131nmal\u0131, onun ekonomik de\u011fil, devlete ba\u011fl\u0131 i\u015flev g\u00f6rd\u00fc\u011f\u00fc a\u00e7\u0131k olarak bilinmeli ve ila\u00e7lar\u0131n piyasaden \u00e7ekilmesine yol a\u00e7an her t\u00fcr eylemin yasaklanmas\u0131 gerekiyor\u201d<\/i>\u00a0diye vurguluyor V\u0131lev.<\/p>\n<p>S\u00f6zlerine g\u00f6re, Bulgaristan\u2019daki en b\u00fcy\u00fck \u00e7eli\u015fki, yasa gere\u011fi her \u00e7al\u0131\u015fan bireyin bir defa gelirleri i\u00e7in vergi \u00f6d\u00fcyor olmas\u0131, ikinci defa da sa\u011fl\u0131k sigortas\u0131 \u00f6d\u00fcyor olmas\u0131.\u00a0<i>\u201c Bu, Ulusal Sa\u011fl\u0131k Sigortas\u0131 Kasas\u0131\u2019nda toplanan fondur ve hatta 2019 y\u0131l\u0131 i\u00e7in olu\u015fturdu\u011fumuz en b\u00fcy\u00fck b\u00fct\u00e7edir \u2013 4 milyar leva\u201d\u00a0<\/i>diyor V\u0131lev.<\/p><div id=\"bghab-1220067553\" class=\"bghab-icerik-icine bghab-entity-placement\"><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6203283170189293\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display:block; text-align:center;\" data-ad-client=\"ca-pub-6203283170189293\" \ndata-ad-slot=\"7303146466\" \ndata-ad-layout=\"in-article\"\ndata-ad-format=\"fluid\" data-full-width-responsive=\"true\"><\/ins>\n<script> \n(adsbygoogle = window.adsbygoogle || []).push({}); \n<\/script>\n<\/div>\n<p>Ulusal Hasta \u00d6rg\u00fct\u00fc Ba\u015fkan Yard\u0131mc\u0131s\u0131 Nataliya Maeva \u201c\u0130la\u00e7 eksikli\u011fi sorunu yeni de\u011fil. Ge\u00e7en y\u0131llara d\u00f6nersek bu t\u00fcrden sorunlar\u0131n artt\u0131\u011f\u0131n\u0131 g\u00f6r\u00fcyoruz. S\u00f6z konusu vakada sa\u011fl\u0131k sisteminde k\u00f6t\u00fc planlama g\u00f6r\u00fcl\u00fcyor\u201d diyor ve ekliyor:<\/p>\n<p><i>\u201cPahal\u0131 ila\u00e7lar i\u00e7in ihaleler oldu\u011funu biliyoruz, ancak bana g\u00f6re Bulgaristan\u2019daki sa\u011fl\u0131k idaresinin eyleme ge\u00e7mesinin zaman\u0131 gelmi\u015ftir, \u00e7\u00fcnk\u00fc burada s\u00f6z konusu onkolojik hastal\u0131klar\u0131 olan hastalar i\u00e7in gereken ve hayat kurtaran, ancak ger\u00e7ekle\u015ftirilemeyen tedavi. Onkolojide limit olamaz ve hi\u00e7 kimse bir hastan\u0131n ya\u015fay\u0131p ya\u015famayaca\u011f\u0131na karar verme hakk\u0131na sahip de\u011fil. A\u011f\u0131r hastal\u0131kla m\u00fccadele eden hastalar ve doktorlar\u0131n bunun i\u00e7in \u015fartlar\u0131 ve imkanlar\u0131 olmal\u0131. Devlet bunu yapam\u0131yorsa, neyin yolunda gitmedi\u011fini d\u00fc\u015f\u00fcnmelidir. Sa\u011fl\u0131k sigortas\u0131 modelinin de\u011fi\u015ftirilme zaman\u0131 nihayetinde gelmedi mi, bu t\u00fcr pahal\u0131 ila\u00e7lar\u0131 sat\u0131n almakla g\u00f6revli sistem reformdan m\u0131 ge\u00e7irilmeli? Asl\u0131nda sa\u011fl\u0131k sigortas\u0131 kasas\u0131 \u00f6demeyi sa\u011flayan bir finansal ara\u00e7t\u0131r, ancak Sa\u011fl\u0131k Bakanl\u0131\u011f\u0131\u2019n\u0131n nadir hastal\u0131klar\u0131 da i\u00e7eren bir elektronik sistem olu\u015fturulmas\u0131 i\u00e7in \u00e7aba g\u00f6stermesi gerekti\u011fini d\u00fc\u015f\u00fcn\u00fcyorum. B\u00f6ylece her gelecek y\u0131l i\u00e7in tedavi masraflar\u0131n\u0131n ne kadar olaca\u011f\u0131 bilinecektir.\u201d<\/i><\/p>\n<p>Maeva\u2019n\u0131n s\u00f6zlerine g\u00f6re, sa\u011fl\u0131k kayd\u0131n\u0131n yap\u0131lmamas\u0131 da sistemi zorluyor. Bu kay\u0131t yap\u0131l\u0131rsa, ilac\u0131n planlanmas\u0131 ve zaman\u0131nda getirilmesi i\u00e7in, kolay bir bi\u00e7imde hastal\u0131\u011f\u0131n ge\u00e7mi\u015fi ve hastan\u0131n neye ihtiyac\u0131 oldu\u011fu g\u00f6r\u00fclebilir.<\/p>\n<p><i>\u201cAncak \u015fu anda par\u00e7a par\u00e7a \u00e7al\u0131\u015f\u0131l\u0131yor. \u0130lerde \u00e7al\u0131\u015fmalar\u0131n devam etmesi gereken \u015fekil bu de\u011fildir\u201d\u00a0<\/i>diyor Nataliya Maeva.<\/p>\n<p>&nbsp;<\/p><div id=\"bghab-4205371248\" class=\"bghab-icerik-icine-10-paragraf bghab-entity-placement\"><script async src=\"\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js?client=ca-pub-6203283170189293\" crossorigin=\"anonymous\"><\/script><ins class=\"adsbygoogle\" style=\"display:block; text-align:center;\" data-ad-client=\"ca-pub-6203283170189293\" \ndata-ad-slot=\"7303146466\" \ndata-ad-layout=\"in-article\"\ndata-ad-format=\"fluid\" data-full-width-responsive=\"true\"><\/ins>\n<script> \n(adsbygoogle = window.adsbygoogle || []).push({}); \n<\/script>\n<\/div>\n<p>&nbsp;<\/p>\n<p>BNR<\/p>\n<div id=\"bghab-3533173506\" class=\"bghab-yazi-altinda bghab-entity-placement\"><div class=\"bghab-adlabel\">Reklamlar<\/div><script async src=\"https:\/\/pagead2.googlesyndication.com\/pagead\/js\/adsbygoogle.js\"><\/script>\r\n<!-- bghaber-yaz\u0131-sonu -->\r\n<ins class=\"adsbygoogle\"\r\n     style=\"display:block\"\r\n     data-ad-client=\"ca-pub-6203283170189293\"\r\n     data-ad-slot=\"4222328180\"\r\n     data-ad-format=\"auto\"\r\n     data-full-width-responsive=\"true\"><\/ins>\r\n<script>\r\n     (adsbygoogle = window.adsbygoogle || []).push({});\r\n<\/script><\/div><br style=\"clear: both; display: block; float: none;\"\/>","protected":false},"excerpt":{"rendered":"<p>Hasatalar, yakla\u015f\u0131k 160 ilac\u0131n piyasadan kayboldu\u011funu s\u00f6yl\u00fcyor. \u00dclkede ila\u00e7 eksikli\u011finden sadece hastalar de\u011fil, doktorlar da \u015fikayet\u00e7i. Ulusal Eczac\u0131l\u0131k Odas\u0131 ba\u015fkan\u0131 Anton V\u0131lev BNR\u2019ye yapt\u0131\u011f\u0131 a\u00e7\u0131klamas\u0131nda<\/p>\n","protected":false},"author":13,"featured_media":37301,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"","jetpack_seo_html_title":"","jetpack_seo_noindex":false,"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1,7],"tags":[30,1919,1920,1862],"class_list":["post-37300","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-haberler","category-saglik-spor","tag-bulgaristan","tag-eczaci","tag-hastalar","tag-ilac"],"jetpack_featured_media_url":"https:\/\/i0.wp.com\/www.bghaber.org\/bghaber\/wp-content\/uploads\/2019\/06\/ilac-eczane.jpg?fit=925%2C520&ssl=1","jetpack_sharing_enabled":true,"jetpack_likes_enabled":true,"jetpack-related-posts":[],"jetpack_shortlink":"https:\/\/wp.me\/pc2PfJ-9HC","_links":{"self":[{"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/posts\/37300","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/comments?post=37300"}],"version-history":[{"count":0,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/posts\/37300\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/media\/37301"}],"wp:attachment":[{"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/media?parent=37300"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/categories?post=37300"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.bghaber.org\/bghaber\/wp-json\/wp\/v2\/tags?post=37300"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}