Odpočet ministra zdravotníctva SR za prvý rok v funkcii | Medicínske právo
              

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Odpočet ministra zdravotníctva SR za prvý rok v funkcii


 | 2.8.2011 | komentárov: 298

Na stránke Ministerstva zdravotníctva SR uverejnili sumár krokov, ktoré urobili prvý rok v úrade. Ivan Uhliarik toto obdobie nazval "Rok záchrany systému pred kolapsom a my Vám ponúkame toto hodnotenie aj na našom portáli.

Obrazok

Bývalé vedenie štátnej zdravotnej poisťovne VŠZP podľa neho fingovalo účtovníctvo a jej dlh nebol 50, ale takmer 150 miliónov eur. „Chýbal centimeter k tomu, aby išla VŠZP do nútenej správy. Každý mesiac vytvárala dlh 5-7 miliónov eur, to sme zastavili.  Dnes nevytvára žiaden dlh, hospodári vyrovnane,“ povedal minister zdravotníctva Ivan Uhliarik.


Nemocnice mali podľa neho oficiálne dlh 50 miliónov eur. Ale to bol len dlh, ktorý v účtovníctve priznávali. Realita však bola niekde úplne inde. 


„Vidíme to teraz pri transformácii nemocníc na akciové spoločnosti, keď kontrolujeme každý jeden dokument, každú jednu stoličku v nemocnici. Nemocnice ponachádzali toľko zašitých faktúr, našli toľko chýb v účtovníctve, že ich dlh sa ťahá až k 200 miliónom eur. Nie je to chybou nových vedení nemocníc, ale ich predchodcov. Noví ľudia ťahajú kostlivcov zo skríň,“ dodal minister zdravotníctva.

 
V budúcom roku po transformácií nemocníc na akciové spoločnosti minister očakáva rast platov lekárov a sestier. „Pracujeme na tom, aby pacienti dostávali lepšiu zdravotnú starostlivosť, od lepšie zaplatených sestier a lekárov,“ povedal Uhliarik.


Minister zdravotníctva Ivan Uhliarik považuje za najdôležitejšie opatrenia, ktoré spravil v prvom roku: 


Pomoc sociálne slabším – limity na doplatky za lieky
 Od 1.apríla 2011 platia limity na doplatky za lieky pre dôchodcov a ZŤP. Pre dôchodcov je limit na lieky za štvrťrok 45 eur, pre ZŤP 30 eur. Zdravotné poisťovne im preplatky automaticky vrátia. Prvé peniaze by mali prísť ľuďom koncom leta. Odhadujeme, že sa to dotkne asi 120 000 ľudí. Novela zákona 581/2004.

Koniec šikanovania – zrušili sme výmenné lístky 
Od 1.4.2011 nemusia mať pacienti, ktorí idú k špecialistom výmenné lístky. Novela zákona 577/2004.

Transformácia nemocníc na akciové spoločnosti 
Začala sa transformácia nemocníc na akciové spoločnosti. Vláda aj parlament prijali zákon, na návrh ministerstva zdravotníctva, na základe ktorého sa nemocnice transformujú na akciové spoločnosti do konca roka 2011. Novela zákona 581/2004.

Stabilizácia VŠZP 
VŠZP sme reštrukturalizovali tak, že dnes už nevytvára každý mesiac dlh 5-7 miliónov eur, ale hospodári vyrovnane. Úspory boli dosiahnuté prepustením zamestnancov, vypovedaním nevýhodných zmlúv, zrušením zmlúv s lekármi, ktorí predpisovali vysoko nadpriemerné množstvá liekov od jednej farmaceutickej firmy, zrovnoprávnením platieb do nemocníc.

Racionalizácia počtu lôžok 
Spolu s VŠZP sme rokovali so zástupcami nemocníc a VÚC výsledkom čoho bolo odzmluvnenie približne 150 oddelení a zrušenie asi 3000 lôžok tak, aby bola zabezpečená dostupná zdravotná starostlivosť, ale vo vyššej kvalite ako doteraz. Nešlo o žiadnu redukciu finančných prostriedkov pre nemocnice. Bývalá vláda plánovala zrušiť 6000 lôžok.

Zlacnenie projektu eHealth
 Elektronické zdravotníctvo bude lacnejšie o 120 miliónov eur. Celý projekt sme prerobili, tak aby už o rok a pol občania pocítili prvé pozitíva z toho projektu.
Generická preskripcia 
Novela zákona, ktorá ju zavádza prešla prvým čítaním. Druhé a tretie čítanie bude v septembri. Zavádza sa predpisovanie účinnej látky, tak ako je to v: Portugalsku, Nemecku, Švédsku, či Fínsku. Pacienti dnes platia o asi 50 miliónov eur ročne viac, ako musia. Je to aj významné protikorupčné opatrenie. Stratí sa zmysel pre farmaceutické firmy, aby ovplyvňovali lekárov, ktorí predpisujú ich lieky. Lekárnik bude zo zákona povinný vydať najlacnejší liek. 

Nastavenie cien liekov na 2. najnižšiu cenu v EÚ
 Novela zákona, ktorá opatrenie zavádza prešla prvým čítaním. Druhé a tretie čítanie bude v septembri. Dnes máme drahšie lieky ako v niektorých krajinách EÚ. Týmto opatrením ušetríme v prvom roku 75 miliónov eur. 

Vrátenie nezávislosti – Úrad pre dohľad nad zdravotnou starostlivosťou
 Vrátili sme nezávislosť Úradu pre dohľad nad zdravotnou starostlivosťou, vláda už nemôže odvolať jej riaditeľa bez udania dôvodu tak, ako to účelovo schválila bývalá vláda. Novela zákona 581/2004.

Vytvorenie predpokladov na zavedenie DRG
 Vytvorili sme legislatívnu normu potrebnú na zavedenie platieb za diagnózu - DRG. Novela zákona 581/2004.
 
Minister zdravotníctva Ivan Uhliarik prezentoval aj kroky, na ktorých ministerstvo zdravotníctva pracuje:
◦ dokončiť transformáciu nemocníc na akciové spoločnosti
◦ ceny liekov nastavíme na 2. najnižšiu cenu v Európskej únii
◦ zavedieme častejšiu kategorizáciu liekov, umožníme tak rýchlejší prístup lacnejších liekov na trh
◦ zavedieme väčšiu transparentnosť kategorizácie liekov, nielen rozhodnutie, ale všetky stanoviská, všetkých členov komisie zverejníme na internete
◦ zavedieme povinnú generickú preskripciu, predpisovanie účinnej látky namiesto konkrétneho komerčného názvu lieku, ten na receptu bude môcť byť, ale nebude to povinné
◦ vytvoríme centrálnu obstarávaciu jednotku, ktorej budú zdravotnícke zariadenia hlásiť s mesačným predstihom potrebu nákupov spolu s navrhovanou cenou. Táto jednotka na základe porovnaní cien v rámci všetkých zariadení spadajúcich pod MZ odporučí nákupnú cenu
◦ zakážeme fajčenie v otvorených priestoroch nákupných centier. Zvýšime pokuty za nedodržiavanie zákazu fajčenia
◦ zmeníme nespravodlivé nastavenie minimálnej siete poskytovateľov zdravotnej starostlivosti, ktoré diskriminuje neštátne zdravotnícke zariadenia
◦ zavedenie platieb za diagnostickú skupinu (DRG) – cieľom je zaviesť transparentnosť a spravodlivosť do odmeňovania poskytovateľov zdravotnej starostlivosti, zvýši sa efektivita výdavkov na zdravotnú starostlivosť, systém pridelí každému prípadu hospitalizácie dopredu stanovený objem financií na základe diagnózy, poskytnutých výkonov, veku, pohlavia, resp. ďalších pozorovateľných kritérií
◦ pripravujeme projekt zavedenia ďalšieho piliera financovania zdravotníctva – pripoistenie
◦ pracujeme na vízii zdravotníctva do roku 2020




zdroj: health.gov.sk
foto: hnonline.sk



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