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Šī mājas lapa ir veidota ar Latvijas un Šveices sadarbības programmas finansiālu atbalstu. Par mājas lapas saturu atbild Invalīdu un viņu draugu apvienība „Apeirons”

Ar vēzi slimā Marta: “Ja nespēj palīdzēt pats sev, mirsti!” Valstij nav naudas zālēm (2)

publicēts: 28.04.2017
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| autors: Gunārs Grabinskis
Ziņot par neatbilstošu saturu

Marta, kura sirgst ar olnīcu vēzi 3. stadijā, pērn nācās uzklausīt nežēlīgu verdiktu – visas iespējas ir izsmeltas. Respektīvi, tas nozīmēja nu jau ātru nāvi. Tomēr sieviete nepadevās.

Ja nav naudas, nav jaunu medikamentu.
Nacionālā veselības dienesta Sabiedrisko attiecību nodaļas vadītāja Evija Štālberga atzina, ka valstij trūkst naudas jaunu medikamentu iekļaušanai Kompensējamo zāļu sarakstā: “2016. gadā onkoloģisko slimību ārstēšanai paredzētajiem medikamentiem ir izlietoti 21,9 miljoni eiro jeb 15% no visa valsts zāļu iegādes kompensācijas sistēmas budžeta līdzekļiem. Tā trešā visvairāk apmaksātā diagnoze starp visām, kas ir iekļautas valsts Kompensējamo zāļu sarakstā, aiz endokrinoloģiskām slimībām un nopietnām infekcijām – HIV/AIDS un vīrushepatītiem.
Būtiski, ka pacientu skaits ar onkoloģiskām slimībām, kas saņem valsts kompensējamās zāles, katru gadu aizvien pieaug – 2013. gadā tie bija 20697 pacienti, 2014. gadā 21636 pacienti, 2015. gadā – 22472 pacienti, savukārt 2016. gadā jau 23188 pacienti.
Pieaug arī vidējās kompensējamo zāļu izmaksas uz vienu pacientu ar onkoloģisko slimību:
• 2013. gadā – 822,55 eiro;
• 2014. gadā – 903,48 eiro;
• 2015. gadā – 920,96 eiro;
• 2016. gadā – 944.42 eiro.
Attiecībā uz kompensējamām zālēm pacientēm ar olnīcu vēzi – 2015. gadā zāles no valsts Kompensējamo zāļu saraksta ir saņēmušas 722 pacientes (kopumā izlietoti 986000 eiro), 2016. gadā – 750 pacientes jeb 4% vairāk (kopumā izlietoti 1165000 eiro, pieaugums – 18%). Sarakstā ir pieejami gan ķīmijterapijā lietojamie medikamenti, gan ar ķīmijterapiju saistītu blakņu novēršanai, pretsāpju, kaulu matastāžu ārstēšanai paredzētie un citi medikamenti.
Visiem medikamentiem, kas ir iesniegti iekļaušanai valsts Kompensējamo zāļu sarakstā, tiek veikta klīniskās un izmaksu efektivitātes analīze, kā arī prognozējamā papildu nepieciešamā finansējuma aprēķins, lai saskaņotu ar zāļu iegādes kompensācijas sistēmas budžeta iespējām.
Šobrīd izvērtēti vairāki efektīvi medikamenti dažādu audzēju veidu ārstēšanai (tajā skaitā arī olnīcu vēža pacientēm paredzētie medikamenti), tomēr to kompensācijas uzsākšanai pašlaik nav pieejami valsts budžeta līdzekļi. Šogad papildu finansējums ir piešķirts, lai nodrošinātu valsts Kompensējamo zāļu saraksta zāles saistībā ar onkoloģijas pacientu skaita pieaugumu, savukārt līdzekļi jauna medikamenta iekļaušanai Kompensējamo zāļu sarakstā vai kompensācijas paplašināšanai jau ilgstoši nav piešķirti.
Veselības ministrija lūkos pēc lētākām zālēm.
Arī Veselības pārstāvis Oskars Šneiders teica, ka naudas nepietiek. Viena no reālākajām izejām ir lūkoties pēc lētākiem medikamentiem: “Katru gadu pacientu skaits, kuri saņem kompensējamos medikamentus pieaug, savukārt budžeta palielinājums ir nepietiekams. Rezultātā tiek meklēti risinājumi, kā mazināt to medikamentu cenas, kuri iekļauti Kompensējamo zāļu saraktā, lai ar pieejamo veselības datiem kompensējamos medikamentus saņem vairāk kā 650 tūkstoši pacientu finansējumu varētu izpildīt tās saistības pret pacientiem, kuras valsts ir uzņēmusies (katru gadu pacientu skaits, kuri saņem kompensējamos medikamentus pieaug. Atbilstoši Nacionālā). Līdz ar to pirms jaunu papildsaistību uzņemšanās ir jāraugās, lai esošās saistības tiktu pilnībā nosegtas. Jaunu medikamentu iekļaušana Kompensējamo zāļu sarakstā nav iespējama bez papildu finansējuma novirzīšanas veselības budžetā.
Papildus jāmin, ka Veselības ministrija ir izstrādājusi Veselības aprūpes pakalpojumu onkoloģijas jomā uzlabošanas plāna projektu 2017.-2020. gadam. Plāns ir izstrādāts ar mērķi uzlabot situāciju primārajā diagnostikā un ārstēšanā biežākajās ļaundabīgo audzēju lokalizācijās, pilnveidot esošo skrīningu aptveri un kvalitāti un paplašināt paliatīvās aprūpes pieejamību. Plāna ietvaros paredzēts palielināt finansējumu onkoloģijas slimību ārstēšanai, tai skaitā arī kompensējamiem medikamentiem.
Visiem medikamentiem, kas ir iesniegti valsts Kompensējamo zāļu sarakstā, tiek veikta klīniskās un izmaksu efektivitātes analīze, kā arī prognozējamā papildu nepieciešamā finansējuma aprēķins, lai to saskaņotu ar zāļu iegādes kompensācijas sistēmas budžeta iespējām.
Šobrīd izvērtēti vairāki efektīvi medikamenti dažādu audzēju veidu ārstēšanai (tajā skaitā arī olnīcu vēža pacientēm paredzētie medikamenti), tomēr to kompensācijas uzsākšanai pašlaik nav pieejami valsts budžeta līdzekļi. Šogad papildu finansējums ir piešķirts, lai nodrošinātu valsts Kompensējamo zāļu saraksta zāles saistībā ar onkoloģijas pacientu skaita pieaugumu, savukārt līdzekļi jaunu medikamentu iekļaušanai Kompensējamo zāļu sarakstā vai kompensācijas papildināšanai jau ilgstoši nav piešķirti.

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#TimeMemoryFunctionLocation
10.0012120436{main}( )../index.php:0
20.0019120948require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0063137152Sitecontroller->show( )../index.php:43
40.04812324520require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.05692540228Sitecontroller->sitecontent( )../public.php:105
60.05692540264Controller->show( )../CSitecontroller.php:67
70.05812577884require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.10964131468Sitecontroller->sitemenu( )../newsItem.php:101
90.11094158316modSitemenusCommentsSmall->load( )../CSitecontroller.php:77
100.11394266284S( )../commentsSmall.php:22
110.11394266312mysql_escape_string ( )../functions.php:12

( ! ) Deprecated: mysql_escape_string(): This function is deprecated; use mysql_real_escape_string() instead. in /home/sniedzroku/public_html/kernel/functions.php on line 12
Call Stack
#TimeMemoryFunctionLocation
10.0012120436{main}( )../index.php:0
20.0019120948require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0063137152Sitecontroller->show( )../index.php:43
40.04812324520require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.05692540228Sitecontroller->sitecontent( )../public.php:105
60.05692540264Controller->show( )../CSitecontroller.php:67
70.05812577884require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.10964131468Sitecontroller->sitemenu( )../newsItem.php:101
90.11094158316modSitemenusCommentsSmall->load( )../CSitecontroller.php:77
100.11524276172modSitemenusCommentsSmall->getComments( )../commentsSmall.php:124
110.11524276172S( )../commentsSmall.php:143
120.11524276200mysql_escape_string ( )../functions.php:12

( ! ) Deprecated: mysql_escape_string(): This function is deprecated; use mysql_real_escape_string() instead. in /home/sniedzroku/public_html/kernel/functions.php on line 12
Call Stack
#TimeMemoryFunctionLocation
10.0012120436{main}( )../index.php:0
20.0019120948require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0063137152Sitecontroller->show( )../index.php:43
40.04812324520require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.05692540228Sitecontroller->sitecontent( )../public.php:105
60.05692540264Controller->show( )../CSitecontroller.php:67
70.05812577884require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.10964131468Sitecontroller->sitemenu( )../newsItem.php:101
90.11094158316modSitemenusCommentsSmall->load( )../CSitecontroller.php:77
100.11524276172modSitemenusCommentsSmall->getComments( )../commentsSmall.php:124
110.11534276468S( )../commentsSmall.php:145
120.11534276496mysql_escape_string ( )../functions.php:12

( ! ) Deprecated: mysql_escape_string(): This function is deprecated; use mysql_real_escape_string() instead. in /home/sniedzroku/public_html/kernel/functions.php on line 12
Call Stack
#TimeMemoryFunctionLocation
10.0012120436{main}( )../index.php:0
20.0019120948require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0063137152Sitecontroller->show( )../index.php:43
40.04812324520require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.05692540228Sitecontroller->sitecontent( )../public.php:105
60.05692540264Controller->show( )../CSitecontroller.php:67
70.05812577884require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.10964131468Sitecontroller->sitemenu( )../newsItem.php:101
90.11094158316modSitemenusCommentsSmall->load( )../CSitecontroller.php:77
100.11524276172modSitemenusCommentsSmall->getComments( )../commentsSmall.php:124
110.11544276456S( )../commentsSmall.php:147
120.11544276484mysql_escape_string ( )../functions.php:12
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( ! ) Warning: file_get_contents(http://twitter.com/statuses/user_timeline/apeirons.rss): failed to open stream: HTTP request failed! HTTP/1.0 404 Not Found in /home/sniedzroku/public_html/kernel/functions.php on line 625
Call Stack
#TimeMemoryFunctionLocation
10.0012120436{main}( )../index.php:0
20.0019120948require( '/home/sniedzroku/public_html/index.php' )../index.php:4
30.0063137152Sitecontroller->show( )../index.php:43
40.04812324520require( '/home/sniedzroku/public_html/templates/public.php' )../CSitecontroller.php:62
50.05692540228Sitecontroller->sitecontent( )../public.php:105
60.05692540264Controller->show( )../CSitecontroller.php:67
70.05812577884require( '/home/sniedzroku/public_html/modules/writings/views/newsItem.php' )../CController.php:59
80.12274301316Sitecontroller->sitemenu( )../newsItem.php:108
90.12364305636modSitemenusTwitter->load( )../CSitecontroller.php:77
100.12364306124fetch_tweets( )../twitter.php:5
110.12364306704file_get_contents ( )../functions.php:625