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Петък, 12 Септември 2014 15:47

altДнес, в Централното управление на Националната здравноосигурителна каса, Управителният съвет на Българския лекарски съюз и Надзорният съвет на НЗОК стартираха преговорите за сключване на Национален рамков договор за 2015 г. Договорено бе до 10 дни да има определени работни групи и от двете страни, а само три дни след това да бъде изработен и график за ускорена подготовка на договора.
За новия рамков договор БЛС ще настоява връщане на арбитража, методиките и всички останали текстове в НРД, които бяха откъснати изкуствено от цялостната структура на договора. Ръководството на БЛС настоява още държавата да започне да плаща пълния размер на здравните осигуровки на групите, за които отговаря, към Наредба 40 на Министерството на здравеопазването да се включват анестезията и патоанатомията като отделни медицински дейности, към МЗ да преминат интензивното лечение и лечението на редки заболявания, както и да се създаде специална комисия, която да проверява какъв е ефектът на всяко лекарство, влизащо в страната ни и дали той отговаря на неговата цена.

Събота, 06 Септември 2014 16:22

altНа  днешното заседание на УС и НС на организацията, беше взето решение за стартиране на подготовката по НРД-2015,  след срещата между БЛС и НЗОК на 12 септ. т.г. Всички 28  колегии и бордовете по специалности ще изпращат своите предложения, свързани с рамковото договаряне до края на септември. По график започват срещите в централата за отделните групи по ПИМП, СИМП и болнична помощ, както и по интердисциплинарни проблеми. Поради обективните обстоятелства, свързани с извънредните парламентарни избори, подготовката  започва по-късно, но трябва да приключи до 10 октомври. Между 10 и 20 октомври ще бъде изготвен график за вътрешно съгласуване и приемане на окончателния вариант на документа, който ще бъде разгледан от делегатите на Събора. Както всяка година, той ще се проведе на 30 и 31 октомври. Новото в подхода по рамковото договаряне тази година ще бъдат  поставените условия от страна на БЛС към управляващите. Въпреки че ще има изготвен свой проект, организацията ще продължи и ще финализира преговорите само при определени условия – осигурено цялостно финансиране за заплащане на медицинската дейност, връщане на арбитража, методиките  и всички останали текстове в НРД, които бяха откъснати изкуствено от цялостната структура на НРД.

Събота, 06 Септември 2014 14:34

altПо искане на БЛС, на 12-ти този месец ще се проведе среща между УС на организацията и Надзорния съвет на касата. Предмет на срещата ще бъде искането на необходимото финансиране, което трябва да осигури спокойствие на системата до края на годината. Както БЛС нееднократно заяви, тези 225 млн.лв., които бяха отпуснати за болниците, няма да стигнат и, като цяло, системата се нуждае от близо 120 млн.лв.
Зам.министърът на финансите Кирил Ананиев, който оглави и Надзора на касата, в свое изявление каза, че дефицитът в консолидирания държавен бюджет към средата на годината е 1.147 млрд. лв, като тук влиза и сумата за НЗОК. Според прогнозата на служебното финансово министерство, неизпълнението на данъчните приходи до края на годината може да достигне 900 млн. лв., което допълнително ще затрудни бюджета. Но, според разчетите, които НЗОК е представила, 117 млн. лв. са минималната сума, от която касата се нуждае допълнително. Предстои касата да направи пълен анализ на разходите в системата за последните години, тъй като, според данните, разходите са нараснали с над 60%.

Четвъртък, 21 Август 2014 09:37

altaltД-р Ненков, какво трябва да направите на всяка цена за 2 или няколко месеца?
Има добри неща, които трябва да се продължат. Една такава инициатива е извеждането на децата от социалните домове. Този проект трябва да приключи с прекратяване на функциите на тези домове в досегашния им вид. Здравната стратегия е изработен документ, одобрен в Европа. Ще започнем работа по плана за действие към стратегията. Дали ще успеем да го довършим, не мога да кажа на този етап. Европа иска да кажем как точно ще постигнем параметрите, заложени в стратегията.
Третото, което ми е и най-много на сърце, е да направим така, че системата да работи без сътресения в следващите месеци. Сблъсках се с неща, които не зависеха от мен, опитахме да ги решим елегантно. Искам да обърна внимание и върху системата на специализациите.
Назрява поредното напрежение, свързано с намаляването на болничните бюджети от здравната каса. Предвиждате ли разговори с двете страни?
Въпросът с бюджетите на болниците е многопосочен. Първо, касата се управлява от надзорен съвет и той решава какви условни ограничения да получават болниците. Намаленият бюджет за този месец означава, че надработеното ще бъде проверено и изплатено след 2 месеца. От друга страна, имам информация, че много болници, сред тях и най-гласовитите, имат депозити в банки. Отвратително е болниците да бъдат търговски дружества, но така е по закон. И ако една болница има милиони в банката, не разбирам защо се притеснява от намаления си бюджет.

Виж целия текст
Сряда, 20 Август 2014 09:51


altД-р Райчинов, много се изговори като критика в здравеопазването досега, сега, макар че има служебен кабинет, какво трябва да се направи, за да намалеят неблагополучията в сектора?
Не мисля, че служебният кабинет, както и служебният министър, имат много възможности, за да променят нещата. След като няма парламент, няма как да има и промени в законите. Проблемите идват главно от липсата на закони. Там системата се нуждае от сериозна промяна. Но успоредно с това трябва да бъде осигурено и финансиране, което служебният кабинет няма как да извърши. Това ще направи вероятно следващото правителство.
Какви промени в законодателната рамка трябва да бъдат направени. Откъде трябва да започне следващият кабинет?
Трябва да се започне от задълженията на държавата. Тя трябва да е изряден платец към НЗОК и да прави вноски за всички групи граждани, които осигурява. Това ще осигури средства, за да могат да се предприемат съответните реформи. Като се започне от Закона за здравето.
Какво трябва да се промени в Закона за здравето?
Най-напред какъв е достъпът до здравни услуги и какво се гарантира на пациентите. Кой, как и какво регулира в здравеопазването и какво контролира. Какви права и задължения имат пациентите. Ако няма да е отделен закон, който се чака от пет години, поне да има отделна глава в него.
А в Закона за здравното осигуряване?
Тук трябва да се започне от проблема една или повече здравни каси трябва да има. Да се прецизира как се заплащат отделните дейности и пакети дейности с какви подзаконови нормативни документи се уреждат тези неща.
Вече се чуват мнения, и то авторитетни, при това на мениджъри на болници, те застъпват все по-често тезата - да има един основен минимален пакет, който осигурява услуги по здравната каса и всичко останало от допълнително здравно осигуряване.
Моделите за осигуряване са много. Почти във всяка държава има и някакви различия. Най-напред трябва да се реши основният въпрос старият осигурителен модел ли развиваме, или минаваме към нов. Това е основният и най-важният въпрос. Да се реши в крайна сметка по кой модел ще върви здравеопазването. Когато решим този въпрос, тогава трябва да се премине и към следващите стъпки. Ако ще е осигурителен модел, трябва да е ясно какво покрива една национална каса, какво покриват другите фондове, какво включват отделните покрития. Но преди всичко трябва да имаме електронно здравеопазване електронна здравно-осигурителна карта, електронна рецепта, електронно досие и т.н., защото няма как да се изгради системата на база данни.

Виж целия текст
Сряда, 13 Август 2014 12:40

altЗа трета година БЛС ще обяви конкурс за стипендианти по програма за подпомагане на докторанти и специализанти. Месечната стипендия е в размер на 400 лв. в продължение на 1 година.
С програмата, условията и необходимите документи можете да се запознаете ТУК:
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