{"id":987500623,"date":"2022-01-05T18:00:46","date_gmt":"2022-01-05T16:00:46","guid":{"rendered":"https:\/\/www.palmedromhealth.com\/?p=987500623"},"modified":"2025-09-22T18:04:04","modified_gmt":"2025-09-22T15:04:04","slug":"atragem-atentia-asupra-riscului-de-limitare-a-accesului-la-servicii-medicale","status":"publish","type":"post","link":"https:\/\/www.palmedromhealth.com\/ro\/atragem-atentia-asupra-riscului-de-limitare-a-accesului-la-servicii-medicale\/","title":{"rendered":"Atragem aten\u021bia asupra riscului de limitare a accesului la servicii medicale"},"content":{"rendered":"

Patronatul Furnizorilor de Servicii Medicale Private \u2013 PALMED atrage aten\u021bia asupra riscului de\u00a0limitare a accesului la servicii medicale<\/strong>\u00a0prin prorogarea a dou\u0103 m\u0103suri care ar fi trebuit s\u0103 intre \u00een vigoare \u00een acest an:\u00a0contribu\u0163ia personal\u0103 pentru unele servicii medicale \u00een regim de ambulatoriu clinic de specialitate \u015fi ambulatoriu paraclinic de specialitate<\/strong>\u00a0\u0219i\u00a0posibilitatea \u00eencheierii de c\u0103tre casele de asigur\u0103ri de s\u0103n\u0103tate a contractelor cu medicul specialist \u00eentr-o specialitate clinic\u0103 pentru specialit\u0103\u0163ile clinice<\/strong>\u00a0pentru care casele de asigur\u0103ri de s\u0103n\u0103tate \u00eencheie contracte de furnizare de servicii medicale, prin care acesta dob\u00e2nde\u015fte dreptul de a elibera bilete de trimitere pentru specialit\u0103\u0163i clinice, biletele de trimitere pentru investiga\u0163ii paraclinice \u015fi prescrip\u0163ii medicale pentru medicamente cu sau f\u0103r\u0103 contribu\u0163ie personal\u0103 \u00een tratamentul ambulatoriu.<\/p>\n

Prin ordonan\u021ba de urgen\u021b\u0103 adoptat\u0103 la finalul anului, cele dou\u0103 m\u0103suri au fost prorogate pentru 2025, respectiv 2023.<\/p>\n

\"Patronatul<\/p>\n

Prorogarea termenului de aplicare a prevederilor cu privire la contribu\u0163ia personal\u0103, care poate fi pl\u0103tit\u0103 de asigura\u021bi, pentru unele servicii medicale \u00een regim de ambulatoriu clinic de specialitate \u015fi ambulatoriu paraclinic de specialitate, \u00een condi\u021biile \u00een care ei opteaz\u0103 ca aceste servicii s\u0103 fie acordate de furnizori priva\u021bi, afla\u021bi \u00een rela\u021bie contractual\u0103 cu casele de asigur\u0103ri de s\u0103n\u0103tate, este o m\u0103sur\u0103 care are ca efect\u00a0reducerea accesului la servicii medicale,<\/strong>\u00a0\u00eentruc\u00e2t furnizorii priva\u021bi nu pot acoperi costurile reale pe care le implic\u0103 unele analize \u0219i investiga\u021bii. Implicit, discut\u0103m despre o\u00a0reducere a num\u0103rului furnizorilor care decid s\u0103 \u00eencheie astfel de contracte<\/strong>\u00a0sau o renun\u021bare a contract\u0103rii pentru serviciile \u00een cazul c\u0103rora diferen\u021ba dintre costul real \u0219i cel decontat este foarte mare. Este o situa\u021bie pe care o aducem constant \u00een aten\u021bia autorit\u0103\u021bilor, \u00een condi\u021biile \u00een care procesul de actualizare a tarifelor stagneaz\u0103.<\/p>\n

Cristian Hotoboc, pre\u0219edinte Patronatul Furnizorilor de Servicii Medicale Private \u2013 PALMED<\/cite><\/p><\/blockquote>\n

Despre nota de fundamentare<\/h2>\n

Nota de fundamentare care st\u0103 la baza deciziei ofer\u0103 procesului de analiz\u0103 a \u00eentregului parcurs procedural pentru elaborarea Contractului-cadru, care reglementeaz\u0103 condi\u0163iile acord\u0103rii asisten\u0163ei medicale, a medicamentelor \u015fi a dispozitivelor medicale \u00een cadrul sistemului de asigur\u0103ri sociale de s\u0103n\u0103tate o\u00a0durat\u0103 de realizare de aproximativ trei ani<\/strong>, termenul de intrare \u00een vigoare a reglement\u0103rilor privind contribu\u021bia personal\u0103 pentru unele servicii medicale acordate \u00een ambulatoriul clinic de specialitate \u015fi ambulatoriul paraclinic de specialitate fiind de 60 de zile de la intrarea \u00een vigoare a legii bugetului de stat pentru anul 2025.<\/p>\n

Practic, autorit\u0103\u021bile se bazeaz\u0103 pe capacitatea sistemului medical privat de a prelua to\u021bi pacien\u021bii care, citez din nota de fundamentare \u201enu vor avea asigurat accesul la furnizorii publici\u201d din cauza situa\u021biei pandemice, f\u0103r\u0103 s\u0103 aloce \u0219i fondurile necesare pentru acoperirea costurilor acestor servicii.<\/p>\n

Cristian Hotoboc, pre\u0219edinte Patronatul Furnizorilor de Servicii Medicale Private \u2013 PALMED<\/cite><\/p><\/blockquote>\n

De ce trebuie sa creasca tarifele decontate<\/h2>\n

Patronatul Furnizorilor de Servicii Medicale Private \u2013 PALMED consider\u0103 c\u0103 argumentul oferit \u00een nota de fundamentare \u0219i potrivit c\u0103ruia, \u00een lipsa acestei m\u0103suri, pacientul ar putea fi pus \u00een situa\u021bia \u00een care s\u0103 acceseze \u201eserviciile medicale la un moment ulterior \u0219i nu la momentul nevoii de astfel de servicii, ceea ce conduce \u00een mod direct la agravarea st\u0103rii de s\u0103n\u0103tate a asiguratului, respectiv prejudiciaz\u0103 cu efecte pe termen lung s\u0103n\u0103tatea popula\u0163iei\u2033 este tocmai cel care ar trebui s\u0103 stea la baza unei\u00a0cre\u0219teri a tarifelor decontate<\/strong>\u00a0\u0219i o aplicare c\u00e2t mai rapid\u0103 a celei de a doua m\u0103suri prorogate prin aceea\u0219i ordonan\u021b\u0103 de urgen\u021b\u0103 \u2013 posibilitatea ca medicul specialist s\u0103 \u00eencheie un contract individual prin care dob\u00e2nde\u015fte dreptul de a elibera bilete de trimitere pentru specialit\u0103\u0163i clinice, bilete de trimitere pentru investiga\u0163ii paraclinice \u015fi prescrip\u0163ii medicale pentru medicamente cu sau f\u0103r\u0103 contribu\u0163ie personal\u0103 \u00een tratamentul ambulatoriu, indiferent dac\u0103 unitatea medical\u0103 \u00een care activeaz\u0103 are sau nu un contract.<\/p>\n

\"Risc<\/p>\n

F\u0103r\u0103 o cre\u015ftere a tarifului pentru serviciile medicale, sistemul medical este pus constant \u00een dificultate. Pe de o parte, sistemul public se vede \u00een imposibilitatea de a-\u015fi acoperi cheltuielile, av\u00e2nd nevoie de un sprijin constant \u015fi \u00een cre\u015ftere din partea Fondului Unic de Asigur\u0103ri Sociale de S\u0103n\u0103tate \u2013 FNUASS \u0219i a autorit\u0103\u021bilor locale. Pe de alt\u0103 parte, sistemul privat este discriminat \u00een mod repetat, \u00eentruc\u00e2t furnizorii priva\u021bi de servicii medicale \u00een regim de ambulatoriu clinic de specialitate \u015fi ambulatoriu paraclinic de specialitate nu au, \u00een mod firesc \u015fi normal, acces la FNUASS pentru a acoperi cheltuielile, dar nici nu pot face acest lucru prin \u00eencasarea unei sume care s\u0103 acopere costul real, cu titlul de contribu\u0163ie personal\u0103, a\u0219a cum se \u00eent\u00e2mpl\u0103 deja pentru serviciile medicale \u00een regim de spitalizare continu\u0103.<\/p>\n

Prevenirea, un atribut al segmentului privat de sanatate<\/h2>\n

Cre\u0219terea tarifelor decontate duce la un acces mai bun al popula\u021biei la servicii medicale, at\u00e2t pentru prevenirea afec\u021biunilor \u2013 \u0219tiut fiind faptul c\u0103\u00a09 din 10<\/strong><\/em>\u00a0unit\u0103\u0163i medicale care au capacitatea de a asigura\u00a0prevenirea<\/em>\u00a0afec\u0163iunilor sunt private\u00a0<\/strong>\u2013 c\u00e2t \u0219i pentru o monitorizare eficient\u0103 a pacien\u021bilor cu boli cronice, ambele efecte conduc\u00e2nd la degrevarea spitalelor publice \u0219i la sc\u0103derea, pe termen mediu \u0219i lung, a num\u0103rului de pacien\u021bi interna\u021bi \u00een regim de spitalizare continu\u0103, fapt care conduce la o reducere a costurilor alocate de stat pentru tratamentul acestor bolnavi, implicit la o stare de s\u0103n\u0103tate mai bun\u0103 a popula\u021biei.<\/p>\n

\u00cen acest context, facem apel la factorii de decizie pentru demararea unor discu\u0163ii ample, care s\u0103 conduc\u0103 la rezolvarea problemei tarifelor mult prea mici, cu care se confrunt\u0103 \u00eentreg sistemul sanitar.<\/p>\n","protected":false},"excerpt":{"rendered":"

PALMED avertizeaz\u0103 c\u0103 prorogarea obliga\u021biei contribu\u021biei personale \u0219i a acord\u0103rii de bilete de trimitere de c\u0103tre medicii speciali\u0219ti risc\u0103 s\u0103 limiteze accesul pacien\u021bilor la servicii medicale private, din cauza tarifelor decontate mult sub costul real.<\/p>\n","protected":false},"author":1,"featured_media":987500626,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","footnotes":""},"categories":[33],"tags":[],"class_list":["post-987500623","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-comunicate-de-presa"],"acf":[],"yoast_head":"\nRisc de limitare a accesului la servicii medicale private \u2013 prorog\u0103ri \u0219i tarife neactualizate<\/title>\n<meta name=\"description\" content=\"PALMED avertizeaz\u0103 c\u0103 prorogarea 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