{"id":41909,"date":"2019-06-12T09:23:51","date_gmt":"2019-06-12T06:23:51","guid":{"rendered":"http:\/\/infois.ro\/?p=41909"},"modified":"2019-06-12T09:23:51","modified_gmt":"2019-06-12T06:23:51","slug":"sistemul-informatic-din-sanatate-se-afla-in-colaps-total","status":"publish","type":"post","link":"https:\/\/infois.ro\/?p=41909","title":{"rendered":"Sistemul informatic din s\u0103n\u0103tate se afl\u0103 \u00een colaps total"},"content":{"rendered":"<p><a href=\"http:\/\/infois.ro\/wp-content\/uploads\/2019\/06\/medic-de-familie-card-de-sanatate.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignleft  wp-image-41910\" src=\"http:\/\/infois.ro\/wp-content\/uploads\/2019\/06\/medic-de-familie-card-de-sanatate.jpg\" alt=\"\" width=\"352\" height=\"234\" srcset=\"https:\/\/infois.ro\/wp-content\/uploads\/2019\/06\/medic-de-familie-card-de-sanatate.jpg 640w, https:\/\/infois.ro\/wp-content\/uploads\/2019\/06\/medic-de-familie-card-de-sanatate-300x200.jpg 300w\" sizes=\"(max-width: 352px) 100vw, 352px\" \/><\/a><\/p>\n<p style=\"text-align: justify;\">Medicii de familie din \u00eentreaga \u021bar\u0103 au ajuns la limita suportabilit\u0103\u021bii. Num\u0103rul \u0219i complexitatea problemelor fundamentale cu care se confrunt\u0103 sistemul medical sunt dep\u0103\u0219ite ca nivel de suportabilitate de chinul zilnic prin care trec mii de medici de familie, \u00eencerc\u00e2nd s\u0103 \u00ee\u0219i fac\u0103 datoria. Sistemele informatice pe baza c\u0103rora ar trebui s\u0103 se stabileasc\u0103 rela\u021bia dintre prestatorii de servicii (medicii de familie), asigur\u0103tor (Casa Na\u021bional\u0103 de Asigur\u0103ri de S\u0103n\u0103tate) \u0219i beneficiar (pacientul rom\u00e2n) func\u021bioneaz\u0103 cu sincope at\u00e2t de mari, \u00eenc\u00e2t mai cur\u00e2nd se poate spune c\u0103 nu func\u021bioneaz\u0103. Medicii de familie trebuie s\u0103 fac\u0103 ture de noapte ca s\u0103 valideze documentele. Av\u00e2nd \u00een vedere aceast\u0103 situa\u0163ie, medicii de familie solicit\u0103 imperativ rezolvarea problemelor informatice \u0219i adaptarea normelor de activitate la ritmul de func\u021bionare a sistemului. \u201cToate efectele negative ale acestei situa\u021bii se r\u0103sfr\u00e2ng \u00een primul r\u00e2nd asupra pacien\u021bilor, prin prelungirea timpului de a\u0219teptare. Disfunc\u021bionalit\u0103\u021bile sistemului creeaz\u0103 probleme insurmontabile medicului de familie, at\u00e2t la nivel birocratic c\u00e2t \u0219i \u00een comunicarea cu pacientul. De exemplu, documentele emise la un cabinet de medicin\u0103 de familie (bilet de trimitere, re\u021bet\u0103 electronic\u0103) trebuie validate \u00een termen de maximum 72 de ore, \u00eens\u0103 au fost situa\u021bii \u00een care pe o perioada de trei zile sistemul a func\u021bionat adunat dou\u0103, trei ore. Mul\u021bi dintre medicii de familie se trezesc noaptea pentru a valida documentele de peste zi, sper\u00e2nd c\u0103 sistemul este mai accesibil \u00een aceast\u0103 perioad\u0103 a zilei. Tot \u00een aceast\u0103 perioad\u0103 a zilei, medicii de familie \u00eencearc\u0103 \u0219i dac\u0103 au noroc reu\u0219esc s\u0103 fac\u0103 raport\u0103rile lunare obligatorii c\u0103tre CNAS\u201d, se arat\u0103 \u00eentr-un comunicat emios de Biroul Executiv al Societ\u0103\u0163ii Na\u0163ionale a Medicilor de Familie (SNMF). Potrivit semnatarilor documentului, sistemul informatic a func\u021bionat de nota 0,33. \u201cPentru c\u0103 semnalele intense transmise \u00een ultimii ani despre aceasta situa\u021bie au r\u0103mas efectiv f\u0103r\u0103 r\u0103spuns, medicii de familie au \u00eenceput luna trecut\u0103, pe 10 mai, o monitorizare intern\u0103 a sistemului. Practic, medicii au acordat zilnic note func\u021bion\u0103rii sistemului. Spre surprinderea tuturor, sistemul a avut o aparent\u0103 revigorare \u00een perioada imediat ulterioar\u0103 lans\u0103rii publice a acestui mecanism de monitorizare, dar s-a pr\u0103bu\u0219it lamentabil dup\u0103 o s\u0103pt\u0103m\u00e2n\u0103 de la alegerile europarlamentare. Ast\u0103zi, exact la o lun\u0103 de la lansarea monitoriz\u0103rii, sistemul SIUI a ob\u021binut media 0,33. Sistemul Cardului National de Asigur\u0103ri Sociale de S\u0103n\u0103tate (CEAS) a costat peste 87,6 milioane lei f\u0103r\u0103 (TVA) \u0219i a fost implementat de HP Romania \u0219i Novensys Corporation, av\u00e2nd ca subcontractant pe SIVECO Romania; contractul a fost atribuit \u00een luna aprilie 2012. \u201cContractul de servicii privind implementarea prescrip\u021biei electronice (SIPE), in valoare de peste 36,2 milioane lei f\u0103r\u0103 TVA, a fost atribuit \u00een 2012 c\u0103tre HP Rom\u00e2nia. \u00cen 31 martie 2017 s-au mai cheltuit 7,6 milioane de lei, f\u0103r\u0103 TVA, pe un contract \u00een care SIVECO se angaja s\u0103 asigure mentenan\u021ba \u0219i suportul tehnic pentru softul care integreaz\u0103 toate informa\u021biile la nivelul Casei, sistem dezvoltat tot de SIVECO odat\u0103 cu SIUI. P\u00e2n\u0103 \u00een acest moment, nicio persoan\u0103 \u0219i nicio institu\u021bie nu au fost f\u0103cute responsabile pentru modul ineficient \u00een care au fost cheltui\u021bi banii publici \u00een acest proiect\u201d, subliniaz\u0103, \u00een \u00eencheiere, medicii de familie din Rom\u00e2nia, reuni\u0163i \u00een cadrul SNMF.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medicii de familie din \u00eentreaga \u021bar\u0103 au ajuns la limita suportabilit\u0103\u021bii. Num\u0103rul \u0219i complexitatea problemelor&#8230; <a class=\"meta-more\" href=\"https:\/\/infois.ro\/?p=41909\">more <span class=\"meta-nav\">&raquo;<\/span><\/a><\/p>\n","protected":false},"author":2,"featured_media":41910,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[41,24],"tags":[74,40,6162,2831,12314],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/41909"}],"collection":[{"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=41909"}],"version-history":[{"count":1,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/41909\/revisions"}],"predecessor-version":[{"id":41911,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/posts\/41909\/revisions\/41911"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=\/wp\/v2\/media\/41910"}],"wp:attachment":[{"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=41909"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=41909"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/infois.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=41909"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}