{"id":14017,"date":"2020-10-19T14:05:14","date_gmt":"2020-10-19T11:05:14","guid":{"rendered":"https:\/\/buletin.de\/bucuresti\/?p=14017"},"modified":"2020-10-19T14:05:14","modified_gmt":"2020-10-19T11:05:14","slug":"raport-peste-50-dintre-bolnavii-cronici-considera-ca-serviciile-medicale-s-au-inrautatit-din-cauza-pandemiei","status":"publish","type":"post","link":"https:\/\/buletin.de\/bucuresti\/raport-peste-50-dintre-bolnavii-cronici-considera-ca-serviciile-medicale-s-au-inrautatit-din-cauza-pandemiei\/","title":{"rendered":"RAPORT. Peste 50% dintre bolnavii cronici consider\u0103 c\u0103 serviciile medicale s-au \u00eenr\u0103ut\u0103\u021bit din cauza pandemiei"},"content":{"rendered":"\n

Pandemia COVID-19 a schimbat via\u021ba bolnavilor cronici aproape cu totul. \u00cen timp ce tot mai multe spitale deveneau COVID, ei alergau dintr-o parte \u00een alta pentru a \u00ee\u0219i primi tratamentul \u0219i a fi consulta\u021bi. Un raport al Observatorului Rom\u00e2n de S\u0103n\u0103tate prezint\u0103 impactul pandemiei asupra accesului la servicii medicale \u0219i calitatea acestora. <\/strong><\/p>\n\n\n\n

Analiza arat\u0103 c\u0103 Institutul Matei Bal\u0219 \u0219i Spitalul Colentina se num\u0103r\u0103 printre cele mai afectate spitale publice, cu reduceri considerabile a num\u0103rului de intern\u0103ri \u00een perioada martie \u2013 august 2020. Pacien\u021bii care sufer\u0103 de HIV\/SIDA \u0219i diabet au fost printre cei mai afecta\u021bi. <\/strong><\/p>\n\n\n\n

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Impactul pandemiei COVID-19 asupra accesului bolnavilor cronici din Rom\u00e2nia (inclusiv a utilizatorilor centrelor de substitu\u021bie) la servicii medicale \u0219i asupra calit\u0103\u021bii acestor servicii este considerabil. Efectul va duce la deteriorarea st\u0103rii de s\u0103n\u0103tate a bolnavilor cronici \u0219i la cre\u0219terea presiunii asupra unui sistem medical deja suprasolicitat.<\/em><\/p>\n\n\n\n

A\u0219a \u00eencepe un raport<\/a> publicat recent de Observatorul Rom\u00e2n de S\u0103n\u0103tate cu privire la Impactul pandemiei COVID-19 asupra accesului bolnavilor cronici la servicii medicale. \u00cencep\u00e2nd cu aprilie 2020, prima luna \u00eentreag\u0103 \u00een care Rom\u00e2nia a fost \u00een stare de urgen\u021b\u0103, num\u0103rul intern\u0103rilor a sc\u0103zut drastic, cu 70% mai pu\u021bin dec\u00e2t \u00een perioada similar\u0103 a anului trecut. \u00cen spatele numerelor se afl\u0103 persoane care sufer\u0103 de HIV, tuberculoz\u0103, diabet \u0219i alte boli cronice care le fac dependente de serviciile medicale.<\/p>\n\n\n\n

Spitalul Coletina, boli cronice sau COVID-19?<\/h2>\n\n\n\n

Spitalul Coletina este un centru major din \u021bar\u0103 care trateaz\u0103 pacien\u021bi cronici \u0219i care a avut reduceri de 90% la intern\u0103ri. Din momentul \u00een care a fost transformat \u00een spital suport COVID \u0219i-a concentrat resursele aproape exclusiv trat\u0103rii pacien\u021bilor infecta\u021bi cu noul coronavirus. Pe 18 octombrie prefectul Capitalei a anun\u021bat c\u0103 va deveni spital COVID. Nu este clar unde \u0219i cum au fost redirec\u021biona\u021bi miile de pacien\u021bi care apelau la serviciile medicale ale acestui spital \u00een fiecare lun\u0103, scrie \u00een raportul citat mai sus.<\/p>\n\n\n\n

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Peste 500 de persoane s-au adunat pe un grup de Facebook intitulat \u201ePacien\u021bii cronici au nevoie de spitalul Colentina\u201d. \u00cempreun\u0103, prin pove\u0219tile pe care le public\u0103 acolo, \u00eencearc\u0103 s\u0103 treac\u0103 peste provoc\u0103rile pe care pandemia le-a pus \u00een c\u00e2rca unor bolnavi deja suferinzi. Multe dintre aceste pove\u0219ti, \u00eens\u0103, prezint\u0103 latura \u00eentunecat\u0103 a unor spitale care nu fac fa\u021b\u0103 sau nu \u0219tiu cum s\u0103 gestioneze pacien\u021bi cronici. \u201eNu m\u0103 prime\u0219te \u00een cabinet\u201d<\/em>, \u201em\u0103 trateaz\u0103 ca pe un str\u0103in<\/em>\u201d, \u201eprimim doar tratamentul f\u0103r\u0103 s\u0103 putem comunica cu nimeni<\/em>\u201d \u2013 a\u0219a sun\u0103 c\u00e2teva dintre comentariile de pe grup.<\/p>\n\n\n\n

\u201eUnul dintre pacien\u021bi a fost transferat la unul dintre spitalele din Bucure\u0219ti, iar acolo i s-a spus c\u0103 dup\u0103 ce consult\u0103 pacien\u021bii lor o s\u0103 \u00eei vad\u0103 \u0219i pe cei din Coletina. Nu putem s\u0103 ne am\u00e2n\u0103m consulta\u021biile la infinit. Nu ne-au mai f\u0103cut analize din februarie \u00een condi\u021biile \u00een care noi la 3-6 luni trebuie s\u0103 mergem la evaluare. Este foarte greu s\u0103 alergi de la un spital la altul poate te vede \u0219i pe tine cineva. Noi, cei cu afec\u021biuni autoimune, putem face un puseu oric\u00e2nd. Acum pot fi ok \u0219i \u00een 2 ore s\u0103 \u00eemi fie r\u0103u. Suntem mul\u021bi pacien\u021bi dependen\u021bi de spitalul Coletina pentru c\u0103 suntem \u00een eviden\u021ba lor de ani mul\u021bi de zile. \u201d <\/p>ne- spus una dintre administratoarele grupului de Facebook.<\/cite><\/blockquote>\n\n\n\n

Bolnavii HIV, cei mai afecta\u021bi<\/h2>\n\n\n\n

Institutul Matei Bal\u0219, \u00een prezent spital COVID faz\u0103 I, este cel mai important centru pentru pacien\u021bii infecta\u021bi cu HIV din Rom\u00e2nia. Aici num\u0103rul de intern\u0103ri a sc\u0103zut cu aproximativ 90% \u00een martie-august 2020 fa\u021b\u0103 de anul precent.<\/p>\n\n\n\n

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Cel mai important impact negativ se \u00eenregistreaz\u0103 pentru spitaliz\u0103rile bolnavilor HIV\/SIDA, iar \u201eacest lucru este cu at\u00e2t mai \u00eengrijor\u0103tor cu c\u00e2t fiecare caz de infec\u021bie HIV netratat corespunz\u0103tor poate genera at\u00e2t forme rezistente la tratament, c\u00e2t \u0219i cazuri noi de infec\u021bie<\/em>\u201d, scrie \u00een raportul ORS. \u00cen perioada st\u0103rii de urgen\u021b\u0103, centrele care furnizeaz\u0103 tratament de substitu\u021bie pentru persoanele care \u00ee\u0219i injecteaz\u0103 droguri nu au acceptat admitere de noi pacien\u021bi, \u201eceea ce a agravat o situa\u021bie deja foarte dificil\u0103 \u00een privin\u021ba accesului la tratament de substitu\u021bie \u00een Rom\u00e2nia<\/em>\u201d . Pe de alt\u0103 parte, beneficiarii deja \u00eenscri\u0219i \u00een programe nu au \u00eent\u00e2mpinat dificult\u0103\u021bi de accesare a tratamentului.<\/p>\n\n\n\n

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Non-COVID, tot pe minus<\/h2>\n\n\n\n

\u0218i la spitalele non-COVID au fost \u00eenregistrate reduceri majore ale activit\u0103\u021bii, cu sc\u0103deri \u00eentre 35%-79% la Institutul Clinic Fundeni. Astfel, interven\u021biile chirurgicale pentru pacien\u021bii oncologici s-au \u00eempu\u021binat, \u00een aprilie, la 54 de cazuri de la 270 de cazuri \u00een aceea\u0219i lun\u0103 a anului precedent.<\/p>\n\n\n\n

Pe de alt\u0103 parte, Insitutul de Penumoftiziologie Marius Nasta, spital de faz\u0103 II, este un exemplu de unitate spitaliceasc\u0103 de stat care a reu\u0219it s\u0103 \u00ee\u0219i p\u0103streze actvitatea la un nivel peste media na\u021bional\u0103 din timpul pandemiei.<\/p>\n\n\n\n

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Ce cred bolnavii cronici?<\/h2>\n\n\n\n

Peste jum\u0103tate dintre cei care au r\u0103spuns la chestionarul OBS consider\u0103 c\u0103 pandemia a afectat negativ calitatea \u00eengrijirilor medicale Peste trei sferturi \u00eenc\u0103 au dificult\u0103\u021bi \u00een a accesa serviciile de care au nevoie. Principala dificultate este blocarea accesului la spitalul unde se tratau de obicei, \u00eens\u0103 \u0219i procurarea dificil\u0103 a medicamentulor a fost des invocat\u0103 de responde\u021bi. Un caz deja cunoscut este lipsa medicamentului euthyrox, medicament esen\u021bial \u00een tratarea bolilor tiroidiene.<\/p>\n\n\n\n

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\u201eCONCLUZIA RAPORTULUI este apelul c\u0103tre autorit\u0103\u021bile centrale \u0219i locale din Rom\u00e2nia de a g\u0103si solu\u021bii inovative \u0219i adecvate care \u00eembin\u0103 at\u00e2t gestionarea pandemiei coronavirus cu asigurarea continuit\u0103\u021bii \u00eengrijirilor medicale pentru celelalte boli cronice, a campaniilor de screening \u0219i a ini\u021biativelor de vaccinare \u0219i preven\u021bie. \u00cen caz contrar, pandemia de coronavirus va avea un impact considerabil asupra bolnavilor cronici din Rom\u00e2nia duc\u00e2nd la deteriorarea st\u0103rii lor de s\u0103n\u0103tate \u0219i la cre\u0219terea presiunii asupra unui sistem medical oricum suprasolicitat.\u201d<\/p>\n<\/div><\/div>\n\n\n\n

<\/p>\n\n\n\n

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Pute\u021bi citi raportul integral aici.<\/a><\/p>\n\n\n\n

<\/p>\n\n\n\n

<\/p>\n\n\n\n

Toate informa\u021biile \u0219i graficile din acest articol au fost preluate din Raportul<\/a> publicat de Observatorul Rom\u00e2n de S\u0103n\u0103tate.<\/em><\/p>\n\n\n\n

<\/p>\n\n\n\n

Surs\u0103 cover foto: George C\u0103lin\/INQUAM<\/p>\n","protected":false},"excerpt":{"rendered":"

Pandemia COVID-19 a schimbat via\u021ba bolnavilor cronici aproape cu totul. \u00cen timp ce tot mai multe spitale deveneau COVID, ei alergau dintr-o parte \u00een alta pentru a \u00ee\u0219i primi tratamentul \u0219i a fi consulta\u021bi. Un raport al Observatorului Rom\u00e2n de S\u0103n\u0103tate prezint\u0103 impactul pandemiei asupra accesului la servicii medicale \u0219i calitatea acestora. Analiza arat\u0103 c\u0103 […]<\/p>\n","protected":false},"author":6,"featured_media":14023,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"ngg_post_thumbnail":0,"footnotes":""},"categories":[1],"tags":[1746,227,643,1749,1747,645,1748],"ppma_author":[22588],"class_list":["post-14017","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diverse","tag-bolnavi-cronici","tag-colentina","tag-covid19","tag-diabet","tag-hiv","tag-pandemie","tag-sida"],"acf":[],"a3_pvc":{"activated":false,"total_views":0,"today_views":0},"yoast_head":"\nRAPORT. 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