{"id":6768,"date":"2020-05-07T14:53:37","date_gmt":"2020-05-07T11:53:37","guid":{"rendered":"https:\/\/buletin.de\/bucuresti\/?p=6768"},"modified":"2020-05-15T14:09:51","modified_gmt":"2020-05-15T11:09:51","slug":"taxa-de-covid-19-un-tarif-suplimentar-de-pana-la-1000-de-lei-pentru-interventiile-stomatologice-in-starea-de-urgenta-problema-risca-sa-se-mentina-si-dupa-15-mai","status":"publish","type":"post","link":"https:\/\/buletin.de\/bucuresti\/taxa-de-covid-19-un-tarif-suplimentar-de-pana-la-1000-de-lei-pentru-interventiile-stomatologice-in-starea-de-urgenta-problema-risca-sa-se-mentina-si-dupa-15-mai\/","title":{"rendered":"Taxa de Covid-19! Un tarif suplimentar de p\u00e2n\u0103 la 1000 de lei, pentru interven\u021biile stomatologice \u00een starea de urgen\u021b\u0103. Problema risc\u0103 s\u0103 se men\u021bin\u0103 \u0219i dup\u0103 15 mai"},"content":{"rendered":"\n

Tarifele clinicilor care au tratat pacien\u021bii \u00een perioada st\u0103rii de urgen\u021b\u0103 au crescut cu sume \u00eentre 150 \u0219i 1000 de lei, din cauza condi\u021biilor restrictive impuse de autorit\u0103\u021bi. Dup\u0103 ce clinicile \u0219i cabinetele stomatologice au fost \u00eenchise,<\/em> cele c\u00e2teva care au dorit s\u0103 se ocupe de tratarea urgen\u021belor, a\u0219a cum specific\u0103 Ordonan\u021ba Militar\u0103 nr. 2, au fost nevoite s\u0103 se supun\u0103 unor reglement\u0103ri care au crescut costul unei proceduri cu p\u00e2n\u0103 la 1.000 de lei, bani pl\u0103ti\u021bi de pacien\u021bi. Medicii stomatologici zic c\u0103 cerin\u021bele sunt exagerate \u0219i nu se bazeaz\u0103 pe niciun temei legal. Nebulizarea este cea mai controversat\u0103 reglementare.<\/em><\/strong><\/p>\n\n\n\n

Pe 22 martie, cabinetele de medicin\u0103 dentar\u0103 din Rom\u00e2nia au fost obligate s\u0103 pun\u0103 lac\u0103tul pe u\u0219\u0103. \u201ePrin excep\u021bie, sunt permise interven\u021biile stomatologice de urgen\u021b\u0103<\/em>\u201d. At\u00e2t scria \u00een Ordonan\u021ba Militar\u0103 nr. 2. Aici s-au oprit reglement\u0103rile impuse de autorit\u0103\u021bile centrale cu privire la activitatea stomatologic\u0103. De atunci \u0219i p\u00e2n\u0103 acum nu s-a clarificat nimic, ba chiar lucrurile au devenit \u0219i mai confuze. <\/p>\n\n\n\n

Pe 22 martie, Colegiul Medicilor Stomatologi din Rom\u00e2nia a publicat o serie de recomand\u0103ri<\/strong> pentru prevenirea r\u0103sp\u00e2ndirii<\/a> COVID-19 \u00een activitatea stomatologic\u0103 de urgen\u021b\u0103. Una dintre aceste recomand\u0103ri a fost motivul pentru care cabinetele mici nu au putut lucra nici m\u0103car urgen\u021bele: nebulizatorul. <\/p>\n\n\n\n

\u201eSe va proceda la nebulizarea cabinetului dup\u0103 fiecare pacient; dup\u0103 nebulizare, se a\u0219teapt\u0103 o perioad\u0103 de 2-4 ore, dup\u0103 care se poate desf\u0103\u0219ura din nou activitatea stomatologic\u0103; nebulizarea cabinetului apare ca m\u0103sur\u0103 obligatorie \u00een multe studii \u0219i articole publicate cu privire la acordarea asisten\u021bei stomatologice de urgen\u021b\u0103 pentru pacien\u021bii suspec\u021bi sau diagnostica\u021bi cu infec\u021bie COVID-19<\/em>\u201d <\/p>\n\n\n\n

Dup\u0103 apari\u021bia acestor recomand\u0103ri al Colegiului Medicilor Stomatologi (care nu au fost publicate \u00een Monitorul Oficial) Direc\u021bia de S\u0103n\u0103tate Public\u0103 (DSP) Bucure\u0219ti le-a preluat ca atare \u0219i le-a folosit pentru a emite avize temporare de func\u021bionare a cabinetelor stomatologice. \u00cen prim\u0103 faz\u0103 doar \u0219ase mari clinici dentare<\/a> \u0219i-au permis s\u0103 redeschid\u0103 activitatea. <\/p>\n\n\n\n

Astfel, pe 11\naprilie, coordonatorul COVID-19 Bucure\u0219ti-Ilfov C\u0103t\u0103lin Smarandache a \u00eenaintat\no solicitare c\u0103tre \u0218eful Departamentului pentru Situa\u021bii de Urgen\u021b\u0103 Raed Arafat\n\u00een care i-a cerut formularea unui Ordin prin care s\u0103 se stabileasc\u0103 temeiul\nlegal pentru func\u021bionarea cabinetelor stomatologice. Arafat i-a r\u0103spuns f\u0103c\u00e2nd\nreferire la cele dou\u0103 propozi\u021bii din Ordonan\u021ba nr. 2, f\u0103r\u0103 s\u0103 men\u021bioneze nimic\nde necesitatea unui aviz.<\/p>\n\n\n\n

\"\"<\/figure><\/div>\n\n\n\n

\u00cen timp ce institu\u021biile publice \u00eenaintau h\u00e2rtii \u0219i cereri dintr-o parte \u00een alte, cabinetele stomatologice de apartament adunau tot mai multe pierderi \u0219i niciun c\u00e2\u0219tig. Pe de alt\u0103 parte, cele \u0219ase care \u0219i-au permis cump\u0103rarea sau \u00eenchirierea unui nebulizator scoteau sute de lei \u00een plus din buzunarul pacientului. De exemplu, Dental Med a inclus, pe l\u00e2ng\u0103 pre\u021bul standard al unei proceduri, un cost pentru protocolul de decontaminare anti-covid cuprins \u00eentre 400 \u0219i 1000 lei. Exist\u0103 \u0219i clinici cu adaosuri mai mici, precum Trident, cu 200 de lei, sau Kopfzeit, cu 150 lei.<\/p>\n\n\n\n

\"\"
Surs\u0103: dental-med.ro<\/figcaption><\/figure>\n\n\n\n

Chat-urile \u0219i\ngrupurile cu medici stomatologici din toat\u0103 \u021bar\u0103 au \u00eenceput s\u0103 se umple de\nnemul\u021bumiri. \u201eNic\u0103ieri \u00een Europa nu au fost impuse combinezoane \u0219i nebulizator.\nNic\u0103ieri!\u201d<\/em> Fiecare venea cu c\u00e2te un exemplu de protocol: \u00een Italia, Norvegia,\nFran\u021ba, Belgia, Olanda, Germania nici urm\u0103 de nebulizator. <\/p>\n\n\n\n

\n

\u201eLogistic, tehnic, uman, financiar este imposibil s\u0103 faci achizi\u021bia unor echipamente de genul celor trecute \u00een recomand\u0103ri, spre exemplu nebulizatorul, care are un cost variabil \u00eentre 4000 EURO \u0219i mult mai mult. […] Nu facem dec\u00e2t s\u0103 \u00eembog\u0103\u021bim ni\u0219te oameni care profit\u0103 de aceast\u0103 situa\u021bie \u0219i exagereaz\u0103 f\u0103r\u0103 justificare medical\u0103 epidemiologic\u0103 \u0219i f\u0103r\u0103 un avantaj real pentru pacien\u021bi. Aparatele de nebulizare sunt folosite, \u00een s\u0103lile de opera\u021bie, pentru c\u0103 acolo sunt ni\u0219te spa\u021bii \u00eenchise \u0219i riscul de contaminare este foarte mare. Dar echipamentele care sunt \u00een acea \u00eenc\u0103pere sunt rezistente la ac\u021biunea substan\u021bei active folosite \u00een aparatul de nebulizare. Din p\u0103cate, aparatele de nebulizare afecteaz\u0103 func\u021bionarea echipamentelor foarte sensibile din cabinetul de stomatologie.<\/em>\u201d ne-a spus un medic stomatolog afectat de noile reglement\u0103ri.<\/p>\n<\/div><\/div>\n\n\n\n

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

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

Pe de alt\u0103 parte, \u00een documentul elaborat<\/a> de Centrul Na\u021bional de Supravegere \u0219i Control al Bolilor Transmisibile nu este indicat\u0103 utilizarea nebulizatorului \u00een cabinetele stomatologice,<\/strong> ci este necesar doar echipament adecvat de protec\u021bie. Astfel, \u00een aprilie Colegiul Medicilor<\/a> a venit cu o alt\u0103 propunere care nu mai men\u021biona nimic de necesitatea unui nebulizator ca m\u0103sur\u0103 de protec\u021bie \u00eempotriva Covid-19. <\/p>\n\n\n\n

Asocia\u021bia\nMedicilor Stomatologi cu Practica Privat\u0103 din Rom\u00e2nia (AMSPPR) a publicat la\nfinalul lui aprilie o\nopinie legal\u0103<\/a> cu privire la situa\u021bia cabinetelor stomatologice generat\u0103 de\npandemie. Printre lucrurile punctate apar \u0219i o serie de exemple de\ndocumente\/ghiduri \u00een care dezinfec\u021bia aerului prin nebulizare de biocide nu\neste prev\u0103zut\u0103:<\/p>\n\n\n\n

   – Recomand\u0103rile de baz\u0103 privind biosiguran\u0163a\n\u00een laboratorul clinic de microbiologie<\/strong>, asumate de INSP \u00een contextul\npandemiei;<\/p>\n\n\n\n

  –  Precau\u021biunile standard – M\u0103suri minime\nobligatorii pentru prevenirea \u0219i limitarea infec\u021biilor<\/strong> asociate\nasisten\u021bei medicale;<\/p>\n\n\n\n

 – Ghidul metodologic privind controlul\ntransmiterii tuberculozei<\/strong> \u00een unit\u0103\u021bile sanitare de pneumoftiziologie \u0219i \u00een\nalte institu\u021bii cu risc din Rom\u00e2nia.<\/p>\n\n\n\n

\u201eNebulizatorul poate fi o metod\u0103 excelent\u0103 de reclam\u0103 \u0219i marketing pentru orice clinic\u0103 care \u00ee\u0219i permite achizi\u021bionarea acestui aparat, mai ales dac\u0103 este \u0219i unul performant dar nu este recomandat \u00een stomatologie, nici \u00een \u021b\u0103ri cu un nivel de trai mai ridicat dec\u00e2t Rom\u00e2nia.\u201d <\/p> AMSPPR <\/cite><\/blockquote>\n\n\n\n

Doctorul stomatolog cu care am discutat \u0219i care a preferat s\u0103 nu \u00eei public\u0103m numele acuz\u0103 conducerea Colegiului Medicilor Stomatologi de interese personale. Al\u0103turi de el sunt \u0219i al\u021bi medici denti\u0219ti nemul\u021bumi\u021bi de reprezentan\u021bii lor. \u00cen urma alegerilor pentru Consiliul Medicilor Stomatologi din 2019 mai multe cadre medicale au semnalat fraude la alegeri. <\/p>\n\n\n\n

Am \u00eencercat s\u0103 lu\u0103m leg\u0103tura cu Direc\u021bia de S\u0103n\u0103tate Public\u0103 Bucure\u0219ti, cu Ministerul S\u0103n\u0103t\u0103\u021bii \u0219i cu Colegiul Medicilor Stomatologi din Rom\u00e2nia. P\u00e2n\u0103 la momentul public\u0103rii articolului nu am primit niciun r\u0103spuns din partea lor. P\u00e2n\u0103 azi, nu se \u0219tie care va fi soarta cabinetelor stomatologice \u0219i ce restric\u021bii vor avea dup\u0103 15 mai. <\/p>\n\n\n\n

Surs\u0103 cover foto: Unsplash<\/p>\n","protected":false},"excerpt":{"rendered":"

Tarifele clinicilor care au tratat pacien\u021bii \u00een perioada st\u0103rii de urgen\u021b\u0103 au crescut cu sume \u00eentre 150 \u0219i 1000 de lei, din cauza condi\u021biilor restrictive impuse de autorit\u0103\u021bi. Dup\u0103 ce clinicile \u0219i cabinetele stomatologice au fost \u00eenchise, cele c\u00e2teva care au dorit s\u0103 se ocupe de tratarea urgen\u021belor, a\u0219a cum specific\u0103 Ordonan\u021ba Militar\u0103 nr. 2, […]<\/p>\n","protected":false},"author":6,"featured_media":6772,"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":[996,4],"tags":[1005,1006,657],"ppma_author":[22588],"class_list":["post-6768","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-covid-19","category-sanatate","tag-cabinete-stomatologice","tag-cabinete-stomatologice-coronavirus","tag-coronavirus-bucuresti"],"acf":[],"a3_pvc":{"activated":false,"total_views":0,"today_views":0},"yoast_head":"\nTaxa de Covid-19! Un tarif suplimentar de p\u00e2n\u0103 la 1000 de lei, pentru interven\u021biile stomatologice \u00een starea de urgen\u021b\u0103. Problema risc\u0103 s\u0103 se men\u021bin\u0103 \u0219i dup\u0103 15 mai - Buletin de Bucure\u0219ti<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/buletin.de\/bucuresti\/taxa-de-covid-19-un-tarif-suplimentar-de-pana-la-1000-de-lei-pentru-interventiile-stomatologice-in-starea-de-urgenta-problema-risca-sa-se-mentina-si-dupa-15-mai\/\" \/>\n<meta property=\"og:locale\" content=\"en_GB\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Taxa de Covid-19! Un tarif suplimentar de p\u00e2n\u0103 la 1000 de lei, pentru interven\u021biile stomatologice \u00een starea de urgen\u021b\u0103. 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