{"id":4882,"date":"2014-12-12T14:00:00","date_gmt":"2014-12-12T16:00:00","guid":{"rendered":"https:\/\/www.silutesnaujienos.lt\/lt\/silutes-ligonine-keiciasi-ir-nori-buti-reikalinga\/"},"modified":"2014-12-12T14:00:00","modified_gmt":"2014-12-12T16:00:00","slug":"silutes-ligonine-keiciasi-ir-nori-buti-reikalinga","status":"publish","type":"post","link":"https:\/\/www.silutesnaujienos.lt\/lt\/silutes-ligonine-keiciasi-ir-nori-buti-reikalinga\/","title":{"rendered":"\u0160ilut\u0117s ligonin\u0117 kei\u010diasi ir nori b\u016bti reikalinga"},"content":{"rendered":"

\"ligonine<\/a>Darosi jau \u012fprasta, kad besibaigiantys metai atne\u0161a did\u017eiul\u012f galvos skausm\u0105 biud\u017eetini\u0173 \u012fstaig\u0173 vadovams – da\u017eniausiai visuomet pritr\u016bksta pinig\u0173.<\/strong>
Slegian\u010dios skolos ver\u010dia ie\u0161koti sprendim\u0173 ir V\u0161\u012e \u0160ilut\u0117s ligonin\u0117s administracij\u0105.<\/strong><\/p>\n

\u012estaig\u0105 slegiants neigiamas finansinis deficitas – apie 3 mln. lit\u0173, i\u0161 j\u0173 800 t\u016bkst. Lt – skola tiek\u0117jams. Jei gydymo paslaugos bazinis \u012fkainis b\u016bt\u0173 bent 1 litas, kaip 2008-aisiais, prie\u0161 ekonomin\u0119 kriz\u0119, gydymo \u012fstaiga i\u0161silaikyt\u0173 be skol\u0173, ta\u010diau jau kelerius metus reikia tenkintis vietoj lito gavus vos 93 centus. Ypa\u010d brangiai ligoninei kainuoja teikiama skubi medicinos pagalba – naktimis ir \u0161ven\u010di\u0173 dienomis.<\/strong><\/p>\n

Nors kriz\u0117 seniai pasibaigusi, ta\u010diau niekas nesistengia gr\u0105\u017einti bent jau buvus\u012f bazin\u012f \u012fkain\u012f.<\/strong><\/p>\n

Ligonin\u0117s vadovas Darius Steponkus nesiruo\u0161ia s\u0117d\u0117ti susid\u0117j\u0119s rank\u0173, nes, kaip pats pripa\u017e\u012fsta, jam svarb\u016bs ir darbuotojai, ir pacientai. Paklaustas apie ligonin\u0117s ateit\u012f vyriausiasis gydytojas atviravo, kad jau nuo rugs\u0117jo m\u0117nesio \u012fjungta \u201etaupymo programa\u201c leis metus u\u017ebaigti pakankamai gerai, tai yra, visiems darbuotojams, kuri\u0173 yra 400, bus i\u0161mok\u0117ti atlyginimai.<\/strong><\/p>\n

Ta\u010diau tai, kas vyksta \u0161iuo metu, anot pa\u0161nekovo, jau dega raudona \u0161viesa ir ragina daryti kardinalius pakeitimus. Tod\u0117l planuojama ligonin\u0117s reorganizacija, kurios metu po kelis skyrius bus apjungta \u012f departamentus. Numatyta ir specialist\u0173 rotacija.<\/strong><\/p>\n

Ligonin\u0117 privalo keistis<\/strong><\/p>\n

\u201eTurime priimti sprendimus, kurie u\u017etikrint\u0173 ligoni\u0173 sraut\u0105, ir kad b\u016bt\u0173 optimaliai teikiamos gydymo paslaugos\u201c, – sak\u0117 D.Steponkus, paklaustas apie galim\u0105 ligonin\u0117s reorganizavim\u0105.<\/p>\n

Anot vyriausiojo gydytojo, ligonin\u0117s darbuotojai ne kart\u0105 buvo kvie\u010diami \u012f susirinkimus, kuriuose aptarta \u012fstaigos finansin\u0117 b\u016bkl\u0117 ir i\u0161kelti klausimai, k\u0105 daryti toliau, tartasi ir su \u0160ilut\u0117s ligonin\u0117s steb\u0117toj\u0173 taryba.
\u201eTo gelb\u0117tojo, kuris ateit\u0173 su pinig\u0173 mai\u0161u, n\u0117ra ir nebus, o Kal\u0117d\u0173 Senelis mums po eglute taip pat nieko nepad\u0117s. Vadinasi, turime patys ie\u0161koti vidini\u0173 resurs\u0173\u201c, – sak\u0117 D.Steponkus.<\/p>\n

Sk\u0119stan\u010di\u0173j\u0173 gelb\u0117jimas – j\u0173 pa\u010di\u0173 reikalas?<\/strong><\/p>\n

\u201eI\u0161 tikr\u0173j\u0173, kalb\u0117ti apie sunki\u0105 pad\u0117t\u012f, nepakankam\u0105 finansavim\u0105 mes, medikai, jau pavargome. Nuo to juk ma\u017eai kas kei\u010diasi, o bandydami pakovoti da\u017eniausiai patys ir nuken\u010diame. Esame i\u0161ugdyti kaip kareiviai, tod\u0117l apie kokius nors streikus net negalvojame. Juk puikiai \u017einome, kad ligonin\u0117 reikalinga rajono \u017emon\u0117ms, o paslaugas turime teikti tokias, kokios labiausiai reikalingos\u201c, – sak\u0117 D.Steponkus.<\/p>\n

D\u0117l finansinio nepritekliaus, augan\u010di\u0173 skol\u0173, ligonin\u0117je atsiranda \u012ftampa, nerimas i\u0161 medik\u0173 savaime persiduoda ir pacientams.<\/p>\n

\u201eTa\u010diau u\u017etikrinu, kad d\u0117l to, jog dabar finansi\u0161kai sunkus metas, pacientams paslaug\u0173 kokyb\u0117 nenuken\u010dia – kaip dirbome, taip ir dirbame, – teig\u0117 vyr. gydytojas. – Medikai atlyginimus gauna, tiesa, buvome priversti ma\u017einti tam tikras darbo funkcijas, tod\u0117l kai kuriems darbuotojams pajamos suma\u017e\u0117jo.\u201c<\/p>\n

Pastaruosius du m\u0117nesius kai kuriems ligonin\u0117s darbuotojams v\u0117lavo darbo u\u017emokestis, ta\u010diau, vyr. gydytojo teigimu, gruod\u017eio m\u0117nes\u012f atlyginimai bus i\u0161mok\u0117ti laiku, nes buvo priimti nors skausmingi, bet efektyv\u016bs sprendimai.<\/p>\n

Vietoj skyri\u0173 atsiras departamentai<\/strong><\/p>\n

Anot \u0160ilut\u0117s ligonin\u0117s vadovo, pastar\u0105j\u012f de\u0161imtmet\u012f medicina itin spar\u010diai kei\u010diasi: kinta pacient\u0173 am\u017eius, j\u0173 poreikiai, gydymo paslaugos, metodika bei visa sistema.<\/p>\n

\u0160iuo metu did\u017ei\u0105j\u0105 dal\u012f ligoni\u0173 sudaro vyresnio am\u017eiaus \u017emon\u0117s, kurie serga keliomis ligomis. Tad sunk\u0117ja ir pats gydymas, jis kitoks nei buvo prie\u0161 10 met\u0173 terapinio profilio skyriuose. D\u0117l to privalo keistis ir pa\u010dios ligonin\u0117s strukt\u016bra. D.Steponkaus teigimu, svarbu persiorientuoti \u012f vyresnio am\u017eiaus \u017emoni\u0173 gydym\u0105.<\/p>\n

Pavyzd\u017eiui, terapinio profilio skyriuose, kur ilgesn\u012f laik\u0105 gydomi vyresnio am\u017eiaus pacientai, da\u017eniausiai laisv\u0173 viet\u0173 n\u0117ra, o tuo pa\u010diu metu kitame skyriuje j\u0173 netr\u016bksta. Tod\u0117l b\u016bt\u0173 racionalu po kelis ligonin\u0117s skyrius apjungti \u012f departamentus.
Bandymai sujungti skyrius \u012f departamentus pasiteisino did\u017eiuosiuose miestuose, s\u0117kmingai veikia ir u\u017esienio \u0161alyse.<\/p>\n

Moderni ligonin\u0117, o ne kaimo ambulatorija<\/p>\n

Pasak D.Steponkaus, daugumoje sveikatos prie\u017ei\u016bros \u012fstaig\u0173 kol kas yra i\u0161likusi senoji – tarybini\u0173 laik\u0173 – sistema. At\u0117jo metas keistis. Nors, kaip pripa\u017eino medikas, \u0161\u012f \u017eingsn\u012f ne visas kolektyvas palankiai priima.
\u201eLigonin\u0117, nor\u0117dama i\u0161likti, turi keistis. \u017dmon\u0117s nori modernios ligonin\u0117s, o ne kaimo ambulatorijos\u201c, – sak\u0117 vyr. gydytojas. Net ateinan\u010di\u0173 met\u0173 \u0160ilut\u0117s ligonin\u0117s \u0161\u016bkis, kuris bus u\u017era\u0161ytas kalendoriuje, skelbia: \u201eMes kei\u010diam\u0117s ir norime b\u016bti Jums reikalingi\u201c.<\/p>\n

Anot D.Steponkaus, \u0160ilut\u0117s ligonin\u0117s chirurginio profilio skyriuose da\u017enai b\u016bna laisv\u0173 lov\u0173. D\u0117l \u0161ios prie\u017easties galima pl\u0117sti terapinio profilio gydym\u0105 i\u0161naudojant kituose skyriuose esamas laisvas vietas.
\u201eGalima sujungti skyrius ir \u012fkurti Chirurgijos departament\u0105. Jame gul\u0117t\u0173 visi ligoniai, kuriems reikia chirurgin\u0117s pagalbos: ginekologin\u0117s, endoskopin\u0117s, ortopedin\u0117s, traumatologin\u0117s ir pana\u0161iai. Terapijos departamente b\u016bt\u0173 guldomi ligoniai d\u0117l \u012fvairi\u0173 vidaus organ\u0173 lig\u0173. Sujungus pana\u0161aus profilio skyrius \u012f departamentus, geriau b\u016bt\u0173 i\u0161naudojamas medicinos personalas, padalini\u0173 ir departament\u0173 vadovai gal\u0117t\u0173 lengviau panaudoti esamas lovas pacientams gydyti\u201c, – sak\u0117 D.Steponkus.<\/p>\n

Konkurencija ir poky\u010diai b\u016btini<\/strong><\/p>\n

Numatyta ir specialist\u0173 rotacija. \u201eKai \u017emogus u\u017esis\u0117di vienoje vietoje ir joje i\u0161b\u016bna per 20 met\u0173, n\u0117ra gerai. Rotacija yra sveikas dalykas pa\u010diam darbuotojui (gydytojas prisipa\u017eino, kad ir pats ligonin\u0117je dirba per 20 met\u0173, ta\u010diau konkurencijos nebijo). <\/p>\n

Manau, kad turi b\u016bti \u0161iuolaiki\u0161ka, sveika konkurencija. Geras gydytojas ar vadovas, nuolat keliantis savo kvalifikacij\u0105, besitobulinantis, tikrai nebijos \u0161ios pertvarkos.
Vilniaus, Kauno, Klaip\u0117dos gydymo \u012fstaigose jau keleri metai vadovas su specialistu sudaro penkeri\u0173 met\u0173 sutart\u012f. Pasibaigus darbo terminui i\u0161 naujo per\u017ei\u016brimi darbuotojo pasiekti rezultatai, \u012fvertinama, kiek jis tobul\u0117jo. Vadinasi, po penkeri\u0173 met\u0173 kontrakto \u012f t\u0105 viet\u0105 gali pretenduoti nauji, jauni, perspektyv\u016bs darbuotojai. Jud\u0117jimas yra b\u016btinas\u201c, – pripa\u017eino V\u0161\u012e \u0160ilut\u0117s ligonin\u0117s vadovas.<\/p>\n

Tai nerei\u0161kia, kad darb\u0105 praras geri specialistai. Pasak D.Steponkaus, \u0161iuo metu \u0160ilut\u0117s ligonin\u0117s skyriams vadovaujantys ved\u0117jai yra tikrai \u0161aun\u016bs \u017emon\u0117s, puik\u016bs specialistai, kurie prisi\u0117m\u0117 did\u017eiul\u0119 atsakomyb\u0119 u\u017e visus ir j\u0173 darbo kr\u016bviai yra labai dideli.
Apskritai, \u012fstaigoje dirba daug profesionali\u0173 \u012fvairaus lygio medik\u0173 – nuo slaugytoj\u0173 iki gydytoj\u0173.<\/p>\n","protected":false},"excerpt":{"rendered":"

Darosi jau \u012fprasta, kad besibaigiantys metai atne\u0161a did\u017eiul\u012f galvos skausm\u0105 biud\u017eetini\u0173 \u012fstaig\u0173 vadovams – da\u017eniausiai visuomet pritr\u016bksta pinig\u0173.Slegian\u010dios skolos ver\u010dia ie\u0161koti sprendim\u0173 ir V\u0161\u012e \u0160ilut\u0117s ligonin\u0117s administracij\u0105. \u012estaig\u0105 slegiants neigiamas finansinis deficitas – apie 3 mln. lit\u0173, i\u0161 j\u0173 800 t\u016bkst. Lt – skola tiek\u0117jams. Jei gydymo paslaugos bazinis \u012fkainis b\u016bt\u0173 bent 1 litas, kaip […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[53],"tags":[],"class_list":["post-4882","post","type-post","status-publish","format-standard","category-sveikatos-saltinis"],"yoast_head":"\n\u0160ilut\u0117s ligonin\u0117 kei\u010diasi ir nori b\u016bti reikalinga - \u0160ilut\u0117s naujienos<\/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:\/\/www.silutesnaujienos.lt\/lt\/silutes-ligonine-keiciasi-ir-nori-buti-reikalinga\/\" \/>\n<meta property=\"og:locale\" content=\"lt_LT\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0160ilut\u0117s ligonin\u0117 kei\u010diasi ir nori b\u016bti reikalinga - \u0160ilut\u0117s naujienos\" \/>\n<meta property=\"og:description\" content=\"Darosi jau \u012fprasta, kad besibaigiantys metai atne\u0161a did\u017eiul\u012f galvos skausm\u0105 biud\u017eetini\u0173 \u012fstaig\u0173 vadovams – da\u017eniausiai visuomet pritr\u016bksta pinig\u0173.Slegian\u010dios skolos ver\u010dia ie\u0161koti sprendim\u0173 ir V\u0161\u012e \u0160ilut\u0117s ligonin\u0117s administracij\u0105. \u012estaig\u0105 slegiants neigiamas finansinis deficitas – apie 3 mln. lit\u0173, i\u0161 j\u0173 800 t\u016bkst. Lt – skola tiek\u0117jams. 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