{"id":12943,"date":"2026-09-22T09:06:55","date_gmt":"2026-09-22T06:06:55","guid":{"rendered":"https:\/\/grindeks.com\/?p=12943"},"modified":"2026-09-22T09:13:13","modified_gmt":"2026-09-22T06:13:13","slug":"vairak-naudas-zalem-neatrisinas-visas-problemas-zalu-pieejamiba","status":"publish","type":"post","link":"https:\/\/grindeks.com\/lv\/vairak-naudas-zalem-neatrisinas-visas-problemas-zalu-pieejamiba\/","title":{"rendered":"Vair\u0101k naudas z\u0101l\u0113m neatrisin\u0101s visas probl\u0113mas z\u0101\u013cu pieejam\u012bb\u0101"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u201cGrindeks\u201d valdes priek\u0161s\u0113d\u0113t\u0101ja padomnieka nozares politikas jaut\u0101jumos un \u0101rsta Egila Ein\u0101ra Jur\u0161evica viedoklis.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>2026. gad\u0101 z\u0101\u013cu un medic\u012bnisko ier\u012b\u010du kompens\u0101cijai paredz\u0113ti aptuveni 334 milj. eiro, kam\u0113r prognoz\u0113tais bud\u017eeta defic\u012bts sasniedz aptuveni 30 milj. eiro. Lai vismaz da\u013c\u0113ji atrisin\u0101tu probl\u0113mas z\u0101\u013cu pieejam\u012bb\u0101, nepiecie\u0161ami 600\u2013700 milj. eiro gad\u0101. Politiskie sol\u012bjumi sevi neattaisno, t\u0101p\u0113c papildu finans\u0113jums par vair\u0101kiem simtiem miljonu eiro tuv\u0101kaj\u0101 laik\u0101 b\u016btu maz ticams. Re\u0101l\u0101ks scen\u0101rijs b\u016btu vispirms nosegt eso\u0161o defic\u012btu un turpm\u0101k kompens\u0113jamo z\u0101\u013cu bud\u017eetu veidot t\u0101, lai taj\u0101 piln\u0101 apm\u0113r\u0101 b\u016btu ietvertas jau eso\u0161\u0101s saist\u012bbas un pacientu vajadz\u012bbas.<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Situ\u0101cij\u0101, kad piepras\u012bjums p\u0113c finans\u0113juma p\u0101rsniedz pied\u0101v\u0101jumu, nepiecie\u0161ama ar\u012b vienota pieeja priorit\u0101\u0161u noteik\u0161anai. Pret\u0113j\u0101 gad\u012bjum\u0101 katra n\u0101kam\u0101 finans\u0113juma pie\u0161price no jauna liek pamatot, k\u0101p\u0113c l\u012bdzek\u013ci tiek novirz\u012bti vienas diagnozes pacientu \u0101rst\u0113\u0161anai, bet citas ne.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>J\u0101nosaka priorit\u0101tes starp da\u017e\u0101d\u0101m pacientu grup\u0101m<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Vesel\u012bbas ministrijas politikas pl\u0101no\u0161anas dokumentos priorit\u0101r\u0101s terapeitisk\u0101s jomas tiek noteiktas, \u0146emot v\u0113r\u0101 pacientu skaitu, pieejam\u0101s \u0101rst\u0113\u0161anas iesp\u0113jas un ietekmi uz sabiedr\u012bbas vesel\u012bbu. Slim\u012bbas izplat\u012bba popul\u0101cij\u0101 pati par sevi nepar\u0101da, cik b\u016btiska pacientam ir \u0101rst\u0113\u0161ana. Utilit\u0101risma princips nevar b\u016bt vien\u012bgais atskaites punkts \u2013 reta slim\u012bba var skart nelielu pacientu grupu, bet bez atbilsto\u0161as terapijas rad\u012bt smagas vai neatgriezeniskas sekas vesel\u012bbai.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Politiskaj\u0101 dienask\u0101rt\u012bb\u0101 liel\u0101ku uzman\u012bbu nereti ieg\u016bst jomas ar akt\u012bv\u0101ku pacientu un organiz\u0101ciju p\u0101rst\u0101vniec\u012bbu. \u0160\u0101da intere\u0161u aizst\u0101v\u012bba ir le\u0123it\u012bma, ta\u010du tai nevajadz\u0113tu k\u013c\u016bt par iz\u0161\u0137iro\u0161u faktoru, kas nosaka \u0101rst\u0113\u0161anas pieejam\u012bbu. Onkolo\u0123ija, sirds un asinsvadu slim\u012bbas un psihisk\u0101 vesel\u012bba pamatoti ir starp b\u016btisk\u0101m sabiedr\u012bbas vesel\u012bbas priorit\u0101t\u0113m, kas vienlaikus neizsl\u0113dz nepiecie\u0161am\u012bbu p\u0113c papildu finans\u0113juma ar\u012b cit\u0101m pacientu grup\u0101m. Saska\u0146\u0101 ar Vesel\u012bbas ministrijas datiem, 2025. gad\u0101 reto slim\u012bbu medikamentozai \u0101rst\u0113\u0161anai tika novirz\u012bti vair\u0101k nek\u0101 17 milj. eiro jeb aptuveni 5,5 % no kop\u0113j\u0101 kompens\u0113jamo medikamentu finans\u0113juma<sup>1<\/sup>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Nepiecie\u0161ama vienota sist\u0113ma vis\u0101m terapeitiskaj\u0101m jom\u0101m<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Nacion\u0101lais vesel\u012bbas dienests, lemjot par jaunu z\u0101\u013cu kompens\u0101ciju, jau v\u0113rt\u0113 virkni faktoru \u2013 terapijas kl\u012bnisko efektivit\u0101ti, vietu \u0101rst\u0113\u0161an\u0101, atbilst\u012bbu vadl\u012bnij\u0101m, izmaksu efektivit\u0101ti un ietekmi uz bud\u017eetu. Onkolo\u0123ij\u0101 papildus tiek izmantots ar\u012b prioritiz\u0101cijas r\u012bks, kas \u013cauj da\u017e\u0101das terapijas savstarp\u0113ji sal\u012bdzin\u0101t p\u0113c noteikta krit\u0113riju kopuma. \u0160\u0101dai pieejai b\u016btu j\u0101aptver ar\u012b citas terapeitisk\u0101s jomas, bet v\u0113rt\u0113juma rezult\u0101ti b\u016btu cie\u0161\u0101k sasaist\u0101mi ar bud\u017eeta l\u0113mumiem.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">V\u0113rt\u0113jum\u0101 j\u0101sp\u0113j l\u012bdzsvarot slim\u012bbas smagums un progresijas risks, sekas, ja \u0101rst\u0113\u0161ana nenotiek, sagaid\u0101mais kl\u012bniskais ieguvums, \u0101rst\u0113\u0161anas izmaksas un citi medic\u012bniskie un soci\u0101lekonomiskie apsv\u0113rumi.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Sabiedr\u012bbai novecojot, arvien b\u016btisk\u0101ka k\u013c\u016bst \u0101rst\u0113\u0161anas ietekme uz cilv\u0113ka darbsp\u0113j\u0101m, nepiecie\u0161am\u012bbu p\u0113c apr\u016bpes un iesp\u0113ju saglab\u0101t vai atjaunot dz\u012bves kvalit\u0101ti. Vienlaikus nedr\u012bkst veidoties situ\u0101cija, kur\u0101 b\u0113rni, seniori, cilv\u0113ki ar invalidit\u0101ti vai citas pacientu grupas non\u0101k \u0101rpus rindas tikai t\u0101d\u0113\u013c, ka vi\u0146u \u0101rst\u0113\u0161anas ekonomiskais ieguvums nav tie\u0161i izm\u0113r\u0101ms naud\u0101.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Izmai\u0146as j\u0101stiprina normat\u012bvaj\u0101 regul\u0113jum\u0101<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pa\u0161laik ambulatorajai \u0101rst\u0113\u0161anai paredz\u0113to z\u0101\u013cu un medic\u012bnisko ier\u012b\u010du kompens\u0101cijas k\u0101rt\u012bbu nosaka Ministru kabineta noteikumi Nr. 899<sup>1<\/sup>. N\u0101kamais solis b\u016btu tajos nostiprin\u0101t vienotus principus gan terapeitisko jomu, gan jaunu kompens\u0101cijas vajadz\u012bbu prioritiz\u0113\u0161anai. Vienlaikus j\u0101b\u016bt skaidram, k\u0101 \u0161ie krit\u0113riji tiek piem\u0113roti praks\u0113 un k\u0101 v\u0113rt\u0113juma rezult\u0101ts p\u0101rtop konkr\u0113t\u0101 finans\u0113\u0161anas r\u012bc\u012bb\u0101.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Tas nenoz\u012bm\u0113, ka b\u016btu j\u0101veido nemain\u012bga diagno\u017eu priorit\u0101\u0161u sec\u012bba. Medic\u012bnas iesp\u0113jas, pacientu vajadz\u012bbas un kl\u012bniskie pier\u0101d\u012bjumi main\u0101s, t\u0101d\u0113\u013c sist\u0113mai j\u0101b\u016bt gana elast\u012bgai, bet vienlaikus juridiski nostiprin\u0101tai.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Kompens\u0113jamo z\u0101\u013cu finans\u0113\u0161an\u0101 neviena formula l\u012bdz galam neatrisin\u0101s \u0113tisko dilemmu, ta\u010du vienota pieeja \u013cautu mazin\u0101t politisk\u0101 impulsa un atsevi\u0161\u0137u intere\u0161u grupu ietekmi, vienlaikus nodro\u0161inot skaidr\u0101kus krit\u0113rijus priorit\u0101ro terapeitisko jomu noteik\u0161anai.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ide\u0101l\u0101 scen\u0101rij\u0101 visas recep\u0161u z\u0101les b\u016btu 100 % kompens\u0113tas, tom\u0113r praks\u0113 neviena valsts \u2013 ar\u012b t\u0101da, kuras vesel\u012bbas apr\u016bpei pieejami sal\u012bdzino\u0161i lieli resursi \u2013 nevar finans\u0113t visas nepiecie\u0161am\u0101s terapijas vis\u0101m pacientu grup\u0101m. T\u0101d\u0113\u013c Latvijai nepiecie\u0161ams ne tikai liel\u0101ks un paredzam\u0101ks finans\u0113jums, bet ar\u012b vienota sist\u0113ma, kas \u013cauj skaidri pamatot, k\u0101p\u0113c viena \u0101rst\u0113\u0161anas vajadz\u012bba konkr\u0113t\u0101 br\u012bd\u012b tiek izvirz\u012bta augst\u0101k par citu.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Avoti:<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><sup>1<\/sup> Vesel\u012bbas ministrijas dati par 2025. gadu<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><sup>2<\/sup> Ministru kabineta 2006. gada 31. oktobra noteikumi Nr. 899 \u201cAmbulatorajai \u0101rst\u0113\u0161anai paredz\u0113to z\u0101\u013cu un medic\u012bnisko ier\u012b\u010du ieg\u0101des izdevumu kompens\u0101cijas k\u0101rt\u012bba\u201d.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u201cGrindeks\u201d valdes priek\u0161s\u0113d\u0113t\u0101ja padomnieka nozares politikas jaut\u0101jumos un \u0101rsta Egila Ein\u0101ra Jur\u0161evica viedoklis. 2026. gad\u0101 z\u0101\u013cu un medic\u012bnisko ier\u012b\u010du kompens\u0101cijai paredz\u0113ti aptuveni 334 milj. eiro,&#8230;<\/p>\n","protected":false},"author":21,"featured_media":12953,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-12943","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-jaunums"],"acf":[],"_links":{"self":[{"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/posts\/12943","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/users\/21"}],"replies":[{"embeddable":true,"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/comments?post=12943"}],"version-history":[{"count":3,"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/posts\/12943\/revisions"}],"predecessor-version":[{"id":12950,"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/posts\/12943\/revisions\/12950"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/media\/12953"}],"wp:attachment":[{"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/media?parent=12943"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/categories?post=12943"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/grindeks.com\/lv\/wp-json\/wp\/v2\/tags?post=12943"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}