«Не хватает препаратов»

Фото rugrad.eu

{"ID":"1202209","~ID":"1202209","TAGS":"онкология, лекарства, препараты, лечение, закупки, фонд ОМС, химиотерапия, расходы, пациенты","~TAGS":"онкология, лекарства, препараты, лечение, закупки, фонд ОМС, химиотерапия, расходы, пациенты","NAME":"«Не хватает препаратов»","~NAME":"«Не хватает препаратов»","IBLOCK_ID":"54","~IBLOCK_ID":"54","IBLOCK_SECTION_ID":"1355","~IBLOCK_SECTION_ID":"1355","DETAIL_TEXT":"\u003Cp\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Онкологические пациенты Калининградской области в недостаточной степени обеспечены препаратами для химиотерапии. Региональные власти должны провести анализ сложившейся ситуации и «принять необходимые меры». Аналогичные поручения адресованы руководству Смоленской, Вологодской, Самарской, Псковской областей и Санкт-Петербурга. Поручение отражено в протоколе совещания, которое состоялось в конце октября у заместителя председателя правительства России Татьяны Голиковой. На минувшей неделе документ широко обсуждался в социальных сетях, его подлинность подтверждают источники RUGRAD.EU в надзорных органах региона.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Ответственные областные чиновники знают о том, что регион «прозвучал» на совещании у Голиковой в связи с лечением онкологических пациентов. При этом в правительство региона пока не поступил протокол совещания. Неизвестны и данные, на основании которых Калининградская область могла войти в число субъектов с низкой обеспеченностью граждан химиотерапевтическими препаратами.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Cimg width=\u0022100%\u0022 src=\u0022\/upload\/medialibrary\/a8e\/a8eaaf59981f35a6d65ae17034593194.jpg\u0022 align=\u0022bottom\u0022\u003E\u003Cbr\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Cbr\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Одной из возможных версий является несоответствие данных, включенных в региональную программу государственных гарантий оказания гражданам бесплатной медицинской помощи, внутренним стандартам оценки в Минздраве РФ. Проще говоря, объем средств, запланированный областным правительством\u0026nbsp;на лечение каждого онкологического пациента, «не дотягивает» до ожидаемых на федеральном уровне. При составлении программы государственных гарантий оказания бесплатной медицинской помощи на 2020 год правительство области оценило один случай лечения по профилю «онкология» в 100,8 тыс. руб., это на 23,5 тыс. руб., или на четверть больше, чем в предыдущем году.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Фактически из-за коронавируса\u0026nbsp;большая часть пациентов с новообразованиями в 2020 году\u0026nbsp;вынуждена посещать дневные стационары. Об этом не так давно в областной Думе говорила директор территориального фонда ОМС Татьяна Дёмина. Эта структура несет основную долю расходов на лечение конкретных пациентов.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t «Основной объем дорогостоящей помощи [в пределах региона] — это химиотерапия — сосредоточен в дневном стационаре. За первое полугодие мы израсходовали 330 млн руб., это 62 % от плановых показателей. 89 % помощи — это противоопухолевое лечение, его получили своевременно, невзирая на эпидемический процесс, более 3 тыс. человек», — \u003Ca href=\u0022https:\/\/www.youtube.com\/watch?v=gIOqjSW3cAw\u0026ab_channel=DumaKaliningrad\u0026fbclid=IwAR3XE1r_Swt78Y2pz43VhbwLqhOkFUsJ84DlV36_qXbV2oNwPEWj8LczVcs\u0022\u003Eкомментировала\u003C\/a\u003E Дёмина на заседании комитета по бюджету Облдумы 21 октября.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t «Программная» стоимость лечения онкологических заболеваний в Калининградской области год от года увеличивается. Почему же вопрос о необеспеченности пациентов препаратами остаётся \u003Ca target=\u0022_blank\u0022 href=\u0022https:\/\/www.instagram.com\/p\/CHIZdROJhuk\/\u0022\u003Eактуальным\u003C\/a\u003E? Во врачебном сообществе бытует версия о закупке «неправильных» средств для химиотерапии. «От нас уходят как высокотехнологичные препараты, так и простые, копеечные. Условно говоря, покупают дорогостоящее, но не то. Это и остается на складах, а самое ходовое — счастливые \u0022остатки\u0022. Областная еще более или менее держится, у других всё намного хуже. Хотя при сегодняшнем объеме по ОМС по согласительной комиссии можно позволить купить всё\u0026nbsp;что нужно. Поэтому я думаю, что просто существует список, что покупать, и он формируется наверху», — прокомментировал ситуацию на условиях конфиденциальности один из врачей-клиницистов.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В пользу этой версии говорит и «отчетная» гипотеза самих чиновников: чем больше тратится средств на химиопрепараты, тем дороже, а значит, лучше с точки зрения статистики будет выглядеть случай лечения. По крайней мере до той поры, пока глава государства \u003Ca href=\u0022http:\/\/kremlin.ru\/events\/president\/news\/63877\u0022\u003Eдекларирует\u003C\/a\u003E подход не сокращать расходы на обеспечение онкобольных и экономия на лечении не приветствуется.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Cimg width=\u0022100%\u0022 src=\u0022\/upload\/medialibrary\/29c\/29ca1c093a387b1770bf97f1d37e3de9.jpg\u0022 align=\u0022bottom\u0022\u003E\u003Cbr\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Cbr\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Еще одна возможная причина упоминания Калининграда на совещании у Татьяны Голиковой — это «отголосок» \u003Ca href=\u0022https:\/\/www.rbc.ru\/spb_sz\/02\/11\/2020\/5fa011319a7947798dbd76d9\u0022\u003Eобщероссийской проблемы\u003C\/a\u003E с закупками лекарственных средств для онкобольных. В течение этого года общественные организации неоднократно выступали в СМИ с просьбой обратить внимание на то, что за два года с российского рынка исчезли порядка 30 наименований лекарственных средств, которые нужны пациентам с онкологией.\u0026nbsp;\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В минувший понедельник Росздравнадзор по всей стране решил проверить наличие в больницах «лекарственных остатков» по препаратам, которые \u003Ca href=\u0022https:\/\/lenta.ru\/news\/2020\/10\/01\/onkologi\/\u0022\u003Eупоминались\u003C\/a\u003E в обращении общественников и онкологов. До полудня 3 ноября по московскому времени больницы должны уведомить надзорное ведомство о запасах карбоплатина,\u0026nbsp;блеомицина, винбластина, меркаптопурина и еще порядка 20 препаратов.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Тем временем, согласно отчету Татьяны Дёминой из фонда ОМС, освоение средств «на онкологию» в регионе идёт опережающими темпами. По состоянию на конец сентября было израсходовано 95 % от суммы годовых назначений, то есть почти 1,5 млрд руб.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t \u0026nbsp; \u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Ci\u003EТекст: Мария Пустовая \u003C\/i\u003E\u003Cbr\u003E\r\n \u003Ci\u003EФото: Юлия Власова\u003C\/i\u003E\r\n\u003C\/p\u003E","~DETAIL_TEXT":"\u003Cp\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Онкологические пациенты Калининградской области в недостаточной степени обеспечены препаратами для химиотерапии. Региональные власти должны провести анализ сложившейся ситуации и «принять необходимые меры». Аналогичные поручения адресованы руководству Смоленской, Вологодской, Самарской, Псковской областей и Санкт-Петербурга. Поручение отражено в протоколе совещания, которое состоялось в конце октября у заместителя председателя правительства России Татьяны Голиковой. На минувшей неделе документ широко обсуждался в социальных сетях, его подлинность подтверждают источники RUGRAD.EU в надзорных органах региона.\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Ответственные областные чиновники знают о том, что регион «прозвучал» на совещании у Голиковой в связи с лечением онкологических пациентов. При этом в правительство региона пока не поступил протокол совещания. Неизвестны и данные, на основании которых Калининградская область могла войти в число субъектов с низкой обеспеченностью граждан химиотерапевтическими препаратами.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Cimg width=\u0022100%\u0022 src=\u0022\/upload\/medialibrary\/a8e\/a8eaaf59981f35a6d65ae17034593194.jpg\u0022 align=\u0022bottom\u0022\u003E\u003Cbr\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Cbr\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Одной из возможных версий является несоответствие данных, включенных в региональную программу государственных гарантий оказания гражданам бесплатной медицинской помощи, внутренним стандартам оценки в Минздраве РФ. Проще говоря, объем средств, запланированный областным правительством\u0026nbsp;на лечение каждого онкологического пациента, «не дотягивает» до ожидаемых на федеральном уровне. При составлении программы государственных гарантий оказания бесплатной медицинской помощи на 2020 год правительство области оценило один случай лечения по профилю «онкология» в 100,8 тыс. руб., это на 23,5 тыс. руб., или на четверть больше, чем в предыдущем году.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Фактически из-за коронавируса\u0026nbsp;большая часть пациентов с новообразованиями в 2020 году\u0026nbsp;вынуждена посещать дневные стационары. Об этом не так давно в областной Думе говорила директор территориального фонда ОМС Татьяна Дёмина. Эта структура несет основную долю расходов на лечение конкретных пациентов.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t «Основной объем дорогостоящей помощи [в пределах региона] — это химиотерапия — сосредоточен в дневном стационаре. За первое полугодие мы израсходовали 330 млн руб., это 62 % от плановых показателей. 89 % помощи — это противоопухолевое лечение, его получили своевременно, невзирая на эпидемический процесс, более 3 тыс. человек», — \u003Ca href=\u0022https:\/\/www.youtube.com\/watch?v=gIOqjSW3cAw\u0026ab_channel=DumaKaliningrad\u0026fbclid=IwAR3XE1r_Swt78Y2pz43VhbwLqhOkFUsJ84DlV36_qXbV2oNwPEWj8LczVcs\u0022\u003Eкомментировала\u003C\/a\u003E Дёмина на заседании комитета по бюджету Облдумы 21 октября.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t «Программная» стоимость лечения онкологических заболеваний в Калининградской области год от года увеличивается. Почему же вопрос о необеспеченности пациентов препаратами остаётся \u003Ca target=\u0022_blank\u0022 href=\u0022https:\/\/www.instagram.com\/p\/CHIZdROJhuk\/\u0022\u003Eактуальным\u003C\/a\u003E? Во врачебном сообществе бытует версия о закупке «неправильных» средств для химиотерапии. «От нас уходят как высокотехнологичные препараты, так и простые, копеечные. Условно говоря, покупают дорогостоящее, но не то. Это и остается на складах, а самое ходовое — счастливые \u0022остатки\u0022. Областная еще более или менее держится, у других всё намного хуже. Хотя при сегодняшнем объеме по ОМС по согласительной комиссии можно позволить купить всё\u0026nbsp;что нужно. Поэтому я думаю, что просто существует список, что покупать, и он формируется наверху», — прокомментировал ситуацию на условиях конфиденциальности один из врачей-клиницистов.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В пользу этой версии говорит и «отчетная» гипотеза самих чиновников: чем больше тратится средств на химиопрепараты, тем дороже, а значит, лучше с точки зрения статистики будет выглядеть случай лечения. По крайней мере до той поры, пока глава государства \u003Ca href=\u0022http:\/\/kremlin.ru\/events\/president\/news\/63877\u0022\u003Eдекларирует\u003C\/a\u003E подход не сокращать расходы на обеспечение онкобольных и экономия на лечении не приветствуется.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Cimg width=\u0022100%\u0022 src=\u0022\/upload\/medialibrary\/29c\/29ca1c093a387b1770bf97f1d37e3de9.jpg\u0022 align=\u0022bottom\u0022\u003E\u003Cbr\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Cbr\u003E\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Еще одна возможная причина упоминания Калининграда на совещании у Татьяны Голиковой — это «отголосок» \u003Ca href=\u0022https:\/\/www.rbc.ru\/spb_sz\/02\/11\/2020\/5fa011319a7947798dbd76d9\u0022\u003Eобщероссийской проблемы\u003C\/a\u003E с закупками лекарственных средств для онкобольных. В течение этого года общественные организации неоднократно выступали в СМИ с просьбой обратить внимание на то, что за два года с российского рынка исчезли порядка 30 наименований лекарственных средств, которые нужны пациентам с онкологией.\u0026nbsp;\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t В минувший понедельник Росздравнадзор по всей стране решил проверить наличие в больницах «лекарственных остатков» по препаратам, которые \u003Ca href=\u0022https:\/\/lenta.ru\/news\/2020\/10\/01\/onkologi\/\u0022\u003Eупоминались\u003C\/a\u003E в обращении общественников и онкологов. До полудня 3 ноября по московскому времени больницы должны уведомить надзорное ведомство о запасах карбоплатина,\u0026nbsp;блеомицина, винбластина, меркаптопурина и еще порядка 20 препаратов.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t Тем временем, согласно отчету Татьяны Дёминой из фонда ОМС, освоение средств «на онкологию» в регионе идёт опережающими темпами. По состоянию на конец сентября было израсходовано 95 % от суммы годовых назначений, то есть почти 1,5 млрд руб.\u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n\t \u0026nbsp; \u0026nbsp;\r\n\u003C\/p\u003E\r\n\u003Cp\u003E\r\n \u003Ci\u003EТекст: Мария Пустовая \u003C\/i\u003E\u003Cbr\u003E\r\n \u003Ci\u003EФото: Юлия Власова\u003C\/i\u003E\r\n\u003C\/p\u003E","DETAIL_TEXT_TYPE":"html","~DETAIL_TEXT_TYPE":"html","PREVIEW_TEXT":"Федеральный центр озаботился недостатком препаратов для химиотерапии онкобольных в регионе. Чиновники полагают, что проблема в нормативной стоимости случая лечения. Врачи не исключают закупку препаратов, не отвечающих потребностям больных. ","~PREVIEW_TEXT":"Федеральный центр озаботился недостатком препаратов для химиотерапии онкобольных в регионе. Чиновники полагают, что проблема в нормативной стоимости случая лечения. Врачи не исключают закупку препаратов, не отвечающих потребностям больных. 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