Matches in Saeima for { ?s ?p ?o. }
- 2016_03_17_354-seq31 number "31".
- 2016_03_17_354-seq31 date "2016-03-17".
- 2016_03_17_354-seq31 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq31 spokenAs 62.
- 2016_03_17_354-seq31 spokenText "Jā. Mans nākamais jautājums ir saistīts ar jūsu atbildi uz iepriekšējo jautājumu. Mēs arī skatījāmies, vērtējot jūsu atbildes, Nacionālā veselības dienesta mājaslapā visus tos datus, kurus viņi sniedz pārskatā par pagājušo gadu. Cik saprotams no jūsu atbildes, tad būtībā mums šobrīd pastāv dubulta kvotu sistēma: gan tiem, kas nosūta uz laboratoriju izmeklējumiem, gan laboratorijām. Kā šīs kvotas tiek savstarpēji saskaņotas un darītas zināmas pacientiem? Un kā ārsts vai pacients var zināt, kurai laboratorijai vēl ir brīvas kvotas un kurai – nav?".
- 2016_03_17_354-seq31 language "lv".
- 2016_03_17_354-seq31 speaker Gunars_Kutris.
- 2016_03_17_354-seq31 translatedText "Yes My next question is to do with your answer to the previous question We also looked at the merits of your replies, the National Health Service website records all of the data they havegive a clear statement of your answer last year, so basically we have a double quota system at the moment: both those who send lab scans and laboratorieshow are these quotas consistent with each other and known to patients, and how can a doctor or patient know which laboratory is still free of quota and that is not the case?".
- 2016_03_17_354-seq30 type Speech.
- 2016_03_17_354-seq30 number "30".
- 2016_03_17_354-seq30 date "2016-03-17".
- 2016_03_17_354-seq30 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq30 spokenAs 122.
- 2016_03_17_354-seq30 spokenText "Paldies. Vēl viens papildjautājums. Deputāts Gunārs Kūtris. Lūdzu!".
- 2016_03_17_354-seq30 language "lv".
- 2016_03_17_354-seq30 speaker Inese_Libina-Egnere-1977.
- 2016_03_17_354-seq30 translatedText "Thank you.".
- 2016_03_17_354-seq30 mentions Q16357338.
- 2016_03_17_354-seq29 type Speech.
- 2016_03_17_354-seq29 number "29".
- 2016_03_17_354-seq29 date "2016-03-17".
- 2016_03_17_354-seq29 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq29 spokenAs 57.
- 2016_03_17_354-seq29 spokenText "Tas ir korekti. Tātad šogad būs milzīgs ietaupījums, jo mēs esam noteikuši pilnīgi citu nosūtīšanas kārtību izmeklējumiem. Ir virkne izmeklējumu, uz kuriem var nozīmēt nevis ģimenes ārsts, bet speciālists, jo ģimenes ārsts pats nevar izvērtēt visus rādītājus. Ir noteikta kārtība, ka divas dažādas analīzes, kuru rādītāji liecina par vienu un to pašu, piemēram, par iekaisuma procesu, valsts vienlaikus neapmaksās. Un vēl ir kārtība, ka noteiktas analīzes jāveic noteiktā secībā, piemēram, vairogdziedzera hormonu analīzes. Tikai tad, ja pirmās bija pozitīvas, tikai tad nosaka pārējās divas. Tas ļauj ekonomēt naudu, šobrīd pēc laboratorijas datiem tas ļauj ietaupīt no 35 līdz 40 procentiem valsts finansējuma. Tie 29 procenti attiecas uz tām laboratorijām, kuras pieder valsts un pašvaldības slimnīcām. Pārējās laboratorijas ir privātas. Visas lielākās laboratorijas Latvijā ir privātas. Un par laboratorijām jāsaka, ka tās prot ekonomiskāk un izdevīgāk sniegt savus pakalpojumus. Līdzīgi kā visas aptiekas ir privātas un zobārsti ir privāti, tā arī laboratoriju sektors ārpus valsts un pašvaldību slimnīcām galvenokārt ir privāts, daļa slimnīcu ir atdevušas savus laboratorijas pakalpojumus privātajam sektoram. Piemēram, Rīgas Austrumu klīniskajai universitātes slimnīcai ir pašiem sava laboratorija, Latvijas Infektoloģijas centrā ir vēl cita laboratorija, stacionārā “Biķernieki” (bijušajā dzelzceļnieku slimnīcā) pakalpojumus sniedz Centrālā laboratorija, un vēl vienā slimnīcā – stacionārā “Linezers” – sniedz “E.Gulbja Laboratorija”. Un šobrīd slimnīcas izvērtē, kas ir izdevīgāk.".
- 2016_03_17_354-seq29 language "lv".
- 2016_03_17_354-seq29 speaker Guntis_Belevics.
- 2016_03_17_354-seq29 translatedText "It's correct So this year is going to be a huge saving because we have identified a whole range of other referral scans of a series of examinations to which a family doctor may appoint rather than the practitioner, because the family doctor himself cannot assess them allthe indicators are laid down in a regime of two different analyses, which suggest the same indicators, such as the process of inflammation, the public at the same time will not be paid by the state, that certain analyses should be carried out in a particular order, such as thyroid hormonesthe analysis of Just if the first was positive, only then determined the other two It allows the money to economise at the moment, after the lab's data allows it to save from 35 to 40 per cent of the public funds the Tie 29 per cent refers to themthe labs who own the state and local Pexternal laboratories are private hospitals all of the largest UK labs in a private lab have to say they know how more economical and more cost-effective to provide their services on an equal basis as all pharmacies are privateand dentists are private, it's also a lab sector outside the state and local hospitals are mostly private, part of a hospital that has given up its lab services to the private sector, the clinic's own hospital, and their own laboratory ,at the centre of the UK's infectological laboratory is another hospital, inpatient " Bickesman " (the former Railroad Hospital) provided by the Central Lab, and yet another hospital in the' Linezers' Â provides a " E Gulbja Laboratorija " And hospital is now assessing what is more beneficial".
- 2016_03_17_354-seq29 mentions Q211.
- 2016_03_17_354-seq29 mentions Q2660080.
- 2016_03_17_354-seq29 mentions Q8436.
- 2016_03_17_354-seq29 mentions Q20401498.
- 2016_03_17_354-seq29 mentions Q12360039.
- 2016_03_17_354-seq29 mentions Q16356097.
- 2016_03_17_354-seq29 mentions Q15219274.
- 2016_03_17_354-seq28 type Speech.
- 2016_03_17_354-seq28 number "28".
- 2016_03_17_354-seq28 date "2016-03-17".
- 2016_03_17_354-seq28 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq28 spokenAs 62.
- 2016_03_17_354-seq28 spokenText "Vai šogad tas pats?".
- 2016_03_17_354-seq28 language "lv".
- 2016_03_17_354-seq28 speaker Gunars_Kutris.
- 2016_03_17_354-seq28 translatedText "Does this year do it yourself?".
- 2016_03_17_354-seq27 type Speech.
- 2016_03_17_354-seq27 number "27".
- 2016_03_17_354-seq27 date "2016-03-17".
- 2016_03_17_354-seq27 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq27 spokenAs 57.
- 2016_03_17_354-seq27 spokenText "Jā. Tātad ir jāsaka tā, ka...".
- 2016_03_17_354-seq27 language "lv".
- 2016_03_17_354-seq27 speaker Guntis_Belevics.
- 2016_03_17_354-seq27 translatedText "Yes, yes, it must be said that".
- 2016_03_17_354-seq26 type Speech.
- 2016_03_17_354-seq26 number "26".
- 2016_03_17_354-seq26 date "2016-03-17".
- 2016_03_17_354-seq26 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq26 spokenAs 62.
- 2016_03_17_354-seq26 spokenText "Ministra kungs! Mans jautājums ir saistīts ar jūsu atbildes otro punktu, ar atbildi uz mūsu otro jautājumu, kurā bija lūgti dati par 2015. un 2016.gada budžetu – kas ir atvēlēts ārstniecībai un kas privātajām struktūrām. Tātad saistībā ar šo tabuliņu, kas ir iesniegta. Es saprotu, ka tabuliņa laikam ir par 2015.gadu. Mēs īsti nesapratām, vai 2016.gadā ir līdzīga summa vai citāda. Bet, kā varu saprast no šīs tabulas (jūs sakiet “jā” vai “nē”!), laboratoriskajiem izmeklējumiem no atvēlētās summas ārstniecībai valsts un pašvaldību iestādēs bija atvēlēti 29 procenti. Tas nozīmē, ka 81 procents aizgāja privātās struktūrās?".
- 2016_03_17_354-seq26 language "lv".
- 2016_03_17_354-seq26 speaker Gunars_Kutris.
- 2016_03_17_354-seq26 translatedText "My question, Mr Minister, relates to your answer to the second item, with the answer to our second question, which has been asked for the 2015 and 2016 budgets for an annual budget of â €which is for opportunistic treatment, andwhich private bodies of So in relation to this tabulid, which has been filed, I understand that the tabulate of time is for 2015, We didn't really understand whether 2016 is a similar amount or different Bet, asI can understand from this table (you tell me' yes' or' no'!), the laboratory scans from the amount allocated to the state and local authorities had been set at 29 per cent, It means that 81 per cent went to private bodies?".
- 2016_03_17_354-seq25 type Speech.
- 2016_03_17_354-seq25 number "25".
- 2016_03_17_354-seq25 date "2016-03-17".
- 2016_03_17_354-seq25 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq25 spokenAs 122.
- 2016_03_17_354-seq25 spokenText "Protams! Nākamais jautājums. Deputāts Gunārs Kūtris. Lūdzu!".
- 2016_03_17_354-seq25 language "lv".
- 2016_03_17_354-seq25 speaker Inese_Libina-Egnere-1977.
- 2016_03_17_354-seq25 translatedText "The next item is the next item on the committee's behalf.".
- 2016_03_17_354-seq25 mentions Q16357338.
- 2016_03_17_354-seq24 type Speech.
- 2016_03_17_354-seq24 number "24".
- 2016_03_17_354-seq24 date "2016-03-17".
- 2016_03_17_354-seq24 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq24 spokenAs 57.
- 2016_03_17_354-seq24 spokenText "Jūs mani pārtrauciet, lūdzu, ja es... Bet tas bija tik labs jautājums.".
- 2016_03_17_354-seq24 language "lv".
- 2016_03_17_354-seq24 speaker Guntis_Belevics.
- 2016_03_17_354-seq24 translatedText "You stop me, please, if I was But it was such a good question".
- 2016_03_17_354-seq23 type Speech.
- 2016_03_17_354-seq23 number "23".
- 2016_03_17_354-seq23 date "2016-03-17".
- 2016_03_17_354-seq23 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq23 spokenAs 122.
- 2016_03_17_354-seq23 spokenText "Paldies. Ministra kungs, man diemžēl jānorāda, ka jums laiks atbildei ir divas minūtes, un tas ir Saeimas kārtības rullī noteikts. Es to nevaru mainīt.".
- 2016_03_17_354-seq23 language "lv".
- 2016_03_17_354-seq23 speaker Inese_Libina-Egnere-1977.
- 2016_03_17_354-seq23 translatedText "Mr Ministra, I am sorry to point out that you have two minutes for an answer, and it is the order of the House that I cannot change it.".
- 2016_03_17_354-seq23 mentions Q822919.
- 2016_03_17_354-seq22 type Speech.
- 2016_03_17_354-seq22 number "22".
- 2016_03_17_354-seq22 date "2016-03-17".
- 2016_03_17_354-seq22 isPartOf 2016_03_17_354.
- 2016_03_17_354-seq22 spokenAs 57.
- 2016_03_17_354-seq22 spokenText "Paldies. Es jautājumu sapratu. Problēma nav tajā, ka privātie sniedz veselības aprūpes pakalpojumus saskaņā ar tādiem pašiem tarifiem kā valsts. Nav tā, ka priv��tie ir paņēmuši kādu pakalpojumu no valsts un ka valsts ir apgādāta ar aparatūru, bet pati vairs pakalpojumus nesniedz. Tā nav! Ir tā, ka privātie nodarbojas ar ienesīgākajiem pakalpojumiem, un no cilvēku, no pacientu, viedokļa ir vienalga, kur to pakalpojumu saņemt. Bet mūsu sistēmā nepietiekama finansējuma apstākļos ir vēl otrs aspekts jāņem vērā, proti, ka pacientiem ir tiesības (atbilstoši Pacientu tiesību likumam) izvēlēties ārstu un ārstniecības iestādi, kur viņš šo pakalpojumu saņem. Ja mēs runājam par onkoloģijas pacientiem – un šī ažiotāža ir tieši šajā sakarā –, tad šos pašus pakalpojumus citās veselības aprūpes iestādēs, arī privātajās, var saņemt ar ļoti mazu rindu vai bez rindas. Bet cilvēki grib iet tur, kur ir vislielākā kompetence. Un jāsaka, ka ar naudu vien to nevar atrisināt, jo Latvijas Onkoloģijas centrā uz visiem šiem pakalpojumiem – arī par naudu! – ir rinda. Tā ir tā problēma. Un tas, ka ārstniecības iestādes... Es esmu uzdevis tām jautājumu, ar kuru es nodarbojos: “Sakiet, lūdzu, kā tas var būt – jūs sakāt, ka jums ir trīsreiz lielāka kapacitāte, bet jūs arī par naudu nevarat pieņemt, jo jums ir rinda arī par naudu!” Un tad ir godīga atbilde: “Mēs rindu nemenedžējam. Rinda tiek kārtota secībā – kurš pirmais atnāca.” Ja pacients ar akūtu saslimšanu atnāk vēlāk nekā pacients, kurš var gaidīt, tad tam, kurš var gaidīt, ir priekšroka. Tāpēc mēs nodarbosimies ar rindu menedžēšanu. Ļoti daudz ko var sakārtot, mainot nosūtīšanas kārtību uz šiem izmeklējumiem. Es atgādināšu, ka visgarākā rinda bija pirms trim gadiem... pirms nepilniem četriem gadiem uz endoprotezēšanu – 10 līdz 12 gadi. Mēs vairs par to nerunājam tāpēc, ka rindas vairs nav. Tika izdarītas divas lietas. Valsts noteica citu nozīmēšanas kārtību. Nevis viens ārsts var nosūtīt uz operāciju, bet konsīlijs, un visus akūtos gadījumus, kad tiešām sāp tā, ka vairs nevar paiet, mēs visus atrisinām ar jaunu nosūtīšanas kārtību sešu mēnešu laikā. Tas ir labāks rādītājs nekā Francijā, turklāt mēs maksājam par faktu. Cik atnāca, tik izoperējām (akūtos gadījumus). Es esmu uzdevis Nacionālajam veselības dienestam atbildēt uz tiešu jautājumu: “Vai mēs varam ne tikai grūtniecēm maksāt par faktu – par dzemdību pakalpojumu un par grūtnieču aprūpi – un ne tikai par endoprotezēšanu, bet arī onkoloģijas pacientiem?” Un būs atbilde: “Es domāju, ka varam!” Mēs šogad iekārtosim “zaļo koridoru” – es esmu pārliecināts par to! – ne tikai skrīninga atklātajiem vēža gadījumiem, kuriem ir “zaļais koridors”, bet visiem primāri atklātajiem vēža gadījumiem. Nākamgad būs daudz vairāk naudas, šogad jau ir vairāk naudas, bet ir jānodarbojas ar rindu prioretizēšanu. Šobrīd ir tāda kārtība, ka dinamiskā novērošana... Mēs vēzi izārstējam, cilvēks nāk uz Latvijas Onkoloģijas centru, uz to kompetentāko iestādi vēl piecus gadus, desmit gadus pēc operācijas. Un onkologi, piemēram, profesore Baltiņa, teic, ka to nevajag darīt. Visi recidīvi un metastāzes visbiežāk notiek pirmajos divos gados, un, ja pacients dzīvo veiksmīgi trīs gadus pēc visas ārstēšanas un visām terapijām – staru un medikamentozās terapijas, ķīmijterapijas –, tad viņa dinamisko novērošanu var pārcelt tuvāk viņa dzīvesvietai. Tas atbrīvotu gadā 9000 vietu akūtajiem vēža pacientiem. Tātad būs rindas menedžements, jauna nosūtīšanas kārtība, apmaksa par faktu, un mēs to problēmu atrisināsim.".
- 2016_03_17_354-seq22 language "lv".
- 2016_03_17_354-seq22 speaker Guntis_Belevics.
- 2016_03_17_354-seq22 translatedText "My thanks to the question of the challenge are not that private provision of health services in accordance with the same tariffs as the state is not that the private sector has taken up a service from the country and that the country is supplied with hardware, butno longer do the services do not exist, is it that private deals with the most lucrative services, and from a human, from a patient perspective, are no matter where their service gets But in our system there is still a second aspect to take into account, namely :patients have a right (in line with Patient law law) to choose a doctor and medical authority where he receives the service If we are talking about oncology patients â and this buzz is right in this respect, â, the same services in other healthcareauthorities, including private ones, can benefit from a very small row or without rows But people want to go where the greatest expertise is, and that with money alone it can't be solved because of the centre's oncology to all these services âalso about the money!  Row It is a problem for it And the fact that the medical facilities I've asked them for an issue with which I am going, please, as you say, you are three times as long as you say you are three times as long as you say you are three times as long as you say you are three times as long as you say you are three times as long as you say you are three times as long as you say you are three times as long as you say you are three times as long as you say you are three times as long as you say you are three times as long as you say you are three times as long as you say you are three times as long as youincreased capacity, but you also do not accept the money because you also have a line about money!' and then the honest answer: " we row the row is not being arranged in order of  who first came' when the patient with acute illness ratlater than a patient who can wait, then the one who can wait to take precedence is therefore we will be able to deal with the queue management a lot that can be adapted, by changing the order of referral to these scans I would remind you that the longest line was three years ago. Less than four years ago, on an endocrusal of â 10 to 12 years We no longer talk about it because Tika no longer has two things done at the state designated by other recipients of the procedure, one doctor may be sent to an operation ,but in the case of consoles, and for all the acute cases where it really hurts it, that it can no longer pass, we will all resolve with a new referral order within six months, It is a better rate than France, and we pay for the fact .( in the case of acute cases) I have asked the National Health Service to respond directly to the question:' can we not only pay pregnant women a fact  on maternity provision and care for pregnant women as an excuse and not just for endoressance, but also oncologythe patients? " And the answer will be: " I think we can! " This year, we'll take the green corridors of " â " I am sure about it!  €screening for all cancer cases with a green corridor. Much more money has already been made this year, but there is a deal with a queue of prioretising that Little is such a polarized surveillance of We cancer, a man coming to the site of the oncology centre, at their most competent authority in a further fivefor years, a decade after Operation And oncologi, for example, Prof bravery, says it shouldn't do whatever most recidives and metastories occur in the first two years, and if the patient lives successfully for three years after all the treatment and all the treatment of all the treatments and to all therapiesradiotherapy, chemotherapy therapy, chemotherapy, then his dynamic sightings can be moved closer to his home, It would release 9000 jobs in festering patients So Theo will queue for menedges, new transfers, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem, and we will resolve the problem".
- 2016_03_17_354-seq22 mentions Q211.