Vesel\u012bbas apr\u016bpes nozar\u0113 publiskie iepirkumi ir nevis form\u0101ls process, bet instruments, kas nodro\u0161ina slimn\u012bcu darb\u012bbas nep\u0101rtraukt\u012bbu un l\u012bdz ar to \u2013 pacientu dro\u0161\u012bbu. T\u0101p\u0113c jebkuras izmai\u0146as Publisko iepirkumu likum\u0101 (PIL) m\u0113s v\u0113rt\u0113jam ne tikai juridiski, bet ar\u012b caur praktisko prizmu \u2013 vai t\u0101s pal\u012bdz\u0113s \u0101rstniec\u012bbas iest\u0101d\u0113m r\u012bkoties efekt\u012bv\u0101k un rea\u0123\u0113t \u0101tr\u0101k?<\/p>\n\n\n\n
Pozit\u012bvi \u2013 liel\u0101ka elast\u012bba un re\u0101listisk\u0101ki sliek\u0161\u0146i<\/strong><\/p>\n\n\n\n Kopum\u0101 m\u0113s pozit\u012bvi v\u0113rt\u0113jam likuma p\u0101rskat\u012b\u0161anu un \u012bpa\u0161i to, ka paredz\u0113ts palielin\u0101t robe\u017esliek\u0161\u0146us iepirkumu proced\u016bru piem\u0113ro\u0161anai. Tas ir b\u016btisks solis, jo eso\u0161\u0101 sist\u0113ma nereti bija p\u0101r\u0101k smagn\u0113ja un neatbilda nozares specifikai.<\/p>\n\n\n\n Vesel\u012bbas apr\u016bpes sist\u0113m\u0101 bie\u017ei n\u0101kas saskarties ar situ\u0101cij\u0101m, kur\u0101s katra stunda ir iz\u0161\u0137iro\u0161a \u2013 piem\u0113ram, steidzami nepiecie\u0161ams ieg\u0101d\u0101ties ak\u016bti nepiecie\u0161amu medikamentu pacienta dz\u012bv\u012bbas gl\u0101b\u0161anai. Ta\u010du ar\u012b \u0161\u0101dos gad\u012bjumos slimn\u012bcai joproj\u0101m bija j\u0101piem\u0113ro publisk\u0101 iepirkuma proced\u016bra. Rezult\u0101t\u0101 veidoj\u0101s absurda situ\u0101cija \u2013 likums, kas paredz\u0113ts god\u012bgai konkurencei, praks\u0113 kav\u0113ja gl\u0101bt dz\u012bv\u012bbas.<\/p>\n\n\n\n Specifisks tirgus, kur j\u0101piel\u0101gojas realit\u0101tei<\/strong><\/p>\n\n\n\n Vesel\u012bbas apr\u016bpes iepirkumu tirgus ir \u013coti specifisks. Slimn\u012bcas ar saviem apjomiem ne vienm\u0113r ir pievilc\u012bgs klients pieg\u0101d\u0101t\u0101jiem \u2013 \u012bpa\u0161i \u0101rvalstu uz\u0146\u0113mumiem. Nereti mums pat n\u0101kas pa\u0161iem uzrun\u0101t un pierun\u0101t ra\u017eot\u0101jus vai izplat\u012bt\u0101jus piedal\u012bties konkursos, jo bez vi\u0146u produktiem \u2013 piem\u0113ram, licenc\u0113m, izmekl\u0113jumiem vai iek\u0101rt\u0101m \u2013 nav iesp\u0113jams nodro\u0161in\u0101t pacientu \u0101rst\u0113\u0161anu.<\/p>\n\n\n\n T\u0101p\u0113c l\u012bdz\u0161in\u0113jie sliek\u0161\u0146i un izsl\u0113g\u0161anas noteikumi faktiski neveicin\u0101ja pla\u0161\u0101ku konkurenci, bet ierobe\u017eoja piedal\u012b\u0161anos, jo, piem\u0113ram, k\u0101p\u0113c gan Amerikas Savienotaj\u0101s Valst\u012bs re\u0123istr\u0113tam uz\u0146\u0113mumam b\u016btu v\u0113lme iesniegt pied\u0101v\u0101jumu Elektronisko iepirkumu sist\u0113m\u0101 vai praktiski t\u0101 patiesais labuma guv\u0113js atp\u016b\u0161as Taizem\u0113 un uz\u0146\u0113mums par vi\u0146u nevar dab\u016bt normat\u012bvaj\u0101 regul\u0113jum\u0101 piepras\u012bt\u0101s izzi\u0146as. M\u0113s ceram, ka groz\u012bjumi var\u0113tu palielin\u0101t ieinteres\u0113t\u012bbu un mazin\u0101t birokr\u0101tiju, \u013caujot \u0101rstniec\u012bbas iest\u0101d\u0113m vair\u0101k koncentr\u0113ties uz pamatuzdevumu \u2013 vesel\u012bbas apr\u016bpes nodro\u0161in\u0101\u0161anu.<\/p>\n\n\n\n Caursp\u012bd\u012bgums \u2013 j\u0101, bet ar sam\u0113r\u012bgumu<\/strong><\/p>\n\n\n\n Protams, dodot pas\u016bt\u012bt\u0101jam liel\u0101ku elast\u012bbu, pieaug ar\u012b atbild\u012bba. M\u0113s piln\u012bb\u0101 atbalst\u0101m caursp\u012bd\u012bguma principu un nek\u0101d\u0101 zi\u0146\u0101 neiebilstam pret sabiedr\u012bbas un tirgus interesi redz\u0113t, k\u0101 tiek t\u0113r\u0113ta publisk\u0101 nauda, bet runa ir par sam\u0113r\u012bgumu.<\/p>\n\n\n\n Groz\u012bjumu projekts paredz b\u016btisku robe\u017esliek\u0161\u0146u cel\u0161anu.<\/strong> Ja l\u012bdz \u0161im iepirkums bija j\u0101organiz\u0113 no 10 000 eiro (bez PVN) pre\u010du un pakalpojumu ieg\u0101dei, turpm\u0101k \u0161is slieksnis pieaugs l\u012bdz 143 000 eiro. Ar\u012b b\u016bvdarbiem robe\u017eslieksnis tiek celts \u2014 no 170 000 l\u012bdz 5 538 000 eiro. \u0160aj\u0101 kontekst\u0101 \u012bpa\u0161i b\u016btiski k\u013c\u016bs digit\u0101lie r\u012bki un caursp\u012bd\u012bgi risin\u0101jumi<\/strong>. Piem\u0113ram, R\u012bgas Austrumu kl\u012bnisk\u0101 universit\u0101tes slimn\u012bca (Austrumu slimn\u012bca) patlaban pilotprojekta ietvaros test\u0113 cenu aptauju un tirgus izp\u0113tes platformu, kur\u0101 visa inform\u0101cija ir publiska, nodro\u0161inot piln\u012bgu p\u0101rskat\u0101m\u012bbu. \u0160\u0101di r\u012bki var\u0113tu k\u013c\u016bt par paraugu, k\u0101 praktiski sabalans\u0113t efektivit\u0101ti un caursp\u012bd\u012bgumu.<\/p>\n\n\n\n Vienlaikus jaunajos groz\u012bjumos paredz\u0113t\u0101 pras\u012bba reizi ceturksn\u012b sniegt detaliz\u0113tus p\u0101rskatus par faktiskajiem izlietojumiem un maks\u0101jumiem ir nesam\u0113r\u012bga, ja sist\u0113ma nav automatiz\u0113ta. Piem\u0113ram, Austrumu slimn\u012bc\u0101 gad\u0101 vid\u0113ji tiek apstr\u0101d\u0101ti vair\u0101k nek\u0101 36 000 r\u0113\u0137inu. \u0160\u0101das inform\u0101cijas manu\u0101la apkopo\u0161ana prasa b\u016btiskus papildu resursus \u2013 un, k\u0101 zin\u0101ms, vesel\u012bbas nozar\u0113 resursu un finans\u0113juma tr\u016bkst. T\u0101p\u0113c nepiecie\u0161ama e-r\u0113\u0137inu sist\u0113mas ievie\u0161ana vis\u0101s iest\u0101d\u0113s. \u0160obr\u012bd publisk\u0101 p\u0101rvald\u0113 nav 100%<\/p>\n\n\n\n Aicin\u0101jums uz sam\u0113r\u012bgu pieeju<\/strong><\/p>\n\n\n\n T\u0101p\u0113c m\u016bsu aicin\u0101jums likumdev\u0113jam ir \u2013 mekl\u0113t sam\u0113r\u012bgumu. Nodro\u0161in\u0101t atkl\u0101t\u012bbu, bet vienlaikus ar\u012b efektivit\u0101ti. Vesel\u012bbas apr\u016bpe ir sabiedr\u012bbas dro\u0161\u012bbas jaut\u0101jums, un likumam ir j\u0101b\u016bt pal\u012bgam, nevis \u0161\u0137\u0113rslim slimn\u012bc\u0101m, kas ikdien\u0101 nodro\u0161ina kritiski svar\u012bgus pakalpojumus.<\/p>\n\n\n\n M\u0113s ar\u012b aicin\u0101m dom\u0101t par atsevi\u0161\u0137a regul\u0113juma izstr\u0101di vesel\u012bbas apr\u016bpes nozarei, l\u012bdz\u012bgi k\u0101 tas ir sabiedrisko pakalpojumu sniedz\u0113jiem. Jo m\u016bsu darb\u012bbas specifika \u2013 nepiecie\u0161am\u012bba iepirkt z\u0101les, medic\u012bnas iek\u0101rtas, licences un pakalpojumus bez p\u0101rtraukuma \u2013 prasa at\u0161\u0137ir\u012bgu, elast\u012bg\u0101ku, pieeju.<\/p>\n\n\n\n Autors: Zanda Jansone, R\u012bgas Austrumu kl\u012bnisk\u0101 universit\u0101tes slimn\u012bcas Iepirkumu da\u013cas vad\u012bt\u0101ja<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":" Vesel\u012bbas apr\u016bpes nozar\u0113 publiskie iepirkumi ir nevis form\u0101ls process, bet instruments, kas nodro\u0161ina slimn\u012bcu darb\u012bbas nep\u0101rtraukt\u012bbu un l\u012bdz ar to \u2013 pacientu dro\u0161\u012bbu.<\/p>\n","protected":false},"author":1938,"featured_media":13259,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[120,174,71,49],"tags":[],"_links":{"self":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/26219"}],"collection":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/users\/1938"}],"replies":[{"embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=26219"}],"version-history":[{"count":6,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/26219\/revisions"}],"predecessor-version":[{"id":26225,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/26219\/revisions\/26225"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/media\/13259"}],"wp:attachment":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=26219"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=26219"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=26219"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
Tas noz\u012bm\u0113, ka veidojas sava veida \u201cmelnais caurums\u201d \u2013 zona, kur pas\u016bt\u012bt\u0101jam pa\u0161am b\u016bs j\u0101izstr\u0101d\u0101 iek\u0161\u0113j\u0101s proced\u016bras un j\u0101nosaka metode, k\u0101 organiz\u0113t iepirkumus zem \u0161iem sliek\u0161\u0146iem. Tie\u0161i t\u0101p\u0113c ir b\u016btiski katrai organiz\u0101cijai skaidri apzin\u0101ties savas darb\u012bbas robe\u017eas un r\u012bc\u012bbas principus, lai sabiedr\u012bbai un tirgus dal\u012bbniekiem nerastos \u0161aubas par l\u012bdzek\u013cu izlietojumu.<\/p>\n\n\n\n