E-vesel\u012bba savi\u013c\u0146ojusi Latvijas sabiedr\u012bbu l\u012bdz\u012bgi k\u0101 nodok\u013cu politika, minim\u0101l\u0101s algas cel\u0161ana un bi\u013ce\u0161u ieg\u0101de uz gaid\u0101majiem Dziesmu sv\u0113tkiem. No pacientu saj\u016bsmas par iesp\u0113ju sa\u0146emt medikamentu receptes att\u0101lin\u0101ti pat br\u012bvdienu nakt\u012bs l\u012bdz \u0101rstu galvass\u0101p\u0113m, k\u0101 str\u0101d\u0101t ar l\u0113no sist\u0113mu, kas (vismaz pagaid\u0101m) darbu, nevis atvieglo, bet apgr\u016btina. Tam visam pa vidu ier\u0113d\u0146i, kuri satraucas, k\u0101 saglab\u0101t pie\u0161\u0137irto Eiropas Savien\u012bbas (ES) finans\u0113jumu, demagogi, kuri alla\u017e uzskata, ka valst\u012b viss ir slikti, un IT speci\u0101listi, kuri jau sen atmetu\u0161i cer\u012bbas Latvij\u0101 ieviest k\u0101du j\u0113gpilnu sist\u0113mu birokr\u0101tijas un izpratnes par nozari tr\u016bkuma d\u0113\u013c. K\u0101 p\u0113d\u0113jais piliens bija hakeru uzbrukums e-vesel\u012bbas port\u0101lam, kaut gan par kiberdro\u0161\u012bbu atbild\u012bg\u0101s iest\u0101des ir apstiprin\u0101ju\u0161as, ka uzbrukums bijis ar m\u0113r\u0137i p\u0101rslogot port\u0101lu, nevis nesankcion\u0113ti ieg\u016bt no t\u0101 pacientu inform\u0101ciju. Apvienojot visu iepriek\u0161min\u0113to, gribas teikt, ka pagaid\u0101m e-vesel\u012bbas viet\u0101 esam ieguvu\u0161i (ne)vesel\u012bbu.<\/b><\/p>\n
E-vesel\u012bbas att\u012bst\u012bbas gaita<\/span><\/strong><\/p>\n Pirm\u0101s e-vesel\u012bbas v\u0113smas par\u0101d\u012bj\u0101s jau pag\u0101ju\u0161\u0101 gadsimta devi\u0146desmitajos gados, kad soci\u0101li att\u012bst\u012bt\u0101s un sak\u0101rtot\u0101s valstis l\u0113ma, ka nepiecie\u0161ama vienota un \u0113rta sist\u0113ma, kas apvienotu inform\u0101ciju par katru pacientu ar kop\u012bgas datu b\u0101zes starpniec\u012bbu, kur\u0101 elektroniski iesp\u0113jams nor\u0101d\u012bt diagnozes, \u0101rst\u0113\u0161anu, izmekl\u0113jumu rezult\u0101tus, veikt\u0101s manipul\u0101cijas, izrakst\u012bt receptes \u2013 vienv\u0101rdsakot \u2013 padar\u012bt \u0101rstiem un pacientiem dz\u012bvi vienk\u0101r\u0161\u0101ku visu inform\u0101ciju glab\u0101jot vienuviet un izvairoties no pap\u012bru kalniem, turkl\u0101t tas veicin\u0101tu nozares caurskat\u0101m\u012bbu un \u013cautu izvair\u012bties no pel\u0113k\u0101s ekonomikas. Tie\u0161i \u0161\u0101da motiv\u0101cija nor\u0101d\u012bta ar\u012b Nacion\u0101l\u0101 vesel\u012bbas dienesta (NVD) publicit\u0101tes zi\u0146ojumos par e-vesel\u012bbas noz\u012bmi un noder\u012bgumu. Latvija gan par e-vesel\u012bbu s\u0101ka dom\u0101t tikai gadsimtu mij\u0101, bet darboties \u0161aj\u0101 virzien\u0101 \u2013 v\u0113l teju desmit gadu v\u0113l\u0101k. Devi\u0146u gadu laik\u0101 projekt\u0101 ir ieguld\u012bti 14,5 miljoni eiro, un 11,3 miljoni no tiem ir Eiropas l\u012bdzfinans\u0113jums. K\u0101 rezult\u0101t\u0101 \u0161obr\u012bd ir ieg\u016bta nevis vesela e-vesel\u012bbas sist\u0113ma, bet gan sist\u0113mas pamats un 2 t\u0101s apak\u0161sada\u013cas \u2013 e-receptes un e-darbnesp\u0113jas lapas, kas, p\u0113c lietot\u0101ju v\u0101rdiem, funkcion\u0113 nepilnv\u0113rt\u012bgi un p\u0113c IT ekspertu v\u0101rdiem \u2013 neattaisno ieguld\u012btos l\u012bdzek\u013cus. Vispla\u0161\u0101k\u0101s diskusijas un visliel\u0101ko sa\u0161utumu ir izrais\u012bjis NVD pazi\u0146ojumus, ka piln\u012bgai sist\u0113mas ievie\u0161anai b\u016bs nepiecie\u0161ami v\u0113l papildus 10 miljoni eiro. <\/p>\n \u201cProjekta izstr\u0101de un p\u0113c\u0101k ievie\u0161ana norisin\u0101j\u0101s 2 k\u0101rt\u0101s. Pirmaj\u0101 k\u0101rt\u0101 tika iepirkti konsultanti, kas veica anal\u012bzi un gatavoja tehnisk\u0101s specifik\u0101cijas. P\u0113c\u0101k jau tika veikti 4 sist\u0113mu izstr\u0101des iepirkumi, kuros bija attiec\u012bgi 4 uzvar\u0113t\u0101ji, kas katrs veica izstr\u0101di da\u013cai no sist\u0113mas, ko p\u0113c tam m\u0113\u0123in\u0101ja likt kop\u0101. Ar\u012b 2. k\u0101rt\u0101 vispirms tika iepirkti konsultanti, kas gatavoja tehnisko specifik\u0101ciju, uz kuras b\u0101zes veidoja atkl\u0101to konkursu, kur\u0101 uzvar\u0113ja Lattelecom technologies. Tad tika iepirkti konsultanti, kuri v\u0113rt\u0113ja izstr\u0101d\u0101tos rezult\u0101tus,\u201d st\u0101sta k\u0101da no projekt\u0101 iesaist\u012btaj\u0101m darbiniec\u0113m, kas v\u0113l\u0113j\u0101s saglab\u0101t anonimit\u0101ti. Tie\u0161i vair\u0101ku sist\u0113mas izstr\u0101des uz\u0146\u0113mumu kl\u0101tesam\u012bba un, ac\u012bmredzot, nesp\u0113ju savietot izstr\u0101d\u0101t\u0101s sist\u0113mas, p\u0113c da\u017e\u0101du ekspertu dom\u0101m ir bijis c\u0113lonis pa\u0161reiz\u0113jai situ\u0101cijai, kad e-vesel\u012bba str\u0101d\u0101 apgr\u016btin\u0101ti. <\/p>\n E-vesel\u012bba identific\u0113 IT iepirkumu problem\u0101tiku Latvij\u0101<\/span><\/strong><\/p>\n IT uz\u0146\u0113muma Wunder vad\u012bt\u0101js Latvij\u0101 Ernests Gabr\u0101ns skaidro, ka Latvijas IT vide ir sam\u0113r\u0101 nepateic\u012bga iepirkumu proced\u016br\u0101m un apjom\u012bgu projektu \u012bsteno\u0161anai, jo taj\u0101 domin\u0113 vair\u0101kas probl\u0113mas: \u201cPirms aptuveni 5 gadiem akt\u012bvi sekoj\u0101m l\u012bdzi un ar\u012b start\u0113j\u0101m iepirkuma konkursos. Vien\u0101 br\u012bd\u012b saprat\u0101m, ka uzvaram p\u0101r\u0101k reti, esam invest\u0113ju\u0161i daudz laika, resursu un ener\u0123ijas, start\u0113jot konkursos, bet neuzvarot iepirkumos. Uz\u0146\u0113m\u0113jiem ir svar\u012bgi uztvert tendences, v\u0113lams \u0101tri, mums tas diem\u017e\u0113l pras\u012bja 2 gadus un izdar\u012bj\u0101m secin\u0101jumus. Latvijas IT iepirkumos galvenok\u0101rt domin\u0113 tr\u012bs veidu probl\u0113mas: 1) Zem\u0101k\u0101 cena. Bie\u017ei form\u0101li v\u0113rt\u0113\u0161anas krit\u0113rijos ir ietverti kvalit\u0101tes r\u0101d\u012bt\u0101ji, bet tikpat bie\u017ei pas\u016bt\u012bt\u0101jam nav izpratnes vai p\u0101rliec\u012bbas, lai \u0161ajos krit\u0113rijos k\u0101dam ieliktu v\u0113rt\u0113jumu 3, bet citam 9 no 10 punktiem, kas atbilstu paties\u012bbai. Dro\u0161\u0101k ir ielikt visiem starp 7-9, jo visbie\u017e\u0101k kvalit\u0101tes krit\u0113rijus var br\u012bv\u0101k interpret\u0113t un uz\u0146\u0113m\u0113ji prot skaisti aprakst\u012bt pras\u012bto un piel\u0101got v\u0113lamo par \u012bsten\u012bbu, jo tas potenci\u0101li iz\u0161\u0137ir vi\u0146u n\u0101kotnes iesp\u0113jas. T\u0101d\u0113j\u0101di beigu gal\u0101 uzvar zem\u0101k\u0101 cena. 2) Konkur\u0113tsp\u0113ja un publisk\u0101 sektora atbild\u012bga izv\u0113le. \u0160is ir \u012bpa\u0161i aktu\u0101li web tehnolo\u0123iju izstr\u0101des projektos. Ja p\u0101rbaud\u012btu, kas ir izstr\u0101d\u0101ju\u0161i publisk\u0101 sektora iest\u0101\u017eu un ministriju m\u0101jaslapas, un sal\u012bdzin\u0101tu \u0161o iepirkumu uzvar\u0113t\u0101ju samaks\u0101t\u0101s soci\u0101l\u0101s iemaksas uz vienu darbinieku pret nozares vid\u0113jo, pav\u0113rtos skaudrs skats. Atbild\u012bg\u0101s ministrijas var kl\u0101st\u012bt, ka nodok\u013cus uz\u0146\u0113m\u0113jiem ir j\u0101maks\u0101, bet \u0161o ministriju sadarb\u012bbas partneru izv\u0113le neliecina, ka t\u0101m r\u016bp\u0113tu cik paties\u012bb\u0101 uz\u0146\u0113m\u0113js nomaks\u0101 nodok\u013cos. Un visubeidzot \u2013 3) Pas\u016bt\u012bt\u0101ja kompetence un zin\u0101\u0161anas par to, kas iest\u0101dei ir nepiecie\u0161ams digit\u0101lo risin\u0101jumu ievie\u0161an\u0101, bie\u017ei ir zema un nepietiekama, kas, lo\u0123iski, noved pie nepareizi sagatavotas tehnisk\u0101s specifik\u0101cijas, kuras ietvaros sa\u0146em pakalpojumu, kas neatbilst tam nepiecie\u0161amaj\u0101m funkcij\u0101m.\u201d E.Gabr\u0101ns ar\u012b skaidro, ka past\u0101v iev\u0113rojamas at\u0161\u0137ir\u012bbas starp Latvijas un \u0101rvalstu IT iepirkumu vid\u0113m. \u0100rvalst\u012bs gan past\u0101vot \u013coti l\u012bdz\u012bgi izaicin\u0101jumi, ta\u010du tirgos, kuros Wunder pamat\u0101 darbojas (Skandin\u0101vija, Lielbrit\u0101nija, V\u0101cija) past\u0101v augst\u0101ks profesionalit\u0101tes l\u012bmenis no pas\u016bt\u012bt\u0101ja puses, k\u0101 ar\u012b izpratne par sadarb\u012bbu projekta izpildes gait\u0101: \u201c\u0100rvalstu iepirkumos uztic\u012bbas l\u012bmenis ir iev\u0113rojami augst\u0101ks un daudz augst\u0101k\u0101 l\u012bmen\u012b ir izpratne par to, ka projektu ievie\u0161 komanda no pas\u016bt\u012bt\u0101ja un izpild\u012bt\u0101ja puses, nevis t\u0101 ir 100% izpild\u012bt\u0101ja atbild\u012bba. Protams, ar\u012b bud\u017eeti bie\u017ei ir daudz saisto\u0161\u0101ki k\u0101 Latvijas l\u012bmen\u012b un konkurence ir vienl\u012bdz\u012bg\u0101ka. L\u012bdz ar to vien\u0101 iepirkum\u0101 parasti nekonkur\u0113 freelance jeb pa\u0161nodarbin\u0101to apvien\u012bbas, mikro uz\u0146\u0113m\u0113ji un uz\u0146\u0113mumi \u2013 pilna nodok\u013ca maks\u0101t\u0101ji.\u201d <\/p>\n Nozares speci\u0101listi ap\u0161auba NVD visaptvero\u0161o kompetenci<\/span><\/strong><\/p>\n Tauj\u0101ts par e-vesel\u012bbas projekta \u012bsteno\u0161anu un ar to saist\u012btaj\u0101m neveiksm\u0113m, Gabr\u0101ns ir attur\u012bgs, ta\u010du skaidro, ka past\u0101v diezgan strikta sist\u0113ma, p\u0113c kuras b\u016btu v\u0113rt\u0113jami visi \u0161\u0101da m\u0113roga projekti un eso\u0161aj\u0101 situ\u0101cij\u0101 svar\u012bg\u0101kais b\u016btu nepie\u013caut \u0161\u012bs pa\u0161as k\u013c\u016bdas ar\u012b citos projektos: \u201cSabiedr\u012bbai ir gr\u016bti pie\u0146emt, ka projektam, kura efektivit\u0101te tiek pla\u0161i apspriesta, bija nepiecie\u0161ams tik daudz miljonu, bet v\u0113l skumj\u0101k un gr\u016bt\u0101k ir pie\u0146emt, ka valsts p\u0101rvalde nem\u0101c\u0101s no sav\u0101m k\u013c\u016bd\u0101m. Pirms e-vesel\u012bbas \u201cs\u0101gas\u201d bija e-skolas. Ko esam iem\u0101c\u012bju\u0161ies no \u0161iem projektiem, lai n\u0101kamais valsts l\u012bme\u0146a projekts b\u016btu efekt\u012bv\u0101ks? Nepiecie\u0161ama zin\u0101ma drosme un dom\u0101\u0161anas mai\u0146a, lai par \u0161\u012bm k\u013c\u016bd\u0101m pas\u016bt\u012bt\u0101js atkl\u0101ti run\u0101tu un dal\u012btos, un maz\u0101k dotu iesp\u0113jas neprodukt\u012bvi kritiz\u0113t gala rezult\u0101tu no malas. Par likumsakar\u012bgu k\u013c\u016bdu noteikti var saukt projekta ievie\u0161anas gaitu un izstr\u0101des tempu. Ja projekts ir uzs\u0101kts pirms 5 vai vair\u0101k gadiem, tad ir likumsakar\u012bgi, ka \u0161obr\u012bd, nododot projektu lieto\u0161an\u0101, t\u0101 pras\u012bbas vairs nav atbilsto\u0161as \u0161odienas vajadz\u012bb\u0101m. Port\u0101ls, iesp\u0113jams, atbild\u012bs MK noteikumiem par publisk\u0101m m\u0101jaslap\u0101m un tam b\u016bs main\u0101ms burtu izm\u0113rs, ko neviens neizmantos, bet to nevar\u0113s, atbilsto\u0161i m\u016bsdienu pras\u012bb\u0101m, apskat\u012bt plan\u0161et\u0113 vai viedt\u0101lrun\u012b. Tehnolo\u0123ijas un lietot\u0101ju pras\u012bbas att\u012bst\u0101s \u0101tr\u0101k k\u0101 \u0161\u012b projekta gaita. Ir divas iesp\u0113jas, vai nu \u0161\u0101dus apjom\u012bgus projektus nav j\u0101\u012bsteno, jo to izstr\u0101des cikls ir p\u0101r\u0101k l\u0113ns un rezult\u0101ts neb\u016bs sekm\u012bgs, vai ar\u012b j\u0101sa\u012bsina izstr\u0101des cikls maz\u0101kos posmos un ar\u012b projekts j\u0101ievie\u0161 lieto\u0161an\u0101 pa posmiem, piem\u0113ram ar Scrum* pieejas pal\u012bdz\u012bbu, ko izmantojam sav\u0101 uz\u0146\u0113mum\u0101, k\u0101 ar\u012b cie\u0161\u0101ku lietot\u0101ju iesaisti.\u201d Gabr\u0101ns uzsver, ka eso\u0161aj\u0101 situ\u0101cij\u0101 b\u016btu \u013coti r\u016bp\u012bgi j\u0101izv\u0113rt\u0113 jau veikt\u0101s invest\u012bcijas un to atdeve ilgtermi\u0146\u0101: \u201cDom\u0101ju pas\u016bt\u012bt\u0101jam ir j\u0101nosaka konkr\u0113ti v\u0113rt\u0113\u0161anas krit\u0113riji un j\u0101skat\u0101s ilgtermi\u0146\u0101. Ja ir nepiecie\u0161ami v\u0113l 10 miljoni sist\u0113mas optim\u0101lai darb\u012bbai un laba rezult\u0101ta sasnieg\u0161anai, tad ir \u013coti liela iesp\u0113jam\u012bba, ka daudz liel\u0101ks ieguvums b\u016btu projektu s\u0101kt v\u0113lreiz no s\u0101kuma, nevis m\u0113\u0123in\u0101t \u201cizspiest\u201d iesp\u0113jami lab\u0101ko rezult\u0101tu no eso\u0161\u0101s sist\u0113mas. Man ir p\u0101r\u0101k maz inform\u0101cijas par \u0161\u012b projekta pras\u012bb\u0101m, lai apgalvotu, ka min\u0113tie 14.5 milj. EUR ir p\u0101r\u0101k liels bud\u017eets. Tom\u0113r esmu p\u0101rliecin\u0101ts, ka rezult\u0101ts, tostarp man k\u0101 gala lietot\u0101jam, \u0161o miljonu pielietojumam nav bijis efekt\u012bvs un to b\u016btu j\u0101apzina, j\u0101analiz\u0113 un j\u0101secina, lai zin\u0101tu, ko main\u012bt n\u0101kotn\u0113, jo \u0161is nav pirmais un p\u0113d\u0113jais valsts l\u012bme\u0146a projekts ar \u0161\u0101du bud\u017eetu. \u201d<\/p>\n Gabr\u0101na teikto da\u013c\u0113ji apstiprina ar\u012b Edv\u012bns P\u0101rups, Kult\u016bras ministrijas valsts sekret\u0101ra vietnieks, kur\u0161 jau vair\u0101k k\u0101 21 gadu str\u0101d\u0101 iepirkumu jom\u0101 un piedal\u012bjies l\u012bdz\u012bgas sist\u0113mas izveides iepirkum\u0101 jaun\u0101s Nacion\u0101l\u0101s bibliot\u0113kas vajadz\u012bb\u0101m: \u201cMani secin\u0101jumi p\u0113c pieejam\u0101s inform\u0101cijas ir, ka pas\u016bt\u012bt\u0101jam nav bijis l\u012bdz galam skaidrs, ko tas v\u0113las sa\u0146emt. Turkl\u0101t projekt\u0113\u0161ana pa da\u013c\u0101m bez integr\u0101cijas ir sare\u017e\u0123\u012bts un riskants process. Savulaik, kad jaunaj\u0101 Nacion\u0101laj\u0101 bibliot\u0113k\u0101 ievies\u0101m vienotu sist\u0113mu, bija iepirkums, kur\u0101 bija vair\u0101ki virzieni, bet pamat\u0101 s\u0101k\u0101m ar to, ka viss b\u016bs integr\u0113ts. Pretendenti m\u016bs pres\u0113ja un s\u016bdz\u0113j\u0101s, komisija izskat\u012bja s\u016bdz\u012bbu un m\u0113s beig\u0101s uzvar\u0113j\u0101m. Nevar b\u016bt 5 izstr\u0101d\u0101t\u0101ji, kas dara katrs kaut ko citu! Ir j\u0101b\u016bt vienam, kas veido visu kopumu, jo mums bija skaidrs, ka bibliot\u0113ka pati saviem sp\u0113kiem nesp\u0113s \u0161o integr\u0101ciju veikt. Pie\u0146emu, ka e-vesel\u012bbas gad\u012bjum\u0101 ir tie\u0161i \u0161\u012b probl\u0113ma \u2013 katra par sevi ir jaud\u012bga sist\u0113ma, bet ja t\u0101s nesavietojas, tas ir milz\u012bgs un neprodukt\u012bvs darbs.\u201d<\/p>\n *Scrum ir darbu vad\u012bbas pieeja, ko pla\u0161i pielieto programmat\u016bru izstr\u0101d\u0113 speci\u0101listu komand\u0101s no 3 l\u012bdz 9 izstr\u0101d\u0101t\u0101jiem. Scrum pieeja \u013cauj sadal\u012bt liel\u0101kus darbus maz\u0101kos uzdevumos, ko iesp\u0113jams paveikt \u012bs\u0101 laika posm\u0101 (parasti divu ned\u0113\u013cu ietvaros), k\u0101 ar\u012b sekot darbu att\u012bst\u012bbai ar regul\u0101ru 15 min\u016b\u0161u kontroles san\u0101ksmju starpniec\u012bbu.<\/p>\n \u0100rsti un \u0101rstu p\u0101rst\u0101vji noska\u0146oti kareiv\u012bgi <\/span><\/strong><\/p>\n Visemocion\u0101l\u0101k situ\u0101ciju ar e-vesel\u012bbu uztver \u0101rsti. Un pamatoti, jo tie\u0161i vi\u0146iem \u0161aj\u0101 sist\u0113m\u0101 j\u0101str\u0101d\u0101 un j\u0101t\u0113r\u0113 savs laiks br\u012b\u017eos, kad sist\u0113ma netiek gal\u0101 ar slodzi vai identific\u0113 jaunu k\u013c\u016bdu. Latvijas \u0100rstu biedr\u012bbas (L\u0100B) viceprezidente Ilze Aizsilniece teic, ka uz iesp\u0113jamaj\u0101m probl\u0113m\u0101m tika nor\u0101d\u012bts jau iepriek\u0161, bet e-vesel\u012bbas ievie\u0161ana turpin\u0101jusies nevien\u0101 neklausoties: \u201cNeieklaus\u012b\u0161an\u0101s politika \u013coti raksturo p\u0113d\u0113j\u0101 laika atmosf\u0113ru m\u016bsu valst\u012b. \u201cSu\u0146i (Latvijas iedz\u012bvot\u0101ji jeb cilv\u0113ki parastie) rej, bet karav\u0101na (politisk\u0101 elite, kas sevi par t\u0101du uzskata) iet t\u0101l\u0101k\u201d. Absurdas reformas un izmai\u0146as, kuras ir pretrun\u0101 ar pieredzi cit\u0101s valst\u012bs, tiek b\u012bd\u012bt\u0101s vai nu aiz iedom\u012bgas mu\u013c\u0137\u012bbas vai nu v\u0113l\u0113\u0161an\u0101s kait\u0113t Latvijas k\u0101 valsts es\u012bbai,\u201d t\u0101 Aizsilniece. Vi\u0146a kritiz\u0113, ka ska\u013ci reklam\u0113t\u0101 e-vesel\u012bba pacientu dz\u012bvi un \u0101rstu darbu p\u0101rv\u0113rtusi par nebeidzamu formalit\u0101\u0161u veik\u0161anu un \u201ctup\u0113\u0161anu\u201d pie datora. Vi\u0146a ar\u012b kritiz\u0113 faktu, ka medikamentu sa\u0146em\u0161anai ar e-recepti nepiecie\u0161ams personu apliecino\u0161s dokuments, jo liedz medikamentus iz\u0146emt citas personas v\u0101rd\u0101. Pirm\u0101s janv\u0101ra dienas, kad sist\u0113ma nule k\u0101 s\u0101kusi str\u0101d\u0101t, vi\u0146a raksturo k\u0101 briesm\u012bgas, jo pat br\u012bvdien\u0101s aptiek\u0101s bijis j\u0101str\u0101d\u0101 liel\u0101kam skaitam farmaceitu, lai tiktu gal\u0101 ar e-recep\u0161u sist\u0113mu. \u201cK\u0101p\u0113c ir j\u0101ievie\u0161 sist\u0113ma, kura apgr\u016btina darbu un dz\u012bvi? K\u0101p\u0113c nevar visu ieviest pak\u0101peniski, k\u0101 to, piem\u0113ram, dar\u012bja Igaunija? Uzskatu, ka nav dialoga starp valsts iest\u0101d\u0113m, profesion\u0101\u013cu p\u0101rst\u0101vjiem, uz\u0146\u0113m\u0113jiem un nevalstiskaj\u0101m organiz\u0101cij\u0101m. Liel\u0101kajai da\u013cai ier\u0113d\u0146u ir bail st\u0101ties pret\u012b politi\u0137u iegrib\u0101m un mu\u013c\u0137\u012bbai, jo tad var \u0101tri zaud\u0113t darbu, pat tad, ja esi god\u012bgi to veicis un pan\u0101cis labus rezult\u0101tus.\u201d K\u0101 a\u0123ent\u016brai LETA atzinusi Latvijas \u0100rstu biedr\u012bba (L\u0100B), kura ar atkl\u0101tu v\u0113stuli v\u0113rsusies pie Saeimas Soci\u0101lo un darba lietu komisijas: \u201cE-vesel\u012bbas sist\u0113m\u0101 ir bezgala daudz probl\u0113mu, kas radu\u0161\u0101s, ilgsto\u0161i v\u012bzdegun\u012bgi ignor\u0113jot medic\u012bnas profesion\u0101\u013cu vajadz\u012bbas, veidojot e-vesel\u012bbu uz da\u017e\u0101d\u0101m platform\u0101m, izejot tikai no programm\u0113t\u0101ju vai ier\u0113d\u0146u viedok\u013ca. Janv\u0101ra vid\u016b ar e-vesel\u012bbu nestr\u0101d\u0101 tikai nedaudzi \u0123imenes \u0101rsti, bet visi p\u0101r\u0113jie izmis\u012bgi p\u016blas str\u0101d\u0101t ar e-vesel\u012bbu. Diem\u017e\u0113l vismaz puse dienas paiet, risinot probl\u0113mas vai l\u016bkojoties uz nestr\u0101d\u0101jo\u0161u sist\u0113mu.\u201d Biedr\u012bba uzdod retorisku jaut\u0101jumu: \u201cKam b\u016btu j\u0101uz\u0146emas politiska atbild\u012bba par t\u0101m probl\u0113m\u0101m, kas radu\u0161\u0101s \u0101rstiem, aptiek\u0101riem un pacientiem, ievie\u0161ot e-recepti un e-darba nesp\u0113jas lapu, k\u0101 ar\u012b – k\u0101p\u0113c nestr\u0101d\u0101 visas p\u0101r\u0113j\u0101s e-vesel\u012bbas sada\u013cas?\u201d<\/p>\n Jau izstr\u0101des gait\u0101 \u0101rstiem bijis gr\u016bti izdab\u0101t<\/span><\/strong><\/p>\n K\u0101da IT nozari p\u0101rst\u0101vo\u0161a persona, kas \u0161o gadu laik\u0101 bijusi cie\u0161i saist\u012bta ar e-vesel\u012bbas projekta \u012bsteno\u0161anu, bet v\u0113l\u0113j\u0101s saglab\u0101t anonimit\u0101ti, skaidro, ka projekts jau s\u0101kotn\u0113ji start\u0113jis visai smagn\u0113ji, tom\u0113r vaina nav tikai izstr\u0101d\u0101t\u0101ju pus\u0113. Jau pa\u0161\u0101 s\u0101kum\u0101 bijusi s\u012bva pretest\u012bba ar\u012b no piesaist\u012bto \u0101rstu puses, kas darboju\u0161ies projekta \u012bsteno\u0161anas gait\u0101 k\u0101 eksperti: \u201cLai test\u0113tu sist\u0113mas prototipu, bija piesaist\u012bti ar\u012b vesel\u012bbas nozares speci\u0101listi. Grib\u0113tos gan teikt, ka labuma no vi\u0146iem nebija nek\u0101da. Atn\u0101kot uz demonstr\u0101ciju, vi\u0146i p\u0101rsvar\u0101 risin\u0101ja savstarp\u0113j\u0101s probl\u0113mas un apmain\u012bj\u0101s ar apvainojumiem. Pat vienam no NVD kol\u0113\u0123iem str\u012bda karstum\u0101 ieteica \u201caizv\u0113rt muti\u201d! Uz n\u0101kamo san\u0101ksmi jau ierad\u0101s cits p\u0101rst\u0101vis no \u0122imenes \u0101rstu asoci\u0101cijas, bet t\u0101 viet\u0101, lai iedzi\u013cin\u0101tos e-vesel\u012bbas jaut\u0101jumos, atkal piev\u0113rs\u0101s visu kritiz\u0113\u0161anai. Atkl\u0101ti sakot, no \u0161iem cilv\u0113kiem bija gr\u016bti sa\u0146emt pielietojamu atgriezenisko saiti.\u201d T\u0101pat min\u0113t\u0101 persona nor\u0101da, ka pie projekta str\u0101d\u0101ju\u0161i gan izcili projektu vad\u012bt\u0101ji un anal\u012bti\u0137i, gan ar\u012b darbinieki, kurus var apz\u012bm\u0113t ar \u201cklus\u0101s \u0161ausmas\u201d. Projektam par labu nav n\u0101kusi ar\u012b bie\u017e\u0101 darbinieku rot\u0101cija, ko papildin\u0101ja algas, kas biju\u0161as krietni par mazu piepras\u012btaj\u0101m kompetenc\u0113m \u2013 ERAF projektu vad\u012bbai, sist\u0113manal\u012bzei, test\u0113\u0161anai u.c. <\/p>\n Kas sekos?<\/span><\/strong><\/p>\n Da\u017e\u0101du iest\u0101\u017eu viedoklis par t\u0101l\u0101ko e-vesel\u012bbas projekta att\u012bst\u012bbu dal\u0101s. Ministru prezidents M\u0101ris Ku\u010dinskis, kas \u0161obr\u012bd pilda ar\u012b b\u0113rna kop\u0161anas atva\u013cin\u0101jum\u0101 eso\u0161\u0101s Vesel\u012bbas Ministres Andas \u010cak\u0161as pien\u0101kumus, uzsver, ka, ja valsts zaud\u0113s ES pie\u0161\u0137irto finans\u0113jumu e-vesel\u012bbas projektam, vain\u012bgie tiks atrasti un sod\u012bti. T\u0101d\u0113j\u0101di vald\u012bbas nost\u0101ja ir visai skaidra: projekts ir j\u0101turpina, lai tur vai kas. \u0160\u0101du viedokli publiskaj\u0101 telp\u0101 paudu\u0161i ar\u012b uz\u0146\u0113m\u0113ju p\u0101rst\u0101vji no Latvijas Tirdzniec\u012bbas un r\u016bpniec\u012bbas kameras: \u201c\u0145emot v\u0113r\u0101 to, ka \u0161aj\u0101 gad\u0101 vesel\u012bbas bud\u017eets b\u016btiski pieaudzis, k\u0101 ar\u012b steidzami nepiecie\u0161ams risin\u0101t gan rindu jaut\u0101jumu, gan ar\u012b medi\u0137u algu probl\u0113mas, uz\u0146\u0113m\u0113ji uzskata, ka vispirms j\u0101dara viss, lai ikviens eiro b\u016btu izsekojams, k\u0101 ar\u012b l\u012bdzek\u013ci tiktu t\u0113r\u0113ti atbild\u012bgi. Tie\u0161i e-vesel\u012bb\u0101 saskat\u0101m iesp\u0113jas daudz lab\u0101k saprast, kur paliek nodok\u013cu maks\u0101t\u0101ju nauda un k\u0101p\u0113c nepiecie\u0161ams arvien liel\u0101ks bud\u017eets \u0161ai valsts funkcijai,\u201d pamato LTRK prezidents Aigars Rostovskis. Saeimas Soci\u0101lo lietu komisijas s\u0113d\u0113 16. Janv\u0101r\u012b p\u0113c L\u0100B ierosin\u0101juma vair\u0101kk\u0101rt aicin\u0101ja par sist\u0113mas ievie\u0161anu atbild\u012bgos saukt pie atbild\u012bbas, ta\u010du pagaid\u0101m \u0122ener\u0101lprokurat\u016br\u0101 \u0161\u0101dai r\u012bc\u012bbai nesaskata pamatu. <\/p>\n \u017durn\u0101ls \u201cIepirkumi\u201d turpin\u0101s sekot noris\u0113m e-vesel\u012bbas ievie\u0161anas jom\u0101 un inform\u0113s las\u012bt\u0101jus par notikumu att\u012bst\u012bbu. <\/p>\n","protected":false},"excerpt":{"rendered":" E-vesel\u012bba savi\u013c\u0146ojusi Latvijas sabiedr\u012bbu l\u012bdz\u012bgi k\u0101 nodok\u013cu politika, minim\u0101l\u0101s algas cel\u0161ana un bi\u013ce\u0161u ieg\u0101de uz gaid\u0101majiem Dziesmu sv\u0113tkiem. No pacientu saj\u016bsmas par iesp\u0113ju sa\u0146emt medikamentu receptes att\u0101lin\u0101ti pat br\u012bvdienu nakt\u012bs l\u012bdz \u0101rstu galvass\u0101p\u0113m, k\u0101 str\u0101d\u0101t ar l\u0113no sist\u0113mu, kas (vismaz pagaid\u0101m) darbu, nevis atvieglo, bet apgr\u016btina. Tam visam pa vidu ier\u0113d\u0146i, kuri satraucas, k\u0101 saglab\u0101t pie\u0161\u0137irto Eiropas Savien\u012bbas (ES) finans\u0113jumu, demagogi, kuri alla\u017e uzskata, ka valst\u012b viss ir slikti, un IT speci\u0101listi, kuri jau sen atmetu\u0161i cer\u012bbas Latvij\u0101 ieviest k\u0101du j\u0113gpilnu sist\u0113mu birokr\u0101tijas un izpratnes par nozari tr\u016bkuma d\u0113\u013c. <\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33,49],"tags":[],"_links":{"self":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/9141"}],"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\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=9141"}],"version-history":[{"count":3,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/9141\/revisions"}],"predecessor-version":[{"id":9145,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/9141\/revisions\/9145"}],"wp:attachment":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=9141"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=9141"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=9141"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
\nAr\u012b \u0123imenes \u0101rste Krista Bondare par jauno e-vesel\u012bbas sist\u0113mu ir \u013coti sa\u0161utusi: \u201cKop\u0161 pirm\u0101 janv\u0101ra tas ir past\u0101v\u012bgs stress, p\u0101rstr\u0101d\u0101\u0161an\u0101s un c\u012b\u0146a ar sist\u0113mu. B\u016bt\u012bb\u0101 m\u0113s no \u0101rstiem esam p\u0101rv\u0113rtu\u0161ies par datoriem, jo t\u0101 ir vien\u012bg\u0101 m\u016bsu funkcija. Man jau nav probl\u0113mu str\u0101d\u0101t ar datoru! Bet ja pie manis atn\u0101k pacients un gribu tam izrakst\u012bt recepti, bet e-vesel\u012bba taj\u0101 br\u012bd\u012b nestr\u0101d\u0101, tad cilv\u0113ks aiziet prom, bet man \u0161\u012b inform\u0101cija tik un t\u0101 ir kaut kur j\u0101piefiks\u0113 un vakar\u0101, kad sist\u0113ma b\u016bs maz\u0101k noslogota, j\u0101atrod veids \u0161o recepti izrakst\u012bt! Jo pacients ta\u010du gaida un vairum\u0101 gad\u012bjumu medikaments ir nepiecie\u0161ams uzreiz, nevis vakar\u0101 vai n\u0101kamaj\u0101 dien\u0101!\u201d<\/p>\n