{"id":931,"date":"2013-03-28T16:09:50","date_gmt":"2013-03-28T14:09:50","guid":{"rendered":"http:\/\/zurnalsiepirkumi.lv\/?p=931"},"modified":"2013-03-29T20:51:00","modified_gmt":"2013-03-29T18:51:00","slug":"medikamentu-katalogi-eis-tiks-butiski-papildinati","status":"publish","type":"post","link":"https:\/\/zurnalsiepirkumi.lv\/?p=931","title":{"rendered":"Medikamentu katalogi EIS tiks b\u016btiski papildin\u0101ti"},"content":{"rendered":"<p><strong>Medikamentu katalogi Valsts re\u0123ion\u0101l\u0101s att\u012bst\u012bbas a\u0123ent\u016bras (VRAA) uztur\u0113taj\u0101 Elektronisko iepirkumu sist\u0113m\u0101 (EIS) <a href=\"http:\/\/www.eis.gov.lv\" title=\"EIS\" target=\"_blank\">www.eis.gov.lv<\/a> jau ir tradicion\u0101la pre\u010du grupa, kuru izmanto \u0101rstniec\u012bbas iest\u0101des vis\u0101 Latvij\u0101. Kop\u0161 2008. gada EIS pirc\u0113jiem ir pieejami pretinfekciju medikamenti un kop\u0161 2010. gada \u2013 musku\u013cu un skeleta sist\u0113mas medikamenti.<\/strong><\/p>\n<p>\u0160\u0101 gada otraj\u0101 ceturksn\u012b Elektronisko iepirkumu sist\u0113m\u0101 medikamentu katalogi tiks papildin\u0101ti ar jaunu, pla\u0161u medikamentu katalogu \u2013 <em>Stacion\u0101ros bie\u017e\u0101k lietojamie medikamenti<\/em>. <\/p>\n<p>Iepirkums veidots sadarb\u012bb\u0101 ar Z\u0101\u013cu valsts a\u0123ent\u016bru un Nacion\u0101lo vesel\u012bbas dienestu. Taj\u0101 iek\u013cauti stacion\u0101ros bie\u017e\u0101k izmantojamie medikamenti no \u0161\u0101d\u0101m farmakoterapeitiskaj\u0101m grup\u0101m:<br \/>\nA \u2013 gastrointestin\u0101lais trakts un vielmai\u0146a;<br \/>\nB \u2013 asinis un asinsrades org\u0101ni;<br \/>\nC \u2013 kardiovaskul\u0101r\u0101 sist\u0113ma;<br \/>\nD \u2013 dermatolo\u0123iskie l\u012bdzek\u013ci;<br \/>\nG \u2013 uro\u0123enit\u0101l\u0101 sist\u0113ma un dzimumhormoni;<br \/>\nH \u2013 hormonus, iz\u0146emot dzimumhormonus un insul\u012bnus, saturo\u0161i z\u0101\u013cu l\u012bdzek\u013ci sist\u0113miskai lieto\u0161anai;<br \/>\nL \u2013 pretaudz\u0113ju un im\u016bnsist\u0113mu ietekm\u0113jo\u0161i l\u012bdzek\u013ci;<br \/>\nN \u2013 nervu sist\u0113ma;<br \/>\nP \u2013 pretparaz\u012btu l\u012bdzek\u013ci, insektic\u012bdi un repelenti;<br \/>\nR \u2013 elpo\u0161anas sist\u0113ma;<br \/>\nS \u2013 ma\u0146u org\u0101ni;<br \/>\nV \u2013 da\u017e\u0101di l\u012bdzek\u013ci.<\/p>\n<p>EIS iek\u013cauti ar\u012b nere\u0123istr\u0113ti medikamenti \u012bpa\u0161iem gad\u012bjumiem, pamatojoties uz statistikas datiem par iepriek\u0161\u0113j\u0101 period\u0101 lietotajiem nere\u0123istr\u0113tajiem medikamentiem no \u0161\u0101d\u0101m farmakoterapeitiskaj\u0101m grup\u0101m:<br \/>\nA \u2013 gastrointestin\u0101lais trakts un vielmai\u0146a;<br \/>\nB \u2013 asinis un asinsrades org\u0101ni;<br \/>\nC \u2013 kardiovaskul\u0101r\u0101 sist\u0113ma;<br \/>\nG \u2013 uro\u0123enit\u0101l\u0101 sist\u0113ma un dzimumhormoni;<br \/>\nL \u2013 pretaudz\u0113ju un im\u016bnsist\u0113mu ietekm\u0113jo\u0161i l\u012bdzek\u013ci;<br \/>\nN \u2013 nervu sist\u0113ma;<br \/>\nR \u2013 elpo\u0161anas sist\u0113ma.<br \/>\n<!--more--><br \/>\nNere\u0123istr\u0113tos medikamentus e-katalog\u0101 var izplat\u012bt saska\u0146\u0101 ar Farm\u0101cijas likum\u0101 noteikto, proti, ir at\u013cauts izplat\u012bt tikai Latvijas Republik\u0101 re\u0123istr\u0113t\u0101s un Latvijas z\u0101\u013cu re\u0123istr\u0101 vai Latvijas veterin\u0101ro z\u0101\u013cu re\u0123istr\u0101 iek\u013caut\u0101s z\u0101les, bet atsevi\u0161\u0137os gad\u012bjumos, kad sa\u0146emta Z\u0101\u013cu valsts a\u0123ent\u016bras at\u013cauja, \u2013 ar\u012b \u0101rvalst\u012bs re\u0123istr\u0113tas un lietotas z\u0101les.<\/p>\n<p>Z\u0101\u013cu valsts a\u0123ent\u016bra normat\u012bvajos aktos noteiktaj\u0101 k\u0101rt\u012bb\u0101 izsniedz medikamentu izplat\u012b\u0161anas at\u013caujas \u0101rvalst\u012bs re\u0123istr\u0113t\u0101m un lietot\u0101m z\u0101l\u0113m (ja t\u0101s b\u016btiski nepiecie\u0161amas \u0101rstniec\u012bbas procesa nodro\u0161in\u0101\u0161anai, paredz\u0113tas retu slim\u012bbu \u0101rst\u0113\u0161anai un izplat\u0101mas ierobe\u017eot\u0101 daudzum\u0101).<\/p>\n<p>VRAA regul\u0101ri izsludina atkl\u0101tus konkursus par medikamentu pieg\u0101di, un m\u016bsu nov\u0113rojumi liecina, ka ar katru gadu pieaug iesniegto pied\u0101v\u0101jumu skaits un kvalit\u0101te, pretstat\u0101 slimn\u012bcu teiktajam, ka ir probl\u0113mas ar pied\u0101v\u0101jumu sa\u0146em\u0161anu pa\u0161u izsludin\u0101tajos iepirkumos. M\u016bsupr\u0101t, tas liecina par to, ka elektronisko iepirkumu sist\u0113mas priek\u0161roc\u012bbas s\u0101k nov\u0113rt\u0113t ne tikai pirc\u0113ji, bet ar\u012b pieg\u0101d\u0101t\u0101ji.<\/p>\n<p>Kop\u0113jais medikamentu apgroz\u012bjums EIS 2012. gad\u0101 bija vair\u0101k nek\u0101 18,27 miljoni latu. Medikamentu apgroz\u012bjuma \u012bpatsvars taj\u0101 ir 12,4 procenti.<\/p>\n<p>2008. un 2009. gad\u0101, kad medikamentu iepirkums tika veidots sadarb\u012bb\u0101 ar toreiz\u0113jo Vesel\u012bbas oblig\u0101t\u0101s apdro\u0161in\u0101\u0161anas valsts a\u0123ent\u016bru, medikamentu e-kataloga lieto\u0161ana bija oblig\u0101ta vis\u0101m \u0101rstniec\u012bbas iest\u0101d\u0113m. Turpm\u0101kajos gados medikamentu katalogu lieto\u0161ana pirc\u0113jiem vairs nebija oblig\u0101ta. Grafik\u0101 redzams, ka, izmantojot katalogus br\u012bvpr\u0101t\u012bgi, pag\u0101ju\u0161\u0101 gada medikamentu apgroz\u012bjums ir sasniedzis 2008. gada l\u012bmeni. <\/p>\n<p>L\u012bdz\u012bgi k\u0101 iepriek\u0161\u0113jos gados, ar\u012b 2012. gad\u0101 pirc\u0113ji p\u0101rsvar\u0101 ir stacion\u0101r\u0101s vesel\u012bbas apr\u016bpes iest\u0101des \u2013 31 slimn\u012bca. Tom\u0113r starp pirc\u0113jiem ir ar\u012b citas iest\u0101des, kur\u0101m j\u0101saskaras ar cilv\u0113ku vesel\u012bbas nodro\u0161in\u0101\u0161anu, piem\u0113ram, valsts un pa\u0161vald\u012bbu soci\u0101l\u0101s apr\u016bpes centri, Nacion\u0101lais rehabilit\u0101cijas centrs <em>Vaivari<\/em>, Soci\u0101l\u0101s integr\u0101cijas valsts a\u0123ent\u016bra, Ieslodz\u012bjuma vietu p\u0101rvalde un R\u012bgas patversme.<\/p>\n<p>Iepriek\u0161 ierasta prakse bija iepirkt konkr\u0113tu medikamentu daudzumu vien\u0101 pas\u016bt\u012bjum\u0101. \u0160ogad ieviestais jaunin\u0101jums \u2013 nepiecie\u0161am\u012bbas gad\u012bjum\u0101 veidot ilgtermi\u0146a pirkumu ar iesp\u0113ju sadal\u012bt to uz vair\u0101k\u0101m pieg\u0101d\u0113m ilg\u0101k\u0101 laika posm\u0101 \u2013 padara medikamentu pirk\u0161anu elektronisko iepirkumu sist\u0113m\u0101 v\u0113l \u0113rt\u0101ku.  <\/p>\n<p>Dr\u012bzum\u0101 tiks papildin\u0101ta ar\u012b atskai\u0161u sada\u013ca EIS: medikamentu pirc\u0113jiem b\u016bs pieejams <em>P\u0101rskats par izlietotaj\u0101m z\u0101l\u0113m<\/em>, kas katram pirc\u0113jam j\u0101iesniedz Nacion\u0101laj\u0101 vesel\u012bbas dienest\u0101 divas reizes gad\u0101, kur\u0101 atbilsto\u0161i saisto\u0161ajiem MK noteikumiem tiks iek\u013cauti visi pirc\u0113ja  medikamentu iepirkumi, kas veikti EIS.<\/p>\n<p>Nesen EIS ir ieviesta jauna funkcionalit\u0101te, kas medikamentu pirc\u0113jiem atvieglo pirkumu piepras\u012bjumu proced\u016bru. T\u0101 ir pirkuma grozu apvieno\u0161ana vien\u0101 pirkuma piepras\u012bjum\u0101. Piem\u0113ram, slimn\u012bc\u0101 katras noda\u013cas vec\u0101k\u0101 m\u0101sa veido savu medikamentu grozu, un par iepirkumu atbild\u012bgais darbinieks \u2013 iepirc\u0113js \u2013 visus \u0161os grozus apvieno vien\u0101 kop\u0113j\u0101 pirkuma piepras\u012bjum\u0101. Gad\u012bjumos, kad pas\u016bt\u012bjuma kop\u0113j\u0101 summa ir liela (virs atlikt\u0101 groza limita, kas medikamentu iepirkumos ir 20\u00a0t\u016bksto\u0161i latu), vienu pas\u016bt\u012bjumu var veidot ar pieg\u0101di uz vair\u0101k\u0101m adres\u0113m.<\/p>\n<p>Ar katru gadu pieaug ne tikai pirc\u0113ju, bet ar\u012b pieg\u0101d\u0101t\u0101ju pieredze darbam ar EIS, \u2013 tiek apg\u016btas saist\u012bbu izpildes prasmes, pilnveidota savstarp\u0113j\u0101 komunik\u0101cija. Regul\u0101ri tiek sa\u0146emtas ar\u012b pozit\u012bvas pirc\u0113ju atsauksmes.<\/p>\n<p>Turpin\u0101m dom\u0101t ar\u012b par t\u0101l\u0101kajiem uzlabojumiem. N\u0101kamaj\u0101 gad\u0101 ir pl\u0101nots integr\u0113t pretinfekciju medikamentu, musku\u013cu un skeleta sist\u0113mas medikamentu un stacion\u0101ros bie\u017e\u0101k lietojamo medikamentu katalogu vien\u0101 liel\u0101, kop\u012bg\u0101 medikamentu katalog\u0101, kur\u0101 tiks iek\u013cauti visu farmakoterapeitisko grupu medikamenti. Pirc\u0113jiem kataloga lieto\u0161ana k\u013c\u016bs v\u0113l \u0113rt\u0101ka.<\/p>\n<p><em>Teksts: Elita K\u013cavi\u0146a, VRAA Elektronisko iepirkumu departamenta direktora vietniece<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Medikamentu katalogi Valsts re\u0123ion\u0101l\u0101s att\u012bst\u012bbas a\u0123ent\u016bras uztur\u0113taj\u0101 Elektronisko iepirkumu sist\u0113m\u0101 jau ir tradicion\u0101la pre\u010du grupa, kuru izmanto \u0101rstniec\u012bbas iest\u0101des vis\u0101 Latvij\u0101. \u0160\u0101 gada otraj\u0101 ceturksn\u012b Elektronisko iepirkumu sist\u0113m\u0101 medikamentu katalogi tiks papildin\u0101ti&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[33,1],"tags":[6,228,165,229,227,232,231,225,230,56,226],"_links":{"self":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/931"}],"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=931"}],"version-history":[{"count":0,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=\/wp\/v2\/posts\/931\/revisions"}],"wp:attachment":[{"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=931"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=931"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zurnalsiepirkumi.lv\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}