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A cukorbeteg szemszögéből

PDFNyomtatás

Írta: Dr. Fövényi József, orvos-főszerkesztő 2008. június 14. szombat, 08:12

A cukorbeteg szemszögébőlMár nem hittünk benne, de újra felcsillant a remény: talán még nincs veszve minden! A legújabb egészségügyi miniszter nemcsak szakember, de ember is. Sőt, még orvos is, aki helyre kívánja állítani a szakma elődei által ugyancsak megtépázott presztízsét. Néhány napos szakmai egyeztetés után sikerült vele rendezni a háziorvosok finanszírozását.

Reményeink szerint ezt rövidesen követi az ambuláns szakellátás pénzügyi rendbetétele. És úgy tűnik változás lesz a fekvőbeteg-intézetek teljesítményvolumen korlátjában is. Ha igaz, mire e sorok megjelennek, visszavonták a kétszer elfogadott egészségügyi törvényt. Nem gazdagodnak a pénzünkből a magánbiztosítók. Ha mindez megtörténik, mi marad a „reform”-ból? A szétvert pszichiátriai ellátás, az asztmás gyermekek ellátatlansága, a bezárt Schöpf-Mérei és számos más lehúzott redőnyű kórház. Eszközeiket elárverezik. Legalább mentsük, ami még menthető, ami még helyreállítható!

Nagyon reméljük, hogy a rengeteg felesleges adminisztráció helyett, a háziorvosok többet foglalkozhatnak a betegekkel. Talán még jobban meg is vizsgálják őket. Időnként megnézik cukorbetegeik lábát is. Szorosabb kapcsolatot alakítanak ki a diabetológiai szakellátással. És kevesebb lesz a szívinfarktus, a szélütés, az amputáció. A szakrendelők dolgozóinak több idő jut a betegek oktatására. Talán még tanfolyamokat is sikerül rendezni az inzulinnal kezelt betegek számára. És nem csupán a gyermek-diabetológusok célkitűzései között szerepel majd a 7 százalékos HbA1c-szint elérése. De jó is lenne! Reménykedjünk.

Cukorbeteg Élet 2008/május-júniusMás: még május folyamán tovább bővült a vércukorcsökkentő gyógyszerek palettája. Megjelent a sitagliptin és a pioglitazon. Ez is jó hír.

Az elmúlt számunkban közölteket is korrigálni kell ehelyütt.

Az akarbóz támogatása megmaradt, csupán diabetológus szakorvosi javaslat szükséges ahhoz, hogy a háziorvos felírhassa. Továbbá a 850 mg-os metformin tabletta jelenleg is támogatott készítmény, amennyiben az NTK (napi terápiás költség) a megfelelő sávban van, vagyis nem delistázott készítményről van szó. A következő gyártók metformin 850 mg-os készítménye élvez jelenleg is támogatást: Wörwag Pharma, 1a Pharma, Pliva, Sandoz, Ratiopharm. Az 500 mg-os tabletta korábban sem élvezett támogatást. Érdeklődjön felőle kezelőorvosánál, gyógyszerészénél. Szóval manapság a cukorbetegek és gondozóik csupa jó hírrel találkozhatnak. Már nagyon ránk fért. Csak így tovább.

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