qronika+13(190)

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577 10 07 06 saqarTvelos statistikis erovnuli samsaxuris monacemebiT, pirveladi moxmarebis medikamentebze fasebis momateba, mzardi progresiiT, ori wlis winaT daiwyo. pirvelad medikamentebis Rirebuleba 7.3%-iT gaizarda. ufro konkretulad, 2015 wlis ianvarSi fasebi gaizarda medikamentebis iseT jgufebze, rogoricaa sisxlZarRvTa gamafarToebeli medikamentebi (12.2%), tkivilgamayuCeblebi (17%), antibiotikebi (14.89%), vitaminebi (14.6%), saWmlis momnelebeli sistemis preparatebi (20.31%), anTebis sawinaaRmdego preparatebi (18.31%). aseTi zrdis miuxedavad, xelisuflebas dRemde ar dauzustebia im eqvsi jgufis yvelaze xSirad moxmarebad medikamentebze, kidev sadamde SeiZleba gaizardos fasebi? arada, axali xelisuflebis mosvlisTanave jandacvis reformirebaSi mTavar sakiTxad sayovelTao dazRvevis Tema wamotivtivda. da swored aq iCina Tavi medikamentebze stabiluri fasebis dawesebis problemam. kerZod, xelisuflebis cvlisa da jandacvis reformirebis msvlelobaSi fasebis zrda garkveuli saxis medikamentebze gardauvali aRmoCnda. im dros, rodesac sayovel- Tao jandacvis programa ise ver „miemarTeboda”, rogorc unda warmarTuliyo, kerZod ki medikamentebis fasebi zemoT iwevda, jandacvis ministrma ganacxada, rom pirveladi moxmarebis medikamentebze fasebi Tu kidev gaizarda, saxelmwifo dotacias mimarTavs, raTa fasebi SeinarCunos da, rig SemTxvevebSi, dawios kideco. ministris es gancxadeba iyo da sergeenko eqspertebma maSinve sakiTxisadmi zerele damokidebulebaSi daadanaSaules. saubari iyo imaze, rom marTalia, medikamentebze fasebis zrda mZime tvirTad daawveboda socialurad daucvel nawils, magram mTavrobas, am mizniT, dotaciisTvis ar unda miemarTa, vinaidan es fasebis zrdas ki ar SeaCerebda, aramed „gaapravebda”. erTjeradad xalxs ki eSveleboda, magram amas grZelvadiani uaryofiTi Se- 34 Tamar rostiaSvili 294 69 77; qronikaqronika@gmail.com degebi mohyveboda rogorc farmacevtuli biznesis, aseve ekonomikis sxva seqtorebisTvis. ra Tqma unda, amis dasasabuTeblad saerTaSoriso organizaciebma kvlevebs mimarTes. magaliTad, „gamWvirvalobas” ar dauxanebia da saswrfad warmogvidgina riskebi, Tu ra SeeZlo gamoewvia dotacias. kerZod, yvelaze xSirad moxmarebadi medikamentebis jgufebze fasebis ufro maRali zrdis SemTxveva- Si dotacia saxelmwifos, Sesa- Zloa, aTeul milionobiT lari dajdomoda. ministris informaciiT, arsebul mdgomareobaSi, 15 aTasze meti dasaxelebis medikamentidan mxolod 100-mde preparatzea fasebi gazrdili da, xSir SemTxvevaSi, mxolod 7- dan 10%-mde. axla, gavixsenoT, ra mdgomareoba iyo sayovelTao daz- Rvevis farglebSi medikamentebiT momsaxurebis kuTxiT: medikamentebs sayovelTao jandacvis programa anazRaurebda mxolod gadaudebel stacionarul da ambulatorul dawesebulebebSi, xolo gegmuri ambulatoruli momsaxurebis farglebSi medikamentebis anazRaureba ar xdeboda arc samedicino dawesebulebis SigniT da arc mis gareT. gamokiTxulTa igive kontingents Tu mivmar- TavT, 1918 respondentidan 75%-ma ar icoda, rodis SeeZlo ufasod mieRo medikamentebi sayovelTao jandacvis programis farglebSi. marTalia, danarCeni 10% ambobda, rom icoda, magram is 10%, romelic vin da ratom aZvirebs pirveladi moxmarebis medikamentebze fasebs?! acxadebda, rom icis, garkveviT informirebuli ar iyo, Tu rodis xdeboda anazRaureba. „qronika+” am medikamentebze fasebis zrdasTan dakavS- irebiT „pacientTa uflebebis dacvis asociaciis” Tavmjdomares _ nana sanaias daukavSir- da: `ybadaRebuli Tema, rom saqarTvelo 2004 wlidan moyolebuli GMP saerTaSoriso standartebze unda gadasuliyo, 2017 welsac ver moxerxda, rac mniSvnelovnad aferxebs qveynis SigniT warmoebuli medikamentebis eqsports da kiTxvis niSnis qveS ayenebs qveynis SigniT moxmarebuli medikamentebis xarisxsac. GMP standartebze gadasavlas mTavroba 2016 wlisTvis gegmavda, Tumca mTavrobis axali dadgenilebiT is 2018 wlisTvis gadaido~ _ erT-erTi mizezi is gaxlavT, rom mediaciis samsaxuris cnobadoba saqarTvelos mosaxleobaSi dRemde Zalian dabalia. am samsaxuris arseboba 2%- ma Tu icis. aq mxolod erT-er- dimitri xundaZe Ti magaliTi mogvyavs medikamentebiT momsaxurebasTan dakavSirebiT, rac kidev erTxel adasturebs, rom sayovelTao dazRvevis programebis mimarT mosaxleobis ndoba imTaviTve dabali iyo. mosaxleobis mxolod 17%-s sjera, rom saWiroebis SemTxvevaSi maTi sadazRvevo paketi namdvilad mTlianad dafaravs maT samedicino xarjebs, xolo 31% miiCnevs, rom sayovelTao jandacvis axali programa jandacvasTan dakav- Sirebul maT xarjebs ar Secvlis. mosaxleobaSi gadaxdisunarianobis statistika Semdegnairad gadanawilda: 47% mzad aris, TveSi 30 lari da meti gadaixados maTTvis sasurvel samedicino dazRvevaSi. es ki imas niSnavs, rom 1.6 milioni zrdasruli moqalaqe mzadaa, sakuTari janmrTelobis dazRvevis finansuri tvirTi saxelmwifosTan erTad gainawilos. unda iTqvas, rom sayovelTao dazRvevis dawyebidan, anu 2013 wlis 31 dekembris mdgomareobiT, qveyanaSi moqmedebda 363 329 arasaxelmwifo samedicino sadazRvevo kontraqti, aqedan korporaciuli arasaxelmwifo iyo 344 156 da fizikuri pirebis kidev _ 19 173. am maCvenebel- Si ar Sedis sajaro moxeleTa korporaciuli dazRveva, romelic moicavda 128 538 adamians. _ maSin, rodesac saxelmwifom mzadyofna gamoTqva, do- taciiT Careuliyo da fasebis zrda SeeCerebina, „saerTaSoriso gamWvirvalobam” rekomen- daciebi gamoaqveyna, rom es ukuprocesebs gamowvevda. _ da sruliad sworad. jer erTi, am organizaciis mier moyvanili cifrebi simarTlesTan 34 N13 (<strong>190</strong>) 11.04-24.04.2017 w.
yvelaze axlos dgas da mec, faqtobrivad, amiT vxelmZRvanelob. samarTlianad iyo aRniSnuli, rom dotaciam SeiZleba gamoiwvios is, rom afTiaqebi miiReben stimuls, kidev ufro gazardon fasebi. afTiaqebs imedi eqnebodaT, rom saxelmwifo fasebis am zrdas Tavisi dotaciiT dafaravda, rac Zalian momgebiani iqneboda afTiaqebisTvis. samagierod, mniSvnelovan zarals miayenebda biujets. es ki yovlad dauSvebelia. garda amisa, aseTi precedenti Tu moxda, mosaxleobaSi molodini da moTxovna Seiqmneba sxvadasxva formis dotaciaze. _ ki magram, biujetidan xom finansdeboda soflis meur- neobis proeqtebi? _ axali xelisuflebis mosvlis Semdeg saxelmwifo biujetidan iseTi xarjebi aRar finansdeba, rogoricaa soflis meurneobisTvis iafi sesxis programa, rac, principSi, swori midgomaa, magram, ratomRac, igive politika ar ganxorcielda medikamentebze fasebis zrdis daregulirebisTvis imitom, rom jandacvis sistemam yvelaze xSirad moxmarebadi medikamentebis jgufebze fasebis SesanarCuneblad dotaciebi rom daawesos, ara mxolod daabrunebs wina xelisuflebis droindel im mavne midgomas, rodesac saxelmwifos mier daufiqreblad xdeboda sabazroze dabal fasad sxvadasxva momsaxurebis gaweva, aramed sruliad axal masStabs SesZens mas. _ maSin, gamosavali ar aris? _ xsenebuli organizaciis rekomendaciebs Tu daveyrdnobiT, gamosavali SeiZleba iyo mosaxleobis socialurad daucveli nawilis medikamentebze fasebis zrdis negatiuri efeqtisgan dasacavad, mTavrobam SeRavaTebi daawesos garkveuli jgufis wamlebze. _ rodesac saubaria sayovelTao jandacvaze, aqcentebi stacionarul momsaxureba- ze gadadis. kidev imaze, roca qirurgiuli operaciebi da mkurnaloba finansdeboda. arada, is, rom paralelur reJim- Si medikamentebis fasebi sul zemoT iwevda, amaze yuradRe- bas aravin amaxvilebda. _ imitom, rom amis Sesaxeb mosaxleobis umetesma nawilma arc maSin uwyoda da arc dRes icis. „saerTaSoriso gamWvirvalobis” Catarebuli kvlevis Semdeg am sakiTxiT davinteresdi. warmoidgineT, 2014 wlis mdgomareobiT, sayovelTao jandacvis programa 3,5 milion adamians faravda. amaSi Sedioda saqarTvelos yvela moqalaqe, vinc ar iyo dazRveuli da plus, umweoTa saxelmwifo sadazRvevo programaSi CarTulebi, romlebic 2014 wlidan sayovelTao jandacvis programas miuerTdnen. e. i. 2013 wlis 28 Tebervlidan, mas Semdeg, rac sayovelTao jandacvis programa daiwyo, saqarTveloSi aRar darCa sruli, anu minimaluri paketiT dauzRveveli adamiani. ai, aq aRmoCnda swored sruliad moulodneli ram _ gamokiTxuli 1918 respondentidan 18%-ma ar icoda, rom dazRveuli iyo. aTvlis wertilad Tu am monacems aviRebT, es niSnavs, rom 490 000-dan 680 000-mde saqarTvelos moqalaqem ar icoda, N13 (<strong>190</strong>) 11.04-24.04.2017 w. 294 69 77; qronikaqronika@gmail.com `mniSvnelovani da yuradsaRebia rekomendacia, rom medikamentebze fasebis zrdis pirobebSi, gansakuTrebiT pirveladi moxmarebis preparatebze xelmisawvdomoba unda gaizardos. saministro komitetTan erTad am sakiTxzec yoveldRiur reJimSi muSaobs da Cven ukve mivaRwieT imas, rom 2016 wlis seqtembridan pirveladi moxmarebis samedicino produqti mosaxleobisTvis, SedarebiT, xelmisawvdomi gaxda. Tumca es ar aris, ra Tqma unda, sakmarisi da Cveni gundi am mimarTulebiT muSaobas agrZelebs. eqspertTa winadadebebis gaTvaliswinebiT, kidev ufro gavaaqtiurebT am xazs~ daviT sergeenko rom dazRveulia. swored, ase- Ti monacemi daido sayovelTao dazRvevis amoqmedebidan erTi wlis Semdeg. mosaxleobis im nawilma, romelmac icoda saku- Tari dazRvevis Sesaxeb, samagierod, ar icoda, rodis SeeZlo mieRo, magaliTad, ufaso medikamentebi sayovelTao jandacvis programis farglebSi. es iyo Zalian mniSvnelovani cifrebi da, SeiZleba iTqvas, yvelaze zusti, romelic „saerTaSoriso gamWvirvalobam” daamuSava. swored am kvlevam misca organizacias safuZveli, dawvrilebiTi fasnamati eCvenebina medikamentebze 2016 wels da mizezebic gaerkvia. _ da mainc, ra aris nomer pirveli problema farmacevtul bazarze, fasTa zrda? _ qveyanaSi nomer pirvel problemad rCeba polipragmazia, anu avadmyofisTvis, erTdroulad, gaumarTleblad mravali wamlisa da samkurnalo proceduris daniSvna. Tu saer- TaSoriso organizaciaTa angariSebs CaxedavT saqarTvelosTan mimarTebiT, dainaxavT, rom 2016 wlamde Catarebuli sakanonmdeblo cvlilebebi, um- Tavresad, receptebis SemoRebas exeboda. aseve jarimebis gamkacrebas ukanono farmacevtul saqmianobaze da bevr Sem- TxvevaSi jarimis odenobis gaormagebas. 2014 wels, gansakuTrebiT ki aprilis Semdeg, yvela farmacevtul produqtze fasebi mniSvnelovanad gaizarda. zrdis tempma piks 2015 wlis meore naxevarSi miaRwia. 2015 wlis noembridan fasebis zrdis tempma kleba daiwyo da 2016 wlis maisidan medikamentTa zogierT jgufze fasebi ukve Semcirda. fasebis klebis tendencia TiTqmis yvela farmacevtul produqtze 2016 wlis dekembramde SenarCunda. ra xdeba dRes saqarTvelos farmacevtul bazarze?! rogor iqneba SesaZlebeli fasebis daregulireba? vinaidan da radganac es sakiTxi sakanonmdeblo organos ekuTvnis, „qronika+”-ma parlamentis jandacvis komitetis Tavmj- domaris moadgiles _ dimitri xundaZes mimarTa: _ Tqven saerTaSoriso organizaciebi axseneT da maSin mec getyviT, rom aseve yuradsaRebi aqcentebia gakeTebuli saer- TaSoriso fond „Curatio”-s mier Catarebul kvlevaSi _ „jandacvis sferos barometri, mexuTe talRa”, sadac sakmaod didi yuradReba aqvs daTmobili aRniSnul sakiTxs. _ ras gu- lisxmobT? _ parlamentis jandacvis komiteti aris sistemaSi ganxorcielebuli reformebis uSualo monawile. igi axorcielebs rogorc sakanonmdeblo, aseve sazedamxedvelo saqmianobas am sferoSi da CvenTvis mniSvnelovania rogorc saerTaSoriso, aseve adgilobrivi eqspertebis Sefasebebi. swored am ku- TxiT sainteresoa fondis mier Catarebuli kvlevebi, romleb- Sic obieqturad aris Sefasebuli jandacvis sferoSi ganxorcielebuli reformebis rogorc Zlieri, aseve susti mxareebi. _ medikamentebze fasebis mateba gagrZeldeba? _ mniSvnelovani da yuradsaRebia rekomendacia, rom medikamentebze fasebis zrdis pirobebSi, gansakuTrebiT pirveladi moxmarebis preparatebze xelmisawvdomoba unda gaizardos. saministro komitetTan erTad am sakiTxzec yoveldRiur reJimSi muSaobs da Cven ukve mivaRwieT imas, rom 2016 wlis seqtembridan pirveladi moxmarebis samedicino produqti mosaxleobisTvis, SedarebiT, xelmisawvdomi gaxda. Tumca es ar aris, ra Tqma unda, sakmarisi da Cveni gundi am mimarTulebiT muSaobas agrZelebs. eqspertTa winadadebebis gaTvaliswinebiT, kidev ufro gavaaqtiurebT am xazs. dRes farmacevtuli bazris, daaxloebiT, 70% xuT msxvil kompaniazea gadanawilebuli. esenia „psp farma” _ 22.32%, „eibi-si farmacia” _ 14.91%, „aversi farma” _ 14.54%, „jipisi” _ 10.20% da Sps „globalfarmi” _ 7.02%. eqspertebma aseT gadanawilebas susti oligopolia uwodes, Tumca Semdeg moxda is, rom „ei-bi-si farmacia” da „jipi-si” gaerTiandnen da bazris segmenti kidev ufro Seviwrovda. arada, ybadaRebuli Tema, rom saqarTvelo 2004 wlidan moyolebuli GMP saerTaSoriso standartebze unda gadasuliyo, 2017 welsac ver moxerxda, rac mniSvnelovnad aferxebs qveynis SigniT warmoebuli medikamentebis eqsports da kiTxvis niSnis qveS ayenebs qveynis SigniT moxmarebuli medikamentebis xarisxsac. GMP standartebze gadasavlas mTavroba 2016 wlisTvis gegmavda, Tumca mTavrobis axali dadgenilebiT is 2018 wlisTvis gadaido. importis monacemebs Tu vendobiT, „aversi-racionalsa” da „ji-em-pis” saqarTveloSi bazris 97% ukaviaT. moqmedi kanonmdeblbiT, saqarTvelos bazarze daSvebulia 11 168 dasaxelebis medikamenti, romelTagan 1367 qarTuli warmoebisaa. anu qarTuli warmoeba yvela medikamentis raodenobis 12,25%-s Seadgens. qarTuli medikamentebidan 259 samkurnalo saSualebas awarmoebs ,,aversi-racionali”, xolo 237-s _ ,,ji-em-farmacevtikalsi”. dasasrul, kidev erT detals aRvniSnavT: 2012 wels farmacevtul kompaniebTan dakav- Sirebulma pirebma saxelisuflebo partias 415 000 lari Seswires. 2012 wlis Semdeg mgavsi araferi dafiqsirebula. 35
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Page 7 and 8: maka mosiaSvili misi TqmiT, soso go
Page 13 and 14: evaz SatakiSvili xeglejia brZenma n
Page 15 and 16: lionidan xelfasis saxiT gaica 13 43
Page 29 and 30: saqarTvelos prezidentis viziti quTa
Page 33: mas Semdeg araviTari cnoba am ss sa

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