{"id":685360,"date":"2026-04-03T07:16:05","date_gmt":"2026-04-03T07:16:05","guid":{"rendered":"https:\/\/microscopemedia.com\/?p=685360"},"modified":"2026-04-03T07:16:05","modified_gmt":"2026-04-03T07:16:05","slug":"pacientii-cu-boli-cronice-cer-interventia-ms-si-cnas-investigatiile-paraclinice-au-scazut-cu-47","status":"publish","type":"post","link":"https:\/\/microscopemedia.com\/?p=685360","title":{"rendered":"Pacien\u021bii cu boli cronice cer interven\u021bia MS \u0219i CNAS: investiga\u021biile paraclinice au sc\u0103zut cu 47%"},"content":{"rendered":"<div><img decoding=\"async\" src=\"https:\/\/microscopemedia.com\/wp-content\/uploads\/2026\/04\/pacientii-cu-boli-cronice-cer-interventia-ms-si-cnas-investigatiile-paraclinice-au-scazut-cu-47.jpg\" class=\"ff-og-image-inserted\"><\/div>\n<p id=\"p-0\">La ini\u021biativa Asocia\u021biei Pacien\u021bilor cu Afec\u021biuni Neurodegenerative din Rom\u00e2nia (APAN), mai multe organiza\u021bii de pacien\u021bi cer Ministerului S\u0103n\u0103t\u0103\u021bii \u0219i Casei Na\u021bionale de Asigur\u0103ri de S\u0103n\u0103tate s\u0103 intervin\u0103 de urgen\u021b\u0103 dup\u0103 blocajele ap\u0103rute \u00een accesul pacien\u021bilor cronici la investiga\u021bii paraclinice de \u00eenalt\u0103 performan\u021b\u0103.<\/p>\n<p id=\"p-1\">Ace\u0219tia atrag aten\u021bia c\u0103, \u00een urma modific\u0103rilor legislative aplicabile de la 1 ianuarie 2026, pentru pacien\u021bii care beneficiaz\u0103 de bilete de trimitere de tip Monitor M3-M8, sistemul deconteaz\u0103 o singur\u0103 investiga\u021bie de \u00eenalt\u0103 performan\u021b\u0103 sau de medicin\u0103 nuclear\u0103 pe an. \u00cen practic\u0103, aceast\u0103 limitare a afectat direct accesul la investiga\u021bii esen\u021biale pentru pacien\u021bii cronici.<\/p>\n<h2 id=\"chapter-0\">Efectele se v\u0103d deja<\/h2>\n<p id=\"p-2\">Primele efecte sunt deja vizibile, spun ei. Potrivit datelor colectate de la nivelul furnizorilor de servicii paraclinice de radiologie \u0219i imagistic\u0103 medical\u0103, \u00een ianuarie 2026 num\u0103rul total al investiga\u021biilor de tip Monitor M3-M8 a sc\u0103zut cu aproximativ 47% fa\u021b\u0103 de media trimestrului IV din 2025. Sc\u0103derile sunt semnificative inclusiv \u00een patologii \u00een care medicii au nevoie, \u00een mod obi\u0219nuit, de evalu\u0103ri repetate pe parcursul aceluia\u0219i an: -58% pentru monitorizarea bolilor cardiovasculare, -46% pentru bolile neurologice \u0219i -45% pentru bolile cerebrovasculare.<\/p>\n<h2 id=\"chapter-1\">C\u00e2t de mult conteaz\u0103 timpul \u00een boala cronic\u0103<\/h2>\n<p id=\"p-3\">Pentru pacien\u021bi, aceast\u0103 situa\u021bie \u00eenseamn\u0103 investiga\u021bii am\u00e2nate, monitorizare \u00eent\u00e2rziat\u0103 \u0219i, \u00een multe cazuri, costuri suportate direct din buzunar pentru servicii care ar trebui s\u0103 fie accesibile prin sistemul public.<\/p>\n<p id=\"p-4\">\u201e\u00cen scleroza multipl\u0103, timpul conteaz\u0103 enorm. Rom\u00e2nia are deja o \u00eent\u00e2rziere medie de diagnostic de aproximativ 3,5 ani, iar dac\u0103 \u0219i monitorizarea ajunge s\u0103 fie \u00eent\u00e2rziat\u0103, riscul de progresie \u0219i complica\u021bii cre\u0219te. Vorbim despre oameni tineri, \u00eentre 20 \u0219i 40 de ani, activi profesional \u0219i familial, pentru care accesul rapid la investiga\u021bii poate face diferen\u021ba dintre autonomie \u0219i dizabilitate\u201d, spune Eduard Pletea, pre\u0219edintele Asocia\u021biei Pacien\u021bilor cu Afec\u021biuni Neurodegenerative.<\/p>\n<h2 id=\"chapter-2\">Situa\u021bie grav\u0103 pentru pacien\u021bi<\/h2>\n<p id=\"p-5\">Situa\u021bia este agravat\u0103 de lipsa unor clarific\u0103ri unitare privind aplicarea noilor reguli. Potrivit semnatarilor, \u00een lipsa unui r\u0103spuns clar din partea autorit\u0103\u021bilor, furnizorii au ajuns s\u0103 aplice reguli diferite, iar pacien\u021bii sunt trimi\u0219i s\u0103 refac\u0103 bilete de trimitere, s\u0103 semneze declara\u021bii pe proprie r\u0103spundere sau se lovesc pur \u0219i simplu de refuzul unor investiga\u021bii.<\/p>\n<p id=\"p-6\">\u00cen acela\u0219i timp, nici Platforma Informatic\u0103 a Asigur\u0103rilor de S\u0103n\u0103tate nu le permite furnizorilor s\u0103 verifice simplu dac\u0103 pacientul a beneficiat deja de o astfel de investiga\u021bie \u00een anul respectiv.<\/p>\n<p id=\"p-7\">Astfel, organiza\u021biile de pacien\u021bi solicit\u0103: revizuirea urgent\u0103 a cadrului legal aplicabil investiga\u021biilor de tip Monitor M3-M8; posibilitatea decont\u0103rii distincte a tuturor investiga\u021biilor recomandate pe acela\u0219i bilet de trimitere; exceptarea de la aceast\u0103 limitare a pacien\u021bilor pentru care monitorizarea repetat\u0103 este esen\u021bial\u0103; clarificarea imediat\u0103 \u0219i unitar\u0103 a modului de aplicare a legisla\u021biei pentru to\u021bi furnizorii; asigurarea unui acces real, predictibil \u0219i echitabil la investiga\u021biile de monitorizare.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>La ini\u021biativa Asocia\u021biei Pacien\u021bilor cu Afec\u021biuni Neurodegenerative din Rom\u00e2nia (APAN), mai multe organiza\u021bii de pacien\u021bi cer Ministerului S\u0103n\u0103t\u0103\u021bii \u0219i Casei Na\u021bionale de Asigur\u0103ri de S\u0103n\u0103tate s\u0103 intervin\u0103 de urgen\u021b\u0103 dup\u0103 &hellip; <a href=\"https:\/\/microscopemedia.com\/?p=685360\" class=\"more-link\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":685361,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"Default","format":"standard","meta":[],"categories":[1],"tags":[],"_links":{"self":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts\/685360"}],"collection":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=685360"}],"version-history":[{"count":0,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/posts\/685360\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=\/wp\/v2\/media\/685361"}],"wp:attachment":[{"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=685360"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=685360"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/microscopemedia.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=685360"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}