{"id":176,"date":"2016-12-20T21:59:39","date_gmt":"2016-12-20T21:59:39","guid":{"rendered":"http:\/\/www.documentaria.ro\/content\/?p=176"},"modified":"2017-10-22T13:39:11","modified_gmt":"2017-10-22T13:39:11","slug":"slice-3-doctor-la-tara","status":"publish","type":"post","link":"https:\/\/www.documentaria.ro\/content\/archives\/176","title":{"rendered":"S\u0103n\u0103tatea \u00een Rom\u00e2nia"},"content":{"rendered":"<div class=\"wpb-content-wrapper\"><p>[vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;100&#8243; back_image=&#8221;181&#8243; parallax=&#8221;yes&#8221; overlay_alpha=&#8221;65&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;SUS&#8221;][vc_column column_width_percent=&#8221;100&#8243; position_horizontal=&#8221;right&#8221; position_vertical=&#8221;bottom&#8221; overlay_alpha=&#8221;25&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text]<\/p>\n<h1 style=\"text-align: left;\"><span class=\"font-397696 font-500303 font-142787 font-126463 font-197347 font-132775 font-156269\" style=\"color: #ffffff;\">S\u0102N\u0102TATEA \u00ceN ROM\u00c2NIA<\/span><\/h1>\n<h5 style=\"text-align: left;\"><span class=\"font-156269\" style=\"color: #ffffff;\"><span class=\"font-132775\"><span class=\"font-397696 font-500303 font-142787 font-126463 font-197347\">fotografii de Ioana Moldovan<br \/>\n<\/span><\/span>text de Vintil\u0103 Mih\u0103ilescu<br \/>\ninfografic: quickdata.ro<\/span><\/h5>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;5&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;1&#8243; bottom_padding=&#8221;1&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243;][vc_column column_width_percent=&#8221;71&#8243; position_vertical=&#8221;middle&#8221; align_horizontal=&#8221;align_center&#8221; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;2&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em><span class=\"font-142787\">Material realizat cu sprijinul\u00a0Uniunii Europene.\u00a0Opiniile exprimate \u00een acest material\u00a0nu reprezint\u0103 \u00een mod necesar pozi\u021bia oficial\u0103 a Uniunii Europene, cu excep\u021bia cazurilor c\u00e2nd aceasta este formulat\u0103 explicit.<\/span><\/em><\/h6>\n<p>[\/vc_column_text][vc_single_image media=&#8221;122&#8243; media_width_percent=&#8221;20&#8243; alignment=&#8221;center&#8221; advanced=&#8221;yes&#8221; media_items=&#8221;media|original&#8221; media_overlay_opacity=&#8221;50&#8243; media_image_anim=&#8221;no&#8221; media_padding=&#8221;2&#8243; lbox_caption=&#8221;yes&#8221; lbox_connected=&#8221;yes&#8221;][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;90&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;TEXT&#8221;][vc_column column_width_percent=&#8221;70&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text]\u00cen privin\u021ba s\u0103n\u0103t\u0103\u021bii, Rom\u00e2nia reprezint\u0103 un caz \u201ecultural\u201d aparte \u00een peisajul european. Aceasta deoarece are (\u00eenc\u0103) o cultur\u0103 aparte a s\u0103n\u0103t\u0103\u021bii, cu r\u0103d\u0103cini \u00een mentalitatea \u021b\u0103r\u0103neasc\u0103. Nu spunem noi, cu orice ocazie, \u201es\u0103n\u0103tate s\u0103 dea Dumnezeu, c\u0103 de rest\u2026\u201d?[\/vc_column_text][\/vc_column][\/vc_row][vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;5&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_visibility=&#8221;yes&#8221; mobile_visibility=&#8221;yes&#8221; shift_y=&#8221;0&#8243;][vc_column column_width_percent=&#8221;100&#8243; position_vertical=&#8221;middle&#8221; align_horizontal=&#8221;align_center&#8221; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text css=&#8221;.vc_custom_1481927641562{padding-top: -5px !important;padding-right: -5px !important;padding-bottom: -5px !important;padding-left: -5px !important;}&#8221;]<\/p>\n<h6 style=\"text-align: center;\"><em><span class=\"font-500303\" style=\"color: #333333;\">mouse over pentru navigare sau click pentru a deschide galeria de fotografii<\/span><\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;5&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; desktop_visibility=&#8221;yes&#8221; shift_y=&#8221;0&#8243;][vc_column column_width_percent=&#8221;100&#8243; position_vertical=&#8221;middle&#8221; align_horizontal=&#8221;align_center&#8221; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text css=&#8221;.vc_custom_1482059666573{padding-top: -5px !important;padding-right: -5px !important;padding-bottom: -5px !important;padding-left: -5px !important;}&#8221;]<\/p>\n<h6 style=\"text-align: center;\"><em><span class=\"font-500303\" style=\"color: #333333;\">gliseaza pentru mai multe\u00a0fotografii<\/span><\/em><\/h6>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;0&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;0&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;FOTOGRAFII&#8221; css=&#8221;.vc_custom_1481753206701{padding-top: -100% !important;}&#8221;][vc_column column_width_percent=&#8221;10&#8243; align_horizontal=&#8221;align_center&#8221; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;0&#8243; medium_visibility=&#8221;yes&#8221; medium_width=&#8221;0&#8243; mobile_visibility=&#8221;yes&#8221; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/6&#8243;][\/vc_column][vc_column column_width_percent=&#8221;100&#8243; position_vertical=&#8221;middle&#8221; align_horizontal=&#8221;align_center&#8221; expand_height=&#8221;yes&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;2\/3&#8243;][vc_gallery el_id=&#8221;gallery-2636478800&#8243; type=&#8221;carousel&#8221; medias=&#8221;189,187,186,185,183,184,182,181,180,179,178,177&#8243; gallery_back_color=&#8221;color-lxmt&#8221; carousel_lg=&#8221;1&#8243; carousel_md=&#8221;1&#8243; carousel_sm=&#8221;1&#8243; gutter_size=&#8221;1&#8243; media_items=&#8221;media|lightbox|original,caption&#8221; carousel_type=&#8221;fade&#8221; carousel_interval=&#8221;15000&#8243; carousel_navspeed=&#8221;400&#8243; carousel_loop=&#8221;yes&#8221; carousel_nav=&#8221;yes&#8221; carousel_dots=&#8221;yes&#8221; carousel_dots_mobile=&#8221;yes&#8221; carousel_autoh=&#8221;yes&#8221; single_text=&#8221;under&#8221; single_back_color=&#8221;color-lxmt&#8221; single_overlay_opacity=&#8221;50&#8243; single_overlay_anim=&#8221;no&#8221; single_image_anim=&#8221;no&#8221; single_v_position=&#8221;top&#8221; single_reduced=&#8221;half&#8221; single_h_position=&#8221;center&#8221; single_padding=&#8221;1&#8243; single_text_reduced=&#8221;yes&#8221; single_title_dimension=&#8221;bigtext&#8221; single_title_family=&#8221;font-319756&#8243; lbox_skin=&#8221;white&#8221; lbox_dir=&#8221;vertical&#8221; lbox_caption=&#8221;yes&#8221; lbox_social=&#8221;yes&#8221; lbox_no_tmb=&#8221;yes&#8221;][vc_empty_space empty_h=&#8221;0&#8243;][\/vc_column][vc_column column_width_percent=&#8221;10&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/6&#8243;][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;90&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;TEXT&#8221;][vc_column column_width_percent=&#8221;70&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text]\u00centr-un studiu din 2013 al Departamentului de Sociologie din SNSPA asupra \u201eculturii medicale\u201d a bucure\u0219tenilor, de pild\u0103, peste o treime dintre ace\u0219tia au declarat c\u0103 s\u0103n\u0103tatea depinde mai mult de Dumnezeu dec\u00eet de individ. \u0218i aceasta \u00een capitala \u021b\u0103rii, nu undeva \u201ela \u021bar\u0103\u201d! Compara\u021bi acest procent cu 92% dintre americani, care, \u00een urm\u0103 cu peste un deceniu, declarau c\u0103 \u201edac\u0103 fac ac\u021biunile necesare, pot s\u0103-mi p\u0103strez s\u0103n\u0103tatea\u201d.<\/p>\n<p>Mai presus de individ, aleatoare \u0219i capricioas\u0103, s\u0103n\u0103tatea \u00eengrijoreaz\u0103: s\u00eentem pe <strong>primele locuri din Europa la capitolul \u201ec\u00eet de \u00eengrijorat s\u00eente\u021bi de s\u0103n\u0103tatea dumneavoastr\u0103\u201d<\/strong>. Mai mult, nu b\u0103tr\u00eenii, ci tinerii din Rom\u00e2nia s\u00eent cei mai \u00eengrijora\u021bi din toat\u0103 Europa: 19% dintre tinerii rom\u00e2ni \u00eentre 15 \u0219i 29 de ani, fa\u021b\u0103 de media european\u0103 de 9%. Iar \u00een Bucure\u0219ti starea de s\u0103n\u0103tate este pe locul \u00eent\u00eei pe lista \u00eengrijor\u0103rilor, 66% dintre bucure\u0219teni declar\u00eend c\u0103 \u00ee\u015fi fac adeseori griji pentru s\u0103n\u0103tatea lor.<\/p>\n<p>De aici rezult\u0103 \u0219i o serie de atitudini \u0219i comportamente care \u00eengreuneaz\u0103 actul medical: doar <strong>38% apeleaz\u0103 la medici<\/strong> ca principal\u0103 surs\u0103 de informa\u0163ie, iar <strong>23% au \u00eencredere foarte sc\u0103zut\u0103 sau deloc \u00een tratamentele medicale clasice<\/strong>. Pe de alt\u0103 parte, o persoan\u0103 din dou\u0103 apeleaz\u0103 des \u015fi foarte des la tratamente tradi\u0163ionale. Mai mult, 37% declar\u0103 c\u0103 nu au apelat la medic de\u015fi consider\u0103 c\u0103 ar fi trebuit s\u0103 o fac\u0103 (dintre ace\u015ftia, doar 14% au invocat motive \u201eobiective\u201d), 15% nu apeleaz\u0103 la cadre medicale \u00een caz de probleme grave de s\u0103n\u0103tate, 14% nu au nici un fel de asigurare de s\u0103n\u0103tate \u015fi doar 8% fac controale preventive. \u0218i, \u00eenc\u0103 o dat\u0103, aceasta \u00een Bucure\u0219ti, nu \u00een vreun col\u021b pierdut de \u021bar\u0103!<\/p>\n<p>Pe acest fond aparte, politicile publice \u0219i implicarea guvernului \u00een probleme de s\u0103n\u0103tate s\u00eent similare cu cele privitoare la educa\u021bie sau locuire \u2013 or, toate acestea merg m\u00een\u0103 \u00een m\u00een\u0103. Dac\u0103 la educa\u021bie \u0219i protec\u021bie social\u0103 s\u00eentem pe ultimul loc \u00een UE28, la capitolul s\u0103n\u0103tate ne afl\u0103m pe locul 25. Mai alarmant este faptul c\u0103 investi\u021biile \u00een acest domeniu se afl\u0103 \u00een sc\u0103dere: cheltuielile totale cu s\u0103n\u0103tatea ca pondere din PIB au sc\u0103zut de la aproximativ 6% \u00een 2010 la 5,1% \u00een 2012 \u0219i la 4% \u00een prezent \u2013 adic\u0103 doar 56% din media european\u0103.[\/vc_column_text][\/vc_column][\/vc_row][vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;100&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; back_image=&#8221;188&#8243; back_attachment=&#8221;fixed&#8221; back_position=&#8221;center center&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;TEXT&#8221;][vc_column column_width_percent=&#8221;70&#8243; expand_height=&#8221;yes&#8221; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_empty_space empty_h=&#8221;5&#8243;][vc_empty_space empty_h=&#8221;5&#8243;][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;90&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;TEXT&#8221;][vc_column column_width_percent=&#8221;70&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text]Unul dintre rezultate politicii sanitare este \u201eexodul medicilor\u201d, mai mare \u0219i mai greu de compensat dec\u00eet cel din educa\u021bie, de pild\u0103. Conform datelor Colegiului Medicilor din Rom\u00e2nia, doar \u00eentre 2007 \u0219i 2011 au plecat aproximativ 10.000 de medici (aproximativ 2.000 \u00een 2011, adic\u0103 4% din totalul de medici existen\u021bi \u00een \u021bar\u0103 \u00een anul respectiv). Procentul celor care au f\u0103cut demersurile de a pleca este \u0219i mai mare (2.450 \u00een 2014, de pild\u0103). De ce? O \u0219tim cu to\u021bii: pe l\u00eeng\u0103 condi\u021biile necorespunz\u0103toare de lucru, salariile medicilor s\u00eent la nivelul venitului mediu pe economie: raportat la acesta, salariul mediu brut al unui medic primar \u00een 2009 a fost de 1,003% \u00een cazul medicilor primari (0,53% \u00een cazul medicilor reziden\u0163i de anul I), fa\u021b\u0103 de 1,4 \u00een Ungaria, 2,6 \u00een Franta, 3,1 \u00een Olanda, 3,3 \u00een Germania, 3,7 \u00een S.U.A., 4,3 \u00een Marea Britanie etc. Rezultatul? Num\u0103rul medicilor din spitale a r\u0103mas de doar 13.521 (comparativ cu 20.648 \u00een 2011 \u0219i 14.487 \u00een 2013), la un necesar de 26.000 potrivit normativelor Ministerului S\u0103n\u0103t\u0103\u021bii \u2013 informeaz\u0103 Colegiul Medicilor. Pe scurt, <strong>avem doar 52% din medicii de care are nevoie sistemul sanitar ca s\u0103 func\u021bioneze conform normelor \u00een vigoare.<\/strong><\/p>\n<p>\u00cen plus, exist\u0103 <strong>dezechilibre grave<\/strong> \u00een ceea ce prive\u0219te <strong>reparti\u021bia<\/strong> <strong>teritorial\u0103<\/strong> a cadrelor sanitare. Dac\u0103 \u00een 2011 un medic revenea, \u00een medie pe \u021bar\u0103, la 406 locuitori, unui medic \u00eei reveneau 678 locuitori \u00een Nord-Vest, 587 locuitori \u00een Sud-Est, 480 \u00een Sud-Vest (Oltenia), 417 \u00een regiunea de centru \u0219i 190 \u00een Bucure\u0219ti-Ilfov. \u00cen acela\u0219i an, num\u0103rul medicilor din zona urban\u0103 a fost de 46.949 (89%), iar cel al medicilor din zona rural\u0103 de 5.592 medici (11%). Sau altfel spus: \u00een rural, raportul de locuitori la un medic este de 1.417, fa\u0163\u0103 de o medie de 378 locuitori la un doctor \u00een mediul urban.<\/p>\n<p>\u00cen 153 de comune popula\u021bia nu are deloc acces la servicii de s\u0103n\u0103tate; peste 6% din totalul localit\u0103\u0163ilor nu au medici de familie, nici asisten\u0163i medicali comunitari \u015fi nici mediatori sanitari romi. Iar statul nu pare a avea o strategie coerent\u0103 \u0219i consecvent\u0103 de stabilizare a cadrelor de specialitate \u00een sistemul sanitar autohton \u0219i cu at\u00eet mai pu\u021bin de atragere a cadrelor sanitare \u00een rural. Mai mult, sistemul de asisten\u021bi medicali comunitari \u0219i, acolo unde este cazul, de mediatori comunitari romi, de\u0219i a pornit bine, acum o duce r\u0103u, at\u00eet ca personal \u0219i dotare, c\u00eet \u0219i administrativ.[\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;INFOGRAFIC&#8221;][vc_column width=&#8221;1\/1&#8243;][vc_single_image media=&#8221;985&#8243; media_width_percent=&#8221;100&#8243; alignment=&#8221;center&#8221;][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;90&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;TEXT&#8221;][vc_column column_width_percent=&#8221;70&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text]Complementar, pentru beneficiarul serviciilor de s\u0103n\u0103tate apare \u0219i problema <strong>corup\u021biei<\/strong> \u0219i a <strong>\u201epl\u0103\u021bilor informale\u201d<\/strong> din spitale. Greu de evaluat cu precizie, acestea s\u00eent \u00eens\u0103 o pratic\u0103 unanim recunoscut\u0103. Un studiu al Comisiei Europene efectuat \u00een anul 2013, de pild\u0103, ar\u0103ta c\u0103 28% dintre responden\u0163ii din Rom\u00e2nia efectuaser\u0103 astfel de pl\u0103\u0163i medicilor, comparativ cu media european\u0103 de 5%. Datele s\u00eent confirmate de un studiu CSOP din 2015, coordonat de Ministerul S\u0103n\u0103t\u0103\u021bii \u0219i Asocia\u021bia pentru Implementarea Democra\u021biei (AID), conform c\u0103ruia peste un sfert dintre persoanele care au apelat la servicii medicale \u00een sistemul public de s\u0103n\u0103tate \u00een anul anterior au declarat c\u0103 au oferit aten\u021bii sau bani personalului medical, \u00een cazul spitaliz\u0103rii procentul fiind de 37% pentru medici, 34% pentru asistente \u0219i 25% pentru infirmiere.<\/p>\n<p>Pentru Bucure\u0219ti, cercetarea Departamentului de Sociologie din SNSPA a constatat c\u0103, \u00een cazul unei spitaliz\u0103ri f\u0103r\u0103 interven\u021bie chirurugical\u0103, 34% dintre responden\u021bi declar\u0103 c\u0103 au dat bani medicilor, 24% asistentelor \u0219i 17% infirmierelor. \u00cen cazul unor interven\u021bii chirurgicale, procentele se ridic\u0103 la 55% \u00een cazul medicilor, 51% \u00een cazul asistentelor \u0219i 32% \u00een cazul infirmierelor, suma medie fiind de 688 lei pentru medici \u0219i 72 lei pentru infirmiere. Mai grav este faptul c\u0103 \u00een aproximativ 10% din cazurile de pl\u0103\u021bi informale, acestea au fost solicitate direct de c\u0103tre personalul sanitar (CSOP, 2015), iar peste 40% dintre pacien\u021bi au dat bani \u0219i\/sau aten\u021bii \u00eenainte de consulta\u021bie\/internare (SNSPA, 2013).<\/p>\n<p>La toate acestea trebuie ad\u0103ugat faptul c\u0103 \u00een cazul bucure\u0219tenilor (deci a unei popula\u021bii comparativ mai bogate), aproximativ o persoan\u0103 din cinci a trebuit s\u0103 se \u00eemprumute sau s\u0103 v\u00eend\u0103 lucruri din cas\u0103 pentru a apela la servicii medicale (SNSPA, 2013).<\/p>\n<p>Rezultatul final poate fi evaluat prin c\u00ee\u021biva indicatori cu valoare sintetic\u0103 \u2013 dar \u0219i emo\u021bional\u0103: de\u0219i a sc\u0103zut de la 24\u2030 \u00een 1994 la 9,4\u2030 \u00een 2011, <strong>mortalitatea infantil\u0103 \u00een Rom\u00e2nia a r\u0103mas cea mai mare din Europa (4,1\u2030)<\/strong>. Cum se exprima un jurnalist, \u201ela fiecare 5 ore, un copil mai mic de un an moare\u201d. Previzibil, mortalitatea infantil\u0103 este de 1,5 ori mai mare \u00een rural dec\u00eet \u00een urban.<\/p>\n<p>Cel\u0103lalt indicator global \u00eel constituie <strong>speran\u021ba de via\u021b\u0103 la na\u0219tere<\/strong>. Dup\u0103 cum constat\u0103 profesorul Vasile Ghe\u021b\u0103u, aceasta s-a pr\u0103bu\u0219it \u00een toate \u021b\u0103rile comuniste \u00een perioada 1975-1990, acestea recuper\u00eend apoi cu greu acest handicap dup\u0103 c\u0103derea comunismului. Rom\u00e2nia este mai \u201elent\u0103\u201d \u0219i la acest capitol: \u00een acela\u0219i an de referin\u021b\u0103 2011, speran\u021ba de via\u021b\u0103 la na\u0219tere \u00een \u021bara noastr\u0103 era de 72,7 ani, fa\u021b\u0103 de 77,55 media european\u0103 (76,2 ani la femei \u0219i 69,2 ani la b\u0103rba\u021bi). S\u0103 ad\u0103ug\u0103m la aceasta speran\u021ba de via\u021b\u0103 s\u0103n\u0103toas\u0103 la 65 de ani \u0219i peste: aceasta a crescut u\u0219or p\u00een\u0103 la 7,8 ani \u00een 2008, dar \u00een 2011 a c\u0103zut la 4,1 ani pentru femei \u0219i 3,4 ani pentru b\u0103rba\u021bi, fa\u021b\u0103 de media UE25 de 8,8 pentru femei \u015fi 8,7 pentru b\u0103rba\u021bi (dup\u0103 alt\u0103 metodologie de calcul a speran\u021bei de via\u021b\u0103 s\u0103n\u0103toas\u0103, speran\u021ba medie \u00een Rom\u00e2nia ar fi fost \u00een 2011 de 5,3 ani).<\/p>\n<p>F\u0103r\u0103 a mai intra \u00een h\u0103\u021bi\u0219ul de implica\u021bii \u0219i consecin\u021be colaterale, trebuie s\u0103 amintim \u00eens\u0103 faptul c\u0103 <strong>s\u0103n\u0103tatea merge m\u00een\u0103 \u00een m\u00een\u0103 cu educa\u021bia, nivelul de trai \u0219i calitatea locuirii:<\/strong> deficien\u021be la nivelul oric\u0103ruia dintre aceste domenii constituie factor de risc pentru toate celelalte. \u0218i, de regul\u0103, aceste deficien\u021be au tendin\u021ba s\u0103 se acumuleze \u00een spa\u021bii sociale \u00een care coexist\u0103 bolile, s\u0103r\u0103cia, suprapopularea locativ\u0103, lipsa de educa\u021bie. Spa\u021bii ce devin ghetouri, \u201epungi de s\u0103r\u0103cie\u201d, spa\u021bii de marginalizare \u0219i, \u00een ultim\u0103 instan\u021b\u0103, de excluziune. Iar excluziunea va afecta \u0219i mai mult buna func\u021bionare a serviciilor sanitare \u0219i de educa\u021bie, reproduc\u00eend \u0219i amplific\u00eend s\u0103r\u0103cia. O viziune <em>integrat\u0103<\/em> asupra tuturor acestor probleme chiar este o necesitate![\/vc_column_text][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;20&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243;][vc_column column_width_percent=&#8221;100&#8243; position_vertical=&#8221;middle&#8221; align_horizontal=&#8221;align_right&#8221; expand_height=&#8221;yes&#8221; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/2&#8243;][vc_pie value=&#8221;55&#8243; label_value=&#8221;55&#8243; arc_width=&#8221;20&#8243; bar_color=&#8221;color-wvjs&#8221; units=&#8221;%&#8221;][\/vc_column][vc_column column_width_percent=&#8221;100&#8243; position_vertical=&#8221;middle&#8221; expand_height=&#8221;yes&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/2&#8243;][vc_column_text]din popula\u021bie are acces la servicii de alimentare cu ap\u0103[\/vc_column_text][\/vc_column][\/vc_row][vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;100&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;0&#8243; bottom_padding=&#8221;0&#8243; back_image=&#8221;199&#8243; back_attachment=&#8221;fixed&#8221; back_position=&#8221;center center&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;TEXT&#8221;][vc_column column_width_percent=&#8221;70&#8243; expand_height=&#8221;yes&#8221; override_padding=&#8221;yes&#8221; column_padding=&#8221;0&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_empty_space empty_h=&#8221;5&#8243;][vc_empty_space empty_h=&#8221;5&#8243;][\/vc_column][\/vc_row][vc_row row_height_percent=&#8221;0&#8243; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;90&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;TEXT&#8221;][vc_column column_width_percent=&#8221;70&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text]<em>&#8220;Starea de s\u0103n\u0103tate a popula\u021biei din Rom\u00e2nia este deficitar\u0103. Speran\u021ba de via\u021b\u0103 la na\u0219tere este cu mult sub media UE, at\u00e2t pentru b\u0103rba\u021bi, c\u00e2t \u0219i pentru femei. Accesul la asisten\u021b\u0103 medical\u0103 \u0219i dependen\u021ba excesiv\u0103 de serviciile medicale spitalice\u0219ti r\u0103m\u00e2n preocup\u0103ri majore.&#8221;<\/em>[\/vc_column_text][vc_column_text]<\/p>\n<h5 style=\"text-align: right;\">Raportul Comisiei Europene pentru Rom\u00e2nia 2016, \u00een cadrul Semestrului European<\/h5>\n<p>[\/vc_column_text][vc_custom_heading heading_semantic=&#8221;h4&#8243; text_size=&#8221;h4&#8243; text_font=&#8221;font-762333&#8243; text_weight=&#8221;100&#8243; separator=&#8221;yes&#8221;]<\/p>\n<blockquote>\n<p class=\"p1\">Recomandarea Comisiei Europene pentru Rom\u00e2nia 2016 prevede combaterea\u00a0pl\u0103\u021bilor informale din sistemul sanitar \u0219i cre\u0219terea disponibilit\u0103\u021bii\u00a0serviciilor de \u00eengrijire medical\u0103 ambulatorie.<\/p>\n<\/blockquote>\n<p>[\/vc_custom_heading][\/vc_column][\/vc_row][vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;5&#8243; override_padding=&#8221;yes&#8221; h_padding=&#8221;0&#8243; top_padding=&#8221;1&#8243; bottom_padding=&#8221;1&#8243; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243;][vc_column column_width_percent=&#8221;65&#8243; position_vertical=&#8221;middle&#8221; align_horizontal=&#8221;align_center&#8221; back_color=&#8221;color-xsdn&#8221; overlay_alpha=&#8221;50&#8243; gutter_size=&#8221;2&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_empty_space empty_h=&#8221;3&#8243;][vc_button button_color=&#8221;color-vyce&#8221; size=&#8221;btn-sm&#8221; radius=&#8221;btn-circle&#8221; border_animation=&#8221;btn-ripple-in&#8221; css_animation=&#8221;alpha-anim&#8221; link=&#8221;url:http%3A%2F%2Feur-lex.europa.eu%2Flegal-content%2FRO%2FTXT%2FPDF%2F%3Furi%3DCELEX%3A52016DC0343%26from%3DEN||target:%20_blank|&#8221; icon=&#8221;fa fa-bookmark&#8221;]Descarc\u0103 Recomand\u0103rile de \u021bar\u0103 2016[\/vc_button][vc_empty_space empty_h=&#8221;3&#8243;][vc_column_text]<\/p>\n<h6 style=\"text-align: center;\"><em><span class=\"font-142787\">Material realizat cu sprijinul\u00a0Uniunii Europene.\u00a0Opiniile exprimate \u00een acest material\u00a0nu reprezint\u0103 \u00een mod necesar pozi\u021bia oficial\u0103 a Uniunii Europene, cu excep\u021bia cazurilor c\u00e2nd aceasta este formulat\u0103 explicit.<\/span><\/em><\/h6>\n<p>[\/vc_column_text][vc_single_image media=&#8221;122&#8243; media_width_percent=&#8221;20&#8243; alignment=&#8221;center&#8221; advanced=&#8221;yes&#8221; media_items=&#8221;media|original&#8221; media_overlay_opacity=&#8221;50&#8243; media_image_anim=&#8221;no&#8221; media_padding=&#8221;2&#8243; lbox_caption=&#8221;yes&#8221; lbox_connected=&#8221;yes&#8221;][vc_empty_space empty_h=&#8221;3&#8243;][vc_button button_color=&#8221;color-vyce&#8221; size=&#8221;btn-sm&#8221; radius=&#8221;btn-circle&#8221; border_animation=&#8221;btn-ripple-in&#8221; css_animation=&#8221;alpha-anim&#8221; link=&#8221;url:https%3A%2F%2Fec.europa.eu%2Finfo%2Fsites%2Finfo%2Ffiles%2Fcr_romania_2016_ro_0.pdf||target:%20_blank|&#8221; icon=&#8221;fa fa-bookmark&#8221;]Descarc\u0103 Raportul de \u021bar\u0103 2016[\/vc_button][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row unlock_row_content=&#8221;yes&#8221; row_height_percent=&#8221;100&#8243; back_image=&#8221;181&#8243; parallax=&#8221;yes&#8221; overlay_alpha=&#8221;65&#8243; gutter_size=&#8221;3&#8243; shift_y=&#8221;0&#8243; row_name=&#8221;SUS&#8221;][vc_column column_width_percent=&#8221;100&#8243; position_horizontal=&#8221;right&#8221; position_vertical=&#8221;bottom&#8221; overlay_alpha=&#8221;25&#8243; gutter_size=&#8221;3&#8243; medium_width=&#8221;0&#8243; shift_x=&#8221;0&#8243; shift_y=&#8221;0&#8243; z_index=&#8221;0&#8243; width=&#8221;1\/1&#8243;][vc_column_text] S\u0102N\u0102TATEA [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":43247,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[96],"tags":[7,10],"_links":{"self":[{"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/posts\/176"}],"collection":[{"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/comments?post=176"}],"version-history":[{"count":81,"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/posts\/176\/revisions"}],"predecessor-version":[{"id":44137,"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/posts\/176\/revisions\/44137"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/media\/43247"}],"wp:attachment":[{"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/media?parent=176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/categories?post=176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.documentaria.ro\/content\/wp-json\/wp\/v2\/tags?post=176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}