{"id":4291,"date":"2017-08-31T12:35:47","date_gmt":"2017-08-31T10:35:47","guid":{"rendered":"http:\/\/www.easistent.ro\/?p=4291"},"modified":"2017-09-25T10:40:56","modified_gmt":"2017-09-25T08:40:56","slug":"tendinte-in-dezvoltarea-medicinei-primare-medicina-primara-directa","status":"publish","type":"post","link":"https:\/\/www.easistent.ro\/?p=4291","title":{"rendered":"Tendin\u0163e \u00een dezvoltarea medicinei primare \u2013 medicina primar\u0103 direct\u0103"},"content":{"rendered":"

\"medicinaprimara\"<\/a>O evolu\u0163ie din lumea medical\u0103 care c\u00e2\u015ftig\u0103 teren, \u00een ultimii cinci ani, \u00een SUA, dar \u015fi \u00een alte \u0163\u0103ri dezvoltate (de\u015fi \u00eenc\u0103 prezent\u0103 la un nivel redus, 1-5% din total) este o form\u0103 de practic\u0103 a medicinei primare numit\u0103 medicin\u0103 primar\u0103 direct\u0103.<\/p>\n

Aceasta nu implic\u0103 decont\u0103ri de asigur\u0103ri de s\u0103n\u0103tate, pacientul pl\u0103tind o contribu\u0163ie lunar\u0103 fix\u0103, ca un abonament, pentru o anumit\u0103 palet\u0103 de servicii de medicin\u0103 primar\u0103.<\/p>\n

De precizat \u0219i c\u0103, de\u0219i modelul medicinei primare directe nu implic\u0103 plata de asigur\u0103ri de s\u0103n\u0103tate unei ter\u0163e p\u0103r\u0163i, pacien\u0163ii pot avea aceste asigur\u0103ri pentru servicii mai complexe \u015fi costisitoare pe care cabinetul de medicin\u0103 primar\u0103 nu le poate oferi.<\/p>\n

\u00cen general, medicina primar\u0103 direct\u0103 le ofer\u0103 pacien\u0163ilor acces 24 h\/7 zile la cabinet, un num\u0103r de telefon prin care pot avea leg\u0103tur\u0103 direct\u0103 cu personalul medical, programarea de vizite la cabinet \u00een aceea\u015fi zi, precum \u015fi consulta\u0163ii mai lungi dec\u00e2t cele obi\u015fnuite \u00een sistemul clasic de medicin\u0103 de familie.<\/p>\n

Aceast\u0103 form\u0103 nou\u0103 de practicare a medicinei primare \u00eei permite personalului medical implicat s\u0103 aib\u0103 mai mult timp la dispozi\u0163ie pentru vizitele pacien\u0163ilor, astfel put\u00e2ndu-le oferi acestora \u00eengrijiri personalizate \u015fi o abordare holistic\u0103 asupra st\u0103rii lor generale de bine \u0219i nu numai a situa\u0163iei medicale respective. \u00cen func\u0163ie de nevoile pacientului, medicina primar\u0103 direct\u0103 poate fi, \u00een diferite momente de timp sau cu diferi\u0163i pacien\u0163i, profilaxie, ajutor de urgen\u0163\u0103, management al bolilor cronice sau educa\u0163ie pentru s\u0103n\u0103tate \u015fi o stare general\u0103 de bine.<\/p>\n

Caracteristica distinctiv\u0103 a medicinei primare directe este posibilitatea aloc\u0103rii unui timp adecvat pentru interac\u0163iunea dintre pacient \u015fi personalul medical, cre\u00e2ndu-se \u00eentre ace\u015ftia o rela\u0163ie durabil\u0103, toate acestea fiind posibile mul\u0163umit\u0103 bazei mai mici de pacien\u0163i pe care o poate avea cabinetul respectiv, ca urmare a finan\u0163\u0103rii directe primite de la pacien\u0163i.<\/p>\n

\u00cen plus de serviciile personalizate \u00eentr-un grad mult mai mare \u015fi accesul de facto ne\u00eengr\u0103dit la cabinet, suporterii acestui tip de practic\u0103 sus\u0163in c\u0103 exist\u0103 \u015fi alte beneficii importante pentru pacien\u0163i, dar \u015fi pentru sistemul medical, \u00een general. Astfel, datorit\u0103 duratei mai mari a vizitei medicale, circa jum\u0103tate dintre medicii din medicina primar\u0103 direct\u0103 estimeaz\u0103 c\u0103 au reu\u015fit s\u0103 \u00een\u0163eleag\u0103 mai bine situa\u0163ia medical\u0103 general\u0103 a pacien\u0163ilor \u015fi au reu\u015fit apoi s\u0103 reduc\u0103, \u00een condi\u0163iile men\u0163inerii aceluia\u015fi nivel de \u00eengrijire \u015fi tratament, medicamenta\u0163ia acestora \u00een circa 20% dintre cazuri.<\/p>\n

Acest cadru al medicinei primare directe permite discu\u0163iile informate cu pacientul despre alegerile legate de stilul de via\u0163\u0103 sau despre op\u0163iunile de tratament cu scopul ca pacientul s\u0103-\u015fi optimizeze starea de s\u0103n\u0103tate \u015fi, \u00een general, de bine, din toate punctele de vedere. \u00cen acela\u015fi timp, practicienii din medicina primar\u0103 direct\u0103 asigur\u0103 \u015fi un acces rapid c\u0103tre unit\u0103\u0163i medicale din sistemele secundar \u015fi ter\u0163iar, ac\u0163ion\u00e2nd, \u00eentr-un anumit sens, ca \u201cadministratori sau avoca\u0163i personali\u201d ai tuturor aspectelor de s\u0103n\u0103tate pentru un pacient.<\/p>\n

Astfel, practicienii de medicin\u0103 primar\u0103 direct\u0103 au timpul necesar s\u0103 se documenteze cu privire la cele mai bune servicii de \u00eengrijire secundar\u0103 \u015fi ter\u0163iar\u0103 de care ar putea beneficia pacien\u0163ii lor, \u00een caz de nevoie, \u015fi s\u0103 \u00eei ajute pe ace\u015ftia s\u0103 ia leg\u0103tura cu acei furnizori de servicii, devenind un fel de ghizi ai pacien\u0163ilor lor.<\/p>\n

Exist\u0103, totu\u015fi, \u015fi mul\u0163i critici ai acestui model de medicin\u0103 primar\u0103 \u2013 ace\u015ftia sus\u0163in c\u0103 medicina primar\u0103 direct\u0103 \u00eemparte pacien\u0163ii \u00een dou\u0103 grupuri \u2013 cei care-\u015fi permit s\u0103 pl\u0103teasc\u0103 \u201cabonamentul\u201d \u015fi cei care nu-\u015fi permit. Av\u00e2nd \u00een vedere contextul \u00een care \u00een sistemul medical primar exist\u0103 deja un deficit serios de personal medical (\u015fi nu numai \u00een SUA, unde sc\u0103derea a fost semnificativ\u0103 \u00een ultimii 50 de ani, de la circa 70% dintre medici \u00een anii 1960 la circa 30% acum), modelul direct risc\u0103 s\u0103-l ad\u00e2nceasc\u0103, pe m\u0103sur\u0103 ce din ce \u00een ce mai mult personal medical l-ar adopta.<\/p>\n

Furnizorii de medicin\u0103 primar\u0103 direct\u0103 le dau replica oponen\u0163ilor lor argument\u00e2nd c\u0103 sistemul de \u00eengrijiri medicale trebuie s\u0103 le ofere mai multe beneficii pacien\u0163ilor \u2013 rezultate medicale mai performante, mai mult\u0103 deschidere \u015fi mai mult\u0103 agilitate \u00een a \u00eendeplini nevoile acestora, urm\u0103rind s\u0103 le \u00eembun\u0103t\u0103\u0163easc\u0103 s\u0103n\u0103tatea \u015fi starea general\u0103 de bine, nu numai tratarea unei anumite afec\u0163iuni.<\/p>\n

\u015ei toate acestea, spun sus\u0163in\u0103torii medicinei primare directe, trebuie s\u0103 fie \u015fi pot fi atinse cu costuri mai mici dec\u00e2t ast\u0103zi, ceea ce ar fi \u00een beneficiul \u00eentregii societ\u0103\u0163i.<\/p>\n

Articol realizat de Mirela Musta\u021b\u0103, Redactor Executiv E-Asistent<\/em><\/strong><\/p>\n

\u00a0<\/em><\/strong><\/p>\n

Surse de documentare<\/em><\/strong><\/p>\n

http:\/\/www.thehealthjournals.com\/concierge-medicine\/<\/a><\/p>\n

http:\/\/www.amjmed.com\/article\/S0002-9343(17)30358-3\/fulltext<\/a><\/p>\n

https:\/\/conciergemedicinetoday.org\/what-is-concierge-medicine-concierge-medicine-definition-concierge-medicine-defined\/<\/a><\/p>\n

Neil Chesanow<\/em>, MedScape, WebMD, May 19, 2014<\/em><\/p>\n

http:\/\/medicaleconomics.modernmedicine.com\/medical-economics\/news\/rise-direct-primary-care<\/a><\/p>\n

http:\/\/www.businessinsider.de\/direct-primary-care-a-no-insurance-healthcare-model-2017-3?r=US&IR=T<\/a><\/p>\n

Surs\u0103 foto: www.ultimamed.com<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

O evolu\u0163ie din lumea medical\u0103 care c\u00e2\u015ftig\u0103 teren, \u00een ultimii cinci ani, \u00een SUA, dar \u015fi \u00een alte \u0163\u0103ri dezvoltate (de\u015fi \u00eenc\u0103 prezent\u0103 la un nivel redus, 1-5% din total) este o form\u0103 de practic\u0103 a medicinei primare numit\u0103 medicin\u0103 primar\u0103 direct\u0103. Aceasta nu implic\u0103 decont\u0103ri de asigur\u0103ri de s\u0103n\u0103tate, pacientul pl\u0103tind o contribu\u0163ie lunar\u0103 […]<\/p>\n","protected":false},"author":3,"featured_media":4263,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[152,14],"tags":[],"_links":{"self":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/4291"}],"collection":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=4291"}],"version-history":[{"count":1,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/4291\/revisions"}],"predecessor-version":[{"id":4292,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/posts\/4291\/revisions\/4292"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=\/wp\/v2\/media\/4263"}],"wp:attachment":[{"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4291"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4291"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.easistent.ro\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4291"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}