Liste, liste, liste... Ali ne izborne, ne, sada pričamo o lista čekanja na medicinske usluge, one su daleko važnije ‘običnim‘ građanima, one im zagorčavaju život.
Za nedavna razgovara s prof. dr. Dujomirom Marasovićem, bivšim ravnateljem KBC-a Split u dva mandata, "dotur Duje" nije mogao a da se ne pohvali kako su liste čekanja na razne pretrage u doba njegova odlaska s mjesta ravnatelja, prije petnaestak godina, bile kraće nego danas.
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---Tako se u "njegovo doba" na UZV srca čekalo 180 dana (danas 225), na UZV abdomena 73 dana (danas 202), na UZV dojke 177 dana (danas 253), na UZV karotida 78 dana (danas 51), na mamografiju se i tada i danas čekalo po 50 dana, na holter EKG čekalo se 31 dan (danas 114 dana), na kolonoskopiju se čekalo 71 dan (danas 204 dana), na gastroskopiju 60 dana (danas 120 dana). Na operaciju očne mrene u vrijeme dr. Marasovića čekalo se 393 dana (danas dva dana) i na koronarografiju se čekalo 105 dana (danas 206).
Istina je, u to vrijeme su liste čekanja bile daleko kraće, ali puno se toga promijenilo u toliko godina, pa je tešto te podatke i uspoređivati.
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Potvrđuje nam to i izv. prof. dr. sc. Krešimir Dolić, šef bolničkih radiologa, koji je najpozvaniji govori o sadašnjem stanju u splitskom KBC-u.
– Tadašnje doba, kada je prof. Marasović bio ravnatelj KBC-a Split, i ovo današnje su neusporedivi. Evo samo ovaj primjer. U doba prof. Marasovića, imali smo samo jedan MR uređaj, doduše bio je i još jedan koji je više bio pokvaren negoli je radio. S obzirom na tadašnji broj MR uređaja u KBC-u i današnji, teško je liste čekanja uopće i usporediti. Danas imamo tri MR uređaja i samom tom činjenicom kudikamo više pacijenata i pretraga, jer svi žele ili MSCT pretragu ili MR pretragu – kazuje dr. Dolić.
U "Dujino vrime" bilo je i više liječnika, koji su "čitali" manji broj nalaza, odnosno bolnica je bila kadrovski bolje posložena, jer je u proteklih 12 godina, što u mirovinu, što u inozemstvo ili druge ustanove, bilo privatne ili javnozdravstvene, otišlo podosta liječnika.
– U to doba manje se radilo, ne zbog toga jer su liječnici bili neradnici, već zbog toga jer nisu imali s čime raditi. Prije 12 godina manje se liječnika oslanjalo na radiološku dijagnostiku jer je i nismo imali dovoljno, pa su dijagnoze postavljali "pipanjem" i slušanjem pacijenata. Danas? Danas velika većina mojih kolega šalje pacijente na MR ili MSCT pretragu ili neku drugu radiološku pretragu a da za to i nema potrebe. Eto, samo sam jučer očitao nekoliko MR nalaza za kojima uopće nije bilo potrebe jer su bili uredni.
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I takvih pretraga imamo tko zna koliko godišnje. Gotovo 50 posto takvih i sličnih radioloških pretraga nije bilo potrebno i to je plod defenzivne medicine, kada liječnici žele skinuti bilo kakvu odgovornost sa sebe i onda šalju sve i svakog na radiološke pretrage, što dovodi do dugih lista čekanja. Često imamo dojam da velikom broju ambulantnih pacijenata radimo sistematske preglede, a ne ciljanu dijagnostiku – govori dr. Dolić.
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Brojke splitskih radiologa su fascinantne.
– Svake godine imamo 30 tisuća više nalaza nego godinu prije. Dobili smo suvremene radiološke uređaje, ali zbog toga su se i povećale liste čekanja, jer svi žele na dijagnostičke pretrage. Ne treba smetnuti s uma da je u posljednjih deset godina enormno porastao broj onkoloških bolesnika i da ih danas ima kudikamo više nego u doba dr. Marasovića i da ih danas kudikamo više detektiramo – kaže dr. Dolić.
Liječnici se uz pomoć radioloških pretraga žele zaštititi, nije nitko lud "opipom" postaviti dijagnozu kada je može dati MR, i to zaista treba razumjeti.
Danas u Hrvatskoj u odnosu na prije 12 godina ima zasigurno nekoliko stotina tisuća stanovnika manje.
– Da, i to je ono što je najnevjerojatnije. Imamo manji broj stanovnika, a istodobno imamo puno više radioloških pretraga, kao da nas je sve više, a ne sve manje. Hrvatska ima iznadprosječni broj radioloških uređaja kada se uspoređujemo s Europom. Snima se sve i svašta i da kupimo još uređaja, još bismo više snimali i još bismo imali veće liste čekanja. Ne treba se baš svaka glavobolja, kao što se ni prije nije slala, slati na MR ili MSCT pretragu – zaključuje izv. prof. dr. sc. Krešimir Dolić.
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Što kažu danas u KBC-u? 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Usporedili smo ‘Dujine liste čekanja‘ s današnjima
[popup_gallery] => Array ( [0] => stdClass Object ( [src] => https://static.slobodnadalmacija.hr/images/slike/2024/03/08/26730497.jpg [title] =>Usporedili smo ‘Dujine liste čekanja‘ s današnjima
Cropix ) [1] => stdClass Object ( [src] => https://static.slobodnadalmacija.hr/images/slike/2024/03/08/26177324.jpg [title] =>Maja Vučković, ing.med.radiologije s novim mamografskim uređajem na odjelu radiologije KBC-a Split
Joško Šupić/Cropix ) [2] => stdClass Object ( [src] => https://static.slobodnadalmacija.hr/images/slike/2024/03/08/18970752.jpg [title] =>Krešimir Dolić: Snima se sve i svašta i da kupimo još uređaja, još bismo više snimali
Duje Klarić/Cropix ) [3] => stdClass Object ( [src] => https://static.slobodnadalmacija.hr/images/slike/2024/03/08/26677853.jpg [title] =>Dujomir Marasović se pohvalio listama čekanja za njegova mandata na mjestu ravnatelja splitskog KBC-a
Nikola Vilić/Cropix ) ) [bgPosition] => [text] => {OCMSplitter}Liste, liste, liste... Ali ne izborne, ne, sada pričamo o lista čekanja na medicinske usluge, one su daleko važnije ‘običnim‘ građanima, one im zagorčavaju život.
Za nedavna razgovara s prof. dr. Dujomirom Marasovićem, bivšim ravnateljem KBC-a Split u dva mandata, "dotur Duje" nije mogao a da se ne pohvali kako su liste čekanja na razne pretrage u doba njegova odlaska s mjesta ravnatelja, prije petnaestak godina, bile kraće nego danas.
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---Tako se u "njegovo doba" na UZV srca čekalo 180 dana (danas 225), na UZV abdomena 73 dana (danas 202), na UZV dojke 177 dana (danas 253), na UZV karotida 78 dana (danas 51), na mamografiju se i tada i danas čekalo po 50 dana, na holter EKG čekalo se 31 dan (danas 114 dana), na kolonoskopiju se čekalo 71 dan (danas 204 dana), na gastroskopiju 60 dana (danas 120 dana). Na operaciju očne mrene u vrijeme dr. Marasovića čekalo se 393 dana (danas dva dana) i na koronarografiju se čekalo 105 dana (danas 206).
Istina je, u to vrijeme su liste čekanja bile daleko kraće, ali puno se toga promijenilo u toliko godina, pa je tešto te podatke i uspoređivati.
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Potvrđuje nam to i izv. prof. dr. sc. Krešimir Dolić, šef bolničkih radiologa, koji je najpozvaniji govori o sadašnjem stanju u splitskom KBC-u.
– Tadašnje doba, kada je prof. Marasović bio ravnatelj KBC-a Split, i ovo današnje su neusporedivi. Evo samo ovaj primjer. U doba prof. Marasovića, imali smo samo jedan MR uređaj, doduše bio je i još jedan koji je više bio pokvaren negoli je radio. S obzirom na tadašnji broj MR uređaja u KBC-u i današnji, teško je liste čekanja uopće i usporediti. Danas imamo tri MR uređaja i samom tom činjenicom kudikamo više pacijenata i pretraga, jer svi žele ili MSCT pretragu ili MR pretragu – kazuje dr. Dolić.
U "Dujino vrime" bilo je i više liječnika, koji su "čitali" manji broj nalaza, odnosno bolnica je bila kadrovski bolje posložena, jer je u proteklih 12 godina, što u mirovinu, što u inozemstvo ili druge ustanove, bilo privatne ili javnozdravstvene, otišlo podosta liječnika.
– U to doba manje se radilo, ne zbog toga jer su liječnici bili neradnici, već zbog toga jer nisu imali s čime raditi. Prije 12 godina manje se liječnika oslanjalo na radiološku dijagnostiku jer je i nismo imali dovoljno, pa su dijagnoze postavljali "pipanjem" i slušanjem pacijenata. Danas? Danas velika većina mojih kolega šalje pacijente na MR ili MSCT pretragu ili neku drugu radiološku pretragu a da za to i nema potrebe. Eto, samo sam jučer očitao nekoliko MR nalaza za kojima uopće nije bilo potrebe jer su bili uredni.
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I takvih pretraga imamo tko zna koliko godišnje. Gotovo 50 posto takvih i sličnih radioloških pretraga nije bilo potrebno i to je plod defenzivne medicine, kada liječnici žele skinuti bilo kakvu odgovornost sa sebe i onda šalju sve i svakog na radiološke pretrage, što dovodi do dugih lista čekanja. Često imamo dojam da velikom broju ambulantnih pacijenata radimo sistematske preglede, a ne ciljanu dijagnostiku – govori dr. Dolić.
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Brojke splitskih radiologa su fascinantne.
– Svake godine imamo 30 tisuća više nalaza nego godinu prije. Dobili smo suvremene radiološke uređaje, ali zbog toga su se i povećale liste čekanja, jer svi žele na dijagnostičke pretrage. Ne treba smetnuti s uma da je u posljednjih deset godina enormno porastao broj onkoloških bolesnika i da ih danas ima kudikamo više nego u doba dr. Marasovića i da ih danas kudikamo više detektiramo – kaže dr. Dolić.
Liječnici se uz pomoć radioloških pretraga žele zaštititi, nije nitko lud "opipom" postaviti dijagnozu kada je može dati MR, i to zaista treba razumjeti.
Danas u Hrvatskoj u odnosu na prije 12 godina ima zasigurno nekoliko stotina tisuća stanovnika manje.
– Da, i to je ono što je najnevjerojatnije. Imamo manji broj stanovnika, a istodobno imamo puno više radioloških pretraga, kao da nas je sve više, a ne sve manje. Hrvatska ima iznadprosječni broj radioloških uređaja kada se uspoređujemo s Europom. Snima se sve i svašta i da kupimo još uređaja, još bismo više snimali i još bismo imali veće liste čekanja. Ne treba se baš svaka glavobolja, kao što se ni prije nije slala, slati na MR ili MSCT pretragu – zaključuje izv. prof. dr. sc. Krešimir Dolić.
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Maja Vučković, ing.med.radiologije s novim mamografskim uređajem na odjelu radiologije KBC-a Split
Krešimir Dolić: Snima se sve i svašta i da kupimo još uređaja, još bismo više snimali
Dujomir Marasović se pohvalio listama čekanja za njegova mandata na mjestu ravnatelja splitskog KBC-a
Liste, liste, liste... Ali ne izborne, ne, sada pričamo o lista čekanja na medicinske usluge, one su daleko važnije ‘običnim‘ građanima, one im zagorčavaju život.
Za nedavna razgovara s prof. dr. Dujomirom Marasovićem, bivšim ravnateljem KBC-a Split u dva mandata, "dotur Duje" nije mogao a da se ne pohvali kako su liste čekanja na razne pretrage u doba njegova odlaska s mjesta ravnatelja, prije petnaestak godina, bile kraće nego danas.
