The reform of the ambulance must be stopped, considered the leader of the NMPD



The reform of the Emergency Medical Service (NMPD), which adjusts the number of teams to call traffic, could work in the capital, but elsewhere in the country this principle does not work, according to the chairman of the Emergency Medicine Association, the former NMPD- leader Sarmite Villere.

Villere is of the opinion that the reforms initiated by the NMPD should be discontinued for a variety of reasons, among other things because the changes are not based on any research, ie without taking into account the views and recommendations of the World Bank experts and the reform of the healthcare system. Meanwhile, the leaders of the NMPD & # 39; s reforms refer to the most likely short-term statistics, Constitutional Court decisions, personnel shortages and the use of effective resources, Villere said.

She pointed out that it is important to take into account the fact that Riga and the regions are different when changes are made to the teams. "There are small distances in Riga, but high population density, while in districts long distances, bad roads, hospitals lack specialists and patients have to travel long distances," said the former head of the service.

Villere is convinced that adjusting the number of calling teams can be limited to places where many teams are located, but there are small distances to hospitals, namely in Riga. In the rest of the country, this principle, according to her, does not work because of the long distances to both addresses and hospitals, emphasized Villere.

She also pointed out that the departure times are better than the standards, and therefore she does not understand why the "not broken" should be corrected.

It has already been reported that the Latvian Health and Welfare Union (LVSADA) has initiated a dispute settlement procedure and has filed a dispute with the NMPD management to reduce the number of 24-hour brigades in the Latgale, Vidzeme and Zemgale regions. Reduce.

According to vice-president Līga Barin of LVBA, reforms in the management of the NMPD have led to an avalanche effect, which has led to a longer wait for emergency relief, especially in the regions & # 39; s. "It causes permanent conflicts between doctors and patients, but doctors are aware that due to the reduced number of 24-hour brigades, the problem can not be tackled effectively at this time," Barin said.

The management of NMPD, on the other hand, rejects LVSADA's allegations of the negative impact of changes in the organization of the work organization on the waiting time of the assistance, but is prepared to continue constructive discussions with the trade union.

The department previously announced that significant changes in the work organization were expected, including by the end of the year, the number of DMPs twice a day, which led to a drop in the number of 24-hour brigades.

Director of the Liene Cipule service explained that the changes are related to the fact that most or 80% of the calls are made during the day. One day in Latvia, for example, 963 calls are received, with 188 brigades, and 243 calls during the night – a total of 170 brigades. After the change, the number of brigades is doubled, ie up to 36 brigades. At the same time, the total number of brigades operating during the day remained unchanged.

At the same time, the brigade plans to organize according to the call profile. Two types of 24-hour brigades – brigades with two doctors and a driver, as well as a doctor's brigade without a driver, go to the calls with the highest priority. The medium priority calls are provided by day and day brigades, who have two doctors without a driver. In turn, low-priority calls are provided by day-brigades and night-time brigades, where a person can also be trained to take on the assistant doctor's profession to improve his practical skills.


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