{"id":42261,"date":"2024-03-19T07:33:07","date_gmt":"2024-03-19T05:33:07","guid":{"rendered":"http:\/\/kutsekoda.ee\/?p=42261"},"modified":"2024-03-19T07:33:07","modified_gmt":"2024-03-19T05:33:07","slug":"perearstide-arv-vaheneb-kumne-aastaga-viiendiku-vorra","status":"publish","type":"post","link":"https:\/\/kutsekoda.ee\/en\/perearstide-arv-vaheneb-kumne-aastaga-viiendiku-vorra\/","title":{"rendered":"Perearstide arv v\u00e4heneb k\u00fcmne aastaga viiendiku v\u00f5rra\u00a0"},"content":{"rendered":"\n

J\u00e4rgmise k\u00fcmne aasta jooksul j\u00e4\u00e4vad k\u00f5rge vanuse t\u00f5ttu erialasest t\u00f6\u00f6st k\u00f5rvale ja vajavad asendust umbes pooled praegu praktiseerivatest perearstidest. Esmatasandi j\u00e4tkusuutlikkuse tagamiseks tuleb teha <\/strong>perearstiabi tegevusmudelis<\/strong> p\u00f5him\u00f5ttelisi muudatusi, selgub Kutsekoja OSKA <\/strong>uuringust.<\/strong><\/a><\/strong><\/p>\n\n\n\n\n\n\n\n

Juba praegu on pensionieas ligi kolmandik Eesti perearstidest ehk 260 arsti. Arvestades keskmist patsientide arvu nimistu kohta, kuulub praegu pensioniealiste perearstide nimistutesse kokku umbes 385 000 inimest.<\/p>\n\n\n\n

J\u00e4rgmise k\u00fcmne aasta jooksul kerkib \u00fcle 65-aastaste perearstide arv 64%-ni, ent kuna perearstid j\u00e4tkavad reeglina t\u00f6\u00f6tamist ka p\u00e4rast ametliku pensioniea saabumist, ei vaja nad k\u00f5ik asendust. Perearstide erialaselt t\u00f6\u00f6lt lahkumise mediaanvanus on 71 eluaastat.\u00a0Aastatel 2023\u20132033 j\u00f5uab sellesse ikka 49% praegu praktiseerivatest perearstidest (kokku u\u00a0420\u00a0t\u00f6\u00f6tajat).<\/p>\n\n\n\n

Peremeditsiini residentuuri l\u00f5petajatest j\u00f5uab OSKA prognoosi kohaselt vahemikus 2024\u20132033 t\u00f6\u00f6turule aga vaid ligi 250 uut arsti.<\/p>\n\n\n\n

\u201eSee t\u00e4hendab, et k\u00fcmne aasta vaates v\u00e4heneb perearstide arv viiendiku v\u00f5rra ehk 860-lt perearstilt 690-ni\u201c selgitas OSKA anal\u00fc\u00fctik Anneli Leemet<\/strong>.<\/p>\n\n\n\n

Leemeti s\u00f5nul ei ole realistlik perearstide koolituspakkumist suurendada sel m\u00e4\u00e4ral, et s\u00e4ilitada k\u00fcmne aasta perspektiivis perearstiabis h\u00f5iven\u00e4itajad ja -struktuur praegusel kujul. Seda enam, et peremeditsiini residentuuri kohad on seni t\u00e4ies mahus t\u00e4itunud vaid paaril aastal.<\/p>\n\n\n\n

Vaja on uusi tegevusmudeleid<\/strong><\/p>\n\n\n\n

Esmatasandi tervishoius\u00fcsteemi kese on perearst ning kui nende arv kahaneb, siis tuleb teha muutusi s\u00fcsteemi teistes osades, s\u00f5nas OSKA uuringujuht Urve Mets<\/strong>.<\/p>\n\n\n\n

\u201eKahaneva arstkonna tingimustes on perearstiabi j\u00e4tkusuutlikkuse tagamiseks v\u00e4ltimatult tarvis toetada uute tegevusmudelite rakendamist,\u201c toonitas Mets lisades, et siinkohal peetakse silmas nii perearstide t\u00f6\u00f6aja eesm\u00e4rgip\u00e4rasemat kasutamist, j\u00f5ulisemat v\u00f5rgustamist kui ka digilahenduste ulatuslikumat rakendamist.<\/p>\n\n\n\n

OSKA hinnangul saaks perearstide t\u00f6\u00f6aega sihip\u00e4rasemalt kasutada, kaasates senisest rohkem \u00fcldarste, pere\u00f5desid ja kliinilisi assistente, et perearstid saaksid keskenduda eesk\u00e4tt keerulisematele haigusjuhtumitele.<\/p>\n\n\n\n

V\u00f5rgustumine t\u00e4hendab nii koondumist grupipraksistesse v\u00f5i terviskeskustesse kui ka laiematesse piirkondlikesse koost\u00f6\u00f6v\u00f5rgustikesse, kus tehakse tihedat koost\u00f6\u00f6d ka teiste eriarstidega. Kuigi juba aastateks 2009\u20132015 kavandatud esmatasandi tervishoiu arengukava n\u00e4gi ette \u00fcksikpraksistelt grupipraksistele \u00fcleminekut, on muutus aset leidnud aeglaselt, piiratud ulatuses, kohati ka vaid formaalselt. Eesti perearstinimistutest 28% tegutseb endiselt \u00fcksikpraksistena, ent see ei ole tulevikukindel mudel.<\/p>\n\n\n\n

OSKA hinnangul saaks v\u00f5rgustamist toetada, andes rohkem otsustusvabadust tervisekeskustele, kus toimib sisuline koost\u00f6\u00f6 perearstide vahel. N\u00e4iteks luua perearstidele v\u00f5imalus valida Tervisekassa rahastusel \u00fcldarstiabis osutatavaid teenuseid l\u00e4htuvalt patsientide vajadustest.<\/p>\n\n\n\n

Praegusest m\u00e4rksa enam saaks perearstikeskustes t\u00f6\u00f6protsesse t\u00f5hustada digilahenduste abil. OSKA hinnangul v\u00f5iks Tervisekassa v\u00e4lja t\u00f6\u00f6tada soovituslikud mudelid digilahenduste terviklikumaks rakendamiseks ning kaaluda v\u00f5imalust hallata enamkasutatavaid perearsti tarkvaralahendusi keskselt, et tagada infoturbe ja andmekaitse n\u00f5uete t\u00e4itmine.<\/p>\n\n\n\n

Tervisekassa perearstiabi teenusejuht Laura Johanna Tuisu<\/strong> s\u00f5nul rahastab Tervisekassa sellest aastast perearstikeskustele digiteenindusplatvorme, et toetada nende laialdasemat kasutamist. \u201eMeie roll on seada digiplatvormidele n\u00f5uded ja tasustada n\u00f5uetele vastavaid teenuseid,” nentis Tuisk.<\/p>\n\n\n\n

Paindlikkust tuleb suurendada<\/strong><\/p>\n\n\n\n

Eesti Perearstide Seltsi juht Elle-Mall Sadrak<\/strong> kinnitas, et selts toetab s\u00fcsteemis suurema paindlikkuse loomist: \u201cEesti on k\u00fcll v\u00e4ike riik, aga samas on h\u00e4sti n\u00e4ha, et \u00fchesugune mudel ja motivatsioon ei toimi \u00fchtemoodi igal pool. Peremeditsiin vajab kindlasti t\u00e4nasest rohkem paindlikke lahendusi, hoidmaks t\u00f6\u00f6tamas neid, kes t\u00e4na s\u00fcsteemis on, ja andmaks suuremaid v\u00f5imalusi  neile, kes seda tahaksid.\u201c<\/p>\n\n\n\n

Sotsiaalministeeriumi tervishoiu inimressursi juht Katre Koppel<\/strong> s\u00f5nas OSKA uuringu tulemusi kommenteerides, et vananeva rahvastiku tundlikes valdkondades, sh tervishoius, ei kata noorte kui tuleviku t\u00f6\u00f6j\u00f5u juurdekasv elanikkonna vananemisega seotud teenusevajadust.<\/p>\n\n\n\n

\u201eMe ei saa enam r\u00e4\u00e4kida ainult sellest, et t\u00f5stame kordades vastuv\u00f5ttude arvu koolides. Peame vaatama, kuidas teenuse pakkumist seestpoolt parandada: \u00fclesandeid arstide, spetsialistide, patsientide ning tehnoloogia vahel \u00fcmber jagada, digitaliseerida protsesse kus v\u00f5imalik ja muuta t\u00f6\u00f6kultuuri ning -keskkonda tervishoius tegutsevatele inimestele ajakohasemaks,\u201c t\u00f5des Koppel.<\/p>\n\n\n\n

Ta lisas, et mitmed ettepanekud on hetkel juba ka anal\u00fc\u00fcsi etappides ja nendega saab liikuda edasi peagi valmiva esmatasandi arengukava ning tervishoiu t\u00f6\u00f6tajate nappuse leevendamise strateegiat \u00fclevaatavate tegevuste raames.<\/p>\n\n\n\n

Tutvu OSKA uuringuga \u201eTulevikuvaade t\u00f6\u00f6j\u00f5u- ja oskuste vajadusele: perearstiabi\u201c<\/a><\/a>.<\/p>\n\n\n\n

Oskuste ning t\u00f6\u00f6j\u00f5uvajaduse seire- ja prognoosis\u00fcsteemi OSKA uuringute koostamist korraldab SA Kutsekoda Euroopa Sotsiaalfondi vahenditest.<\/p>\n","protected":false},"excerpt":{"rendered":"

J\u00e4rgmise k\u00fcmne aasta jooksul j\u00e4\u00e4vad k\u00f5rge vanuse t\u00f5ttu erialasest t\u00f6\u00f6st k\u00f5rvale ja vajavad asendust umbes pooled praegu praktiseerivatest perearstidest. Esmatasandi j\u00e4tkusuutlikkuse tagamiseks tuleb teha perearstiabi tegevusmudelis p\u00f5him\u00f5ttelisi muudatusi, selgub Kutsekoja… Read More »Perearstide arv v\u00e4heneb k\u00fcmne aastaga viiendiku v\u00f5rra\u00a0<\/span><\/a><\/p>\n","protected":false},"author":11,"featured_media":42262,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false,"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","_themeisle_gutenberg_block_has_review":false,"_FSMCFIC_featured_image_caption":"Foto: Freepix","_FSMCFIC_featured_image_nocaption":"","_FSMCFIC_featured_image_hide":"","footnotes":""},"categories":[1163,1041],"tags":[],"class_list":["post-42261","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-oska","category-uus"],"yoast_head":"\nPerearstide arv v\u00e4heneb k\u00fcmne aastaga viiendiku v\u00f5rra\u00a0 - Kutsekoda<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/kutsekoda.ee\/perearstide-arv-vaheneb-kumne-aastaga-viiendiku-vorra\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Perearstide arv v\u00e4heneb k\u00fcmne aastaga viiendiku v\u00f5rra\u00a0 - Kutsekoda\" \/>\n<meta property=\"og:description\" content=\"J\u00e4rgmise k\u00fcmne aasta jooksul j\u00e4\u00e4vad k\u00f5rge vanuse t\u00f5ttu erialasest t\u00f6\u00f6st k\u00f5rvale ja vajavad asendust umbes pooled praegu praktiseerivatest perearstidest. 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