{"id":53668,"date":"2026-01-07T14:28:04","year":"2026","link":"https:\/\/rigasveseliba.lv\/lv\/aktualitates\/izmainas-bernu-mediciniskaja-rehabilitacija-no-2026-gada-1-janvara\/","type":"aktualitates","slug":"izmainas-bernu-mediciniskaja-rehabilitacija-no-2026-gada-1-janvara","featured_image":"https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab2026.jpg","title":"Izmai\u0146as b\u0113rnu medic\u012bniskaj\u0101 rehabilit\u0101cij\u0101 no 2026. gada 1. janv\u0101ra","content":"<p><span style=\"color: #000000;\">Lai padar\u012btu pakalpojuma snieg\u0161anu m\u0113r\u0137tiec\u012bg\u0101ku un nodro\u0161in\u0101tu pieejam\u012bbu valsts apmaks\u0101tiem rehabilit\u0101cijas pakalpojumiem b\u0113rniem ar funkcion\u0101liem trauc\u0113jumiem, no 2026. gada 1. janv\u0101ra tiek ieviestas izmai\u0146as valsts apmaks\u0101tas medic\u012bnisk\u0101s rehabilit\u0101cijas snieg\u0161an\u0101 b\u0113rniem, inform\u0113 Nacion\u0101lais vesel\u012bbas dienests (NVD). Izmai\u0146as tiek ieviestas, \u0146emot v\u0113r\u0101 ierosin\u0101jumus no Latvijas Rehabilit\u0101cijas profesion\u0101lo organiz\u0101ciju apvien\u012bbas, Nacion\u0101l\u0101 rehabilit\u0101cijas centra \u201cVaivari\u201d un Latvijas \u0100rstu rehabilitologu asoci\u0101cijas. Tas ir viens no m\u0113r\u0137tiec\u012bgiem so\u013ciem, lai moderniz\u0113tu eso\u0161o sist\u0113mu un risin\u0101tu t\u0101s probl\u0113mas.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Kas main\u0101s no 1. janv\u0101ra?<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Izol\u0113tas terapijas metodes (mas\u0101\u017ea, baseins, fizik\u0101l\u0101 terapija) b\u0113rniem netiks apmaks\u0101tas ambulatori, t\u0101pat k\u0101 \u0161obr\u012bd tas ir pieaugu\u0161ajiem. Ja b\u0113rnam ir komplekas vajadz\u012bbas un \u0161\u012bs proced\u016bras nepiecie\u0161amas, tad atbilsto\u0161i fizik\u0101l\u0101s un rehabilit\u0101cijas medic\u012bnas \u0101rsta sagatavotam pl\u0101nam t\u0101s k\u0101 valsts apmaks\u0101tas sniegs dienas stacion\u0101r\u0101. Ar\u012b ambulatoras medic\u012bnisk\u0101s rehabilit\u0101cijas ietvaros speci\u0101listam b\u016bs j\u0101dokument\u0113 izvirz\u012btais m\u0113r\u0137is un sasniegtais rezult\u0101ts, lai pakalpojums b\u016btu m\u0113r\u0137tiec\u012bgs, efekt\u012bvs un v\u0113rsts uz rezult\u0101tu. Katra b\u0113rna rehabilit\u0101cijas vajadz\u012bbas nov\u0113rt\u0113s individu\u0101li, izvirz\u012bs terapijas m\u0113r\u0137i, sagatavos pl\u0101nu t\u0101 realiz\u0113\u0161anai. Nosl\u0113gum\u0101 inform\u0101ciju par sasniegto rezult\u0101tu b\u016bs j\u0101ievada NVD Vad\u012bbas inform\u0101cijas sit\u0113m\u0101, kur\u0101 \u0101rstniec\u012bbas iest\u0101des ievada manipul\u0101cijas par sniegtajiem pakalpojumiem.<\/span><\/p>\n<p><span style=\"color: #000000;\">! Fizioterapeita, ergoterapeita un audiologop\u0113da apmekl\u0113jumi t\u0101pat k\u0101 l\u012bdz \u0161im b\u016bs pieejami k\u0101 valsts apmaks\u0101ti pakalpojumi ar \u0123imenes \u0101rsta (vai \u0101rsta speci\u0101lista) nos\u016bt\u012bjumu &#8211; l\u012bdz 5 apmekl\u0113juma reiz\u0113m, ar FRM \u0101rsta nos\u016bt\u012bjumu atbilsto\u0161i sast\u0101d\u012btajam rehabilit\u0101cijas pl\u0101nam. \u0160\u012b k\u0101rt\u012bba nemain\u0101s.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>K\u0101ds ir pacienta ce\u013c\u0161 rehabilit\u0101cijas sa\u0146em\u0161anai?<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Pacienta ce\u013c\u0161 iepriek\u0161:\u00a0<\/strong>\u0122imenes \u0101rsts izsniedz nos\u016bt\u012bjumu \u201catrauta\u201d pakalpojuma sa\u0146em\u0161anai (piem\u0113ram, mas\u0101\u017eai). B\u0113rns sa\u0146em pakalpojumu bez funkcion\u0113\u0161anas nov\u0113rt\u0113juma, terapijas pl\u0101na un procesa uzraudz\u012bbas no rehabilit\u0101cijas speci\u0101lista puses.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Pacienta ce\u013c\u0161 no 2026. gada 1. janv\u0101ra:<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">1) \u0122imenes \u0101rsts nos\u016bta pie funkcion\u0101l\u0101 speci\u0101lista vai sare\u017e\u0123\u012btos gad\u012bjumos, identific\u0113jot multiplus funkcion\u0113\u0161anas trauc\u0113jumus pie fizik\u0101l\u0101s un rehabilit\u0101cijas medic\u012bnas \u0101rsta.<\/span><br \/>\n<span style=\"color: #000000;\">2) Speci\u0101lists nov\u0113rt\u0113 konkr\u0113t\u0101 pacienta funkcion\u0113\u0161anas l\u012bmeni un vajadz\u012bbas. Izgl\u012bto pacientu un pieder\u012bgos, vienojas par terapijas m\u0113r\u0137i, sagatavo pl\u0101nu un to \u012bsteno.<\/span><br \/>\n<span style=\"color: #000000;\">3) Speci\u0101lists sniedz ieteikumus un zi\u0146o par terapijas rezult\u0101tu.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>K\u0101di ir ieguvumi, ievie\u0161ot izmai\u0146as?<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Uz m\u0113r\u0137a sasnieg\u0161anu orient\u0113ts process. Rehabilit\u0101cijas proces\u0101 tiek noteikti m\u0113r\u0137i, v\u0113rt\u0113ta tarapijas efektivit\u0101te un rezult\u0101ti, k\u0101 ar\u012b pacientu nov\u0113ro dinamik\u0101. Rehabilit\u0101cija nebeidzas ar viena pakalpojuma sa\u0146em\u0161anu. Vien\u0101dota pieeja b\u0113rnu un pieaugu\u0161o rehabilit\u0101cij\u0101. \u0160\u0101ds modelis veiksm\u012bgi darbojas pieaugu\u0161o rehabilit\u0101cij\u0101. Ievie\u0161ot izmai\u0146as, tiek vien\u0101dota pieeja ar\u012b b\u0113rnu vesel\u012bbas apr\u016bp\u0113. Jaun\u0101 k\u0101rt\u012bba saska\u0146o Latvijas praksi ar starptautisk\u0101m vadl\u012bnij\u0101m un citu valstu pieredzi (Zviedrijas, Igaunijas u.c.), k\u0101 ar\u012b atbilst Pasaules vesel\u012bbas organiz\u0101cijas sniegtaj\u0101m rekomend\u0101cij\u0101m p\u0113c Latvijas rehabilit\u0101cijas sist\u0113mas izv\u0113rt\u0113\u0161anas.<\/span><\/p>\n<p><span style=\"color: #000000;\"><strong>Inform\u0101cija \u0101rstniec\u012bbas iest\u0101d\u0113m<\/strong><\/span><\/p>\n<p><span style=\"color: #000000;\">Lai padar\u012btu caursp\u012bd\u012bg\u0101ku apmaksas sist\u0113mu un skaidr\u0101ku datu uzskaiti par veiktaj\u0101m manipul\u0101cij\u0101m, ir veiktas izmai\u0146as manipul\u0101ciju sarakst\u0101, par ko elektroniski nos\u016bt\u012bta inform\u0101cija NVD l\u012bgumpartneriem. No 1. janv\u0101ra tiek vien\u0101doti apmaksas principi visiem funkcion\u0101lajiem speci\u0101listiem, veicot samaksu par specialista kontaktlaiku ar pacientu, nevis sadrumstaloti par atsevi\u0161\u0137\u0101m terapijas metod\u0113m, t\u0101d\u0113j\u0101di virzoties uz gad\u012bjuma apmaksu. Katrs speci\u0101lists kontaktlaiku ar pacientu atspogu\u013co izmantojot 15 min\u016b\u0161u laika vien\u012bbu, ja konsult\u0101cija ilgst 30 min\u016btes &#8211; manipul\u0101ciju nor\u0101da 2 reizes, ja 45 min\u016btes &#8211; attiec\u012bgi 3 reizes. Papildus, katram pacientam, vienu reizi viz\u012btes laik\u0101, j\u0101nor\u0101da ar\u012b rehabilit\u0101cijas pl\u0101na monitor\u0113\u0161anas manipul\u0101cija, kas fiks\u0113 apmekl\u0113jumu skaitu kursa laik\u0101.<\/span><\/p>\n<p><span style=\"color: #000000;\">Min\u0113tais modelis p\u0113c b\u016bt\u012bbas nav nekas jauns. Tas jau veiksm\u012bgi str\u0101d\u0101 stacion\u0101r\u0101s rehabilit\u0101cijas ietvaros, programm\u0101 jaukta profila gultas.<\/span><\/p>\n<p><span style=\"color: #000000;\">Manipul\u0101ciju sarakst\u0101 ir dz\u0113stas 69 manipul\u0101cijas, aizvietojot t\u0101s ar 3 manipul\u0101cij\u0101m ar tarifu. Vienlaikus izveidotas 25 jaunas statistikas manipul\u0101cijas, savuk\u0101rt 9 manipul\u0101cij\u0101m ir redakcion\u0101li preciz\u0113jumi (main\u012bti apmaksas nosac\u012bjumi\/nosaukums).<\/span><\/p>\n\n\t\t<style type=\"text\/css\">\n\t\t\t#gallery-1 {\n\t\t\t\tmargin: auto;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-item {\n\t\t\t\tfloat: left;\n\t\t\t\tmargin-top: 10px;\n\t\t\t\ttext-align: center;\n\t\t\t\twidth: 33%;\n\t\t\t}\n\t\t\t#gallery-1 img {\n\t\t\t\tborder: 2px solid #cfcfcf;\n\t\t\t}\n\t\t\t#gallery-1 .gallery-caption {\n\t\t\t\tmargin-left: 0;\n\t\t\t}\n\t\t\t\/* see gallery_shortcode() in wp-includes\/media.php *\/\n\t\t<\/style>\n\t\t<div id='gallery-1' class='gallery galleryid-53668 gallery-columns-3 gallery-size-large'><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab2.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab2-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab2-1024x1024.jpg 1024w, https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab2-300x300.jpg 300w, https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab2-150x150.jpg 150w, https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab2.jpg 1080w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab3.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab3-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab3-1024x1024.jpg 1024w, https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab3-300x300.jpg 300w, https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab3-150x150.jpg 150w, https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab3.jpg 1080w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a>\n\t\t\t<\/dt><\/dl><dl class='gallery-item'>\n\t\t\t<dt class='gallery-icon landscape'>\n\t\t\t\t<a href='https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab4.jpg'><img loading=\"lazy\" decoding=\"async\" width=\"1024\" height=\"1024\" src=\"https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab4-1024x1024.jpg\" class=\"attachment-large size-large\" alt=\"\" srcset=\"https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab4-1024x1024.jpg 1024w, https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab4-300x300.jpg 300w, https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab4-150x150.jpg 150w, https:\/\/rigasveseliba.lv\/wp-content\/uploads\/2026\/01\/rehab4.jpg 1080w\" sizes=\"auto, (max-width: 1024px) 100vw, 1024px\" \/><\/a>\n\t\t\t<\/dt><\/dl><br style=\"clear: both\" \/>\n\t\t<\/div>\n\n","tags":[],"cust_order":"9920260107","acf_order":""}