Nacionālais veselības dienests (turpmāk – Dienests) informē, ka no 2021. gada 1.augusta stājas spēkā izmaiņas pieaugušo Covid-19 laboratoriskajā testēšanā, paredzot, ka turpmāk testēšanu pasākumu apmeklēšanai, pakalpojumu saņemšanai un ceļošanai ārpus Latvijas Republikas varēs veikt tikai par maksu.
Savukārt Covid-19 simptomu gadījumā, epidemioloģiskajai izmeklēšanai laboratorisko testēšanu tāpat kā līdz šim apmaksās no valsts budžeta līdzekļiem. Ārpus ģimenes ārsta darba laika pacienti ar Covid-19 infekcijai raksturīgiem simptomiem to varēs veikt bez ārsta nosūtījuma. Dienests vērš uzmanību, ka turpmāk šādos gadījumos pēc testēšanas nevarēs izveidot digitālo Covid-19 sertifikātu un iedzīvotājs saņems tikai laboratorijas izrakstu par rezultātu, lai nepieciešamības gadījumā tiktu nodrošināta ģimenes ārsta uzraudzība vai ārstēšana.
Digitālā Covid-19 sertifikāta izveide un izmantošana būs iespējama, ja iedzīvotājs ir:
- vakcinējies pret Covid-19;
- pārslimojis Covid-19;
- veicis maksas laboratorisko testēšanu.
Savukārt bērniem līdz 18 gadiem laboratoriskais tests digitālā Covid-19 sertifikāta saņemšanai no valsts budžeta līdzekļiem tiks apmaksāts līdz 2021. gada 1. septembrim.
Atbilstoši Noteikumos[1] atrunātajiem termiņiem ir veikti grozījumi Slimību profilakses un kontroles centra (turpmāk – SPKC) tīmekļvietnē publicētajā testēšanas algoritmā (tiešsaistē: https://www.spkc.gov.lv/lv/valsts-apmaksatas-covid-19-analizes#_ftn2), kas paredz, ka sākot ar 1. augustu, pieaugušo testēšanu sertifikātu saņemšanai, lai varētu apmeklēt pasākumus, saņemt dažādus pakalpojumus vai doties ceļojumā ārpus Latvijas Republikas, varēs veikt tikai par maksu. Visos minētajos gadījumos samaksa par laboratoriskā testa veikšanu būs jāveic atbilstoši laboratorijas maksas pakalpojumu cenrādim.
Papildus, Dienests vērš uzmanību, ka laboratorisko testēšanu sākot ar šī gada 1.augustu, tāpat kā līdz šim, no valsts budžeta līdzekļiem apmaksās (detalizētākai informācijai skatīt SPKC tīmekļvietnē publicētajā testēšanas algoritmā):
- Covid-19 klīnisko indikāciju gadījumā ar vai bez ārsta, ārsta prakses vai ārstniecības iestādes nosūtījumu (atbilstoši algoritmā definētajām klīniskajām indikācijām, t.sk. diennakts stacionāra pacientiem);
- epidemioloģiskās izmeklēšanas vajadzībām, t.sk.:
- pacientiem no sociālās aprūpes iestādes, izglītības iestādes, kas nodrošina internāta pakalpojumus, patversmes vai ieslodzījuma vietas, kā arī pacientiem bez noteiktas dzīvesvietas;
- pacientiem, kuri iepriekšējo 14 dienu laikā ārstējušies citā stacionārā ārstniecības iestādē, ja laboratoriskā izmeklēšana uz Covid-19 nav veikta pirms izrakstīšanas (pārvešanas);
- pacientiem, kuriem nepieciešama dzīvību glābjoša vai neatliekama operācija vai augsta riska neatliekama manipulācijas;
- pacienti, kuri tiek stacionēti pēc akūtām vai neatliekamām indikācijām, kā arī pacienti hematoloģijas un onkoloģijas profila nodaļās;
- pacientiem, ja nepieciešams saņemt plānveida veselības aprūpes pakalpojumus, taču vakcinācijas veikšana medicīnisku indikāciju dēļ ir atlikta, ar ārsta, ārsta prakses vai ārstniecības iestādes nosūtījumu;
- ģimenes ārsts var nozīmēt laboratorisko izmeklēšanu uz Covid-19 personām 24 – 48 stundas pirms plānveida veselības aprūpes pakalpojumu saņemšanas (tai skaitā bērniem, vienam no vecākiem, kas pavadīs bērnu un citām pavadošām personām);
- rutīnas laboratorisko skrīningu atbilstoši testēšanas algoritma 1.pielikumā “Prioritārās riska grupas un objekti” noteiktajām prioritārajām grupām saskaņojot ar Veselības inspekciju, t.sk. slimnīcu darbinieku, kas piedalās ārstniecības procesā, rutīnas laboratorisko skrīningu, ambulatoro iestāžu darbinieku, kas piedalās ārstniecības procesā, rutīnas laboratorisko skrīningu, stacionārā ilgi aprūpējamo pacientu, kuri nav Covid-19 inficēti, rutīnas laboratorisko skrīningu. Rutīnas skrīninga veikšanu koordinē Veselības inspekcija. Pieteikties rutīnas skrīningam var elektroniski, nosūtot pieteikumu uz e-pastu projekti@vi.gov.lv. Pieteikumā norādīt:
- Iestādes nosaukums, adrese
- atbildīgo personu par rutīnas skrīninga organizēšanu iestādē- e-pasts, tālruņa numurs
- nepieciešamo testu skaits nedēļā.
Dienests vērš uzmanību, ka šajos gadījumos iedzīvotājs saņems izrakstu par laboratorijas testa rezultātu, bet digitālo Covid-19 testēšanas sertifikātu izveidot nevarēs.
[1] 2020.gada 9.jūnija Ministru kabineta noteikumi Nr.360 “Epidemioloģiskās drošības pasākumi Covid-19 infekcijas izplatības ierobežošanai”
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