Aadamianis uflebaTa darRvevebi daxurul dawesebulebebSi

1. Aadamianis uflebaTa darRvevebi daxurul dawesebulebebSi Eegle rimSaite 3-4 oqtomberi, 2005 weli

2. dawesebulebebis Seneba im mozrdilTaTvis, romelTac esaWiroebaT samedicino daxmareba, daiwyo saukeTeso ganZraxviT da im rwmeniT, rom specialuri saWiroebebis mqone pirebs ufro efeqturad moemsaxurebian, rodesac isini Tavmoyrilni arian erT garkveul adgilas. Aamgvarad, sazogadoebisSromisuunaro wevrTaTvis samedicino daxmarebis gawevis valdebuleba gaqra; bevr SemTxvevaSi isini imdenad warmatebiT garicxes sazogadoebis wevrobidan, rom gare samyaros sruliad gadaaviwyda maTi arsebobis Sesaxebac ki (krogeri, 2001).

3. movlenaTa ganviTareba dasavleT evropaSi Ggasuli wlis 80-90wlebSidaiwyo instituciuri samedicino mzrunvelobis Secvla sazogadoebaze orientirebuli samsaxurebiT.miuxedavad imisa, rom sxvadasxva qveynebi sruliad gansxvavebul gzebs irCevdnen, yvela isini cdilobdnen, yuradReba gaemaxvilebinaT samedicino mzrunvelobis samsaxurebis beneficiarebis SesaZleblobaze, TviTon gaekeTebinaT arCevani, sazogadoebisaTvisam samsaxurebisRiaobaze, ojaxis wevrTa CarTvaze, beneficiarTa uflebebis dacvis uzrunvelyofis aucileblobaze dasxva msgavs pirobebze. Evropul qveyanaTa umravlesobaiswrafoda geriatriuli da uunaro pirebisaTvis samedicino mzrunvelobis gaumjobesebas saxlis pirobebSi,aRniSnuli samsaxurebisdeinstitutizaciasa da decentralizacias.

4. movlenaTa ganviTareba centraluri da aRmosavleTievropis qveynebSi miuxedavad saxelmwifos movaleobisa, ganaxorcielos deinstituciis politika,centraluri da aRmosavleTi evropis qveynebi ara mxolodabandeben kapitalssadReRamisoTavSesafrebisa dafsiqiatriulidawesebulebebis fizikuri pirobebis gaumjobesebaSi, aramed kidevac afarToveben maT, radganac arsebuli moTxovnileba mzrunvelobis samsaxurebze farToa da instituciuri mzrunveloba xSirad moiazreba rogorc erTaderTi alternativa. uolkeri 1997: aridebdnen ra Tavs iseT arapopularul cnebebs,rogoricaa “sadReRamiso TavSesafari, fsiqiatriuli saavadmyofo, instituciuri mzrunveloba”,politikosebmaise xSirad daiwyesmanipulireba “sazogadoebaze orientirebuli mzrunvelobiT”, rom misi arsebobis STabeWdilebis Seqmnac ki moaxerxes.

5. centraluri da aRmosavleTievropis qveynebisa da post-sabWouri sivrcis sxva qveynebis daxurul dawesebulebebSi daaxlovebiT 1,3milioni bavSvi, Sromisuunaro da moxucebuli cxovrobs, romelTa raodenoba miaxlovebiT 7.400 Seadgens regionSi. xSirad mimarTaven litvis magaliTs – misi erovnuli biujetis1.75%ixarjeba instituciur mzrunvelobaze,fulis uzarmazari raodenoba ixarjeba im sistemis Senaxvasa da ganmtkicebaze, romelic arahumanuria, uaryofs adamianis Rirsebas, arRvevs adamianis uflebebs, umiznodflangavs fuls da uqmnis rogorc finansur, aseve organizaciur barierebs sazogadoebaze orientirebuli samsaxurebis dafuZnebas.

6. Aadamianis uflebaTa dacvissameTvalyureo proeqti Ddonorebi: • evrokomisia • aSS saelCo litvaSi, koaliciis partniorebi: Gglobaluri iniciativa fsiqiatriaSi, Llitvis fsiqikurad qmediTuunaro pirTakeTildReobis sazogadoeba viltisi, vilniusisfsiqosocialurireabilitaciis centri adamianis uflebaTa monitoringis instituti Pperiodi: 2004 wlisnoemberi - 2005 marti.

7. Aadamianis uflebaTa dacvissameTvalyureo proeqti Eeqspertebi: Aarunas GgermanaviCusi (fsiqiatri) Ddainius Ppurasi (fsiqiatri) Llina MmaliSauskaite (advokati) Ddovile sakaliene (fsiqologi) robertas Ppovilaitisi (fsiqologi) egle rimSaite (socialuri muSaki). Ddawesebulebebi: fsiqikurad qmediTuunaro pirTa 9 sarezidentodawesebuleba 5 fsiqiatriuli saavadmyofo.

8. informaciis miRebis ufleba informaciis raodenoba, romelsac iReben sazogadoebrivimzrunvelobis saxlebismacxovreblebi xSirad damokidebulia am dawesebulebebSi momuSave personalis keTilganwyobaze.saCivarTa gadaxedvis formaluri “Sinauri” meqanizmebi ar uzrunvelyofssaCivris uflebisdaamasTan pasuxismiRebisiZulebiT gamoyenebas. Tumca kanoni avaldebulebs fsiqiatriuli saavadmyofoebispersonalsuzrunvelyon pacientebi Tavisi daavadebis Sesaxeb informaciiT,dRemdeinformaciis gacema damokidebulia eqimebis keTil nebaze da maT pativiscemaze pacientebis mimarT.amJamad pacientis informireba misi daavadebis Sesaxeb, iseve rogorc maTi maqsimalurad CarTva gadawyvetilebis miRebis procesSi, ufro epizodur xasiaTs atarebs, vidre miRebuli praqtikisa.

9. Ppiradi cxovrebis pativiscema E sazogadoebrivi mzunvelobis saxlebismkvidrTa es ufleba arsebiTad irRveva: maTi piradi csovreba sajaroa, mas xangrZlivad adevneben Tvalyurs dawesebulebis personali da sxva macxovreblebi. irRveva maTi uflebaiqonion da SeinarCunon intimuri urTierTobebi. Ffsiqiatriul dawesebulebebSipacientebis piradi cxovrebis pativiscemis ufleba maqsimalurad izRudeba da absoluturad ar arsebobs mwvave SemTxvevebis ganyofilebebSi. es ufleba irRveva pacientis pirovnuli monacemebis usafrTxoebis dacvis im moTxovnaTa safuZvelze, romlebic xelmisawvdoms xdian pacientebisaTvis piradi higienis dacvas da telefoniT konfidencialurad sargeblobis uflebas; daculia agreTve moTxovna erT palataSi pacientebis raodenobis Taobaze...

10. Ddiskriminacia O sazogadoebrivimzrunvelobis saxlebismorCilimacxovreblebis mimarT, romlebic aqtiurad TanamSromloben personalTan, gamoiyeneba waxalisebis da garkveuli privilegiebis miniWebis meTodi, romelic xelmiuwvdomelia sxva mkvidrTaTvis.ukiduresad mZime rezidentebi xSirad yvelaze metad xdebian diskriminaciis msxverplni da Tavsdebian yvelaze keTilmouwyobel palatebSi. fsiqiatriulisaavadmyofoszogierT pacients, aseve eniWebaT privilegiebi. personals uyvars morCili pacientebi da ufro met Tavisuflebas da privilegiebs aniWebs maT, rac xelmiuwdomelia sxva pacientebisaTvis.

11. wameba da arahumanuri mopyroba personalis mier pacientebis araswori mkurnalobis formebi an maTi ugulvebelyofa Yyvelaze xSirad gvxvdeba, adgili aqvs pacientebis gadaadgilebis Tavisuflebis Zalze xSir SezRudvas, fsiqologiur, fizikur, seqsualur Zaladobas maT mimarT, pacientebis saxeliT maTi piradi cxovrebis sxvadasxva sakiTxebTan dakavSirebiT gadawyvetilebis miRebas. sazogadoebrivimzrunvelobis saxlebSiadamianisuflebaTa erT-erTi yvelaze sastiki darRvevaa fexmZimobis iZulebiTi Sewyveta.

12. wameba da arahumanuri mopyroba fsiqiatriuli saavadmyofoebisumravlesobas ara aqvs SemuSavebuli fizikuri gariyvis dakisrebis sasjelis standartuli procedura, fizikuri an qimiuri preparatebiT SezRudva, iseve rogorc zemoaRniSnuli zomebis moxsnis meqanizmebi. meores mxriv, saavadmyofoebSi, sadac aRniSnuli procedurebi oficialurad regulirdeba, maTi ganxorcielebisas mTeli riginaklovanebebi dafiqsirda. aris prevenciuli fiqsaciebis SemTxvevebi SesaZlo agresiis Tavidan acilebis mizniT. fiqsaciacgamoiyenebarogorc dasjis erT-erTi meTodi.

13. sakuTrebis ufleba principSi, es ufleba ar aris SezRuduli sacxovrebel dawesebulebaSi,magramdafiqsirebul iqna am uflebis darRvevis SemTxvevebic. fsiqiatriul saavadmyofoebSisakuTrebis ufleba umkacres SezRudvas eqvemdebareba; aris SemTxvevebi, rodesac pacientebs ar aZleven nebas iqonion piradi nivTebi, romelic safrTxes ar uqmnian maT; oficialurad nebadarTuli piradi nivTebis gamoyenebac xSiradaa SezRuduli.

14. ganaTlebis ufleba sazogadoebrivi mzrunvelobis saxlebis mkvidrniam uflebas ar iyeneben. 3000 meti pacientidan mxolod 7-ma miiRo ganaTleba dawesebulebis personalis daxmarebiT. Znelia isaubro fsiqikuri aSlilobis mqone pirTa reintegraciaze, maSin rodesac pacientebi mkurnaloben fsiqiatriul saavadmyofoebSi 5-7 wlis ganmavlobaSi da ver iReben ganaTlebas, maT ar gaaCniaT maTi sazogadoebaSi integrirebisaTvis aucilebeli profesia da unar-Cvevebi. erT-erTi fsiqiatriuli saavadmyofos bavSvTa ganyofilebis monaxulebam cxadyo, rom pacientebi sruliad uswavlelni iyvnen.

15. muSaobis (daqiravebis) ufleba • sazogadoebrivi mzrunvelobis saxlebis mkvidrniam uflebas Zalze iSviaTad iyeneben. umetes SemTxvevaSi samuSaoze daqiravebis oficialuri kontraqtebiar formdebaiq myof daqiravebul pirebTan, ar eZeben maTi daqiravebis SesaZleblobebs, ar arsebobs meqanizmi, rogor davicvaT am dawesebulebaTa mkvidrni mezobeli fermerebis mier maTi eqspluataciisagan. • mxolod erTi fsiqiatriuli klinikissawarmoo-sareabilitacio ganyofilebis pacientebs aqvTSesaZlebloba, imuSaon da miiRon Sesrulebuli samuSaos gasamrjelo, Tumca amgvar samuSaos ar gaaCnia regularuli safuZveli, pacientebs es SesaZlebloba mxolod maSin aqvT, rodesac saavadmyofo SekveTebs iRebs.

16. angariSis gamoqveynebis Semdeg • PpolitikosTa da oficialur pirTa reaqcia • sainformacio saSualebaTa reaqcia • sazogadoebis reaqcia • ramdenime Tvis Semdeg.