codnis Sefaseba da testuri gamocda. testis dizaini da misi Sedgenis ...
codnis Sefaseba da testuri gamocda. testis dizaini da misi Sedgenis ...
codnis Sefaseba da testuri gamocda. testis dizaini da misi Sedgenis ...
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samedicino gazeTi Tebervali 2010 gv.8<br />
specialoba <strong>da</strong> profesionalizmi<br />
pediatris profesia <strong>da</strong> pediatriuli ganaTleba: axali gamowvevebi<br />
irakli favleniSvili<br />
Tssu pediatriis departamentis sruli profesori, sarezidento programis “pediatria”<br />
direqtori, amerikis pediatrTa akademiis wevri, saxelmwifo premiis laureati<br />
I . pediatris profesia<br />
gagrZeleba. <strong>da</strong>sawyisi wina nomerSi.<br />
- skolis pediatri.<br />
saskolo asakis <strong>da</strong> mozardi bavSvebi is<br />
kontigentia, romlebic arasaTanado<br />
samedicino <strong>da</strong>xmarebas iRebs. rogorc<br />
Cans, pediatrTa garkveul nawils isev<br />
mouwevs Tavisi praqtikis didi nawili<br />
gaataros skolis pirobebSi, raTa<br />
uzrunvelyos iseTi samedicino <strong>da</strong>xmareba,<br />
rogoricaa vaqcinaciis Catareba, sqesobrivad<br />
ga<strong>da</strong>mdebi infeqciebis<br />
profilaqtika, orsulobis prevencia,<br />
sxva<strong>da</strong>sxva qimiuri nivTierebebis borotad<br />
gamoyenebasTan <strong>da</strong>kavSirebiT konsultireba,<br />
moswavlis ganviTarebisa <strong>da</strong><br />
fsiqiuri janmrTelobis mdgomareobis<br />
<strong>Sefaseba</strong>, mozardebSi Zaladobis prevencia<br />
<strong>da</strong> sxv.<br />
- pediatri, rogorc samedicino<br />
<strong>da</strong>xmarebis aRmomCeni binis<br />
pirobebSi.<br />
amJamad SeiniSneba mwvave Tu qronikuli<br />
<strong>da</strong>avadebebis binis pirobebSi e.w. komfortuli<br />
<strong>da</strong> xarjTefeqturi mkurnalobis<br />
tendencia. amitomac, saWiroa im kompetenciebis<br />
Camoyalibeba, romliTac<br />
pediatri Seafasebs, koordinacias<br />
moaxdens <strong>da</strong> gaaadvilebs am saxis samedicino<br />
<strong>da</strong>xmarebas. gar<strong>da</strong> amisa, SesaZlebelia,<br />
rom ufro gafarTovdes binaze<br />
Catarebuli profilaqtikuri Semowmebis<br />
<strong>da</strong> mwvave <strong>da</strong>avadebaTa mkurnalobis<br />
areali.<br />
- pediatri, rogorc populaciaze<br />
<strong>da</strong>fuZnebuli, sazogadoebrivi<br />
medicinis praqtikosi.<br />
axlo momavalSi savaraudoa saxelmwifo<br />
<strong>da</strong> municipalitetebi gamoiyenebs<br />
eqimebs, maT Soris pediatrebs, sazogadoebrivi<br />
jan<strong>da</strong>cvis pirveladi moTxovnilebebisa<br />
<strong>da</strong> SemTxvevaTa marTvis sakiTxebis<br />
integraciis mizniT, sazogadoebrivi<br />
janmrTelobis gaumjobesebisaTvis,<br />
samedicino <strong>da</strong>xmarebis xarisxis<br />
Sesafaseblad <strong>da</strong> sxv.<br />
- pediatri administraciul<br />
medicinaSi.<br />
pediatrebi sxva eqimebis msgavsad dResac<br />
saqmdebian jan<strong>da</strong>cvis administraciaSi.<br />
muSaoben sa<strong>da</strong>zRvevo kompaniebisaTvis,<br />
janmrTelobis SemanarCunebeli<br />
organizaciebisaTvis <strong>da</strong> sxva <strong>da</strong>wesebulebebisaTvis.<br />
aRniSnuli karierisTvis<br />
mosamzadeblad sul ufro meti eqimi<br />
ecdeba maRali biznes xarisxis mopovebas.<br />
- pediatri, rogorc pediatriuli<br />
samsaxuris xarisxis mkvlevari.<br />
informaciuli teqnologiebisa <strong>da</strong> pasuxismgeblobebis<br />
mimarT yuradRebis<br />
mosalodnel zr<strong>da</strong>sTan erTad pediatris<br />
kidev erTi mniSvnelovani funqcia iqneba<br />
pediatriuli samsaxuris xelmisawvdomobis,<br />
xarisxisa <strong>da</strong> gamoyenebis sakiTxebis<br />
Seswavla. es kvleva warimarTeba<br />
akademiur samedicino centrebsa <strong>da</strong><br />
polisis jgufebSi CarTuli mkvlevarebis,<br />
aseve kerZo <strong>da</strong>wesebulebebSi momuSave<br />
pediatrebis mier.<br />
- sofelSi momuSave pediatri.<br />
soflis regionSi pediatriuli saqmianoba<br />
kvlavac unikalur sirTules warmoadgens.<br />
sofelSi momuSave pediatrma<br />
zog SemTxvevaSi kvlavac un<strong>da</strong> SeiTavsos<br />
Terapevtis, neonatologis, intensiuri<br />
Terapiis specialistis funqciebi<br />
matransportirebeli jgufis mosvlamde,<br />
rodesac pacientis mdgomareoba kritikulia.<br />
telemedicina saSualebas miscems<br />
sofelSi momuSave pediatrs<br />
saWiroebis SemTxvevaSi miiRos Sesaba<strong>misi</strong>s<br />
subspecialistis konsultacia <strong>da</strong><br />
amgvarad aRmouCinos pacients optimaluri<br />
samedicino <strong>da</strong>xmareba. qronikuli<br />
<strong>da</strong>avadebebis mkurnaloba <strong>da</strong> qcevis<br />
problemebis amocnoba soflis pediatris<br />
kompentenciis is aspeqtebia, romelic<br />
aqtualizebulia <strong>da</strong> saswrafod<br />
ga<strong>da</strong>Wras moiTxovs.<br />
amrigad, pediatriuli samsaxuris profesionalTa<br />
Camoyalibeba <strong>da</strong> maTi<br />
rolebis gafarToeba moiTxovs imas, rom<br />
pediatriulma samedicino ganaTlebam<br />
saTanado yuradReba miaqcios pediatriuli<br />
samsaxuris integracias monaTesave<br />
samsaxurebTan. gansakuTrebiT mniSvnelovania<br />
xazi gaesvas pediatrebis mier<br />
urTierTTanamSromlobis Cvevebis SeZenas,<br />
vinai<strong>da</strong>n maT sul ufro xSirad mouwevT<br />
sxva<strong>da</strong>sxva gundSi muSaoba. samedicino<br />
samsaxuris uzrunvelmyof profesionalTa<br />
rolebisa <strong>da</strong> SesaZleblobeb-<br />
Si garkveva pediatriuli ganaTlebis er-<br />
TerTi mniSvnelovani komponentia. vinai<strong>da</strong>n<br />
xSir SemTxvevaSi pediatriuli pacientisaTvis<br />
samedicino <strong>da</strong>xmarebis aRmoCenaze<br />
pasuxismgebeli iqneba arapediatri<br />
eqimi, amitom saWiroa, rom pediatriuli<br />
ganaTlebis dros pediatrebs<br />
Caunergon liderobis SegrZneba <strong>da</strong><br />
gamoumuSavon Cvevebi, romlebic saWiroa<br />
pediatriuli samedicino <strong>da</strong>xmarebis<br />
stan<strong>da</strong>rtebis SesamuSaveblad.<br />
<strong>da</strong> bolos, vinai<strong>da</strong>n pediatrs mravalferovani<br />
rolebis SeTavseba mouwevs momavalSi,<br />
amitom samedicino ganaTlebis<br />
procesSi un<strong>da</strong> moxdes studentTa<br />
gaTviTcnobiereba Tu ra <strong>da</strong> ra mimarTulebiT<br />
SeiZleba moxdes pediatris<br />
karieris ganviTareba.<br />
SeiTavsebs ra axal funqciebs pediatris<br />
<strong>da</strong>saqmeba ukve SesaZlebelia<br />
ara marto rogorc<br />
- pediatri, momuSave poliklinikebSi<br />
- pediatri, momuSave soflis regionebSi<br />
- pediatri, romelic uzrunvelyofs<br />
samedicino momsaxurebas binaze<br />
- pediatri, momuSave saavadmyofoSi<br />
- pediatri, momuSave skolaSi<br />
- pediatri, momuSave baga-baRSi<br />
- pediatri, momuSave saswrafo <strong>da</strong>xmarebis<br />
briga<strong>da</strong>Si<br />
aramed, rogorc<br />
- pediatri, momuSave marTvadi samedicino<br />
<strong>da</strong>xmarebis centrebSi<br />
- pediatri, momuSave sazogadoebriv konsultantad,<br />
- pediatri, populaciaze <strong>da</strong>fuZnebul<br />
sazogadoebriv medicinaSi<br />
- pediatri, administraciul medicinaSi<br />
- pediatri, momuSave saafTiaqo qselSi<br />
- pediatri, momuSave farmacevtul kompaniaSi<br />
- pediatri, momuSave sa<strong>da</strong>zRvevo kompaniaSi<br />
profesionalebi, romlebic bavSvTa<br />
janmrTelobaze zrunvisas pediatrebTan<br />
TanamSromloben, arian nutriciologebi,<br />
socialuri samsaxuris TanamSromlebi,<br />
fsiqologebi, `fizikuri <strong>da</strong>tvir-<br />
Tvis~ specialistebi <strong>da</strong> logopedebi.<br />
marTalia, mentalur janmrTelobaze<br />
zrunva didi xania farTo, multidisciplinaruli<br />
gundis muSaobis Semadgeneli<br />
nawilia, magram pediatriul praqtikaSi<br />
es procesi Senelebuli tempiT mimdinareobs.<br />
vinai<strong>da</strong>n ganviTarebis, qcevisa <strong>da</strong><br />
mentaluri janmrTelobis sakiTxebi<br />
metad mniSvnelovania pirveladi samedicino<br />
<strong>da</strong>xmarebisaTvis, amgvari aliansis<br />
warmateba mniSvnelovan gavlenas<br />
moaxdens pediatriis momavalze. gar<strong>da</strong><br />
amisa, un<strong>da</strong> iTqvas, rom sxva specialobis<br />
eqimebic mniSvnelovani rols asrulben<br />
pediatriuli pacientebis moTxovnilebebis<br />
<strong>da</strong>kmayofilebaSi. magaliTad,<br />
ojaxis eqimebi, ga<strong>da</strong>udebeli <strong>da</strong>xmarebis<br />
eqimebi, nevrologebi, fsiqiatrebi <strong>da</strong> pediatri<br />
subspecialistebi.<br />
bavSvTa <strong>da</strong> mozardTa fsiqikuri janmrTelobis<br />
moTxovnilebebi sakmaod<br />
mniSvnelovania. pediatrs <strong>da</strong>matebiTi<br />
sWirdeba treningebi, raTa man saTanadod<br />
SesZlos bavSvTa fsiqiuri janmr-<br />
Telobis <strong>Sefaseba</strong>. gar<strong>da</strong> amisa, pediatrma<br />
kvlavac un<strong>da</strong> gaagrZelos mWidro<br />
TanamSromloba fsiqiatrebTan, fsiqologebTan<br />
<strong>da</strong> socialuri samsaxuris<br />
TanamSromlebTan, raTa <strong>da</strong>akmayofilon<br />
TavianTi pacientebis fsiqikuri janmrTelobis<br />
moTxovnilebebi. fsiqikuri<br />
paTologiis uyuradRebod <strong>da</strong>toveba<br />
bavSvTa asakSi, populaciasi mentaluri<br />
paTologiis ganviTarebis sixSiris<br />
matebis safrTxes Seicavs.<br />
ojaxis eqimisa <strong>da</strong> pediatris funqciebis<br />
`zeddeba~ konkurentul garemos qmnis,<br />
gansakuTrebiT iseT regionebSi, sa<strong>da</strong>c<br />
eqimTa siWarbea. Tumca aseTi `zeddeba~<br />
kooperatiuli modelebis Camoyalibebis<br />
saSualebas iZleva, gansakuTrebiT<br />
im regionebSi, sa<strong>da</strong>c eqimTa naklebobaa.<br />
magaliTad, pediatrs SeuZlia informacia<br />
miawodos ojaxis eqims <strong>da</strong><br />
gaaumjobesos bavSvTa <strong>da</strong>avadebebis mar-<br />
Tva <strong>da</strong>Sorebul regionebSi. agreTve, pediatrma<br />
SeiZleba <strong>da</strong>makavSirebeli roli<br />
Seasrulos ojaxis eqimsa <strong>da</strong> subspecialists<br />
Soris, riTac <strong>da</strong>zogos pacientis<br />
ojaxi zedmeti xarjebisa <strong>da</strong> ga<strong>da</strong>adgilebisgan.<br />
zogadi pediatrisa <strong>da</strong> subspecialistis<br />
roli <strong>da</strong> maT Soris urTierToba is<br />
sakiTxia, romelic gansjisa <strong>da</strong> kamaTis<br />
sagania. kvlevebi, romelebic Catar<strong>da</strong><br />
zogadi eqimebisa <strong>da</strong> subspecialistebis<br />
mier aRmoCenili samedicino <strong>da</strong>xmarebis<br />
Sedegisa <strong>da</strong> xarisxis Sesa<strong>da</strong>reblad,<br />
xSirad urTierTagamomricxavia. mozrdil<br />
pacientebze Catarebulma ramdenime<br />
kvlevam aCvena, rom Terapevtis mier aRmoCenili<br />
samedicino <strong>da</strong>xmarebis gamosavali<br />
iseTivea, rogoric subspecialistis<br />
mier Catarebuli mkurnalobisa, magram<br />
resursebis xarjva pirvel SemTxvevaSi<br />
ufro naklebia. sxva kvlevebma gamoavlina,<br />
rom <strong>da</strong>avadebis gamosavali<br />
gacilebiT ukeTesia subspecialistebis<br />
mier Caterebuli mkurnalobisas. pediatriuli<br />
pacientebis Sesaxeb msgavsi monacemebi<br />
ar moipoveba.<br />
pediatri subspecialistebi (neonatologi,<br />
bavSvTa pulmonologi, kardiologi,<br />
gastroenterologi alergologi,<br />
nefrologi, nevrologi, onkohematologi<br />
<strong>da</strong> sxv.) uzrunvelyofen samedicino<br />
<strong>da</strong>xmarebas, mTel rig sxva<strong>da</strong>sxva<br />
<strong>da</strong>wesebulebaSi. amasTan, pediatr subspecialistTa<br />
umetesoba Tavis profesiul<br />
saqmianobas, swavlebasa <strong>da</strong> kvlevas<br />
akademiur samedicino centrebSi un<strong>da</strong><br />
eweodes. pediatri subspecialisti profesiuli<br />
mzadebisa <strong>da</strong> gamocdilebis<br />
safuZvelze <strong>da</strong>xelovnebulia imaSi, rom<br />
aRmouCinos samedicino <strong>da</strong>xmareba, aswavlos<br />
<strong>da</strong> Caataros kvleva viwro pediatriul<br />
specialobaSi <strong>da</strong> iyos konsultanti<br />
mZime, kompleqsur <strong>da</strong> iSviaT <strong>da</strong>avadebebTan<br />
<strong>da</strong>kavSirebiT.<br />
pediatr-subspecialistTan pacientis<br />
mimarTvianobas pirveladi rgolis<br />
eqimebi, ZiriTa<strong>da</strong>d pediatrebi, ojaxis<br />
eqimebi <strong>da</strong> ufro iSviaTad ki pediatrsubspecialistebi<br />
un<strong>da</strong> uzrunvelyofdnen.<br />
urbanul <strong>da</strong>saxlebaTa umetesobaSi pediatri<br />
subspecialistebi zrunaven<br />
rTuli <strong>da</strong> progresuli <strong>da</strong>avadebis mqone<br />
bavSvebze. vinai<strong>da</strong>n soflebSi Se<strong>da</strong>rebiT<br />
naklebia pediatr-subspecilaistTa<br />
ricxvi, amitomac aucilebelia zogad<br />
pediatrebsa <strong>da</strong> subspecialistebs Soris<br />
swrafi <strong>da</strong> mimdinare kavSiris <strong>da</strong>myareba<br />
telemedicinisa <strong>da</strong> telefonis meSveobiT<br />
an pir<strong>da</strong>pi adgilobriv mozrdilTa<br />
subspecialistis meSveobiT. pediatrs<br />
SeuZlia qronikuli <strong>da</strong>avadebebis marTva<br />
sxva subspecialistebTan erTad, rogorc<br />
xdeba magaliTad bavSvTa simsivneebis<br />
marTvis mraval programaSi.<br />
Tumca arsebobs ramdenime winaaRmdegoba,<br />
rac xels uSlis pediatriuli samedicino<br />
<strong>da</strong>xmarebis TanamSromlobiTi<br />
modelis <strong>da</strong>nergvas. sxva<strong>da</strong>sxva kvlevam<br />
gamoavlina, rom mSoblebi ar arian <strong>da</strong>rwmunebulni<br />
zogadi eqimis kvalifikacia-<br />
Si kompleqsuri, mZime <strong>da</strong> iSviaTi <strong>da</strong>avadebebis<br />
mkurnalobisas. amasTan, ar aris<br />
sruli konsensusi miRweuli imis Taobaze<br />
Tu ra tipisa <strong>da</strong> simZimis problema<br />
un<strong>da</strong> ga<strong>da</strong>iWras pirveladi rgolis pediatris<br />
<strong>da</strong> romeli - subspecialistis mier.<br />
gar<strong>da</strong> amisa, Tu subspecialisti ar aris<br />
monawile saxelmwifo programebisa, konsutalciis<br />
fasi xSirad miuwvdomelia<br />
mravali ojaxisaTvis.<br />
amasTan, un<strong>da</strong> iTqvas, rom pacientze<br />
orientirebuli jan<strong>da</strong>cvis mizania, rom<br />
yvela bavSvi, romelic saWiroebs specializebul<br />
samedicino <strong>da</strong>xmarebas, iyos<br />
uzrunvelyofili saukeTesod <strong>da</strong>xelovnebuli<br />
viwro specialistebis mier<br />
uaxles teqnologiebze <strong>da</strong>fuZnebuli<br />
srulyofili samedicino <strong>da</strong>xmarebiT.<br />
zogad pediatrTa amJamad arsebuli<br />
ricxvis Semcireba saWiro ar iqneba.<br />
bolo 20 wlis ganmavlobaSi eqimTa<br />
ricxvis zr<strong>da</strong>m gaaumjobesa eqimTa<br />
geografiuli ga<strong>da</strong>nawileba, magram<br />
ver aRmofxvra soflis raionebSi arsebuli<br />
deficiti. momavalSi saWiro<br />
iqneba pediatrsa <strong>da</strong> bavSvTa populacias<br />
Soris arsebuli proporciis SenarCuneba.<br />
amasTan, mniSvnelovania<br />
iseTi strategiebis SemuSaveba,<br />
romelic uzrunvelyofs cu<strong>da</strong>d momsaxurebul<br />
regionebSi pediatris momsaxure<br />
bavSvebTan Tanafardobis optimizacias<br />
<strong>da</strong> eTnikuri umciresobis<br />
pediatrTa ricxvis gazr<strong>da</strong>s.<br />
dReisaTvis samedicino skolis studentTa<br />
Soris eTnikuri umciresobis warmomadgenelTa<br />
simcire <strong>da</strong>mafiqrebelia, gansakuTrebiT<br />
imitom, rom samedicino momsaxurebis<br />
SeRwevadoba eTnikuri umciresobis<br />
sazogadoebaSi <strong>da</strong>balia. meti samuSaoa<br />
saWiro erovnuli umciresobis<br />
ricxvis gasazrdelad pediatrTa sarezidento<br />
mzadebis programebSi.<br />
erovnuli umciresobis warmomadgenelTa<br />
ricxvis gazr<strong>da</strong> pediatrTa Soris<br />
gaaumjobesebs erovnuli umciresobebiT<br />
kompaqturad <strong>da</strong>saxlebul regionebSi<br />
maT <strong>da</strong>saqmebasa <strong>da</strong> aqe<strong>da</strong>n gamomdinare<br />
samedicino momsaxurebis xarisxs.<br />
ar SeiZleba xazi ar gaesvas erT garemoebasac.<br />
pediatriul sferoSi aRiniSneba<br />
mdedrobiTi sqesis warmomadgenlebis<br />
mkveTrad gamoxatuli siWarbe. amJamad<br />
samive wlis pediatr-rezidentTa Soris<br />
TiTqmis yvela qalia. amasTan, qali-pediatrebi<br />
ufro mcire dros uTmoben samu-<br />
Saos TavianT mamakac kolegebTan Se<strong>da</strong>rebiT,<br />
rac pirvel rigSi imiT aris ganpirobebuli,<br />
rom isini samuSaos <strong>da</strong> ojaxur<br />
saqmianobas aTavseben erTmaneTTan. Se-
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