{"id":43104,"date":"2025-06-14T20:12:19","date_gmt":"2025-06-14T20:12:19","guid":{"rendered":"https:\/\/www.theconservative.online\/cea-mai-recenta-criza-a-sanatatii-copiilor-din-irlanda"},"modified":"2025-06-14T20:12:19","modified_gmt":"2025-06-14T20:12:19","slug":"cea-mai-recenta-criza-a-sanatatii-copiilor-din-irlanda","status":"publish","type":"post","link":"https:\/\/www.theconservative.online\/ro\/cea-mai-recenta-criza-a-sanatatii-copiilor-din-irlanda","title":{"rendered":"Cea mai recent\u0103 criz\u0103 a s\u0103n\u0103t\u0103\u021bii copiilor din Irlanda"},"content":{"rendered":"
Children’s Health Ireland este organismul responsabil de supravegherea serviciilor de asisten\u021b\u0103 medical\u0103 pediatric\u0103 din Irlanda. Acesta are sarcina de a gestiona toate spitalele majore pentru copii, inclusiv Temple Street, Crumlin \u0219i Tallaght, \u0219i este \u00een curs de preg\u0103tire pentru a opera noul Spital Na\u021bional pentru Copii, \u00eent\u00e2rziat \u00een mod cronic \u0219i la un pre\u021b exorbitant. <\/div>\n
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\u00cenfiin\u021bat \u00een 2018, rolul s\u0103u a fost s\u0103 consolideze \u0219i s\u0103 \u00eembun\u0103t\u0103\u021beasc\u0103 \u00eengrijirea pediatric\u0103. Cu toate acestea, de atunci, CHI s-a confruntat cu controale repetate pentru e\u0219ecuri de guvernan\u021b\u0103. Cea mai recent\u0103 criz\u0103 a sa implic\u0103 utilizarea necorespunz\u0103toare a Fondului na\u021bional de cump\u0103rare a tratamentului (NTPF) \u0219i interven\u021bii chirurgicale inutile la \u0219old pe copii foarte mici, inclusiv copii de v\u00e2rst\u0103 mic\u0103. <\/div>\n
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Aceste dezv\u0103luiri tulbur\u0103toare care implic\u0103 CHI se concentreaz\u0103 asupra unui consultant care, conform unui raport intern nepublicat din 2021, se presupune c\u0103 a acordat prioritate pacien\u021bilor pentru clinicile sale private folosind criterii netransparente, ocolindu-i pe cei cu nevoi clinice mai urgente.<\/div>\n
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NTPF, conceput pentru a reduce listele de a\u0219teptare din spitale prin finan\u021barea tratamentului privat pentru pacien\u021bii din sectorul public, ar fi fost utilizat \u00een mod necorespunz\u0103tor \u00een valoare de 35 800 de euro, conform informa\u021biilor furnizate de numeroase platforme media irlandeze.<\/div>\n
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Aceste ac\u021biuni au dus la \u00eent\u00e2rzieri de p\u00e2n\u0103 la trei ani pentru copiii care necesitau \u00eengrijiri urgente, un e\u0219ec pe care opozi\u021bia \u0219i TD Sinn F\u00e9in John Brady l-au descris ca fiind indicativ al problemelor sistemice de supraveghere \u0219i responsabilitate. Consultantul, acum pensionat, nu a f\u0103cut obiectul niciunei ac\u021biuni disciplinare p\u00e2n\u0103 \u00een prezent. Pentru mul\u021bi, acesta este \u00eenc\u0103 un caz \u00een care cadrele medicale superioare se sustrag consecin\u021belor pentru \u00eenc\u0103lc\u0103ri grave ale bunelor practici clinice <\/div>\n
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Directorul general al CHI, Lucy Nugent, care a preluat func\u021bia \u00een ianuarie 2025, a prezentat recent scuze familiilor afectate, recunosc\u00e2nd c\u0103 organiza\u021bia nu a reu\u0219it s\u0103 ofere ceea ce ea a numit un \u201estandard consecvent \u0219i excelent de \u00eengrijire\u201d. Cu toate acestea, scuzele au f\u0103cut prea pu\u021bin pentru a calma \u00eengrijor\u0103rile, mai ales c\u0103 ancheta din 2021 nu a fost dezv\u0103luit\u0103 Departamentului S\u0103n\u0103t\u0103\u021bii, HSE sau Comitetului Oireachtas de Conturi Publice, ridic\u00e2nd \u0219i mai multe \u00eentreb\u0103ri serioase cu privire la transparen\u021b\u0103. Bine\u00een\u021beles, au ap\u0103rut \u0219i \u00eentreb\u0103ri privind sinceritatea sau credibilitatea scuzelor \u00een sine. <\/div>\n
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Ministrul S\u0103n\u0103t\u0103\u021bii, Jennifer Carroll MacNeill, a descris \u00een mod repetat guvernan\u021ba de la CHI drept un \u201efiasco\u201d, remarc\u00e2nd \u201ecomportamente toxice\u201d la CHI Crumlin \u0219i exprim\u00e2ndu-\u0219i \u00eengrijorarea cu privire la lipsa de notificare a autorit\u0103\u021bilor relevante. De atunci, \u201efiasco-ul\u201d s-a agravat odat\u0103 cu demisia a patru membri ai consiliului de administra\u021bie (Mary Cryan, Dr. Gavin Lavery, Brigid McManus \u0219i Catherine Guy), subliniind \u0219i mai mult profunzimea crizei. <\/div>\n
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Controversa CHI se extinde dincolo de utilizarea necorespunz\u0103toare a NTPF. Un audit clinic a ar\u0103tat c\u0103, \u00eentre 2021 \u0219i 2023, aproape 80 % din opera\u021biile de displazie de \u0219old de la Spitalul Na\u021bional de Ortopedie Cappagh \u0219i 60 % de la Temple Street au fost inutile, deoarece nu au \u00eendeplinit pragul clinic aplicat la CHI Crumlin. <\/div>\n
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P\u0103rin\u021bii s-au confruntat cu posibilitatea ca copiii lor s\u0103 fi fost supu\u0219i unor proceduri invazive f\u0103r\u0103 justificare, ceea ce a determinat apeluri pentru o revizuire extern\u0103 independent\u0103. \u00cen timpul unei recente dezbateri D\u00e1il privind criza, un membru al partidului de opozi\u021bie a eviden\u021biat situa\u021bia dificil\u0103 a unui aleg\u0103tor ai c\u0103rui trei copii se confrunt\u0103 cu incertitudinea cu privire la necesitatea interven\u021biilor lor chirurgicale, unul dintre p\u0103rin\u021bi neput\u00e2ndu-\u0219i permite o revizuire de 700 EUR efectuat\u0103 de o ter\u021b\u0103 parte. Cu toate acestea, HSE a promis s\u0103 finan\u021beze astfel de revizuiri, dar mecanismele de realizare r\u0103m\u00e2n neclare, ceea ce spore\u0219te frustrarea p\u0103rin\u021bilor. <\/div>\n
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Ceea ce este aproape incredibil \u00een leg\u0103tur\u0103 cu aceast\u0103 criz\u0103 recent\u0103 pentru CHI este faptul c\u0103 nu este un incident izolat. \u00centr-adev\u0103r, s-ar putea sus\u021bine c\u0103 aceast\u0103 ultim\u0103 serie de informa\u021bii bomb\u0103 face parte dintr-un model \u00eengrijor\u0103tor de e\u0219ecuri sistemice \u00een asisten\u021ba medical\u0103 pentru copii din Irlanda \u00eencep\u00e2nd cu anul 2000. <\/div>\n
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Cazul lui Michael Shine, chirurg consultant la spitalul Our Lady of Lourdes din Drogheda, este un precedent clar \u00een acest sens. \u00centre anii 1960 \u0219i 1990, Shine a abuzat sexual de numero\u0219i pacien\u021bi tineri de sex masculin, acuza\u021biile ap\u0103r\u00e2nd la \u00eenceputul anilor 2000. Un raport din 2009 al Consiliului medical irlandez \u0219i anchetele ulterioare au scos la iveal\u0103 o cultur\u0103 a t\u0103cerii \u0219i o supraveghere inadecvat\u0103, permi\u021b\u00e2nd ca ac\u021biunile lui Shine s\u0103 persiste necontrolat timp de decenii. Victimele s-au confruntat cu \u00eent\u00e2rzieri semnificative \u00een justi\u021bie, Shine fiind condamnat abia \u00een 2019 pentru agresiuni comise \u00een anii 1970. <\/div>\n
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\u00cen mod similar, scandalul Michael Neary de la Our Lady of Lourdes Hospital a implicat efectuarea inutil\u0103 de histerectomii \u0219i histerectomii peripartum pe femei \u00een perioada anilor 1970-1990. O anchet\u0103 din 2006 a echipei de anchet\u0103 a spitalului Lourdes a constatat c\u0103 Neary a efectuat 129 de histerectomii peripartum, dep\u0103\u0219ind cu mult ratele tipice, din cauza lipsei de justificare clinic\u0103 \u0219i a unei guvernan\u021be deficitare. Ancheta a eviden\u021biat o cultur\u0103 \u201e\u00eenchis\u0103, ierarhic\u0103 \u0219i patriarhal\u0103\u201d care \u00een\u0103bu\u0219ea denun\u021barea \u0219i responsabilitatea. <\/div>\n
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Scandalul simfiziotomiei, care s-a \u00eentins din anii 1940 p\u00e2n\u0103 \u00een anii 1980, dar a ajuns \u00een aten\u021bia publicului abia \u00een anii 2000, ilustreaz\u0103 \u0219i mai bine e\u0219ecurile sistemice.<\/div>\n
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Aceast\u0103 procedur\u0103 de na\u0219tere \u00eenvechit\u0103, efectuat\u0103 f\u0103r\u0103 consim\u021b\u0103m\u00e2nt \u00een multe cazuri, a provocat dureri \u0219i handicap pe via\u021b\u0103 pentru sute de femei. Un raport guvernamental din 2014 a recunoscut lipsa de supraveghere \u0219i e\u0219ecul de a acorda prioritate bun\u0103st\u0103rii pacien\u021bilor, schemele de desp\u0103gubire fiind instituite numai dup\u0103 o presiune public\u0103 semnificativ\u0103. <\/div>\n
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Mai recent, controversa privind chirurgia coloanei vertebrale de la Temple Street a implicat utilizarea unor arcuri de calitate nemedical\u0103 la trei copii cu scolioz\u0103, dup\u0103 cum a raportat Health Information and Quality Authority (HIQA).<\/div>\n
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Acest incident, \u00eempreun\u0103 cu subutilizarea de c\u0103tre CHI a fondurilor alocate pentru listele de a\u0219teptare pentru chirurgia coloanei vertebrale, a dus la suferin\u021be prelungite pentru copii, dup\u0103 cum a subliniat grupul de advocacy Orthokids Ireland. Aceste cazuri reflect\u0103 teme recurente: o guvernan\u021b\u0103 inadecvat\u0103, incapacitatea de a ac\u021biona \u00een cazul preocup\u0103rilor denun\u021b\u0103torilor \u0219i o lips\u0103 de transparen\u021b\u0103 care \u00eent\u00e2rzie justi\u021bia \u0219i \u00eengrijirea pacien\u021bilor vulnerabili. <\/div>\n
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Criza CHI prezint\u0103 similitudini cu e\u0219ecurile de guvernan\u021b\u0103 din alte state membre ale UE, \u00een special scandalul Bristol Royal Infirmary din Regatul Unit (anii 1990 – \u00eenceputul anilor 2000). O anchet\u0103 privind opera\u021biile cardiace pediatrice de la spitalul din Bristol a ar\u0103tat c\u0103, \u00eentre 1984 \u0219i 1995, p\u00e2n\u0103 la 35 de copii au murit din cauza \u00eengrijirii necorespunz\u0103toare \u0219i a guvernan\u021bei clinice deficitare. <\/div>\n
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au efectuat proceduri complexe f\u0103r\u0103 o formare adecvat\u0103, iar preocup\u0103rile semnalate de denun\u021b\u0103tori au fost ignorate de conducerea spitalului. Raportul Kennedy din 2001 a eviden\u021biat o \u201ecultur\u0103 de club\u201d \u00een r\u00e2ndul clinicienilor \u0219i o lips\u0103 de responsabilitate, ceea ce a condus la reforme sistemice \u00een cadrul Serviciului Na\u021bional de S\u0103n\u0103tate (NHS) din Regatul Unit, inclusiv cadre de guvernan\u021b\u0103 clinic\u0103 mai puternice \u0219i raportarea obligatorie a incidentelor adverse. <\/div>\n
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\u00cen Suedia, scandalul de la Spitalul Universitar Karolinska (anii 2010) a implicat opera\u021bii experimentale de transplant traheal pe pacien\u021bi, inclusiv copii, cu ajutorul unor implanturi sintetice. Procedurile, conduse de chirurgul Paolo Macchiarini, au dus la decese multiple din cauza test\u0103rii \u0219i supravegherii inadecvate. O anchet\u0103 din 2016 a constatat c\u0103 conducerea spitalului nu a ac\u021bionat \u00een urma avertismentelor avertizorilor \u0219i a acordat prioritate prestigiului \u00een detrimentul siguran\u021bei pacien\u021bilor, ceea ce reflect\u0103 e\u0219ecul CHI de a aborda cu promptitudine raportul din 2021 privind utilizarea abuziv\u0103 a NTPF. Suedia a r\u0103spuns prin \u00een\u0103sprirea supravegherii etice a procedurilor experimentale \u0219i prin \u00eembun\u0103t\u0103\u021birea protec\u021biei avertizorilor. <\/div>\n
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Criza CHI, la fel ca omologii s\u0103i din istorie \u0219i din UE, subliniaz\u0103 e\u0219ecul sistemic de a acorda prioritate siguran\u021bei \u0219i transparen\u021bei pacien\u021bilor. Utilizarea necorespunz\u0103toare a NTPF reflect\u0103 o problem\u0103 mai ampl\u0103 a stimulentelor perverse din cadrul sistemului de asisten\u021b\u0103 medical\u0103 mixt public-privat din Irlanda, \u00een care consultan\u021bii pot profita de am\u00e2narea asisten\u021bei medicale publice pentru a direc\u021biona pacien\u021bii c\u0103tre clinici private. Ministrul Carroll MacNeill a pledat pentru un contract de consultan\u021b\u0103 exclusiv public pentru a elimina astfel de conflicte de interese, o m\u0103sur\u0103 care se aliniaz\u0103 solicit\u0103rilor de reform\u0103 \u00een urma scandalurilor Neary \u0219i Shine. <\/div>\n
Lipsa de transparen\u021b\u0103 \u00een gestionarea de c\u0103tre CHI a raportului 2021 reflect\u0103 t\u0103cerea care a permis abuzurile lui Shine \u0219i opera\u021biile inutile ale lui Neary. \u00cen timpul recentei dezbateri din D\u00e1il, politicienii irlandezi din opozi\u021bie au solicitat un audit interna\u021bional independent. S-a sim\u021bit clar c\u0103 acest lucru reflect\u0103 o recunoa\u0219tere a faptului c\u0103 revizuirile interne pot fi lipsite de credibilitate. De asemenea, se aliniaz\u0103 cu lec\u021biile \u00eenv\u0103\u021bate din insisten\u021ba anchetei Bristol asupra supravegherii externe. \u00cen mod similar, scandalul Karolinska a eviden\u021biat necesitatea unor protec\u021bii solide pentru denun\u021b\u0103tori. <\/div>\n
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\u00cen timpul dezbaterii care a avut loc pe aceast\u0103 tem\u0103 la sf\u00e2r\u0219itul lunii mai au fost prezentate mai multe puncte suplimentare \u0219i constructive.<\/div>\n
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Principala dintre acestea a fost nevoia urgent\u0103 de a restabili \u00eencrederea public\u0103. Au fost sugerate ac\u021biuni imediate \u0219i pe termen lung, cum ar fi clarificarea \u0219i punerea \u00een aplicare de c\u0103tre HSE a mecanismelor de finan\u021bare a evalu\u0103rilor efectuate de ter\u021bi, asigur\u00e2ndu-se c\u0103 p\u0103rin\u021bii pot avea acces la evalu\u0103ri independente f\u0103r\u0103 a fi \u00eempov\u0103ra\u021bi financiar. <\/div>\n
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\u00cen al doilea r\u00e2nd, propunerea de amalgamare a CHI \u00een cadrul HSE, sugerat\u0103 de deputa\u021bii TD din opozi\u021bie, este luat\u0103 serios \u00een considerare. Cu toate acestea, dup\u0103 cum a observat pe bun\u0103 dreptate un politician independent, dac\u0103 CHI ar fi inclus\u0103 \u00een sfera de competen\u021b\u0103 a HSE, acest lucru nu ar garanta neap\u0103rat rezultate \u00een care problemele culturale subiacente ar fi abordate. Av\u00e2nd \u00een vedere istoricul de e\u0219ecuri \u00een materie de guvernan\u021b\u0103 al HSE, pare o observa\u021bie rezonabil\u0103. <\/div>\n
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\u00cen al treilea r\u00e2nd, \u00een prezent este larg recunoscut, cel pu\u021bin din punct de vedere politic, c\u0103 Irlanda trebuie s\u0103 stabileasc\u0103 orient\u0103ri na\u021bionale clare pentru procedurile pediatrice complexe, cum ar fi osteotomia pelvian\u0103, pentru a preveni deciziile clinice arbitrare.<\/div>\n
Absen\u021ba unor astfel de standarde, a\u0219a cum au remarcat unii politicieni irlandezi, reprezint\u0103 o lacun\u0103 critic\u0103.<\/div>\n
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\u00cen cele din urm\u0103, este esen\u021bial s\u0103 se consolideze protec\u021bia avertizorilor \u0219i s\u0103 se promoveze o cultur\u0103 a deschiderii, dac\u0103 nu pentru a preveni, atunci cel pu\u021bin pentru a limita apari\u021bia unor astfel de crize \u00een viitor.<\/div>\n","protected":false},"excerpt":{"rendered":"

Children’s Health Ireland este organismul responsabil de supravegherea serviciilor de asisten\u021b\u0103 medical\u0103 pediatric\u0103 din Irlanda. Acesta are sarcina de a gestiona toate spitalele majore pentru copii, inclusiv Temple Street, Crumlin \u0219i Tallaght, \u0219i este \u00een curs de preg\u0103tire pentru a opera noul Spital Na\u021bional pentru Copii, \u00eent\u00e2rziat \u00een mod cronic \u0219i la un pre\u021b exorbitant. […]<\/p>\n","protected":false},"author":51,"featured_media":43051,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[200],"tags":[],"editorial-positions":[],"regions":[],"types":[456],"class_list":["post-43104","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-sanatate","types-opinion-ro"],"yoast_head":"\nCea mai recent\u0103 criz\u0103 a s\u0103n\u0103t\u0103\u021bii copiilor din Irlanda - The Conservative<\/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:\/\/www.theconservative.online\/ro\/cea-mai-recenta-criza-a-sanatatii-copiilor-din-irlanda\" \/>\n<meta property=\"og:locale\" content=\"ro_RO\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Cea mai recent\u0103 criz\u0103 a s\u0103n\u0103t\u0103\u021bii copiilor din Irlanda - The Conservative\" \/>\n<meta property=\"og:description\" content=\"Children’s Health Ireland este organismul responsabil de supravegherea serviciilor de asisten\u021b\u0103 medical\u0103 pediatric\u0103 din Irlanda. Acesta are sarcina de a gestiona toate spitalele majore pentru copii, inclusiv Temple Street, Crumlin \u0219i Tallaght, \u0219i este \u00een curs de preg\u0103tire pentru a opera noul Spital Na\u021bional pentru Copii, \u00eent\u00e2rziat \u00een mod cronic \u0219i la un pre\u021b exorbitant. 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Acesta are sarcina de a gestiona toate spitalele majore pentru copii, inclusiv Temple Street, Crumlin \u0219i Tallaght, \u0219i este \u00een curs de preg\u0103tire pentru a opera noul Spital Na\u021bional pentru Copii, \u00eent\u00e2rziat \u00een mod cronic \u0219i la un pre\u021b exorbitant. 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