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ACCESUL PACIENȚILOR ONCOLOGICI
LA TRATAMENT ÎN PERIOADA STĂRII DE URGENȚĂ

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hover_type=”none” bordersize=”” bordercolor=”” borderradius=”” align=”center” lightbox=”no” gallery_id=”” lightbox_image=”” lightbox_image_id=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” filter_hue=”0″ filter_saturation=”100″ filter_brightness=”100″ filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ filter_blur_hover=”0″]https://fabc.ro/wp-content/uploads/2020/04/cancer-4.svg[/fusion_imageframe][fusion_separator style_type=”none” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” sep_color=”” top_margin=”20px” bottom_margin=”30px” border_size=”” icon=”” icon_size=”” icon_circle=”” 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[fusion_highlight color=”#ffff00″ text_color=”#000000″ rounded=”yes” class=”” id=””][/fusion_highlight] Persoana care identifică simptome ale unui anumit tip de cancer (de exemplu, un nodul la sân sau tuse cu sânge)

Diagnosticul unui caz nou de cancer pulmonar reprezintă în principiu o urgență și nu poate fi amânat până la încheierea pandemiei. Prin urmare, pacienții cu suspiciune de cancer pulmonar vor trebui să facă investigațiile necesare diagnosticului (examen CT, bronhoscopie cu biopsie, evaluare a funcției pulmonare și a statusului cardiac) prin internare într-un serviciu de pneumologie non-Covid sau programare a investigațiilor în ambulator, cu respectarea măsurilor de limitare a riscului de transmitere a infecției virale: purtare de mască, menținerea distanței de 1 m față de alte persoane în spațiile de așteptare, igiena mâinilor, igienizarea spațiilor în care se desfășoară investigațiile. În cazul stabilirii unui stadiu operabil, pacientul va fi îndrumat către serviciul de chirurgie toracică pentru intervenția chirurgicală. În cazul unui stadiu inoperabil, va fi îndrumat către serviciul oncologic pentru inițierea chimioterapiei (Ministerul Sănătății, aprilie 2020, Comisia de Pneumologie).

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[fusion_highlight color=”#ffff00″ text_color=”#000000″ rounded=”yes” class=”” id=””][/fusion_highlight] Pacienții diagnosticați, cu evaluare realizată de către medicul oncolog

[/fusion_title][fusion_content_boxes layout=”timeline-vertical” columns=”1″ link_type=”” button_span=”” link_area=”” link_target=”” icon_align=”left” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_delay=”” animation_offset=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” title_size=”14px” heading_size=”2″ title_color=”” body_color=”” backgroundcolor=”” icon=”” iconflip=”” iconrotate=”” iconspin=”no” iconcolor=”” icon_circle=”” icon_circle_radius=”” circlecolor=”” circlebordersize=”” circlebordercolor=”” outercirclebordersize=”” outercirclebordercolor=”” icon_size=”” icon_hover_type=”” hover_accent_color=”” image=”” image_id=”” image_max_width=”” margin_top=”” margin_bottom=”-40px”][fusion_content_box title=”Pentru păstrarea măsurilor de distanțare socială care se impun în această perioadă, autoritățile recomandă pacienților să ia legătura telefonic cu medicul de familie sau cu medicul specialist pentru a stabili împreună cu acesta dacă pentru rezolvarea problemelor medicale este necesară deplasarea la cabinetul medical sau se poate beneficia de o consultație la distanță.” backgroundcolor=”” icon=”fa-user-md fas” iconflip=”” iconrotate=”” iconspin=”no” iconcolor=”#3f687e” circlecolor=”rgba(255,255,255,0.86)” circlebordersize=”0″ circlebordercolor=”#ffffff” outercirclebordersize=”3″ outercirclebordercolor=”#b9c9d0″ image=”” image_id=”” image_max_width=”” link=”” linktext=”Read More” link_target=”” animation_type=”fade” animation_direction=”right” animation_speed=”0.3″ animation_offset=”” /][/fusion_content_boxes][/fusion_builder_column][fusion_builder_column type=”1_2″ layout=”1_2″ spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”medium-visibility,large-visibility” class=”” id=”” background_image_id=”” hover_type=”none” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” border_radius_top_left=”” border_radius_top_right=”” 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icon_size=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” /][fusion_imageframe image_id=”769|full” max_width=”600px” style_type=”” blur=”” stylecolor=”” hover_type=”none” bordersize=”” bordercolor=”” borderradius=”” align=”center” lightbox=”no” gallery_id=”” lightbox_image=”” lightbox_image_id=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” filter_hue=”0″ filter_saturation=”100″ filter_brightness=”100″ filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ 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radial_direction=”center center” linear_angle=”180″ background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” background_blend_mode=”none” animation_type=”fade” animation_direction=”up” animation_speed=”0.5″ animation_offset=”” filter_type=”regular” filter_hue=”0″ filter_saturation=”100″ filter_brightness=”100″ filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ filter_blur_hover=”0″ last=”no”][fusion_separator style_type=”none” hide_on_mobile=”small-visibility” class=”” id=”” sep_color=”” top_margin=”50px” bottom_margin=”20px” border_size=”” icon=”” icon_size=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” /][fusion_imageframe image_id=”769|full” max_width=”600px” style_type=”” blur=”” stylecolor=”” hover_type=”none” bordersize=”” bordercolor=”” borderradius=”” align=”center” lightbox=”no” gallery_id=”” lightbox_image=”” lightbox_image_id=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”small-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” filter_hue=”0″ filter_saturation=”100″ filter_brightness=”100″ filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ filter_blur_hover=”0″]https://fabc.ro/wp-content/uploads/2020/04/Telemedicina.svg[/fusion_imageframe][fusion_separator style_type=”none” hide_on_mobile=”small-visibility” class=”” id=”” sep_color=”” top_margin=”50px” bottom_margin=”20px” border_size=”” icon=”” icon_size=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” /][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”fade” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]

Pacienți inițiați cu diverse scheme terapeutice sau instabili pe schema terapeutica curenta

[/fusion_text][fusion_content_boxes layout=”timeline-vertical” columns=”1″ link_type=”” button_span=”” link_area=”” link_target=”” icon_align=”left” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_delay=”” animation_offset=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” title_size=”14px” heading_size=”2″ title_color=”#ffffff” body_color=”” backgroundcolor=”” icon=”” iconflip=”” iconrotate=”” iconspin=”no” iconcolor=”” icon_circle=”” icon_circle_radius=”” circlecolor=”” circlebordersize=”” circlebordercolor=”” outercirclebordersize=”” outercirclebordercolor=”” icon_size=”” icon_hover_type=”” hover_accent_color=”” image=”” image_id=”” image_max_width=”” margin_top=”” margin_bottom=”-40px”][fusion_content_box title=”Medicul curant analizează fiecare caz în parte și decide continuarea sau amânarea tratamentului (chirurgie, radioterapie, chimioterapie, imunoterapie) și a investigațiilor clinice.” backgroundcolor=”” icon=”fa-microscope fas” iconflip=”” iconrotate=”” iconspin=”no” iconcolor=”#3f687e” circlecolor=”rgba(255,255,255,0.86)” circlebordersize=”0″ circlebordercolor=”#ffffff” outercirclebordersize=”3″ outercirclebordercolor=”#b9c9d0″ image=”” image_id=”” image_max_width=”” link=”” linktext=”Read More” link_target=”” animation_type=”fade” animation_direction=”right” animation_speed=”0.3″ animation_offset=”” /][fusion_content_box title=”Medicii din spital pot elibera, dacă situația o impune, la externarea pacienților oncologici, prescripţie medicală pentru medicamente cu şi fără contribuţie personală în ambulatoriu pentru maximum 90 de zile, conform scrisorii medicale/biletului de ieşire din spital. Excepția o fac medicamentele ce fac obiectul contractelor cost-volum/cost-volum-rezultat pentru care durata de prescriere este de până la 30 de zile.” backgroundcolor=”” icon=”fa-pills fas” iconflip=”” iconrotate=”” iconspin=”no” iconcolor=”#3f687e” circlecolor=”rgba(255,255,255,0.86)” circlebordersize=”0″ circlebordercolor=”#ffffff” outercirclebordersize=”3″ outercirclebordercolor=”#b9c9d0″ image=”” image_id=”” image_max_width=”” link=”” linktext=”Read More” link_target=”” animation_type=”fade” animation_direction=”right” animation_speed=”0.3″ animation_offset=”” /][fusion_content_box title=”În vederea eliberării prescripțiilor medicale electronice online emise ca urmare a unei consultaţii la distanţă utilizând semnătura electronică extinsă, pacientul sau persoana care ridică medicamentele în numele asiguratului poate printa documentul transmis de medic prin mijloace de comunicare electronică (fotografie prescripție trimisă prin Whatsapp, mms sau prin email) sau îl poate prezenta/transmite farmaciei în vederea printării acestuia.” backgroundcolor=”” icon=”fa-laptop-medical fas” iconflip=”” iconrotate=”” iconspin=”no” iconcolor=”#3f687e” circlecolor=”rgba(255,255,255,0.86)” circlebordersize=”0″ circlebordercolor=”#ffffff” outercirclebordersize=”3″ outercirclebordercolor=”#b9c9d0″ image=”” image_id=”” image_max_width=”” link=”” linktext=”Read More” link_target=”” animation_type=”fade” animation_direction=”right” animation_speed=”0.3″ animation_offset=”” /][fusion_content_box title=”Prescripția medicală (rețeta) transmisă pacientului prin mijloace electronice poate fi utilizată de asigurați o singură dată pentru a ridica din farmacie medicamentele prescrise.” backgroundcolor=”” icon=”fa-file-medical fas” iconflip=”” iconrotate=”” iconspin=”no” iconcolor=”#3f687e” circlecolor=”rgba(255,255,255,0.86)” circlebordersize=”0″ circlebordercolor=”#ffffff” outercirclebordersize=”3″ outercirclebordercolor=”#b9c9d0″ image=”” image_id=”” image_max_width=”” link=”” linktext=”Read More” link_target=”” animation_type=”fade” animation_direction=”right” animation_speed=”0.3″ animation_offset=”” /][/fusion_content_boxes][/fusion_builder_column][fusion_builder_column type=”1_2″ layout=”1_2″ spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” background_image_id=”” hover_type=”none” border_size=”10″ border_color=”#418caa” border_style=”solid” border_position=”all” border_radius_top_left=”” border_radius_top_right=”” border_radius_bottom_right=”10″ border_radius_bottom_left=”10″ box_shadow=”no” box_shadow_vertical=”5PX” box_shadow_horizontal=”5px” box_shadow_blur=”12″ box_shadow_spread=”26″ box_shadow_color=”rgba(109,109,109,0.23)” box_shadow_style=”” padding_top=”1%” padding_right=”2%” padding_bottom=”4%” padding_left=”2%” margin_top=”” margin_bottom=”” background_type=”single” gradient_start_color=”” gradient_end_color=”” gradient_start_position=”0″ 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max_width=”500px” style_type=”” blur=”” stylecolor=”” hover_type=”none” bordersize=”” bordercolor=”” borderradius=”” align=”center” lightbox=”no” gallery_id=”” lightbox_image=”” lightbox_image_id=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”small-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” filter_hue=”0″ filter_saturation=”100″ filter_brightness=”100″ filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ filter_blur_hover=”0″]https://fabc.ro/wp-content/uploads/2020/04/Farmacie-.svg[/fusion_imageframe][fusion_separator style_type=”none” hide_on_mobile=”small-visibility” class=”” id=”” sep_color=”” top_margin=”50px” bottom_margin=”20px” border_size=”” icon=”” icon_size=”” icon_circle=”” 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Conform reglementărilor în vigoare accesul pacienților diagnosticați la tratament se face astfel:

Situația 1 – Farmacie cu circuit deschis

Pacienții cu afecțiuni oncologice vor beneficia de medicamentele specifice care se eliberează prin farmaciile cu circuit deschis (forme farmaceutice orale, subcutane sau intramusculare) în baza prescripțiilor medicale eliberate de medicii specialiști sau medicii de familie din județul de domiciliu. Medicul curant care a asigurat asistența medicală și tratamentele până în prezent va transmite pacientului o scrisoare medicală, prin mijloace electronice de comunicare și, după caz, confirmarea formularului specific din PIAS, în baza cărora vor fi prescrise în continuare tratamentele necesare.

Transportul ( si admninistrarea) tratamentului la domiciliul pacientului

Tratamentele care se iau pe cale orală pot fi transmise la domiciliul bolnavului în situaţia în care unitatea sanitară are această posibilitate.
Tratamentele administrate subcutanat/intramuscular pot fi transmise la domiciliul bolnavului în situaţia în care unitatea sanitară poate respecta precauţiile de păstrare şi transport recomandate de producător, iar medicul curant apreciază că bolnavul/aparţinătorii acestuia are/au posibilitatea administrării tratamentului la domiciliu.

[/fusion_text][/fusion_builder_column][fusion_builder_column type=”1_2″ layout=”1_2″ spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”medium-visibility,large-visibility” class=”” id=”” background_image_id=”” hover_type=”none” border_size=”0″ border_color=”” border_style=”solid” border_position=”all” border_radius_top_left=”” border_radius_top_right=”” border_radius_bottom_right=”” border_radius_bottom_left=”” box_shadow=”no” box_shadow_vertical=”” box_shadow_horizontal=”” box_shadow_blur=”0″ box_shadow_spread=”0″ box_shadow_color=”” box_shadow_style=”” padding_top=”” padding_right=”” padding_bottom=”” padding_left=”” margin_top=”” margin_bottom=”” background_type=”single” gradient_start_color=”” gradient_end_color=”” gradient_start_position=”0″ gradient_end_position=”100″ gradient_type=”linear” radial_direction=”center center” linear_angle=”180″ background_color=”” background_image=”” background_position=”left top” background_repeat=”no-repeat” 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lightbox_image=”” lightbox_image_id=”” alt=”” link=”” linktarget=”_self” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”” animation_direction=”left” animation_speed=”0.3″ animation_offset=”” filter_hue=”0″ filter_saturation=”100″ filter_brightness=”100″ filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ filter_blur_hover=”0″]https://fabc.ro/wp-content/uploads/2020/04/Farmacie-.svg[/fusion_imageframe][/fusion_builder_column][fusion_builder_column type=”1_2″ layout=”1_2″ spacing=”” center_content=”no” link=”” target=”_self” min_height=”” hide_on_mobile=”medium-visibility,large-visibility” class=”” id=”” background_image_id=”” hover_type=”none” border_size=”0″ border_color=”” border_style=”solid” 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filter_contrast=”100″ filter_invert=”0″ filter_sepia=”0″ filter_opacity=”100″ filter_blur=”0″ filter_hue_hover=”0″ filter_saturation_hover=”100″ filter_brightness_hover=”100″ filter_contrast_hover=”100″ filter_invert_hover=”0″ filter_sepia_hover=”0″ filter_opacity_hover=”100″ filter_blur_hover=”0″]https://fabc.ro/wp-content/uploads/2020/04/Spital-2.svg[/fusion_imageframe][fusion_separator style_type=”none” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” sep_color=”” top_margin=”50px” bottom_margin=”20px” border_size=”” icon=”” icon_size=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” /][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” hide_on_mobile=”small-visibility,medium-visibility,large-visibility” class=”” id=”” animation_type=”fade” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]

Supraviețuitori

Respectați recomandările Ministerului Sănătății privind conduita socială responsabilă în prevenirea răspândirii noului coronavirus (COVID-19).

Situația 2 – Farmacii cu circuit închis (farmacii de spital)

În cazul tratamentelor eliberate prin farmaciile cu circuit închis, pentru administrarea acestora pacienții oncologici trebuie să se adreseze unităților sanitare din apropiere care își desfășoară activitatea în această perioadă. Lista acestor unități și specialitățile pentru care pacienții se pot adresa medicilor specialiști pe perioada stării de urgență este afișată pe website-ul caselor județene de asigurări de sănătate.

Administrarea la domiciliul pacientului

Tratamentele administrate prin perfuzie (de exemplu chimioterapia, imunoterapia) pot fi transmise la domiciliul pacientului, în situaţia în care medicul curant apreciază că este posibilă administrarea la domiciliu – în funcţie de starea clinico-biologică a pacientului, de condiţiile de viaţă şi de nivelul de educaţie ale acestuia sau ale aparţinătorilor săi, de datele de siguranţă privind administrarea medicamentului precizate în RCP-ul produsului. Cu sprijinul conducerii unităţii sanitare se poate organiza administrarea la domiciliul bolnavului a tratamentului specific sub supravegherea personalului medical.

Monitorizarea reacțiilor adverse

În ambele situații, reacțiile adverse pot fi comunicate medicului specialist prin mijloace electronice sau telefonic.

[/fusion_text][fusion_separator style_type=”none” hide_on_mobile=”small-visibility” class=”” id=”” sep_color=”” top_margin=”50px” bottom_margin=”20px” border_size=”” icon=”” icon_size=”” icon_circle=”” icon_circle_color=”” width=”” alignment=”center” /][fusion_text columns=”” column_min_width=”” column_spacing=”” rule_style=”default” rule_size=”” rule_color=”” hide_on_mobile=”small-visibility” class=”” id=”” animation_type=”fade” animation_direction=”left” animation_speed=”0.3″ animation_offset=””]

Supraviețuitori

Supraviețuitorii de cancer post-tratament cuprind persoanele care nu mai prezintă boala după încheierea tratamentului, persoanele care primesc în continuare tratament pentru a reduce riscul de recidivă a cancerului și persoanele care au boala sub control și puține simptome care primesc tratament pentru a gestiona
cancerul ca boală cronică (Supraviețuire – Ghidul pacientului ESMO). Respectați recomandările Ministerului Sănătății privind conduita socială responsabilă în prevenirea răspândirii noului coronavirus (COVID-19).

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RĂSPUNSURI LA CELE
MAI FRECVENTE ÎNTREBĂRI

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Harta furnizorilor de servicii
medicale în perioada stării
de urgență (oncologie)

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Surse

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Partener

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Informațiile de pe această pagină au doar caracter informativ și nu reprezintă sfat medical, iar pentru informații suplimentare, precum și pentru tratarea problemei dvs. medicale trebuie să vă adresați unui medic calificat pentru consultații medicale specifice.

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ACCESUL PACIENȚILOR ONCOLOGICI LA TRATAMENT ÎN PERIOADA STĂRII DE URGENȚĂ

[fusion_highlight color=”#ffff00″ text_color=”#000000″ rounded=”yes” class=”” id=””][/fusion_highlight] Persoana care identifică simptome ale unui anumit tip de cancer (de exemplu, un nodul la sân sau tuse cu sânge)

[fusion_highlight color=”#ffff00″ text_color=”#000000″ rounded=”yes” class=”” id=””][/fusion_highlight] Pacienții diagnosticați, cu evaluare realizată de către medicul oncolog

Pacienți inițiați cu diverse scheme terapeutice sau instabili pe schema terapeutica curenta

Conform reglementărilor în vigoare accesul pacienților diagnosticați la tratament se face astfel:

Situația 1 – Farmacie cu circuit deschis

Supraviețuitori

Situația 2 – Farmacii cu circuit închis (farmacii de spital)

Supraviețuitori

RĂSPUNSURI LA CELE MAI FRECVENTE ÎNTREBĂRI

Harta furnizorilor de servicii medicale în perioada stării de urgență (oncologie)

Surse

Partener

ACCESUL PACIENȚILOR ONCOLOGICI
LA TRATAMENT ÎN PERIOADA STĂRII DE URGENȚĂ

RĂSPUNSURI LA CELE
MAI FRECVENTE ÎNTREBĂRI

Harta furnizorilor de servicii
medicale în perioada stării
de urgență (oncologie)