Brak głosu imiennego z tego dnia, który potwierdzałby klub mówcy.
Pełna wypowiedź
10. kadencja, 34. posiedzenie, 1. dzień (07-05-2025) 2. punkt porządku dziennego: Sprawozdanie Komisji Zdrowia o rządowym projekcie ustawy o Krajowej Sieci Kardiologicznej (druki nr 1090 i 1152). Poseł Marcin Józefaciuk: Szanowna Pani Marszałek! Wysoka Izbo! Przez ostatnie lata opieka kardiologiczna w Polsce działała bez spójnego planu i bez oparcia w trwałych regulacjach ustawowych. Pomimo że pilotaż sieci kardiologicznej uruchomiono w 2021 r., ograniczono się do formuły rozporządzenia i przez 3 lata nie podjęto żadnej decyzji o ustawowym uregulowaniu tego modelu. Dodatkowo inicjalnie zasięg programu był bardzo ograniczony. Dobrze, że wreszcie przechodzimy od zapowiedzi do trwałych rozwiązań systemowych. Mam trzy pytania. Czy planowane są działania wyrównujące dostęp do opieki kardiologicznej w województwach, w których liczba ośrodków drugiego i trzeciego poziomu może być ograniczona? Jakie wsparcie przewiduje się dla placówek podstawowej opieki zdrowotnej, które chcą dołączyć do sieci, ale nie są jeszcze jej częścią? Czy po pierwszym roku funkcjonowania ustawy przewiduje się formalną ewaluację modelu? Jeśli tak, to kto będzie odpowiedzialny za jej przeprowadzenie i publikację wyników? Dziękuję. (Oklaski) Przebieg posiedzenia
1. (2.17ms; exec 2.14 + fetch 0.04; rows 1) SELECT s.object_id AS statement_id, s.statement_number, s.speaker_name, s.source_member_id, mp.object_id AS member_id, day.object_id AS day_id, day.term, day.proceeding_number, day.source_date, day.current_revision_id AS day_revision_id, dayStatement.ordinal, dayEvidence.id AS list_evidence_id, dayEvidence.selector_type AS list_selector_type, dayEvidence.selector AS list_selector, dayFetch.id AS list_fetch_id, dayFetch.requested_url AS list_source_url, dayArtifact.sha256 AS list_sha256, binding.artifact_id, binding.evidence_id AS transcript_evidence_id, transcriptEvidence.selector_type AS transcript_selector_type, transcriptEvidence.selector AS transcript_selector, transcriptFetch.id AS transcript_fetch_id, transcriptFetch.requested_url AS transcript_source_url, artifact.sha256 AS transcript_sha256, artifact.detected_mime, artifact.byte_size FROM sejm_statements s JOIN sejm_transcript_days day ON day.object_id = s.transcript_day_id LEFT JOIN sejm_mp_identities mp ON mp.term = day.term AND mp.mp_number = s.source_member_id LEFT JOIN sejm_transcript_day_statements dayStatement ON dayStatement.day_id = day.object_id AND dayStatement.day_revision_id = day.current_revision_id AND dayStatement.statement_id = s.object_id LEFT JOIN evidence dayEvidence ON dayEvidence.id = dayStatement.evidence_id LEFT JOIN fetches dayFetch ON dayFetch.id = dayEvidence.fetch_id LEFT JOIN artifacts dayArtifact ON dayArtifact.id = dayEvidence.artifact_id LEFT JOIN documents document ON document.owner_object_id = day.object_id AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', s.statement_number) LEFT JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) LEFT JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.current_selector_sha IS NOT NULL LEFT JOIN evidence transcriptEvidence ON transcriptEvidence.id = binding.evidence_id LEFT JOIN fetches transcriptFetch ON transcriptFetch.id = transcriptEvidence.fetch_id LEFT JOIN artifacts artifact ON artifact.id = binding.artifact_id WHERE s.object_id = 107051 LIMIT 1
2. (1.9ms; exec 1.88 + fetch 0.03; rows 1) WITH ranked AS ( SELECT extraction.id, extraction.source_artifact_id, extraction.quality_state, ROW_NUMBER() OVER (PARTITION BY extraction.source_artifact_id ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC) AS preference FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id IN (96278) AND run.state = 'completed' ) SELECT ranked.source_artifact_id, ranked.id, ranked.quality_state, segment.source_text AS source_text FROM ranked LEFT JOIN text_segments segment ON segment.extraction_id = ranked.id WHERE ranked.preference = 1 ORDER BY ranked.source_artifact_id, segment.ordinal
3. (1.5ms; exec 1.48 + fetch 0.02; rows 4) SELECT statement.object_id, statement.statement_number, statement.speaker_name, dayStatement.ordinal, binding.artifact_id FROM sejm_transcript_day_statements dayStatement JOIN sejm_statements statement ON statement.object_id = dayStatement.statement_id LEFT JOIN documents document ON document.owner_object_id = dayStatement.day_id AND document.document_kind = 'statement_transcript' AND document.source_document_key = CONCAT('sejm:statement:', statement.statement_number) LEFT JOIN document_versions version ON version.document_id = document.object_id AND version.sequence_no = (SELECT MAX(latest.sequence_no) FROM document_versions latest WHERE latest.document_id = document.object_id) LEFT JOIN document_version_artifacts binding ON binding.version_id = version.object_id AND binding.role = 'html' AND binding.language = 'und' AND binding.current_selector_sha IS NOT NULL WHERE dayStatement.day_id = 106984 AND dayStatement.day_revision_id = 109780 AND dayStatement.ordinal BETWEEN 64 AND 68 AND statement.object_id <> 107051 ORDER BY dayStatement.ordinal
4. (1.1ms; exec 1.08 + fetch 0.02; rows 4) WITH ranked AS ( SELECT extraction.id, extraction.source_artifact_id, extraction.quality_state, ROW_NUMBER() OVER (PARTITION BY extraction.source_artifact_id ORDER BY CASE extraction.quality_state WHEN 'success' THEN 0 WHEN 'unreadable' THEN 1 ELSE 2 END, run.finished_at DESC, extraction.id DESC) AS preference FROM extractions extraction JOIN processing_runs run ON run.id = extraction.run_id WHERE extraction.source_artifact_id IN (96276, 96277, 96279, 96280) AND run.state = 'completed' ) SELECT ranked.source_artifact_id, ranked.id, ranked.quality_state, LEFT(segment.source_text, 240) AS source_text FROM ranked LEFT JOIN text_segments segment ON segment.extraction_id = ranked.id WHERE ranked.preference = 1 ORDER BY ranked.source_artifact_id, segment.ordinal
5. (1.25ms; exec 1.24 + fetch 0.01; rows 0) SELECT individual.raw_club, individual.evidence_id, f.requested_url FROM sejm_individual_votes individual JOIN sejm_votes vote ON vote.object_id = individual.vote_id AND vote.current_revision_id = individual.vote_revision_id JOIN object_revisions revision ON revision.id = vote.current_revision_id JOIN evidence e ON e.id = individual.evidence_id JOIN fetches f ON f.id = e.fetch_id WHERE vote.term = 10 AND vote.sitting_number = 34 AND individual.mp_number = 145 AND LEFT(JSON_VALUE(revision.snapshot, '$.date'), 10) = '2025-05-07' AND individual.raw_club IS NOT NULL AND individual.raw_club <> '' ORDER BY vote.voting_number DESC