Changes in the pilot of care for patients with diabetic foot syndrome

The purpose of the pilot program is to evaluate the organization, quality and effects of care for recipients with diabetic foot syndrome under combined services in the departments of internal medicine and surgery with postoperative control of the healing process. Treatment will be carried out by a team that includes both specialists from the surgical (general surgery) and conservative (internal medicine) departments, which, if positive, can guarantee the universality of the adopted solution. At the same time, the regulations in force in this regard prevent the aggregation of services performed during a single hospitalization in both departments. An additional benefit of the treatment plan proposed in the draft will be the guarantee of follow-up visits, during which the progress of healing will be assessed.

The following changes are proposed in the Regulation of the Minister of Health of July 10, 2023, on the pilot program of care for patients with diabetic foot syndrome (Journal of Laws, item 1353):

1) Extend the duration of the pilot program until April 30, 2026;

2) Expanding the list of pilot centers to 6;

3) Increasing the number of beneficiaries covered by the diabetic foot syndrome care pilot program to no more than 430.

The centers responsible for conducting the pilot will be the Independent Public Health Care Center in Szamotuly, the W. Chodźko Institute of Rural Medicine in Lublin, the University Clinical Center of the Warsaw Medical University in Warsaw, the University Hospital in Krakow, the University Clinical Center in Gdansk, the Zagłębie Oncology Center of the Sz. Starkiewicz Specialist Hospital in Dąbrowa Górnicza.

The pilot center's responsibilities will include:

1) Development, updating, modification and implementation of guidelines for the management of the process of diagnosis and treatment of the recipient;

2) development of a treatment plan;

3) use of a model, developed in cooperation with the Fund, of anonymous surveys examining the satisfaction of recipients treated under the pilot program;

4) documenting the process of wound healing in recipients qualified for the pilot program, for whom a treatment plan has been established, including taking photographic images, at least at the recipient's admission and discharge from the hospital and at each follow-up visit;

5) Preparing, in cooperation with the Fund, an interim report for a period of 3 months and a report on the stage of implementation of the pilot program.

Source: RCL