On September 18, a meeting of the PPOZ Board and County Council was held. One of the main topics was the changes that have been taking place in primary care since October 1, i.e. the entry into force of the regulations on integrated care. PPOZ service providers announce that they will not implement coordinated care within this period.
POZ: What is the obstacle to the implementation of coordinated care?
Published Sept. 21, 2022 13:30
Thinkstock/GettyImages
This is not a surprise - the vast majority of small entities do not intend to switch to coordinated care either on October 1st or in the coming months. This does not only apply to fire protection. During the Economic Forum in Karpacz, research results were presented, which show that less than 4 percent. POZ service providers will start the coordination from the beginning, and another dozen or so percent plan to do it within the next six months.
What are the obstacles to implementing integrated care? According to doctors associated with PPOZ, it is primarily:
- lack of staff, helpers, housing shortages,
- bureaucracy in the field of coordinated care (its scope is unknown today, which worries doctors),
- price list for diagnostics, according to doctors, drastically lower valuations.
- The assembled regional and poviat representatives gave a negative opinion on the regulation of the minister of health, extending the basket of guaranteed benefits in POZ to include coordinated care and unanimously indicate that they do not see the possibility of starting this task, in the current situation and on the terms presented by the Ministry of Health - informed the president Fire protection service Bożena Janicka.
Although the Ministry of Health and the National Health Fund are aware that coordinated care will function to a very limited extent, the minister of health is constantly announcing it as a great change for patients. At the beginning of the week in Radio Puls, the head of the health ministry said that "the planned changes in the health care center will significantly shorten the queues to specialist doctors". - The queues will be shortened first: because we are increasing the number of tests that can be performed in primary health care, i.e. patients will not have to go to a specialist to perform certain tests. The second thing is consultation with specialists. Very often, patients are referred for consultations to explain their health problems on the basis of tests, and there will also be a completely new institution of doctor-physician consultation - he said.
Coordinated care in primary health care is to cover patients with chronic diabetes, hypertension, heart failure, chronic ischemic heart disease, atrial fibrillation, bronchial asthma, COPD and hypothyroidism. chronic obstructive pulmonary disease and hypothyroidism. The provisions enter into force on October 1, but joining integrated care is not obligatory.
