The Presidium of the Supreme Medical Council, after reviewing the draft law on amendments to the Law on State Emergency Medical Services and certain other laws, sends comments to Deputy Minister Mark Kos.
Medical self-government wants to improve the National Emergency Medical Service
Published July 23, 2024 08:10
Fot. Thinkstock / Getty Images
The medical self-government has long been informed of the problems associated with the functioning of the State Emergency Medical Service system and supports the need to improve it. The main problem is the lack of physicians in specialized emergency medical teams (S-type URMs), which, according to the law, should be staffed by system physicians. The draft amendment to the law aims to improve the functioning of the PRM, but it does not include specific solutions for eliminating the staffing deficit.
One problem is the functioning of the Command Support System (SWD PRM), which does not distinguish between specialized and basic teams, leading to suboptimal use of resources. Specialized teams are often directed to incidents that do not require physician support, which affects the attractiveness of the work and availability of these teams in situations requiring their intervention.
The medical association also stresses that the abolition of contractual penalties for the lack of a doctor in an S-type emergency medical team should be a temporary solution, and that the full staffing of these teams with system doctors should take place as soon as possible.
Another questionable issue is the introduction of compulsory courses for the system's doctors every 48 months, which is considered unjustified, especially for doctors with relevant specialties and experience.
The local government also draws attention to unfavorable changes in the number of specialized emergency medical teams and the burden on Hospital Emergency Departments (EDs). There is also concern about the introduction of motorcycle rescue units, which could generate additional costs and staffing problems.
Concerns have also been raised about the time it takes for a hospital to receive a patient from an emergency medical team, which should be 30 minutes, as well as the issue of transporting the remains of stillborn babies, which requires additional funding from the National Health Fund.
The medical self-government calls for an honest assessment of a number of organizational, legal and financial factors and the introduction of solutions that will realistically improve the functioning of the State Emergency Medical Service system.
Source: NIL
