- If a refugee from Ukraine comes to a primary health care physician with a blood glucose level of 500 mg/dl, we must send him elsewhere, because prescribing drugs will be a financial disaster for him. We can give him a drip, rehydrate him a little, apply what we have at the practice level ad hoc, but systematic treatment is not an option. Naturally, all patients in a worse condition go to HEDs and hospitals, which is absolutely unnecessary. The regulations are needed immediately, because the system is about to get clogged - warned Jacek Krajewski, president of the Federation of Zielona Góra Agreement, on Wednesday. Family doctors organized a press conference to present their position on medical care for refugees.
- We were hoping that the special act would settle most of the problems. Unfortunately this did not happen. The most important and urgent issue to be solved is drug reimbursement, especially in chronic diseases. It is impossible to diagnose many chronic diseases during one visit to a random doctor, there is no procedure for covering such a patient with longer care by a specific doctor. Without diagnoses, we cannot provide reimbursed drugs, as a result, most prescriptions will be issued with 100% payment. This applies not only to POZ, but also, inter alia, night medical assistance - explained vice-president Tomasz Zieliński.
The provisions of the act did not clarify the announcements of the National Health Fund. - In the public sphere, we come across information that may mislead both Polish citizens and people from Ukraine. Regardless of the rush of hearts, there are procedures that must be implemented in health care and there must be time for them so that it is possible to provide services to patients from Ukraine on the same terms as to Poles. These people have no orientation, they "have no head" to deal with things that are related to the complex system in which we operate. Complicated for Polish patients, let alone for people who come from abroad - said Jacek Krajewski. Doctors emphasized that the announcements of the National Health Fund are not a source of law. - At the moment, we are trying to help on an ad hoc basis. However, in order to provide permanent care to people from Ukraine, the system must be adapted to it, he stressed.
The Zielona Góra Agreement emphasizes that, on the basis of the special act, Ukrainian citizens who took refuge in Poland before the war do not have the status of beneficiaries. They cannot be under the care of a primary care physician, which means that, for example, organizing vaccinations for children from Ukraine based on the vaccination calendar is not currently possible. - If a patient with a child is not enrolled in the practice, on what basis and where will we be able to conduct regular vaccinations? - Marek Twardowski asked.
