[smartdoctor] Re: [smartdoctor] Vijesti iz Poljske - iz Krakowa o kažnjavanju
- From: Ljiljana Lulic-Karapetric <ljiljana.lulic.karapetric@xxxxxxxxx>
- To: smartdoctor@xxxxxxxxxxxxx
- Date: Thu, 5 Jan 2012 14:43:02 +0100
Ovo je nevjerovatno, raditi tako odgovoran posao i financiojski odgovarati
na ovakav način... Mislim ipak da je svijet potpuno poludio.
Sada mi je drago da moji sinovi nisu medicinari.
Ljiljana
2012/1/4 Tanja Pekez-Pavliško <tanja.pekez-pavlisko2@xxxxxxxxxxx>
> **
>
> Po ovome izgleda da smo mi u dobroj situaciji.
>
> Briefly, since 01/01/12 new reimbursment law brought such changes:
> - doctors are obliged to notice on prescription form given to insured
> patient a level of reimbursment (i.e 100%, 50%, 30%, lump sum, free of
> charge). The level for certain agent might be differnt in differnt
> conditions - you have to know/remember/check every drug seperately. Since
> 2012 it was done automatically in pharmacy. In my office we are using very
> good informatic system for electronic records management, but going for
> home visit i am helpless. The same all colleagues working only with paper
> medical records. The list of drugs is fluent and you have to follow all
> news from ministry of health to avoid mistakes (day after day)
> - drugs are only reimbursed when used in conditios listed in drug
> registration documents, i.e. you can't prescribe (as reimbursed) most of
> the pediatric drugs - widely used in children but in fact registerd for
> example since 7 or 12 yo. Another example - some of ACE-Is are registered
> only in hypertension, but not in coronoary heart disease. And it has
> nothing to do with guideliness - only registry documents
> - for all mistakes physician is responsible personally - financial fees
> and even imprisonment (up to 5 years of prison!!!)
>
> That makes us angry! And that's why we are protesting now. There's
> country-wide doctor's riot.
>
>
>
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