Weryfikacja dostępności do świadczeń zdrowotnych w podstawowej opiece zdrowotnej

Rzecznik Praw Pacjenta sprawdza funkcjonowanie przychodni podstawowej opieki zdrowotnej i ich dostępność dla pacjentów

Są już pierwsze efekty wspólnych działań Rzecznika Praw Pacjenta i NFZ dotyczących weryfikacji dostępności do świadczeń zdrowotnych w placówkach ochrony zdrowia. Po tygodniu od rozpoczęcia czynności sprawdzających Rzecznik stwierdził nieprawidłowości w części przychodni POZ w województwie mazowieckim. Bartłomiej Chmielowiec zdecydował o weryfikacji licznych sygnałów, jakie wpływają od pacjentów. Wiele z nich dotyczy problemów, związanych z funkcjonowaniem przychodni podstawowej opieki zdrowotnej.

W ostatnich miesiącach Rzecznik Praw Pacjenta odnotował znaczący wzrost zgłoszeń, dotyczących braku dostępu do świadczeń zdrowotnych w przychodniach podstawowej opieki zdrowotnej oraz ambulatoryjnej opieki specjalistycznej. Rzecznik Praw Pacjenta weryfikuje sygnały napływające od pacjentów.

W ostatnim tygodniu pracownicy Biura Rzecznika Praw Pacjenta dokonali weryfikacji 24 przychodni podstawowej opieki zdrowotnej w powiecie grodziskim województwa mazowieckiego. Celem weryfikacji było sprawdzenie, czy na terenie powiatu występują problemy z:

·         zarejestrowaniem się do lekarza za pośrednictwem telefonu;

·         zarejestrowaniem się do lekarza osobiście lub za pośrednictwem osoby trzeciej;

·         uzyskaniem wizyty osobistej;

·         dostępnością do leków – wizyty recepturowe;

·         wizytami domowymi.

Działania prowadzone przez Rzecznika wykazały, że w 79% sprawdzanych placówek nie można zarejestrować się osobiście do lekarza (brak możliwości wejścia do przychodni), do 12% placówek nie można się dodzwonić a z 8% kontakt jest utrudniony. W13% placówek, pomimo kontaktu telefonicznego, nie było możliwości uzyskania świadczenia zdrowotnego, zarówno w dniu zgłoszenia jak i kolejnych dniach. W przychodniach, w których wystąpiły nieprawidłowości Rzecznik skieruje wystąpienie o podjęcie działań naprawczych. W przypadku braku ich realizacji zostaną podjęte stosowne kroki, zgodnie z ustawą o prawach pacjenta i Rzeczniku Praw Pacjenta.

Zgodnie z obowiązującymi przepisami prawa oraz zarządzeniami Narodowego Funduszu Zdrowia – przychodnie podstawowej opieki zdrowotnej powinny zapewnić dostępność do świadczeń lekarza podstawowej opieki zdrowotnej w miejscu ich udzielania od poniedziałku do piątku, w godzinach pomiędzy 8.00 a 18.00, z wyłączeniem dni ustawowo wolnych od pracy, zgodnie z harmonogramem pracy świadczeniodawcy.

Do głównych zadań Rzecznika Praw Pacjenta należy ochrona praw zarówno indywidualnego pacjenta, jak i zbiorowych praw pacjentów oraz podejmowanie działań w przypadkach ich naruszenia, występowanie do organów władzy publicznej w sprawach systemowych, rozwiązań poprawiających ochronę i egzekwowanie praw pacjentów, a także monitorowanie sytuacji przestrzegania praw pacjentów w systemie ochrony zdrowia.

Pozdrawiam,

Małgorzata Duda

Departament Dialogu Społecznego i Komunikacji

Biuro Rzecznika Praw Pacjenta

ul. Młynarska 46; 01-171 Warszawa

tel. (22) 532 82 17

kom. 784 688 403

www.gov.pl/rpp

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