The stagnant system is an extraordinary situation: patients have again become hostages



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Usually every day in pharmacies with e. around 50 thousand. medicine pieces. In the event of an extraordinary situation, for the second consecutive day residents with e. prescription pharmacies cannot serve because it connects to e. Health systems are not options, according to the press release.

Kristina Nemaniūtė-Gagė, the president of the Lithuanian Pharmacy Association, says that it is not easy for a person without health problems to understand what a sick person who needs medication is experiencing here and now. Patients are no longer the first time to wobble e. Hostage of the health system, he points out.

“Currently, public authorities are preparing a procedure according to which prescription drugs can also be purchased remotely, but only by connecting through the e. Health system. When purchasing prescription drugs, access through systems will not be allowed -commerce e-commerce stores that are working properly and have successfully resisted the increase in congestion during quarantine, says K. Nemaniūtė-Gagė.

– In other words, e. The potential of the health system will be further expanded without concern for the creation of Plan B. This time, the system that cares for millions of patients has stopped working for one basic reason: heavy rains. What if we face much more serious problems of malicious damage, hacking?

It is regrettable that in a situation like the present one, the interests of patients are left to the will of fate, and the pharmacists who can help them are forced to remain in the dark. “

A pharmacy spokeswoman says specialists working at the pharmacy are trying their best to try to contact patients’ doctors to prescribe urgently needed medications.

“However, this has led to a multiplier increase in workload, an increase in stressful situations for both patients and pharmacists, and an inevitable slowdown in customer service, so we ask patients be patient and understand if they have to wait longer than usual for a pharmacist’s consultation or medication. ” We invite patients who do not urgently need to purchase medications to contact pharmacies later, “said K. Nemaniūtė-Gagė.

Due to the failure of the electronic health system, the situation in pharmacies remains tense but manageable

Paulius Ciegis, Regional Manager of the Amber Pharmacy Network, said that e. the health system failure is still being addressed, so it is likely that e. Prescriptions in pharmacies will not be able to serve even on Wednesday.

“The situation is complicated, but we are very pleased that, thanks to the understanding of customers and the responsible work of pharmacists, patient service in pharmacies is working smoothly,” said P. Ciegis.

– Yesterday (Tuesday), throughout Lithuania I was disappointed that e. Prescriptions are not served at all pharmacies in the country, fewer customers than usual visited our pharmacy network. It is likely that after learning that the prescription process was interrupted, some patients decided to wait until things got back on track. “

A spokesperson for Amber Pharmacy said patients without paper prescriptions who urgently needed medications were seen at pharmacies on Tuesday for a little longer than usual.

Pharmacists have been actively working with physicians to find solutions to dispense essential patient medications without the need for electronic systems, Ciegis said.

In accordance with the Pharmacy Law and SAM recommendations, prescription drugs were dispensed to some patients without a valid prescription to ensure uninterrupted treatment of the patient, a pharmacy representative said.

“Despite the problems, we have not received any reports of emerging large queues or conflict situations at our network pharmacies. This was greatly influenced by the responsible and diligent work of our network of pharmacists, the calm response to problems, collegial relationships with staff of medical institutions and, most importantly, understanding and goodwill of clients, said P. Ciegis.

– Every month, the patients in our network buy more than 350 thousand. drug pieces with e. prescriptions. “

Trying to resume activity

As the Ministry of Health writes in a press release, the Registry Center continues to try to restore server operations. Set e was successfully removed. health failures, updated applications, but this process takes a long time. The Department of Health (SAM) is seeking the understanding of doctors, pharmacists, and the public. The ministry is in constant contact with the Ministry of Economy and Innovation, which is responsible for the activities of the Records Center and the Records Center itself, and the latest information is exchanged, according to a press release.

Regretting the following temporary inconveniences, SAM asks medical institutions and pharmacies to follow the guidelines developed so that people can obtain the medicines and medical aids (MPP) they need:

Recommendations for health institutions:

1. It is recommended that institutions that have their own internal information systems process the patient’s health data and submit the data to the ESPBI IS at the time of recovery.

2. It is recommended that institutions that do not have their own internal information systems and maintain a patient’s medical history through the ESPBI IS portal process the patient’s paper data and submit the required documents to the ESPBI IS after recovery.

3. When prescribing medications for a patient, it is recommended to issue a prescription on paper. When prescribing reimbursable or MPP drugs, a prescription form for Form 3 or Form 3 (in exceptional cases) must be completed. If the patient does not have a passport for reimbursable medications, a new one must be issued. If this is not possible, the reimbursable medication / MPP can be written on a Form 3 prescription form (in exceptional cases). The form on this form is completed in accordance with SAM’s Recipe Writing Rules. 112, 77-80.

4. Upon arrival of the patient for a consultation with a health institution with e. Referral, the institution may, if necessary, contact the patient’s treating physician to find out if e. The transmission is sent to the ESPBI IS.

5. If necessary (for example, by issuing a death certificate), some certificates may be issued on paper, but must be sent electronically to ESPBI IS once the system is operational.

6. In a situation where a patient returns to a medical institution with a request to write a prescription on paper, because an electronic prescription has been issued before due to a malfunction e. health activities are not available in pharmacies, they prescribe the medication by prescribing a paper prescription and renewing e. health activities, to suspend the validity of a previously issued electronic prescription for the same medication in order to avoid duplication of medication dispensing.

Where to get the prescription forms?

We remind you that a paper prescription for non-refundable drugs (Paper Form 1) can be printed and copied at the medical institutions themselves.

A special prescription (Form 2 prescription form) is for prescribing medications. They are issued by the UAB Universiteto vaistinė branch in Gedimino ave. 27, Vilnius, tel. (8 5) 261 0608 or (8 5) 261 0135.

Prescription forms (Reimbursable Medication Passport), Form 3 (in exceptional cases), and physician identification stickers are issued by territorial health insurance funds. Medical institutions should contact their local health insurance fund to obtain these prescription forms.

Pharmacy recommendations:

1. When a patient declares in an pharmacy that they have sent him an email. prescription, it is recommended that the patient be offered to come and buy / withdraw the medication or MPP the next day.

2. If it is necessary to purchase a prescription medication, it is recommended that the patient be advised to consult a physician for a paper prescription.

3. If a patient urgently needs medication and it is not possible to prescribe a paper prescription, then it would be possible to offer to purchase a small quantity of the prescription medication without a prescription, if the case complies with the drug dispensing rules approved by the SAM order. . 112, the requirements of Chapter V1 completing the appropriate registration.

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