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On Wednesday, the Seimas Health Affairs Committee, along with the Ministry of Health and the State Health Insurance Funds, discussed the availability of health care services for non-coronavirus patients.
Only half can provide services
In early May, treatment facilities were allowed to provide scheduled services, but must ensure strict security requirements. However, the Ministry of Health acknowledges that almost a month later, the situation regarding the provision of scheduled services is tragic: only half of the institutions say they can provide them.
“According to the data from May 25, we have slightly more than half of the institutions in Lithuania that can initiate outpatient services and much more than half of the institutions that can provide hospital services.” Dentists seem to be much more active in this area than their counterparts.
Tragic situation That plans have been presented does not mean that the services have been activated. And if it is activated, it is difficult for us to judge it, we need time to summarize the results. Institutions are few lists. But then the question might arise as to whether the institutions would really like to prepare, ”Lina Jaruševičienė, Deputy Minister of Health, said at the committee meeting.
Lina Jaruševičienė (SAM photo)
The Deputy Minister also emphasizes that even now medical institutions will no longer be able to provide services at exactly the same extent as before the coronavirus pandemic.
“What is calculated now is the capacity of the institutions. We are looking for ways to transform the health system so that we can provide the most appropriate medical care, using remote and contact hours,” said L. Jaruševičienė.
Many patients were left without treatment.
In Lithuania, a coronavir emergency was declared on February 27, but the provision of health facilities was restricted only after the introduction of quarantine on March 16.
“Necessary assistance, emergency assistance was provided, all cluster services were provided. The provision of specialized outpatient services and hospitalization of patients was severely restricted,” said L. Jaruševičienė.
The requirements for the resumption of scheduled services were approved on April 29. Speaking about the provision of medical services from mid-March to the end of April to people who were not infected with Covid-19, the Deputy Minister notes that the number of services provided has decreased considerably.
“The number of services provided by primary health care is 20%. less than in the same period last year. If we look at specialized outpatient services, the decrease was more than 86 percent. It was exactly the same with prevention programs. The number of incentive services and the number of day hospitals also decreased dramatically.
The volume of emergency reception services also decreased by approximately 40%. The surveillance services are similar in that they were provided in the same units. Day surgery was almost non-existent, leaving only a small percentage. About 50 percent. the number of active inpatient treatment services decreased, “said L. Jaruševičienė.
Coronavirus
According to her, drastic changes are also being seen in terms of necessary assistance.
“We see that the range of specialized outpatient services for emergency care services has been cut in half. Admissions to the emergency department and monitoring department decreased by more than 40 percent.
If we look at cluster services, we see a slightly different situation. With myocardial infarction, we see a one-third decrease in strokes and a quarter-second decrease in thrombolysis. But we have almost 16 percent. increased number of services when trambectomy was applied, “said L. Jaruševičienė.
However, according to the Vice Minister, the number of deaths in March-April did not change much compared to the same period in 2015-2019.
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