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To get to a specialist doctor, the patient’s daughter had to make a great effort: actively call the reception, communicate with the administration and communicate with the media. Only then was the visit promised after just over a week.
“Organization of work – tragic”
Right now, the older person’s health has deteriorated significantly: his hands have trembled, leg pain, stiffness throughout his body, and many other symptoms have occurred, his daughter says.
“We cannot go to the doctor for a consultation during or after quarantine. It is constantly repeated that the doctor did not provide a work schedule and does not accept patients, I am no longer talking about the fact that it is not possible to call the reception or after of approximately 50 calls. There is an urgent need to access a medical center for consultation, testing, hospitalization and treatment adjustment. We really cannot wait, “said the patient’s daughter.
As she said, in this case, the older person cannot apply to the admissions department because their condition is not acute.
“It is not an attack or a matter of life and death, so if we go to the admissions department, we will have to pay for emergency care and the result will be nil,” said the patient’s daughter.
– We are at a dead end and we don’t know what to do. We just have to wait until nothing can be avoided anymore. Surprisingly, work in private medical institutions is normal and we can see the same doctor in the coming days. This is such a deplorable situation and medical care in Lithuania. “
The patient’s daughter stressed that she had no complaints against the neurologist. “He does not create work schedules and his work is organized by the institution. I was in contact with the administration secretary, who told me that such a situation, such a system and that there is nothing they can do to help. Furthermore, at my request, the The phone could not be called, said the woman. “My mother called the doctor and he is in good faith, but he cannot change anything, patients are consulted before being quarantined and there is no schedule for new patients. “
The woman said that her mother is being treated by this doctor and that there would be problems if she went to another specialist. “Speaking to the registrars, they also confirmed that the mother should be consulted by a doctor who knows the full course of the disease,” said the patient’s daughter. “I emphasize that a doctor is a great specialist in his field and someone who wants to help, but the organization of work is tragic.”
He reproaches patients too
RVUL Chief Public Relations Specialist Asta Bagdonavičienė commented that provision of scheduled consultations was restricted during quarantine (only remote consultations were provided), and since June 1. When registering for contact inquiries at the RVUL Consultation Center, which has renewed its activities, priority is given to patients who have registered before this year. meter. March 16 and whose inquiries have been postponed due to quarantine.
“It just came to our attention then. Thousands of queries have been suspended as a result of the quarantine, making it really difficult to manage the traffic of incoming and outgoing calls. The reception staff at the counseling center calls every patient whose query is it has delayed and is individually organizing a new consultation date and time, RVUL representatives said.
– As long as the receptionist is involved in this conversation, you will not be able to answer incoming calls at this time. The number of callers is really high, because during the quarantine, the availability of personal health care services has been restricted in all institutions for a long time, and human diseases and various health disorders have not disappeared anywhere. During June. We have managed to reduce that so-called “quarantine” queue by more than half, but it still contains around 2,000. patients; and here we are not talking about those who want to re-register. “
According to a hospital spokeswoman, doctors receive between 140 and 150 patients per day at the RVUL Counseling Center, which is almost 70 percent. normal volume at that time. Flow capacity is limited not only by traditional staff declines due to summer vacations, but also by epidemiological requirements for work organization and recommendations to maintain the cyclical nature of doctors’ work.
“Based on the case mentioned in your application, it seems that the patient wants to see a specific doctor who works not only in our hospital. For doctors who work at various workplaces, the work schedule is created by implementing the job recommendations cyclical in order to prevent cross contamination (when a doctor has to work the entire cycle in one workplace and only then work in another institution), explained A. Bagdonavičienė.
“That’s when the scandalous cases of the same specialist are unevenly available at different institutions.”
© DELFI / Valdas Kopūstas
A hospital representative said that this institution is not exclusive in this case, because the same recommendations and requirements apply to all health care institutions.
“Unfortunately, almost every day I have to read publications about problems related to the reception of medical services. We see that patients are eager to return to the normal conditions of the health care system, and their negative emotions are often” absorbed “by our service staff, “commented the RVUL representative.
– We really regret that, but the situation caused by the pandemic for both staff and patients is atypical and difficult, so we would ask for mutual cooperation, understanding and patience. On the other hand, we would also like to appeal to patient awareness and discipline, even now, around 8-10 registered patients do not attend designated consultations every day and do not notify us in advance. And this is not just a waste of staff time, but also a missed opportunity to give another patient a medical consultation. “
What are the alternatives?
An RVUL spokesperson reports that if his health has deteriorated significantly and sharply, then he should not be afraid to contact the Emergency Department.
“Having a referral does not require the patient to pay for it; the necessary assistance is also provided free of charge. However, it will not be possible to select a specific specialist desired here; the consultation will be provided by a neurologist working in the department of reception at that time, “said A. Bagdonavičienė.
The representative of the institution emphasized that the quarantine also brought progressive innovations to the normal activities of medical institutions, for example, remote consultations, to which most specialists have adapted and are performing successfully.
“In this case, this method could also be used as an intermediate solution to the problem: remote consultation between doctors, when the patient’s family doctor examines the patient, objectively evaluates his condition and consults with a tertiary specialist for clarification, examination or treatment without having to go to the hospital. ” “An RVUL spokeswoman said.
“The situation worldwide is well understood, but people’s patience, understanding and conscience are incompatible with the deterioration of the state of health,” said the patient’s daughter.
The patient’s representative said that after the media went to the medical institution, the patient was scheduled for a consultation on July 27 with the doctor who was supervising her.
“So the question arises, are there really no opportunities to receive patients, or free time, or doctor hours? Is that opportunity provided only to those who have filed official complaints? The patient’s daughter was surprised.
Preference is given to remote services.
Gabrielė Banaitytė, Advisor to the Press Service of the Ministry of Health, commented that due to the circumstances, in the presence of a state-level emergency in the territory of the Republic of Lithuania and quarantine due to the disease COVID-19 (coronavirus infection ), personal health services were and continue to be against the pandemic.
“The Ministry has established the principles of personal health care services during the quarantine period. After the government revoked the quarantine, a gradual procedure for the restoration of health services was regulated, “said G. Banaitytė.
As the SAM spokesperson said, to reduce the patient flows in the treatment facilities and thus avoid the risk of spreading the virus, remote services, that is. Patients are first consulted by phone, and only if the doctor decides that the examinations, a more detailed examination of the patient is necessary, is assigned a direct contact visit.
“Unfortunately, not all medical institutions have been able to adapt quickly to changing working conditions. However, according to the order of the Minister of Health, Aurelijus Veryga, by July 30, medical institutions that provide health services Outpatient personal health care must meet the established service delivery indicator, to provide at least 80% planned health services, – said G. Banaitytė.
“By the way, it must be taken into account that the primary health care institutions, the polyclinics, are subordinate to the municipal administrations, so the latter should not be left out if the patients do not receive adequate services in a timely manner.”
Last week, Health Minister A. Veryga called on the country’s municipalities and their medical institutions to mobilize and resume service delivery to patients as soon as possible, the ministry said.
“The minister noted that in July, to receive 1/12 payment for services, medical institutions must provide at least 70%. Stationary and at least 80 percent. Volumes of ambulatory services. The government has decided to monitor for near the return to the provision of scheduled services, and if service interruptions persist until this year, September 1, 1/12 of the payment can be rejected and the payment of the services provided can be changed, – commented G. Banaitytė.
“This is expected to encourage medical institutions to return more quickly to a faster renewal of services for the population.”
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