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After DNB began a collaboration with the private medical service Dr. Dropin to provide clients with a free sample of cells, several doctors responded. – Emptying the Norwegian health service, says the Norwegian Medical Association.
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Last week, DNB and Dr. Dropin launched a collaboration that aims to provide free cell samples to women participating in some of DNB’s benefit programs.
This has provoked much criticism among Norwegian doctors.
– This is a disc arm for DNB. Cell samples and the “Check yourself” campaign are a bit of a controversial topic, but when DNB chooses Dr. Dropin as a partner, it becomes controversial, says GP Arnt Roch-Pettersen, a member of the medical association.
He believes that the intention is good and that Dr Dropin is a good complement to the Norwegian health service, but that the collaboration can lead to an erosion of the Norwegian health service.
– We see that one-time services like Dr. Dropin often refer you to specialists and then you spend extra money on things that could have been spent on other things, says Roch-Pettersen.
He believes that Dr. Dropin is not the right partner when it comes to massive testing.
– Just as there can be false positive samples, small cell changes can also be detected, changes that are harmless and will eventually disappear on their own.
– The problem is the recipient of the responses that the sender does not know. Even if the doctor knows that this is harmless, it can seem completely different to a patient and then again cause unnecessary mental strain. A one-time doctor doesn’t know the patient like a GP does, says Roch-Pettersen.
Undermine public health services
On Twitter, NTNU GP and university professor Kari Løvendahl Mogstad came out early with criticism of the new collaboration.
– This initiative is just one of the more and more offers of its kind and what I mean is a combination of commercial considerations with health services, says Mogstad.
She believes that there is an increasing degree of weakening of the public health service in Norway.
– With more and more commercial players “taking over” from GPs, it becomes more difficult to provide a good and solid health service in the public sector, he says.
– It is problematic to stay there and follow up when the “quick fix doctors” send us patients, when there is something with the patient and they no longer take responsibility. It is not usable, neither for patients nor for us, he says.
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Continuation of the campaign “Check it out”
Marketing Director Aina Lemoen Lunde at DNB thinks it’s a shame that GPs react negatively to the offer.
– Of course, it’s sad if anyone reacts to the limited-time offer of a free cell sample, but we hope the initiative will lead to more attention and more women getting a potentially vital health check, regardless of whether it’s with Dr. Dropin or with GPs, says Lunde.
– Can you understand that some doctors find it problematic for you to collaborate with Dr. Dropin?
– DNB has many partners and we are constantly looking for how we can create added value for our clients through the client program of which they are a part. The information shows that many thousands of women have dropped out of cell samples in 2020 compared to last year. The Norwegian Cancer Society explains the decline with capacity challenges due to covid-19, Lunde says.
– We want to raise awareness around an important message, namely, “Check yourself,” while making free cell samples from Dr. Dropin available as part of our client programs for a limited time. The person, of course, is free to take the test wherever they want, but everyone benefits from more women signing up, he says.
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A social mission, says Dr. Dropin
Dr. Dropin’s physician and CEO Daniel Sørli wonders about the criticism.
– Norway is going through a pandemic in which 25,000 fewer women than normal have been tested through the official cervical cell sampling program. A program that has been shown to save many young women from serious illness and premature death, says Sørli.
– DNB does not pay us anything for these consultations, and both see this collaboration as part of our social mission. I did not imagine that criticism or problems would arise from this. I’m a little taken aback by the criticism because we are in a situation where more women are not allowed to follow the cervical program, he says.
Sørli claims that Dr. Dropin has already made several hundred queries regarding the collaboration.
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– We do this to help more women get tested. We do not do this with the intention of exhausting or taking the place of the Norwegian public health service. However, in an exceptional situation such as this pandemic, the public health service has not had the capacity to perform the tests normally. The offer of health services was drastically reduced from March and we have not yet returned to normal.
– What do you have to gain from this?
– We do this for free and cover the expenses of equipment and doctors’ salaries. It is positive that more people know us, what we can offer and what we do. And if this conflict leads to more people who should take a cell sample to see a doctor, then it has value in itself. Like all other players, both in public and private industry, you depend on someone to use our services and get to know us, says Sørli.
The Dr. Dropin private medical service was started in 2017 and has grown in a short time with 17 physical clinics in Oslo, Asker, Trondheim, Bergen and Stavanger.