Relatives of affected people — it doesn’t matter, older is a man, woman, child or even a regular patient of middle age — are often lost and do not know what rights they have when applying to the clinic, call the doctor at home, etc. In the result, there are conflicts, and health problems the person become serious complications in some cases even end in tears. Aify asked doctor specialist in public health and health care Paul Stocco, what can patients and their relatives when seeking care and what responsibilities they have to themselves.
We all know that when the called the doctor at home, he needs to be, whether it’s primary care physician or pediatrician, a representative of the ambulance, a doctor of emergency service. But in practice there are cases when doctors refused to go to the patient, citing the refusal by a variety of reasons: his poor health, broken Elevator, etc. it is important to understand that by law the doctor may refuse (provided FZ “About bases of health protection of citizens”) to go up to the patient, but only if such refusal does not directly threaten the patient’s life and the health of others. Thus the patient or his relatives can take with doctor’s written refusal to provide medical care in two copies. One of them remains, the other doctor is obliged to refer to his superiors, because in this case it is the head of the clinic, all based on the same law should help people choose another doctor.
Who will help the patient? Normal dialogue is able to extinguish the conflict
As a rule, after starting a conversation about a written refusal from the doctor new powers for the proper performance of their duties. But if the true reasons why the doctor refuses, still impossible to eliminate in a short time, then the patient or his relatives should call in a medical organization and to call in another specialist, saying that the doctor who arrived to examine the patient and to provide medical assistance refuses. Don’t forget: if the doctor refuses to help you, this does not mean that you lose the right to its provision.
If the process is delayed, and the help you still do not have, you can make a written application to the head of the medical organization (or its units), to explain the situation and ask them to assist or provide a written and reasoned refusal. At the end of the statement never hurts to leave a place that, in the absence or ineffectiveness of the measures taken, you reserve the right to contact the authorities of the MLA, the regional health Department, Prosecutor’s office and the court. Don’t worry: refuse in writing is much harder than in words, and in order not to attract undue attention, the medical leadership of the organization will meet you. If not — be consistent and go there where promised. The case is a winner, and you will not only have their assistance, but also to pay compensation for the caused harm to health and self-esteem.
In the case with the ambulance all the easier. According to paragraph 2 of article 11 of the Law N 323-FZ, medical emergency form, medical organization and medical worker, citizen, without delay and free of charge. Failure to provide is not allowed. Most importantly, insist on the assistance and do not sign the waiver, if you are not sure that you or your relative do will be fine after the departure of the doctors.
Whether it is necessary to require that doctors wash their hands
The rules of the classic examination of the patient clean hands mean a doctor. The doctor must wash their hands with soap before examination of the patient and after it. If conditions do not permit, or for any reason the family or patient has not provided access to clean water and soap, the doctor can treat the hands with an antiseptic, if any, provided for his leadership and issued to him by the medical establishment. If there is no water, no soap or antiseptic, it is still will examine, will not be worse, unless, of course, you cannot refuse medical care a doctor with unwashed hands. Here, of course, we’re not talking about surgical care in violation of the integrity of the skin. Assistance is provided only in compliance with all rules: the need of asepsis and antisepsis, which praticheski impossible to find at home.
One day. How does the day hospital and who can it be treated?
I leave doctors any medications?
The ambulance doctor must not more than 20 minutes to arrive after call and no more than 20 minutes to hospitalize the patient into a specialized Agency or to provide assistance on the spot. If you did not recommend hospitalization, and you stay home, you should understand that the criterion of quality of work of the ambulance doctor is to improve the well-being of the patient as a result of his actions. If you feel better and the doctor is sure that hospitalization is not required, feel free to follow his advice. Sometimes the urgent care doctors leave medicine, who should drink them in accordance with their recommendations. In the most severe cases emergency doctors leave “active” in your clinic. This means that now your condition has stabilized, but it can get worse, so during the day you will come to your primary care physician to you to check and adjust the therapy prescribed by the doctor of first aid.
Most importantly, remember the Golden rule: if the doctor assures you that the need for medication no, do not demand to prescribe them or leave them. Otherwise you will probably harm their own health.
Myths about the OMS. What is covered by insurance?
Documents to submit to the clinic
Turning to the clinic, the patient must have an identity document (usually a passport), and a policy of compulsory (or voluntary) health insurance. If the medical establishment is commercial, just a passport and contract for the provision of medical services. At home it is enough to show the doctor the insurance. If you came to the reception, make sure you have a doctor and you have a voucher showing the date and time of reception: these coupons will not only facilitate the organization of work of specialists, but also allow you to plan your time and not wait for the reception in long queues.
Reveal a little secret: if you don’t have a coupon, or entry to the doctor for months that, unfortunately, still not uncommon, you can ask to take you if you have spare time. As a rule, polite and just request no self-respecting doctor will not be denied. You need quite a long time (sometimes several hours) to wait at the office, but you will. Usually the doctor there is a window if someone didn’t come at the appointed time, or he’ll be late for work specially to help you. But don’t forget that the doctor is not obliged to accept you without an appointment if your life and health is at the moment not in danger. Don’t ask for receipt and pay good for good.
It is impossible to get to the study
If your doctor directs you to study, which you are able to get without additional assistance, for example, x-ray examination room on the third floor, and the leg in plaster, and the Elevator is not working, no need to build a hero or Martyr. You are a citizen who has the right to free medical assistance: do not hesitate to contact employees of the medical institution or the doctor’s office with a request to take you to the study. Transporting of patients in medical institutions usually handled by Junior medical staff. If that is not, is the reason for writing complaints to the management of the medical organization (or its branch), of treatment in the mandatory health insurance Fund (his phone is in your policy) or complaints to the regional health Department and Prosecutor’s office.
Remember that when you assign methods of research the doctor is obliged to specify the method of transporting a patient to the site of this study, given the severity of the condition and possible complications of the disease, and the management of the medical institution is obliged to organize safe transport on the basis of the recommendations of the doctor.
Who will protect the patient? Clinical guidelines will improve the quality of medical care
If you are not satisfied with the quality of the provided care, first contact a statement to the head of the medical institution directly in his waiting room. A statement summarizing the essence of what happened, showing the names and positions of participants of incident and requests to take action (don’t forget to specify what you are asking), should be written in duplicate. One copy you give to the office, reception or Secretariat of the head of the institution, the other (necessarily marked on the receipt indicating the date and number of incoming documents) keeping for myself.
If measures are not taken, or they do not arrange, it is an occasion to Lodge a complaint against action (inaction) not only the staff but also the leadership of the medical organization (or its branch): this is a more serious offense that will certainly appeal to the regional health Department and your insurance company, which issued the policy.
If no result, contact the Prosecutor and the court. But, as a rule, all conflicts are resolved at the level of complaints to the chief physician. No one wants to wash dirty linen in public.