A fewer of my contacts with the public wellness department encouraged me to have a reaction, to compose an unflattering comment - even if it was in vain. But a individual in a illness usually has problems another than public expanse. So I started this text a fewer times before, during and in post-covid reality, but yet it was concluded in consequence to fresh pre-election announcements by politicians concerning the improvement of nutrition conditions in Polish hospitals, as if it were the most pressing problem of the home wellness service. It has been characterized by many pathologies for years, but the feeding of patients is the least important.
The best determinant of the state of public wellness is the state of wellness of our society, and I am not talking about young people and comparatively healthy people, whose contact with NFZ is sporadic (most in this substance can tell you who have serious wellness problems – they deserve a voice, although they are the ones who appear as a problem for the strategy – according to statistic the top burden of wellness care is people in the last year of their life). However, regardless of the age and state of health, we usage the national fund services reluctantly, necessarily and frequently as a last resort. In the end, you gotta have any kind of wellness so that in collision with this concrete you do not hang a white flag. Personnel shortages, deficiency of beds, closure of unprofitable branches, limited access (and no refund) to the essential studies, latest medicines and treatments, long waiting time for a visit, surgery or surgery (not to mention rehabilitation), and antacid medical staff (part of which engagement and empathy only appear upon receiving a "motivation allowance" from the patient, or his family) are only part of the home wellness care problems. Unfortunately, there is no hope of improving the situation if the only plans of the organization seeking power are cosmetic treatments in the NFZ, staff increases or ad hoc dumping of respective billion PLN from the recently imposed tax.
It seems that the Polish wellness service (starting from the Ministry and at the window in the registration) patients simply interfere and would do best without them. alternatively of focusing on the patient, everything is going to make wellness care a viable business, which makes the patient a fuel for the machine, or a 5th wheel, depending on what its prognosis is and the illness code. Unfortunately, those whose work is to treat the patient have their hands tied, having obligations not in relation to the patient (whose wellness care funds) but above all in relation to the strategy itself. For many doctors, it is simply a divine punishment, although a large group of this highly valued environment fits into the framework of a heartless mechanism. I will stress again (not to focus on the work of the administration and medical personnel of the units) that the fish is spoiling from the head and the current state of wellness care in Poland is primarily liable for the representatives chosen by us at the Ministry of illness - after all it is from there that the regulations and guidelines go to hospitals and clinics. We should besides mention the advisory bodies of the Ministry, from the Sanitary Inspectorate to the recently established Medical Council. They showed their credentials especially during the Covid pandemic. It was thanks to them, without any reflection, that the prevention and treatment of many diseases – including procedures and operations in thousands of patients, closed them in their homes and treated them like lepers. alternatively of curing, they decided to number the sick. But I'm coming down again. A large part of the medical staff during the top wave of Covid's illness actually worked besides hard, unfortunately designation fell completely unwarranted on the full medical industry. The ruthlessness of this strategy and the indifference of the staff showed me a visit to the SOR at the time at 1 of the provincial hospitals, where doctors on work came down from the wards only erstwhile a fixed number of 5 patients were gathered in the waiting room, so the waiting time (i.e., many hours) was inversely proportional to attendance in the waiting room, which is different from usual. During this time upstairs, doctors could easy sleep high-paid on-calls in the closed wards. It's better not to mention the work of the clinic.
A circumstantial parody of medical service was teleporades, which many cabarets were not ashamed of. If the only advice to patients after years of survey and frequently even longer practice was to remainder and take medicines available in shops and gas stations, then it is no wonder that for many of them it ended in death. As 1 has rightly said before me, and it was not a voice from outside the medical community “paracetamol treatment detracts from the dignity of the profession of doctor”. Unfortunately, this is not just about the time of Covid, I know a first contact doctor who has been able to treat patients with various diseases all year round. In the substance of medicines prescribed outside of ignorance, habits, restrictions on medicines refunded, there are most likely besides treatments for the pharmaceutical lobby, but this is simply a subject for another article.
Referring to the inactive surviving ethical issues of public opinion, specified as the conscience clause, or even the judgement of the Constitutional Tribunal, as a consequence of which, as any say, the incorrect treatment was applied, leading to the death of respective patients, I believe that the legitimate protests which passed through the streets of Polish cities pointed to a minimum the origin of the problem. According to various statistics, respective 1000 people may die in Poland all year, not in connection with the views of medical personnel, but with their mistakes. It is hard to find how many of these are due to undesirable effects of medicines, misdiagnosis, errors during surgeries and operations, or simply failures caused by the diseases themselves – after all, no of the staff will hit the chest and exposure their reputation. It is even more hard to find how many patients die from another negligence (resulting from a deficiency of financial resources and hands for work) specified as a deficiency of constant monitoring of vital signs, insufficient care of the convalescents, a hold or not timely surgery, although it is estimated that this number may scope respective tens of thousands per year.
possibly the queues to specialists in the clinic corridors are no longer a fewer twelve meters (there are mainly moves in the organization of registration), but the waiting period for specialist diagnosis or treatment has decreased little. And erstwhile the patient has an expected audience with a specialist, he usually leaves confused, as the 1 with the headlined terminus can spend only a fewer minutes, during which he mainly taps the computer keyboard. any specialists have besides forgotten what their service is and what patients anticipate from them during the visit, and these are simple things like interest, empathy, cognition and professionalism. In words, they anticipate professional advice, but frequently fail. Of course, the responsibility is besides on our side - patients, NFZ clients. It is simply a pity that the demands of society on the work of a well-paid doctor have not grown as rapidly in fresh years as those of a teacher teaching our spoiled children, a builder renovating our bathroom, or a cashier serving us at the supermarket.
I do not know if the cure for all evil has been a recurring thought of privatizing wellness care for years, but for me, as well as for millions of citizens who are increasingly utilizing private services, the payment of horrendous contributions and treatment outside the NFZ (by necessity or even for convenience) is missing any sense. Real competition between individuals and professionals themselves will surely not harm the organisation of work and the attitude of wellness professionals. However, more providers and more people to work must besides appear on the market. The problem is not just the deficiency of money, but the misuse of money. A little drastic form of repair of the strategy would be decentralization and a return to something like the sick Casinos. Although we don't get along well (according to many specialists, this improvement in Poland has not been successful, due to the fact that it has not been completed) works successfully in many countries with a advanced level of medical services abroad. It is besides justified to extend the function of local wellness centres (taking work for prevention) and to extend the function of a household doctor who could treat and not only give direction, it is besides a good thought to attach him to a "patient family" for years and even generations. There are many solutions, but first of all, we must act, not hide our heads in the sand, fearing that the improvement may meet with opposition from parts of the environment, as thousands of excellent specialists and medical staff who care about the well-being of the patient and healthy working conditions of specified a improvement look forward. Just like millions of patients.
There is no hope that the next 4 years of power will take on this task - it is hard to find anything circumstantial in the programmes of the individual colour organization of the coalition, apart from announcements of increases for doctors and nurses. Unfortunately, the relief of the temper of medical personnel will not improve the quality of patient service, as well as the lifting of infirmary catering, due to the fact that for all confused, sick individual who seeks aid in the NFZ, a mediocre infirmary meal is the least concern, and the way to eat it is long and exhausting. https://eyewatcher.blogspot.com/
