Poplatok na urgentnom príjme | Medicínske právo
              

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Poplatok na urgentnom príjme


 | 10.2.2017 | komentárov: 301

Pacienti, ktorý navštívia urgentný príjem v nemocnici, za ošetrenie onedlho zaplatia viac.

Obrazok

Od prvého júla tohto roku, už pacienti na pohotovostnom urgente nezaplatia za ošetrenie necelé dve eurá ako doteraz, ale desať. Dôvod opatrenia je vysoký počet pacientov ošetrených na urgentných príjmoch, ktoré sú často preplnené. Cieľom vyšších
poplatkov je odbremeniť nemocničné urgenty a presmerovať pacientov z urgentného príjmu na ošetrenie do ambulantnej pohotovostnej služby.

Vysoký počet pacientov na urgentnom príjme môže byť okrem iného spôsobené aj tým, že pacienti nepoznajú rozdiel medzi urgentným príjmom a pohotovosťou. V súčasnosti máme na Slovensku dva typy pohotovostí. Prvým typom je už spomínaný urgentný,
alebo centrálny príjem, s oficiálnym názvom Ústavná pohotovostná služba. Urgentný príjem je určený pre prípady náhlych, život ohrozujúcich stavov ako napríklad strata vedomia, zástava srdca alebo vážny úraz. Druhým typom pohotovosti je Lekárska služba
prvej pomoci. Je určená pre pacientov, ktorých trápi náhle zhoršenie zdravotného stavu, pričom život nemusí byť v priamom ohrození. Ide napríklad o vysokú horúčku, kde prípadné posúdenie stavu pacienta nemožno odkladať na druhý deň. Najzásadnejší rozdiel medzi urgentným príjmom a pohotovosťou spočíva v tom, že lekári na pohotovosti sa starajú o ľahšie prípady. Ide predovšetkým o vysoké horúčky, hnačky prípadne vracanie. Naopak, urgentný príjem by mal slúžiť na ošetrenie pacientov s väčšími ťažkosťami.

Nové poplatky na urgentnom príjme súvisia s rozsahom zranenia pacienta a následne správnym určením pohotovostnej služby. To znamená, že ak do nemocnice príde pacient s úrazom či v ohrození života, nemal by po novom zaplatiť nič. Preto, ak pacient bude
ošetrený na urgente, ale na základe rozsahu jeho zrania je takéto zranenie potrebné ošetriť na urgentnom príjme, platiť nebude. Pôjde predovšetkým o pacientov, ktorý skutočne ošetrenie na urgentnom príjme potrebujú. Oslobodenie od poplatku sa rovnako bude týkať prípadu, ak na urgente budú pacienta ošetrovať najmenej dve hodiny alebo bude nutné pacienta po ošetrení hospitalizovať.

Otázka však je, či pacient bude vedieť správne určiť, kde má byť ošetrený. Cieľom zvýšenia poplatkov bolo znížiť počet pacientov na urgentnom príjme. To ale neznamená, že uvedené opatrenie mnohonásobne nezvýši počet pacientov na ambulantnej pohotovosti, ktorý sa budú báť vysokého poplatku na urgentnom príjme, čo v konečnom dôsledku môže viesť k ďalším opatreniam a k ďalšiemu zvyšovaniu
poplatkov. Zavedenie nových poplatkov predstavuje súčasť opatrení, ktorými sa majú zaviesť zmeny najmä v pohotovostných službách v tzv. lekárskej služby prvej pomoci (LSPP). Okrem zvýšenia poplatkov za ošetrenie by sa mal znížiť počet pohotovostných ambulancií zo súčasných 95 na 51. Lekári budú mať zároveň povinnosť slúžiť len do desiatej hodiny večer. Po desiatej hodine bude služba dobrovoľná alebo ju bude musieť zabezpečiť prevádzkovateľ.


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