7 things that the doctor has no right to do with the patient
Health / / December 19, 2019
1. be rude
Insult, yell and can spoil the mood employee of any sphere. But to hear it from a doctor is especially frustrating because he had been approached for help, and you do not expect something bad. However, a problem common: VTsIOMTASS: VTsIOM: less than 10% of Russians positively assess the state of the health care system I conducted a survey and found that with a rough ratio of medical staff personally faced 32% of Russians.
If you are too rude to the doctor, you are entitled to appeal to the head of department and talk about the situation. Last resort - filing a written complaint to rudeness.
Insult - is a violation of not only medical ethicsBut also the law. The Code"Code of the Russian Federation on Administrative Offenses" from 30.12.2001 number 195-FZ (ed. from 04.23.2019) (amended. and ext., joined. in force from 04.26.2019) Russian Federation on Administrative Offenses states that honor and dignity entails a penalty.
2. Deny emergency
Health workers should not be denied to those who need extra help. No excuses are not accepted, the law is clearly spelled out.
Albert Murtazin
Health doctor organizer, director of digital products in GEOTAR author Telegram-channel "smart medicineยป
You need to understand the terminology. Help is an emergency, urgent and routine. Emergency assistance is required when there is a threat to the patient's life. This type of aid are required to provide in any clinic, free of charge and without the policy. Lack of equipment or places may not be the cause of failure.
Emergency assistance (as opposed to scheduled) can not delay, this may lead to a deterioration in the patient's condition, the threat to his life and health. This assistance, too, are likely to have to the clinic where you have brought in the first place. The main difference from the acute emergency - the first case of threat to life has now, in the second - a threat may emerge in the future.
But there are exceptions to the emergency. For example, myocardial infarction patient will be taken to one of the major regional hospitals to do surgery on the arteries of the heart. If initially the patient was in a small district hospital, where it will introduce the necessary medicines and sent in larger facilities with the necessary equipment. This will be the right tactics.
If you do not take in the hospital, because there is no equipment or availability, you can referThe Federal Law of 21.11.2011 number 323-FZ (ed. from 06.03.2019) "On the basis of public health protection in the Russian Federation" to the Federal Law "On the Principles of the health of citizens in the Russian Federation" and require that you have helped. In the first case, you have to provide all possible assistance and write out a direction to another hospital where there is equipment. Second - placed at least in the hallway, if all the chambers are occupied.
But this applies only in cases of emergency. For the rest, the doctor has the right to refuseThe Federal Law of 21.11.2011 number 323-FZ (ed. from 06.03.2019) "On the basis of public health protection in the Russian Federation" treat you. To do this, he needs to write to the head of the institution.
3. Inspect in front of strangers
Of course, not all patients are shy. Someone did not pay attention, if during the inspection of the study will go a stranger. BUT someone This situation seems very unpleasant.
Under the law, any information obtained during the examination, make upThe Federal Law of 21.11.2011 number 323-FZ (ed. from 06.03.2019) "On the basis of public health protection in the Russian Federation" medical confidentiality. Therefore inspection should take place without outsiders. And if the office of someone gone, you can recall its right to complete privacy and ask for an inspection without third parties. Besides the doctor and the nurse who assisted him, only those people in whose presence you have given written consent may be in office.
4. Treat or vaccinate a patient without his or her consent
You may be givenThe Federal Law of 21.11.2011 number 323-FZ (ed. from 06.03.2019) "On the basis of public health protection in the Russian Federation" physical examination, tests, treatment, and any other medical intervention only after you and get informed voluntary consent. And for a minor need the written consent of parents or legal guardians.
The same applies to vaccinations. The doctor can tell you about the benefits of vaccination, give convincing arguments to try and persuade you. But can not get. FZ "On immunoprophylaxis of infectious diseases," saysThe Federal Law of 17.09.1998 number 157-FZ (ed. from 07.03.2018) "About immunoprophylaxis of communicable diseases" that citizens have the right refuse vaccination.
Vaccinate or not to vaccinate children decide their parents or legal guardians. But they should realize that this decision will be consequences. In the absence of vaccinations you may be denied entry to some countries to refuse admission to educational organizations and health institutions, not to hire or to discharge from it.
If you or your child without asking took the tests, you are forced to be vaccinated or to take unknown drugs, you can write a complaint to the Health Committee of your city. The guilty will be punished.
5. Demand money for services provided by MHI policy
The list of services that you can get under the policy CHI, mentioned in the programOn the program of state guarantees of rendering free medical care to citizens for 2018 and the planning period of 2019 and 2020 state guarantees of rendering free medical care to citizens. If you doubt that the necessary service is included in the list, check it from the insurance company that issued your policy. the company has a number on the policy.
Albert Murtazin
Health doctor organizer, director of digital products in GEOTAR author Telegram-channel "smart medicine"
The clinic can not refuseRF Government Resolution dated December 10, 2018 โ 1506 "On the Program of the state guarantees of rendering free medical care to citizens in 2019 and the planning period of 2020 and 2021's" to assist, stated in the program of state guarantees. But there are cases when the clinic is working on the OMC can provide the same services for a fee.
Example - any research. At the clinic has 14 days to perform basic research, the month to perform CT, MRI and angiography. If you are prescribed an MRI after 20 days, and you want a week, you have to pay money for it. There is another case relating to the diagnosis, - if you want to be examined on their own. For example, you want to do an ultrasound and the doctor did not recommend you to this.
A few more services that can provide charge: accommodation in small size houses, individual post medical supervision in a hospital (the patient will have a private nurse) and the use of drugs not included in the scrollThe list of vital and essential drugs for medical use in 2019 vital and essential medicines.
6. Refuse assistance if the patient is old-fashioned policy
To get free medical care, you need to have a policy of compulsory medical insurance in one of three options:
- old-style policy - A5 paper form on which there is general information about you, the policy number and barcode.
- The policy of the new model - a plastic card with a special chip.
- Universal Electronic Card (UEC) - an identification document, which serves at the same time and MHI policy.
Paper and plastic perpetual policiesMHI policyAnd, therefore, with them you can not refuse to help. But UEC issued only for five years.
Albert Murtazin
Health doctor organizer, director of digital products in GEOTAR author Telegram-channel "smart medicine"
For assistance, enough to know the policy number or even the name of the insurance company. It is important to get the policy at least once by an insurance company that operates in the region of your residence. You can choose online HIF. If you choose an insurance company now, you get a policy in the form of a plastic card. But this version of the paper "work" in the same way.
Do not delay treatment to the doctor, even if you do not know the policy number. You can call the insurance company and your policy number found on the personal data.
Emergency medical care required to assist in any clinic (including private) Free, regardless of the policy.
7. Refuse to replace the doctor
The patient has the right to chooseThe Federal Law of 21.11.2011 number 323-FZ (ed. from 06.03.2019) "On the basis of public health protection in the Russian Federation" medical facility and physician. If you have a conflict with a doctor, or for some reason you do not want it to be treated you, you can ask the chief physician of the replacement. To do this, you need to write an application and indicate the reason.
Here is a list of doctors, you can request a replacement:
- therapist;
- primary care physician;
- pediatrician;
- local pediatrician;
- a general practitioner (family);
- paramedic.
You can also change the clinic. To do this, you need to attach itself to another institution: submit a written application and wait for the translation. You have to translateMake an appointment and a doctor on callUnless the clinic is not full.
However, replace the doctor and the clinic only once a year, except in cases when you have moved to live in another place.
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