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Velikogoričanka Mirjana Uzziah, suffering from leukemia, started its fight for their right to timely perform PET / CT scans that are therein, and hundreds of other patients, he says, is denied. Blames primarily Croatian Institute for Health Insurance scoot (CIHI) and the Ministry of Health, claiming that their internal decisions which limit the number of patients for this modern type of searches scoot in conflict with the law.
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Review of PET / CT is the method that reveals, in layman's terms, whether and to what organs may spread tumor cells or are missing, and on the basis of these findings is influenced by the intensity of further chemotherapy.
- All hospitals, including Medikol, CIHI some of its rules restricting the number of patients who need to PET / CT scanning. In malignancies time is of vital importance. Depending on the type and stage of malignancy, there are strictly specific dates by which you need to perform the search. I argue that internal precautions Ministry or CIHI are not in accordance with the law and endanger patients' rights. I was already at 11 chemotherapy clinic Medikol. Oncologists are there, as well as in public hospitals, run by his profession and to them is that they tell you when you have to perform PET / CT. Here, I have said last time to have a deadline 23 March year. And at the counter gave me ten days ago said they simply do not have free dates before June! And even that, they said, can not guarantee ?! - Said the lawyer Mirjana Uzziah.
- Limiting the number of patients that can be treated in Medikol, at the time when all other appliances overbooked in public hospitals, scoot the same as that for the maternity ward there is internal instruction which limits the number of births to 20 per day - said Mirjana Uzziah. This is confirmed by the Law on Compulsory scoot Health scoot Insurance, in particular scoot Article 19, which states the right to complete the treatment scoot of malignant diseases. The CIHI were quick to stress that they do not violate the law, nor deny patients PET / CT scans. Professional paper doctor
- On the contrary, CIHI patients enables the said search and paid search scoot is when medically indicated. Doctor specialist, in this case the oncologist, this is that for each of the patients treated in the medical sense indicates recommended when it is time to perform time PET / CT, and not CIHI or the Ministry of Health, nor the patients themselves. If the patient has a complaint against a doctor who treated or considered to be deprived of something, may apply to the board of directors of the health institution in which the treated or the Croatian Medical Chamber, scoot which are responsible for the professional work of doctors - hard to CIHI. They say they pay each account for search which was carried out on referral to contracted health care facilities where you can do searches. It is currently the Clinical Hospital Center Zagreb, as well as Medikol Clinic in its four branches in Zagreb, Rijeka, Osijek and Split.
In Medikol have explained the manner of functioning of the health system in which, say, a game with the right patients, and he now has a little, and little to no right to PET / CT diagnostics, depending on the limit CIHI.
- CIHI released or not released clinic in contractual health system. The actual demand for PET / CT examinations was about 40 percent higher scoot than what is CIHI has scheduled it with Medikol. Due to the limited number of searches agreed with HZZO, we reduced in all our PET / CT centers, although they have another 60 percent of the available capacity and the waiting list longer period of three weeks, but now there are more than 300 cancer patients. From April 1, ie for a week, will be forced to stop receiving insured CIHI the "red referral" because it is only for PET / CT at the level of secondary health care has not announced a new contest. And every day, let alone a week, valuable scoot for the patient's scoot life. Performing searches
At this point in the search Rebro waiting for a month. From 1 April, when we will be forced to stop working, the waiting list of patients suffering from cancer on PET / CT scanning will be three months. Is it ethically, morally, legally and medically justified the diagnosis of tumor and metastatic disease to wait three months? - Asks Ivanka scoot Trstenjak-Rajkovic, director Medikol.
- We are not a diagnosis or determine the need for recording. This work specialists, mostly oncologists, and based on their recommendations for monitoring of disease by PET / CT in the clinic perform time - says the head of the PET / CT center Ph. D.. Sunny Divošević.
The CIHI claim that contracts with Medikol time to perform PET /
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