Dr. Madjarov: Patient rights should not be at the expense of the rights of GP
The text part of the R&D should be accepted this year because it concerns a three -year period. We can only wait for the negotiation of new prices and volumes. This is what the chairman of the BMA, Dr. Ivan Madjarov, told journalists.
He commented on the proposal of GPs to be able to write off aggressive patients from their lists as an old problem, which was transferred from the healthy head of the patient. "20 years ago, the state decided that in the easiest way it would oblige GPs with two things-not to refuse to enroll a patient on their list and not be able to write him down. The proposal of GPs is not perfect, but a clear signal for an existing and pressing problem. This is not a problem that the framework contract must solve. This is a problem that must be resolved by the state. It should solve the problem of access to medical assistance in the case of non -successful conditions during the weekends or outside the working schedule of GPs - the so -called. Emergency help solve the problem with uninsured citizens, as well as people who cannot find a GP. General practitioners cannot become hostage to the state of an unresolved problem, "said Dr. Madjarov.
With regard to the idea of the NHIF for a new drug policy, Dr. Madjarov said that the share of medicines from the general costs of the Health Insurance Fund is 24%, but this is official.
"It is unofficially about 50%when adding medicines paid through clinical pathways in hospitals. There is no other country where there is parity between medicines and activities. If we continue in the same way, we will be left without doctors and there will be no one to write These therapies. However, I am worried about what happens to the healthcare means at the end of the year. It is not as important what budget is offered as how it will be implemented. Every year we observe the same problem - the budget is one and its implementation is Quite different, "he said.
He again emphasized that it was necessary to decide urgently what would happen to the cashier's reserve, since it was not distributed in advance, and after November 30 it is not possible to be distributed. "Separately, there is evidence that there are funds in the amount of BGN 80-100 million, which no one talks about, but the NRA will give them to the NHIF. The increase given by the cashier is based on some BGN 300 million, which has been saved this year, "said Dr. Madjarov.
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Source: Zdrave.net 
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