{"id":7383,"date":"2022-02-16T14:37:53","date_gmt":"2022-02-16T14:37:53","guid":{"rendered":"https:\/\/facias.ro\/?p=7383"},"modified":"2022-08-04T10:52:25","modified_gmt":"2022-08-04T07:52:25","slug":"ghid-practic-drepturile-pacientilor-in-raport-cu-institutiile-statului-dreptul-la-sanatate","status":"publish","type":"post","link":"https:\/\/facias.ro\/eng\/ghid-practic-drepturile-pacientilor-in-raport-cu-institutiile-statului-dreptul-la-sanatate\/","title":{"rendered":"PRACTICAL GUIDE: PATIENTS 'RIGHTS IN RELATION TO STATE INSTITUTIONS - THE RIGHT TO HEALTH"},"content":{"rendered":"<p>What tools do we have to defend our rights in relation to the health system that has the role of saving us?<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Contents:<\/strong><\/p>\n<p>I.Background \/ Introduction<\/p>\n<p>II. What terrible situations I encountered, through your messages<\/p>\n<p>II. We always complain about unfair and \/ or abusive situations<\/p>\n<p>&nbsp;<\/p>\n<h1><span style=\"font-size: 14pt;\">CONTEXT \/ INTRODUCTION<\/span><\/h1>\n<p>This is the last part of the chapter on health and our rights in relation to the health system. There is much more to say, more to solve. We have sent requests for action to the Ministry of Health. Many hospitals are subordinated to town halls and local councils, and here, too, it depends on local decision-makers. Everyone wants the system to work, to save us, but they, and the health care workers, must act. Otherwise, everything goes the same way, but not for the better, but for the worse.<\/p>\n<p>&nbsp;<\/p>\n<p>Last year, we partially addressed the issue of patients' rights in relation to state institutions and health care providers, through a material published on the FACIAS Project website \"Be informed, not abused!\", Which you can see here: <a href=\"https:\/\/facias.ro\/eng\/ghid-practic-pacienti-centrele-de-permanenta-arondate-fiecarui-judet\/\">https:\/\/facias.ro\/ghid-practic-pacienti-centrele-de-permanenta-arondate-fiecarui-judet\/<\/a> , but also through several posts such as \"Did you know that\u2026\".<\/p>\n<p>You can identify them quite easily by searching on our facebook page \u00a0<a href=\"https:\/\/www.facebook.com\/hashtag\/pacient?__eep__=6&amp;__cft__%5b0%5d=AZW8iwtmyrVCEy4EpBiLr4EjLu2_0V_nvnHaL5-kPKX9mntS6Nx7GKdP2smWsY_uP8Zn9RipP2Pb5uaE7bh9NiWFba8yve-9Bqpfd6s3_RsVxc4MKFXuz5xmzonwIvSrEB3U9DYMHAFkM6Bc4cC3stkLu0TyohN6TUwsHijYWjibOA&amp;__tn__=*NK-R\">#Pacient<\/a>\u00a0 and\u00a0 <a href=\"https:\/\/www.facebook.com\/hashtag\/stiaica?__eep__=6&amp;__cft__%5b0%5d=AZW8iwtmyrVCEy4EpBiLr4EjLu2_0V_nvnHaL5-kPKX9mntS6Nx7GKdP2smWsY_uP8Zn9RipP2Pb5uaE7bh9NiWFba8yve-9Bqpfd6s3_RsVxc4MKFXuz5xmzonwIvSrEB3U9DYMHAFkM6Bc4cC3stkLu0TyohN6TUwsHijYWjibOA&amp;__tn__=*NK-R\">#stiaica<\/a>.<\/p>\n<p>As our rights to health care and access to health care have become a constant concern, the project team will dedicate 4-5 episodes to these topics, which will be published every Wednesday here.<\/p>\n<p>It is necessary to know our rights in relation to the state and its institutions and when it comes to our health for which we contribute, monthly, 25% of our salary.<\/p>\n<p>In previous episodes, we've covered more general topics:<\/p>\n<ul>\n<li>The most useful information needed: The Insured's Guide;<\/li>\n<li>Legislation that ensures our rights;<\/li>\n<li>Other sources of information.<\/li>\n<li>Practical guide: Patients' rights in relation to state institutions<\/li>\n<li>What do we do when we are struggling with serious, rare diseases? How do we find out about dedicated rights?<\/li>\n<li>How do these programs help us and where does the money for our treatments come from?<\/li>\n<li>How can we benefit from support through these programs?<\/li>\n<li class=\"translation-block\">There are three possible ways to get the right to treatment abroad, through the health insurance companies: Form S2 (formerly E 112); through the Ministry of Health; through European Directive 24.<\/li>\n<\/ul>\n<h1><span style=\"font-size: 14pt;\">\u00a0I. WHAT TERRIBLE SITUATIONS WE HAVE ENCOUNTERED THROUGH YOUR MESSAGES<\/span><\/h1>\n<p>This is the last part of the chapter on health and our rights in relation to the health system. There is much more to say, more to solve. We have sent requests for action to the Ministry of Health. Many hospitals are subordinated to town halls and local councils, and here, too, it depends on local decision-makers. Everyone wants the system to work, to save us, but they, and the health care workers, must act. Otherwise, everything goes the same way, but not for the better, but for the worse.<\/p>\n<p>We need to know our rights and know what we have to do, with the law in hand, for them to be respected. It is our right and obligation. We need to act fast. We know, I used the word \"must\" a lot.<\/p>\n<p><strong>What terrible situations did we encounter when we sought our health?<\/strong><\/p>\n<p>Situa\u021biile revolt\u0103toare, durerose, de neputin\u021b\u0103 ne-au fost aduse la cuno\u0219tin\u021b\u0103 prin r\u0103spunsurile la chestionarul proiectului \u201dFii informat, nu abuzat!\u201d, dar \u0219i prin multe din cele cca. 2500 de comentarii \u0219i mesaje primite \u00een cadrul acestor\u00a0 nou\u0103 luni de activitate. \u00cen plus, \u00een spa\u021biul public, am \u00eent\u00e2lnit multe cazuri pe acest subiect dureros. Poate, atunci c\u00e2nd nu este lovit cineva drag nou\u0103, din familie sau noi, nu con\u0219tientiz\u0103m pe deplin situa\u021bia, \u00eens\u0103 ea a fost catastrofal\u0103, a dus la drame.<\/p>\n<ul>\n<li>Aggravation of chronic diseases and deaths on the line, without guilt.<\/li>\n<\/ul>\n<p>During the pandemic, unfortunately, the health of many Romanians, especially those with chronic diseases, suffered greatly. They were diagnosed late, which led to a worsening of their health by not intervening in time. In other cases, already diagnosed, they were postponed to interventions that would not have been emergencies, although this automatically led to a worsening of the condition. There were other situations in which, after a first treatment, they were sent home where, in the same way, their condition worsened (they did not have the result of PCR tests, one of the reasons).<\/p>\n<p>Although measures have been taken not to put pressure on hospitals, their collateral victims are citizens, patients who do not have to pay the bill, often even by death, because many situations have had this outcome.<\/p>\n<p>&nbsp;<\/p>\n<ul>\n<li>The relatives \/ caregivers do not have the right to be informed about the patient's condition<\/li>\n<\/ul>\n<p>Au fost situa\u021bii \u00een care, dup\u0103 internarea bolnavilor, cu prec\u0103dere la terapie intensive, dar nu numai, apar\u021bin\u0103torii primeau informa\u021bii trunchiate, la indigo \u201dPacientul este mai bine\/stabil\/ vedem cum evolueaz\u0103\u201d. Au fost situa\u021bii \u00een care nu li se r\u0103spundea, iar noi to\u021bi, care am avut bolnavi \u00een spitale cunoa\u0219tem disperarea care ne macin\u0103 c\u00e2nd nu \u0219tim\u00a0 ce este cu al nostru, dac\u0103 este bine \u00eengrijit, cum \u00eel putem ajuta, sus\u021bine, s\u0103 \u00eei fim al\u0103turi.\u00a0 Da, cadrele medicale or fi fost epuizate, dar acei pacien\u021bi sunt oameni cu drepturi, care \u0219i-au pl\u0103tit, pe parcursul vie\u021bii, \u00een avans, accesul la servicii de s\u0103n\u0103tate calitative.<\/p>\n<p>There were also situations in which the relatives only found out when they called, insistently, although they were often rushed to the phone, that they had died in the meantime.<\/p>\n<ul>\n<li>Dead patients, responsible, none, because the protocols weren\u2019t followed<\/li>\n<\/ul>\n<p>People revolted, they said they were making complaints, some did, but the answers they received showed that, in general, everything was well done, the procedures and protocols followed. Then, many, overwhelmed with grief, gave up fighting for justice, because, who will do them justice, the coworkers of those they believe are guilty of unprofessionalism or indifference?<\/p>\n<ul>\n<li>In rural areas, you need to know your rights for the family doctor to treat you, even though he works under certain laws and has some obligations.<\/li>\n<\/ul>\n<p>Dramatic situations in rural areas, related to family doctors who, although they have paid services, do everything they can to avoid going to the inaccessible patient, at home, if his condition worsens. They have a general answer: call the ambulance! If, after insistence or because you happen to know the laws and rights of the patient, but also the obligations of the family doctor, you determine him to come to the patient, outside the office hours of the office, you even offer to pay for transportation, he comes, he writes you the prescription, but he doesn't give him first aid, he forgets to measure, for example, the level of oxygen saturation, because he doesn't have the necessary equipment, even though he knows that the patient is breathing hard. As a patient, you are unlucky if you did not have a pulse oximeter in the house (its cost is around 100 lei). The family doctor reached the patient, wrote the prescription and that's it: the patient needs to find a nurse who can put a band-aid, not the nurse in the office or the doctor, although you expect him to be able to do this, following a specialised university.<\/p>\n<ul>\n<li>People enter the hospital with a disease and contract others, including those caused by nosocomial infections<\/li>\n<\/ul>\n<p>Yes, there have been painful situations that reduce confidence in the health system, after such experiences. And, if they account for 20% of all cases, it is very high and produces casualties.<\/p>\n<p>When we wanted to find out, for example, why this is happening and we contacted medical staff on condition of anonymity, many of them told us that this was the result of superficial  employment, not on professional merits in the health system. This leads to paradoxical situations when those who know the profession well are overloaded to treat patients because the \"ones with connections\" do not know or are protected.<\/p>\n<p>&nbsp;<\/p>\n<h2><span style=\"font-size: 14pt;\">II. WE ALWAYS REPORT UNFAIR AND \/ OR ABUSE SITUATIONS<\/span><\/h2>\n<p>No matter how beautiful and dignified we may try to wrap our situation to appear, it's not healthy to pretend we don't see it. We have heroes in real white robes, but we also have the other side of the coin, people who ought to save you, but they don't have the ability, the science or the will.<\/p>\n<p>That is why we always encourage you to report incorrect, abusive situations that violate your rights. They will invariably lead here. If we do not do something, who will do it for us and for the rights of our loved ones?<\/p>\n<p>To conclude on an optimistic note, we tell you that just a few minutes before publishing this material, for example, at the County Hospital in Craiova, we were informed of the situation of a treated professional patient, he and his relatives, including the part communication related to the patient's condition from intensive care, hospitalised during the night, even if the activity of the doctor and medical staff was intense. In the same hospital, there were situations like the ones above, but, you see, it's okay to mention when the system works as normal.<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Information on the overview of Romanians' access to health services during the pandemic.<\/strong><\/p>\n<p>Last year, studies were conducted on accessing medical services during the pandemic. One of them was made by the Ipsos Romania Study (the information in the study can be found here: https:\/\/www.ipsos.com\/ro-ro\/retrospectiva- regarding-accessing-medical-pandemic-services) which shows that \u201cOne of two Romanians in the urban environment avoided monitoring their health during the pandemic, rarely or not at all resorting to medical consultations, blood tests or other investigations. \"<\/p>\n<p>&nbsp;<\/p>\n<p>SOURCES OF INFORMATION:<\/p>\n<ul>\n<li>Pages 36-37 of the Insured's Guide (also for uninsured persons), available here: <a href=\"https:\/\/cnas.ro\/ghidul-asiguratului\/\">https:\/\/cnas.ro\/ghidul-asiguratului\/<\/a><\/li>\n<li>Health section (from the MENU) - Planned Treatments Abroad, from here: <a href=\"https:\/\/europa.eu\/youreurope\/citizens\/health\/planned-healthcare\/expenses-reimbursements\/index_ro.htm\">https:\/\/europa.eu\/youreurope\/citizens\/health\/planned-healthcare\/expenses-reimbursements\/index_ro.htm<\/a><\/li>\n<li>Law no. 95\/2006, on health care reform<strong> : <\/strong><a href=\"https:\/\/legislatie.just.ro\/Public\/DetaliiDocument\/71139\">https:\/\/legislatie.just.ro\/Public\/DetaliiDocument\/71139<\/a><\/li>\n<li>Ipsos Romania study:https:\/\/www.ipsos.com\/ro-ro\/retrospectiva-privind-accesarea-serviciilor-medicale-pandemie<\/li>\n<li>The required forms, including S2, can be found here and can be downloaded: <a href=\"https:\/\/europa.eu\/youreurope\/citizens\/work\/social-security-forms\/index_ro.htm\">https:\/\/europa.eu\/youreurope\/citizens\/work\/social-security-forms\/index_ro.htm<\/a><\/li>\n<li>National Contact Point (Cross-border healthcare: <a href=\"http:\/\/www.cnas-pnc.ro\/\">http:\/\/www.cnas-pnc.ro\/<\/a><\/li>\n<li>Family physicians and specialists<\/li>\n<li>Health homes<\/li>\n<li>Insurers (whether private or not)<\/li>\n<li>Information from the material (very well structured), from here: Treatment abroad, with funds from the Romanian state: <a href=\"http:\/\/www.asociatiapavel.ro\/informatii-utile-despre-tratamente-in-st\">http:\/\/www.asociatiapavel.ro\/informatii-utile-despre-tratamente-in-st<\/a><\/li>\n<li>How can you benefit from treatment abroad, paid by the Romanian state. The three possible solutions here: <a href=\"https:\/\/totuldespremame.ro\/utile\/legislatie\/cum-poti-beneficia-de-tratament-in-strainatate-platit-de-statul-roman-trei-solutii-posibile\">https:\/\/totuldespremame.ro\/utile\/legislatie\/cum-poti-beneficia-de-tratament-in-strainatate-platit-de-statul-roman-trei-solutii-posibile<\/a><\/li>\n<li>Procedure for issuing the S2 portable document: <a href=\"http:\/\/cas.cnas.ro\/casbh\/media\/files\/Procedura_de_emitere_a_documentului_portabil_S2.pdf\">http:\/\/cas.cnas.ro\/casbh\/\/media\/files\/Procedura_de_emitere_a_documentului_portabil_S2.pdf<\/a><\/li>\n<li>Treatments abroad. S2 portable document: <a href=\"https:\/\/www.drepturilepacientilor.info\/ro\/utile\/tratamente-in-strainatate-formularul-e112\">https:\/\/www.drepturilepacientilor.info\/ro\/utile\/tratamente-in-strainatate-formularul-e112<\/a><\/li>\n<li>For financing treatment abroad, <strong>through the Ministry of Health<\/strong>: ORDER no. 50 of January 23, 2004 on the methodology for sending certain categories of patients for treatment abroad: <a href=\"http:\/\/legislatie.just.ro\/Public\/DetaliiDocument\/49432?isFormaDeBaza=True&amp;rep=True\"><strong>http:\/\/legislatie.just.ro\/Public\/DetaliiDocument\/49432?isFormaDeBaza=True&amp;rep=True<\/strong><\/a><\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<ul>\n<li><strong>Directive 24: Healthcare in other EU countries - patients' rights: <\/strong><a href=\"https:\/\/eur-lex.europa.eu\/legal-content\/RO\/LSU\/?uri=CELEX:32011L0024\"><strong>https:\/\/eur-lex.europa.eu\/legal-content\/RO\/LSU\/?uri=CELEX:32011L0024<\/strong><\/a><\/li>\n<li>Transposition of the European Directive no. 24, in the Romanian legislation, by the EMERGENCY ORDINANCE no. 2 of January 29, 2014 for the amendment and completion of Law no. 95\/2006 on the health care reform, as well as for the modification and completion of some normative acts: <a href=\"http:\/\/legislatie.just.ro\/Public\/DetaliiDocument\/213679\">http:\/\/legislatie.just.ro\/Public\/DetaliiDocument\/213679<\/a><\/li>\n<li>Presentation of social security systems, including health - from other Member States of the European Union and Switzerland: <a href=\"https:\/\/mmuncii.ro\/j33\/index.php\/ro\/2014-domenii\/protectie-sociala\/securitate-sociala-pentru-lucratorii-migranti\/916-prezentarea-sistemelor-de-securitate-sociala-din-alte-state-membre-ale-uniunii-europene-si-elvetia\">https:\/\/mmuncii.ro\/j33\/index.php\/ro\/2014-domenii\/protectie-sociala\/securitate-sociala-pentru-lucratorii-migranti\/916-prezentarea-sistemelor-de-securitate-sociala-din-alte-state-membre-ale-uniunii-europene-si-elvetia<\/a><\/li>\n<\/ul>","protected":false},"excerpt":{"rendered":"<p>Ce instrumente avem pentru a ne ap\u0103ra drepturile \u00een raport cu sistemul de s\u0103n\u0103tate care are tocmai rolul de a ne salva? &nbsp; Cuprins: I.Context\/Introducere II.Ce situa\u021bii cumplite am \u00eent\u00e2lnit,&hellip;<\/p>","protected":false},"author":2,"featured_media":11246,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[652,50,451,3],"tags":[83,487,418,741,159,722,462,447,725,246,724,723],"class_list":["post-7383","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fii-informat-nu-abuzat","category-interpretare-legislatie","category-resurse","category-stiri","tag-abuzuri-2","tag-dreptul-la-sanatate","tag-drepturi","tag-drepturile-cetanilor","tag-facias","tag-juste","tag-justitie","tag-legi","tag-pacient","tag-pacienti","tag-roman","tag-transparenta"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.7 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Ghid Practic: Drepturile pacien\u021bilor \u00een raport cu institu\u021biile statului - Dreptul la s\u0103n\u0103tate | FACIAS<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/facias.ro\/eng\/ghid-practic-drepturile-pacientilor-in-raport-cu-institutiile-statului-dreptul-la-sanatate\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Ghid Practic: Drepturile pacien\u021bilor \u00een raport cu institu\u021biile statului - Dreptul la s\u0103n\u0103tate | FACIAS\" \/>\n<meta property=\"og:description\" content=\"Ce instrumente avem pentru a ne ap\u0103ra drepturile \u00een raport cu sistemul de s\u0103n\u0103tate care are tocmai rolul de a ne salva? &nbsp; 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