From 1 July 2012, referral to a care unit (long-term care /) shall be made in accordance with the Order of the Minister of Health of 25 June 2012 on referral to care and treatment units, as well as care and care facilities (Journal of Laws) … 2012, no. 0, paragraph 731). The statement contains the necessary templates for submission: application, healthcare interview, medical certificate and referral.
The patient (or his or her legal or effective guardian) applies to a health insurance doctor (for example, a family doctor) with a request for referral to a medical institution; He shall attach to the application a medical interview and a medical certificate.
A referral to a medical institution is issued by an insurance doctor. The patient sends a complaint directly to the medical institution of his choice. The application, notification, interview and medical certificate are not required if the guardianship court orders that the patient be admitted to a care unit. In such a situation, the basis for placing the patient in a medical institution is the decision of the guardianship court. Individuals who have scored 40 points or less on the Barthel scale independence assessment are admitted to care institutions.
People for whom the main indication for treatment is advanced cancer, mental illness or drug addiction are not allowed in institutions. In the hospital, the patient is provided with the necessary medicines, orthopedic equipment, auxiliary materials (eg diapers), diagnostic tests, enteral and parenteral nutrition.
The monthly fee for a hospital stay, including food and accommodation costs, may not exceed 70% of the patient’s monthly income. In the case of a child under the age of 18 and in the case of further education – up to the age of 26, while in a care unit or rehabilitation center, the fee may not exceed 70% of the monthly income. of a person in the family.
Remuneration is redetermined after each change in the beneficiary’s income in care. A nursing home is not a social care home, people for whom the only indication of departure is a difficult social situation are not sent to it.
Enteral and parenteral nutrition
It refers to patients who, due to the inability to adhere to the kitchen diet in a natural way, require a long period of time of more than 30 days, the introduction of nutrients by other means, except oral administration; The amount of diet should be adjusted to reflect the patient’s current protein and energy needs.