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Document Typology: Web Article
Methodology addressed by the publication:Narrative medicine
Title of document: Home health care - legal framing
Name of author(s): Liana Cruceru
Name of publisher: www.paginamedicala.ro
Language of the publication: Romanian
Language of the review: English
Summary:
In Europe there are over 76,000 patients who need medical care / palliative care at home. It is discussed this issue with attorney Liana Cruceru, which shows the legal system governing the granting of home health care, saying that home health care is provided by health care providers authorized to provide such services . In order to provide palliative care services, the palliative care provider must provide a team of specialized personnel in this field.
Home health care is granted based on the recommendation for medical care at home, taking into account the health of the insured and its dependence respectively partially dependent, totally dependent or independent.
The method of settlement for such services is price per case, this being obtained by multiplying the number of days of care per day fee (100 RON) which includes the cost of sanitary materials used.
The duration for which is given medical care at home is determined by the doctor issuing the recommendation for this type of care and can not exceed 90 days in the last 11 months.
The health insurance company has a dual mission: to ensure access to patient to such services and to fit in the approved fund. To fit into these goals, the health insurance company evaluates the monthly number of applications received during that month and the number of approval decisions issued in the previous month, creating a list of priority. The priority criteria take into account the date of registration of application to health insurance company, the type and stage of disease for which the recommendation was made and the level of patient dependency, established by the medical staff of the health insurance company.
Also, in this interview there are explained the differences between home nursing and palliative care at home, and obligations of the providers for these types of services.
Reviewer's comments on the document:
The interview presents the legal system governing the granting of home health care services in Romania. There are explained the differences between home nursing and palliative care at home, and obligations of the providers for these types of services.
Where to find it: http://www.paginamedicala.ro/video/Ingrijiri-la-domiciliu_-cadrul-legislativ_625/

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