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What we have gained and what is still missing from the NHS: Five personal doctors talk to “P” 

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 Τι κερδλσαμε κ αιλεηαοΓευ ε ο ν «Π» 

June 1, 2019 is the day that all citizens of the Republic of Cyprus gained free access to health services, as well as their own personal doctor. Five years later, five personal doctors talk to “P” about how to improve the NHS. < p >Today marks five years since June 1, 2019, the day the General Health System came into our lives. From the day when all citizens, regardless of economic status, gained free access to health services. Since the day we all got a personal doctor. “P”, on the occasion of the fifth birthday of GeSY, contacted five personal doctors, asking for their opinion on how the system works. Common admission by all that the National Health Service is something the citizens need, that we are talking about a system that is here to stay.

Savvidis: “Doctors in the role of secretary”

One of the personal doctors to whom “P” addressed is Dr. Michalis Savvidis, the first doctor who contracted with the system. He mentioned, among other things, that the NHS is a newly established system that has helped patients, as everyone has equal access to health services, noting, however, that not everything is rosy and that there are still problems. “The personal doctor should be the pillar of the system, the one who will know his patients, their history, the one who the beneficiaries will trust. “Instead, most GPs have the role of a secretary, answering phones, making referrals, doing everything but examining patients.” He emphasized that the OAU should support the PIs and train the beneficiaries of the GeSY how to properly utilize the system, so that they do not abuse its resources. He emphasized, however, that personal physicians also have a share of responsibility in the education of beneficiaries, who must send the message to their patients that by giving them a direct referral to a specialist of their choice, without being examined by their PI, it does not mean that the problem they are facing will be solved.

Schizas: “They don't know GeSY”

Dr. Kostas Schizas also raises the issue of educating the beneficiaries, who in his statements to “P” clarifies that although the NHS is a huge blessing for patients, a significant percentage of the beneficiaries have not yet realized what the role of the personal physician is. In addition to the beneficiaries, there are, according to Dr. Schiza, also service providers, as well as specialist doctors, who consider themselves their PI secretaries, with the result that instead of issuing referrals themselves to the patients who visit them, they send them to their personal doctors . “In order for the specialist not to be charged for the referral, the patient suffers and the personal physician wastes time,” said Dr. Schizas. “The way the system works today, medicine has been industrialized, the PIs experience a kind of humiliation and humiliation from the healthy beneficiaries of the system, and the OAU and the PIS must take action”, emphasized the doctor, underlining that the next goal that should be put on the part of the authorities is “PIs put down the phone and pick up the stethoscope again”.

Konstantinidis: “To take measures”

Dr. Yagos Konstantinidis also made the finding that PIs waste a lot of time on the phones. Speaking to “P” he explained that some of the jobs that PIs do, which are time consuming, should not be done. According to him, the OAU could simplify some procedures, so that it does not burden the doctors and also the patients do not suffer. He specifically referred to the case of chronic patients, such as oncology patients, who every six months turn to their PI to renew their referral to the oncologist. “In other words, there is a case for the PI to say to the patient, 'come to my room.' don't you need the oncologist?' And it's not only oncology patients, there are also other chronic patients, who should have direct access to a specialist doctor”, added Dr. Konstantinidis. He also spoke about the issue of vaccinations, expressing the position that vaccinations should be done in vaccination centers “and not for PIs to waste time on such matters”.

< b>Hadjisavva: “Good, but not for the Cypriots”

“The NHS is a very good health system, but not for the Cypriot beneficiaries,” said Dr. Andri Hadjisavva in a communication she had with “P”. He referred to cases of beneficiaries who visit their PIs with a list of exams and referrals they want to issue, which most of the time are unnecessary. “People want a civil service office, not combat doctors who examine patients, make diagnoses, and save patients from the hassle of needlessly moving from doctor to doctor and the system from unnecessary costs,” he explained, speaking of responsibility. which the OAU has to inform the citizens about how the GeSY works. He also raised the issue of control of personal doctors. “The OAU cannot see that a patient who was written off by a PI entered another doctor's list and before visiting him once he has secured a referral for tests or a specialist. Something is not right in such cases and the organization must finally take action”, he clarified.

Karathanos: “Let's invest in prevention”

The opinion that five years after the implementation of the NHS we have a very good health system, from which, however, the culture of prevention is absent, Dr. Vasilios Karathanos expressed in his statements to “P”. He mentioned that some efforts have been made to include preventive programs in the NHS, however these are not enough and what is needed is an integrated health plan, through which prevention will be promoted, so that the beneficiaries are saved from the inconvenience of running from a doctor to a doctor, for analyzes and other tests, in case they get sick, but also to save resources for the system. He also noted that the system is also “lame” in the matter of communication between personal and specialist doctors. There are, he explained, cases where the doctors specializing in the diagnosis they enter in the system do not write down all the necessary information that the personal doctor may need, or vice versa, as a result of which the patient suffers.

Source: politis.com.cy

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