Vol 14, No 2 (2020)
Review paper
Published online: 2020-05-20

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Tools to improve palliative care: e-prescription and Patient’s Internet Account — legal status analysis

Natalia Susłowska1, Agnieszka Zimmermann1
Palliat Med Pract 2020;14(2):101-107.

Abstract

The implementation of new technology is a response to the challenges of the current health system,
such as ageing population and rising treatment costs. Focusing on improving the quality of the services
provided and increasing access to treatment guarantees a feeling of safety in the therapeutic process.
Amendments introduced to the law and implementing the idea of digitisation of the health care system
may turn out to be significantly beneficial for both the medical personnel and the relatives taking care of
the patients. New solutions can be applied by Home Hospices, whose functioning is a significant challenge
for organizational and financial reasons.
The aim of this paper was to analyse current legal regulations governing electronic prescribing. In addition,
the impact of e-prescription and related eHealth elements on the availability and quality of palliative care
services was assessed. Modern information and communications technology can solve many problems
related to access, quality and cost-effectiveness of medical services, in particular those concerning palliative
care. E-prescription is a tool that can significantly improve patient care through simplified prescribing
rules. New rules for issuing and confirming orders for medical devices also make it much easier for carers.

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References

  1. Ministerstwo Spraw Wewnętrznych i Administracji, Strategia rozwoju społeczeństwa informacyjnego w Polsce do roku 2013, 2008.
  2. Nojszewska E, Walewski J. Nowa definicja ochrony zdrowia i jej wpływ na poprawę jakości leczenia. Raport otwarcia Value Based Healthcare, Warsaw 2019.
  3. Appendix No. 6b to the Regulation No. 72/2011/DSOZ of the President of the National Health Fund of 20 October 2011.
  4. Buss T, Lichodziejewska M. Opieka paliatywna w Polsce – od idei do praktyki (również lekarza rodzinnego). Forum Med Rodz. 2008(2): 277–285.
  5. The Act of 15 April 2011 on Medical Activity (Polish Journal of Laws of 2001 No. 112 item 654).
  6. Regulation of the Minister of Health of 16 February 2016 amending the Regulation on guaranteed services within palliative and hospice care. (Polish Journal of Laws of 2020 item 457).
  7. Act of 1 March 2018 on the amendment of certain acts in connection with the implementation of e-prescription. (Polish Journal of Laws of 2018 item 697; of 2019 item 1590).
  8. Act of 5 December 1996 on Professions of Doctor and Dentist. (Polish Journal of Laws No. 28 item 152).
  9. Act of 6 September 2001 on Pharmaceutical Law. (Polish Journal of Laws 2001 No. 126 item 1381).
  10. Act of 12 May 2011 on coverage of drugs, foodstuffs for particular nutritional uses and medical devices. (Polish Journal of Laws of 2011 No. 122 item 696).
  11. Regulation of the Minister of Health of 13 April 2018 on prescriptions. (Polish Journal of Laws of 2018 item 745).
  12. Reduction of the amount of a medicinal product subject to medical prescription when partial dispensing of e-prescription[Polish: Pomniejszanie ilości wydawanego leku przy częściowej realizacji e-recepty]. Announcement of the Ministry of Health of 28 November 2019. https://www.gov.pl/web/zdrowie/pomniejszanie-ilosci-wydawanego-leku-przy-czesciowej-realizacji-e-recepty (6 February 2020).
  13. Act of 28 April 2011 on the health care information system. (Polish Journal of Laws of 2011 No. 113 item 657).
  14. Act of 19 July 2019 on the amendment of certain acts in connection with the implementation of solutions in the area of eHealth. (Polish Journal od Laws of 2019 item 1590).
  15. Derkacz M, Chmiel-Perzyńska I, Michałojć-Derkacz M, et al. Michałojć-, Ocena wpływu nowych przepisów refundacyjnych na czas pracy lekarzy i jakość świadczonych usług medycznych. Fam Med Prim Care Rev. 2013; 15: 306–307.
  16. Zaopatrzenie w wyroby medyczne – Informacje na stronie Narodowego Funduszu Zdrowia. http://www.nfz-szczecin.pl/8gjg1_zaopatrzenie_w_wyroby_medyczne.htm (27 February 2020).
  17. Act of 17 February 2005 on the computerisation of activities of entities performing public tasks. (Polish Journal of Laws of 2005 No. 64 item. 565).
  18. Regulation of the Minister of Digitisation of 10 September 2018 on the Trusted Profile and the Trusted Signature. (Polish Journal of Laws of 2018 item 1760).
  19. Act of 27 August 2004 on health care services financed from public funds. (Polish Journal of Laws of 2004 No. 210 item 2135).
  20. Regulation No. 154/2019/DEF of the President of the National Health Fund of 15 November 2019 on the conditions for conclusion and implementation of agreements on financing activation of Patient's Internet Accounts.
  21. Johnston B, Kidd L, Wengstrom Y, et al. An evaluation of the use of Telehealth within palliative care settings across Scotland. Palliat Med. 2012; 26(2): 152–161.
  22. Hughes RA. Clinical practice in a computer world: considering the issues. J Adv Nurs. 2003; 42(4): 340–346.
  23. Jaka dokumentacja medyczna winna być prowadzona w hospicjum domowym. https://www.prawo.pl/zdrowie/jaka-dokumentacja-medyczna-winna-byc-prowadzona-w-hospicjum-domowym,244028.html (24 March 2020).
  24. http://www.eopieka.org.pl/ (24 March 2020).
  25. Watanabe SM, Fairchild A, Pituskin E, et al. Improving access to specialist multidisciplinary palliative care consultation for rural cancer patients by videoconferencing: report of a pilot project. Support Care Cancer. 2013; 21(4): 1201–1207.
  26. Telemedycyna potrzebuje rozwiązań prawnych i kontraktów z NFZ – Zdrowie – Prawo.pl. https://www.prawo.pl/zdrowie/telemedycyna-potrzebuje-rozwiazan-prawnych-i-kontraktow-z-nfz,418103.html (24 March 2020).