Policy for doctors’ home visits

GENERAL INFORMATION

The services of a family doctor can be provided at the home or care institution of the patient in adherence with the Lithuanian medical norm MN14:2005, “Family doctor. Rights, duties, competence and responsibility“ (Žin., 2006, No. 3-62).
1. Requests for a doctor’s visit to a patient’s home or care institution have to be well-grounded and justified, i.e., if a patient really cannot arrive at the treatment institution or when their arrival endangers the health or lives of other patients and individuals.
2. Doctor’s home visits (or visits to institutions of care) are only available to individuals who are registered to the Primary Healthcare Centre of the GK Clinic.

HEALTH CONDITIONS THAT JUSTIFY A DOCTOR’S VISIT TO A PATIENT’S HOME OR PLACE OF INSTITUTIONALISED CARE

Children:
1. Inability to walk due to disability.
2. Infants: feverish, vomiting, with diarrhoea.
3. Infants and children that have had a fever of over 38° C for over 48 hours, and when the prescribed treatment has not been effective.
4. In the presence of symptoms of contagious disease.

Adults and teenagers:
1. A high level of special needs has been determined.
2. Adults and teenagers that have had a fever of over 39° C for over 48 hours, and when the prescribed treatment has not been effective.
3. Severe pain (8-10 points), as the patient cannot arrive at the institution for treatment.
4. In the presence of symptoms of contagious disease.
5. With the mutual consent of the doctor and patient, a doctor can be sent for a home visit for other health reasons as well.

REQUESTING A HOME VISIT AND THE PROCEDURE OF THE HOME VISIT

Requests for a home visit or visit to a place of institutionalised care are registered at the registration desk or in a family doctor’s log (F Nr. 03 l/a) for that day before 12 PM.

1. It is best if the patient or their representatives discuss the details of the visit with the doctor being called for directly or by phone.
2. The home visit is carried out by the doctor a patient is registered to, or the deputy doctor.
3. Doctors do not visit patients at home during their office hours at the healthcare institution.
4. If immediate emergency aid is necessary, the emergency medical aid service should be called.
5. With the mutual consent of the patient and doctor, a paid home visit can also be made available. Payments are made according to the service payment procedures of the healthcare institution. The price of a home visit is LTL 35.80 (without transportation expenses), in adherence to directive No. 178, issued by the Lithuanian Minister of Health on 26 March 1996 (“Regarding the Approval of State and Municipality Funded Personal Healthcare Service Fees” (Žin., 1996, No. 35-8921)).
6. During a visit to a patient’s home or place of institutionalised care, doctors fill in all the necessary documentation.

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