Primary he alth care (POZ) consists of the work of pediatricians, family doctors, and internal medicine specialists. Primary care physicians are to take care of patients in the basic scope - prescribing prescriptions, referring to specialists. Who are GPs and what are their powers?

GP doctormay be an internal medicine specialist, a family medicine specialist ( family doctor ), a pediatrician or a doctor without specialization, but with a long work experience.

A doctor's education is determined by his or her specialization - e.g. family medicine doctor or internist. On the other hand, the primary care physician - the primary care physician - defines the function of a physician. A POZ doctor can be: family medicine doctor, internist, pediatrician, also a doctor without specialization, authorized to work in POZ.

The primary care physician is simply the doctor who comes into contact with the patient first.

When a young doctor, after obtaining a specialization, e.g. in internal medicine, works in a hospital, he will have an almost unlimited possibility of ordering diagnostic tests. When the same doctor starts working in a primary he alth care clinic, there are no such opportunities. The description of the admissible tests under the POZ can be found at the end of the article.

Primary he alth care physician - definition in the provisions of the Act of 27 October 2022 on POZ

A GP is a doctor who:

1) has the title of specialist in the field of family medicine, or 2) has specialized training in the field of family medicine, or 3) has a second degree specialization in general medicine, or 4) has a first or second degree specialization or the title of specialist in paediatrics, subject to completion of a family medicine course.

The National He alth Fund had to conclude an agreement with a doctor for the provision of basic he alth care services. A primary he alth care physician is also a doctor who works for a he althcare provider with whom the National He alth Fund has concluded an agreement for the provision of basic he alth care services. Having the status of a primary care physician by persons with the above-mentioned competences is not subject to meeting any additional conditions.

A primary he alth care physician within the meaning of the Actunconditionally a doctor who:

1) has the title of specialist in the field of family medicine, or2) is undergoing specialization training in the field of family medicine, or3) has a 2nd degree specialization in general medicine, or4) uses the so-called rights acquired, i.e. before September 29, 2007 5) has a 1st or 2nd degree specialization or the title of specialist in the field of pediatrics, provided that a family medicine course has been completed or 6) has a 1st degree specialization in general medicine, which will provide he althcare services before December 31, 2024 - provided that a family medicine course has been completed, or7) has a 1st or 2nd degree specialization or the title of specialist in internal medicine, who will provide he althcare services before December 31st 2024 - provided that a family medicine course has been completed .

GP (primary he alth care) - powers

The services of a general practitioner include:

  • disease prevention, including research and advice on the prevention of developmental age and immunization,
  • providing the prevention of cardiovascular diseases,
  • providing advice in the treatment of diseases, including laboratory, imaging and non-imaging diagnostics (ECG, X-ray, ultrasound) in accordance with the current list,
  • performing treatments in the treatment room and at the patient's home,
  • he alth assessment,
  • other services resulting from the needs of the population covered by the care, including: referral to specialist clinics and hospital treatment, referral to rehabilitation and spa treatment, qualification of sanitary transport experiences in POZ and issuing transport orders, issuing orders for the implementation of services remaining within the scope of tasks of the primary he alth care nurse, issuing certificates concerning the patient's he alth condition.

It should also be mentioned what tests the patient can do in primary care.

Hematology tests:

  • peripheral blood count with platelets,
  • peripheral blood count with percentage formula and platelets,
  • reticulocytes,
  • red blood cell sedimentation test (ESR).

Biochemical and immunochemical tests in blood serum:

  • sodium,
  • potassium,
  • ionized calcium,
  • iron,
  • iron - total bonding capacity (TIBC),
  • concentration of transferrin,
  • concentration of glycosylated hemoglobin (HbA1c),
  • urea,
  • creatinine,
  • glucose,
  • glucose load test,
  • proteininteger,
  • proteinogram,
  • albumin,
  • C-reactive protein (CRP),
  • uric acid,
  • total cholesterol,
  • HDL-cholesterol,
  • LDL-cholesterol,
  • triglycerides (TG),
  • total bilirubin,
  • direct bilirubin,
  • alkaline phosphatase (ALP),
  • aspartate aminotransferase (AST),
  • alanine aminotransferase (ALT),
  • gammaglutamyltranspeptidase (GGTP),
  • amylaza,
  • creatine kinase (CK),
  • Total Acid Phosphatase (ACP),
  • rheumatoid factor (RF),
  • titer of antistreptolysin O (ASO),
  • thyroid stimulating hormone (TSH),
  • HBs-AgHBs antigen,
  • VDRL,
  • FT3,
  • FT4,
  • PSA - Total prostate specific antigen.

Urine tests:

  • general urine examination with assessment of physical and chemical properties and microscopic evaluation of sediment,
  • quantitative protein determination,
  • quantitative glucose determination,
  • quantitative determination of calcium,
  • quantitative determination of amylase.

Stool tests:

  • general examination,
  • parasites,
  • occult blood - immunochemical method.

Coagulation tests:

  • prothrombin index (INR),
  • kaolin-kephalin time (APTT),
  • fibrinogen.

Microbiological tests:

  • urine culture with antibiogram,
  • throat swab culture with antibiogram,
  • stool culture for Salmonella and Shigella.

Resting electrocardiogram (ECG)

Ultrasound examination (USG):

  • ultrasound of the thyroid and parathyroid glands,
  • ultrasound of salivary glands,
  • ultrasound of the kidneys, ureters, bladder,
  • ultrasound of the abdomen and retroperitoneal space, including the initial assessment of the prostate gland,
  • ultrasound of peripheral lymph nodes.

Spirometry

Radiological photos:

  • photo of the chest in AP and lateral projection,
  • bone photos - in the case of the spine, limbs and pelvis in AP and lateral views:
  • photo of the skull,
  • photo of bays,
  • abdominal overview photo.

In addition to the examinations listed above, the primary care physician may also refer patients to endoscopic examinations financed by the Fund: gastroscopy and colonoscopy.

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