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In order to reduce the number of patients, a family doctor should also be able to prescribe drugs with a strong effect – it is being considered by the Latvian Rural Family Therapists Association (LLGAA), which asks the Ministry of health to foresee it.
At the end of last year, the Saeima pbaded a new law on health financing, which provides for important reforms in the underprivileged medical system. The exact way in which the change should be implemented will be governed by government regulations. There is currently a public consultation on them.
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The main requirement of doctors – to incorporate into the rules already established by law. We expect the salaries of all physicians to increase by 20% next year. As a result, the average salary of the doctor of 1000 would increase to 1200 euros per month. This would already significantly exceed the average income level in Latvia.
LLGAA presented several requirements to lighten its work. One of them is to allow family doctors to prescribe electronic prescriptions for cleared and highly effective medicines.
Liga Kozlovska
LLGA Head
We have very "serious" oncological patients who need palliative care. , the drugs must be written in time and place. If a family doctor has found that the drug is needed, then technically, under the guidance of a family doctor, they can write an badistant. It is a normal team work experience.
Family physicians also want badistants to complete some of the e-referrals. The benefits would be patients, because doctors are slow to devote more time to their treatment. MSM however is not convinced by this requirement, recalling that the doctor's badistant is not a doctor and can not risk the health of patients.
1965riks Miķītis
Director of Department of Health Department of Health
Difficult Specific knowledge is required, so this question is still open to discussion with industry professionals.
The biggest compromise could be the authorization to prescribe compensated drugs already prescribed by a general practitioner to chronic "controllable" patients. Namely, with stable blood pressure and good blood sugar. There is also a debate as to whether the so-called "rural support coefficient" should be taken into account when calculating the salaries of family physicians. He predicts that a family doctor's income would increase in proportion to the distance from his Riga practice site.
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