Strategija primarne zdravstvene zaštite

(periodični pregled radnika zaposlenih na radnim mjestimasa posebnim uslovima rada, ekspertize profesionalnihoboljenja, utvrđivanje trajne radne sposobnosti, i sl.).Druga mogućnost je da kompletan posao medicinerada, od domova zdravlja preuzme Zavod za medicinurada, kojeg je osnovala Vlada Republike Srpske i koji bise bavio aspektima zaštite na radu, te dijagnostikom i liječenjemprofesionalnih oboljenja.Prije konačnog uspostavljanja Zavoda za medicinurada, potrebno je uraditi studiju ekonomske opravdanostii finansijske održivosti, kako bi se utvrdila ekonomijaobima i kako bi se stručno verifikovala druga opcija.Ugovaranje i mehanizmi plaćanjaU prvoj opciji, u prelaznom periodu, konsultativnospecijalističkeusluge medicine rada mogu ugovarati domovizdravlja. Dugoročno, konsultativno-specijalističkeusluge medicine rada će ugovarati timovi porodične medicinei grupne prakse porodične medicine.U drugoj opciji, usluge iz domena medicine radaugovarao bi Zavod za medicinu rada.U obje opcije, konsultativno-specijalističke uslugemedicine rada se mogu plaćati kombinovano: po obavljenojusluzi i prospektivnim budžetom.Hitna medicinska pomoćOrganizacijaPostojeća služba hitne medicinske pomoći u domovimazdravlja mora se prilagoditi modelu porodičnemedicine. Hitna medicinska pomoć, zavisno od lokalnihpotreba, može se transformisati u dva pravca.Strategija primarne zdravstvene zaštite28Consultative-specialist services in the field ofhealth care of children and women may be performedin the health centre. With a view to providing health careto these vulnerable groups, as well to protecting the interestsof family medicine teams, which should coordinatehealth care and simultaneously ensure its continuity,the movement of health care users at the primary healthcare level, from family medicine doctors to specialists inpaediatrics and gynaecology will be defined by guidelines– algorithms.Specialists-consultants – paediatricians and gynaecologists– will be obliged to visit family medicine clinicsat least once a month and consult with family medicineteams and provide necessary assistance.Occupational MedicineOrganisationThe current occupational medicine services ofhealth centres must also be adjusted to the family medicinemodel. Occupational medicine, depending on localneeds, may be transformed into two directions.The first option is transformation of the currentoccupational medicine services into a consultative-specialistclinic. This clinic would provide consultative-specialistservices to family medicine teams and may performother tasks in its domain should the need arise(periodical reviews performing jobs that require specialconditions of work, expertise related to professional diseaseand ability-to-work, etc.).The second option is that all tasks of occupationalmedicine services should be transferred from health centresto the Occupational Medicine Institute, which hasThe Primary Health Care Strategy