The Association for Patient Protection draws attention to the risks regarding the adoption of a legislative proposal regarding the exclusion of the physical medicine and recovery doctor from multidisciplinary teams.
Many patients do not know that they benefit from the right to be sent to physical recovery. Archive
The National Association for Patient Protection draws attention to a legislative proposal that provides for the exclusion of the specialist physician and rehabilitation/recovery (MFR) from the multidisciplinary teams. The Association of Patients says that the safety of the patients can be endangered if doctors of other specialties decide what medical recovery consists of and emphasizes that many of the doctors of various clinical specialties “do not inform patients that they need and have the right to medical recovery procedures”, although they are necessary for the continuity of the medical act.
“The National Association for the Protection of Patients expresses its deep concern in relation to the amendment adopted by the Health Commission of the Chamber of Deputies regarding the draft law approval of GEO no. 66/2024, art. 1 point 13, with reference to the modification of art. 244 paragraph (4) of Law no. 95/2006 regarding health reform. This amendment is proposed to exclude the specialist doctor of physical medicine and rehabilitation/recovery (MFR), respectively of the specialist doctor of physical medicine and balneocimatology as part of the MFR, from the multi-professional team for applying the procedures for the recovery/rehabilitation of patients with specific medical services needs ”,, it is shown in a statement of the association.
What is physical and rehabilitation medicine
Patient representatives recall that physical and rehabilitation medicine (MFR) is a medical specialty that deals with prevention, diagnosis, treatment and management of people who have health problems, disabilities and comorbidities, addressing in particular to their affections and limitations, in order to facilitate the physical function and the best functioning.
Patients who receive medical assistance for recovery and rehabilitation have personalized programs, which take into account comorbidities and the specificity of each patient. The type of procedures, parameters, rhythmicity and duration of technologies varies from one patient to another, so that each patient has the right to “the maximum chance of recovery/rehabilitation to be as socially integrated and for the best quality of life,” the association for patient protection shows.
“This target can only be reached if the level of competence of each member of the multi-professional team is the one acquired and certified. Currently, doctors with the specialties of physical medicine and rehabilitation/recovery, physical medicine and balneocimatology are the only specialists who have competence acquired in the years of study and practice in this specialty and cannot be excluded from the multi-professional team, as it appears from the content of the amendment brought by the Health Commission in the Chamber of Deputies. In order not to endanger the safety of the patients and at the same time to facilitate the access of patients to medical recovery at national territory level, we consider that regulations are necessary to set limits until the management of the medical services can be provided by the attending physician by other medical specialties, specialties that have not had or had in the training curriculum and not in the training curriculum and Dedicated, in residency – promoted by competition and completed with examination of a specialist doctor, as for any medical specialty! – focused on specific training ”, transmits the representatives of the patients.
In case of malpractice, non-specialist doctors could respond to the law
They also show up “Early” by the fact that “many of the doctors of various clinical specialties do not recommend physical medicine and rehabilitation services (they do not inform patients that they need and have the right to these procedures), although these recommendations for the continuity of the medical act are required.”
The Association of Patients draws attention to the fact that no provider of health insurance services at national or European level will settle the value of the medical services performed by providers who do not have proven competences.
“No provider of civil liability insurance services in case of malpraxis will pay damages for doctors or providers of physical and rehabilitation services, respectively physical medicine and balneoclimology that have no proven skills. The public institutions with the role of medical expertise and the recovery of the work capacity will have to question the quality of the recovery/rehabilitation services, with the possibility of rejecting the requests of people with invalidity and disability for the classification in the due categories. Any regulation that contravenes the rights of citizens to life and health is unconstitutional and violates the fundamental rights of man ”the association also transmits.
