Since the start of the pilot in 2018, the National Health Fund has struggled to account for the funds. In Greater Poland, an audit by the Supreme Audit Office (NIK) found that the amounts to be reimbursed were underestimated by PLN 4.4 million between 2020 and 2023.
The provincial branch of the National Health Service discovered that medical facilities were unreliably assessing staff availability. It was assumed that medical staff could work from 99 hours per week up to 249 hours - recall that a week has 168 hours. The NFZ's lack of control over the reported capacity of the facilities resulted in irregularities - both CZPs were found to have staffing that did not agree with the terms of their contracts.
At the hospital in Zlotow, some physicians provided services for nearly twice as much as declared in the contract with the National Health Fund, and for a period amounting, in the most extreme case, to more than 100 hours without breaks. Such an organization of work raises doubts about the possibility of ensuring adequate quality of health care services and, consequently, the health safety of patients, as well as doctors.
The same CZP did not meet the standards for nurse staffing set by this hospital. In addition, a doctor on duty in the psychiatric ward was not set aside for the center, outside of "ordination hours" (i.e., from 7:30 a.m. to 3:05 p.m.), which was in violation of the pi...
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