GPs signal errors in the electronic prescribing system

Four months into using the electronic prescribing system (SIPE), family physicians signaled to the National Health Insurance House (CNAS) system errors that increase the patients’ waiting time or even make impossible the e-dispensing of free or compensated medicines According to a press release by the Romanian National Society of Family Medicine (SNMF) and of the Family Physicians Employers Federation (FNPMF), the SIPE’s inherent problems could be resolved by the CNAS in due time, so that patients would not have to suffer starting from Jan 1, 2013, when the electronic prescription will be the only modality to obtain free and compensated medicines. They also said that, when doctors access online the Single Integrated Information System (SIUI) on the CNAS server, the patient in the doctor’s office appears as being insured or not, with errors being noted in nearly 10 pc of cases as follows: pupils who are 18 years of age appear as uninsured, although, according to law, they remain insured if they continue their studies until the age of 26; the pensioners whose pensions are under RON 700 appear as pensioners with higher pensions; the newly-born are validated by the system only from their second month of life, which means they cannot benefit from the insurance system during their first two to three months of life, and nor could be the services rendered to them defrayed, according to law, to suppliers. Also, the SNFP and FNPMF officials hold that there are instances when the doctor finds, consulting the  SIUI that the “living patient who stands right in front of them and requests a medical service is allegedly deceased”. The mistaken data – doctors say – make it impossible for the doctor to use the e-prescribing system, and the patient, in their turn, is prevented by the SIUI from enjoying the insurer rights, and has to go to the County Health Insurance House to straighten the situation out. “Unfortunately, most of the times, the situation is only solved temporarily. Family physicians propose that the SIUI should contain filters able to caution the CNAS employees when they receive data from ANAF, inspectorates and other institutions. If data differ from those in the CNAS data base, then the employees could validate the information manually, verifying whether there is an error that keeps repeating itself and announcing the CNAS partner about it so that they could correct it. Also, the general practitioners (GPs) suggest that the IT application where the CNAS partners filled out the data should contain additional control keys, so that the errors become fewer.

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