Transcript introductory presentation by Frode EICK (NO)

How can we convince
health professionals to be
our allies in advocacy and
changes in health care
practices
Case 1
• A relative calls the health centre and tells about her
father who got diagnosed with cancer but that the
cancer ward at the hospital have asked for a guaranty
for several million NOK
• When the health centre calls the cancer ward the
responsible nurse are worried about that the ward will
end up with the bill
• After arguing the patient gets his chemotherapy, and a
bill of 420 000 NOK (about 50 000 EUR)
Case 2
• A 9 year old undocumented boy needs back surgery but
is rejected by the Hospital – 3 doctors is publicly
outraged
• In the media case about the boy the Health Centre states
that the child has the right of care and points out that
health personnell is lacking knowledge about the
regulation
• The hospital is letting the doctors perform the surgery
Case 3
•
A asylum seeker is christmaslegged, is operated in
one knee, gets then his final rejection and do not get
an operation in the second knee
•
The patient comes to the health centre in pain and is
transferred to a new hospital, but rejected with «no
indication for surgery»
•
Complaining to the county representative
Dilemmas
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Health personnell as adm.persons
Focus on production vs. Ethics
Hospital vs. Patient advocate
Where to put the responsibility
Patient advocate and HP advocate
Infl. by general political climate
Best practices?
• Right to health initiative in Sweden
• 61 organizations inkl MdM
• «Copied» in Norway with 13
organizations
• Granada declaration
• 92 institutions