The information is worth health
The health system in Israel includes a wide range of services and rights, however, some are provided in limited quantities or in certain situations only, some are limited depending on the place of residence, some are given only to those who purchased the supplementary insurance (SB) and so on. Because an ‘ordinary person’ will recognize his rights and the procedures required to exercise them are almost non-existent.

In recent years, several moves have been made to make the information about the patient’s medical rights accessible to help him exercise them. Thus, in 2014, the Health Insurance Supervision Division of the Ministry of Health set up the ‘All Health’ website. On the site, every citizen can examine what medical services are available to him within the state health basket, what deductible he is required to pay and what he must do to receive the service. In addition, he can compare the rights available to him within the framework of the HMOs. This site joins another older website, ‘Every Right’, which was established with the aim of bridging the existing gap in the areas of social and civil rights, including medical rights.

In recent years, several hospitals have also established rights enforcement centers that provide the patient or family members with frontal, telephone and digital assistance, and in recent years the health funds have been preparing to promote the issue through professional training, which aims to navigate patients more effectively and efficiently in complex situations.

Custom rights

However, in the age of personalized medicine, a systematic and comprehensive move of personal accessibility of information to the patient according to his needs must take another significant step forward the improvement of treatment in the exercise of patients’ rights. Most, if not all, of the information has already been digitized, and in big data and artificial intelligence technologies, automated extraction of patient rights does not seem like an overly complex task to implement and depends largely on the health system’s willingness to advance applications in this area. This and more, I say Shmulik Ben Yaakov, chairman of the Association for the Rights of the PatientEven without the new technology, it is already possible today to initiate and automate the access of many rights individually. “If today when I make an appointment at the Institute for Child Development I receive a message with the details of the appointment, time and place – why not add another line in the message that includes a link to more information about my rights relevant to child development from ‘All Rights’ or ‘All Health’ sites?

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Similarly, access to information about rights as part of the information in the patient’s discharge sheet, according to Ben Yaakov, should become the standard “the hospital must add information about that patient’s rights to the discharge sheet, this information will also be available to the doctor in summarizing the disease.” And not only in the hospital but also a doctor in the community can refer the patient to individual information regarding his rights under the health basket or under the ISA. At the end of the hearing aid adjustment process, should it not take more than 60 days? Or another patient who needs an urgent referral for an MRI examination, if he knew he did not have to wait half a year “Providing the information about the rights, its main meaning is not financial savings but information that affects the level of health. And when the information is not accessible, health is also harmed, “says Ben Yaakov.

Exercising rights is part of the treatment | צילום:
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Informed consent, which represents the patient’s right to make an informed decision about the treatment he is about to receive, should, according to Ben Yaakov, be made individually for each patient. “Today, when a person is about to undergo surgery, he receives a technical document in a legal wording, from which most people are unable to understand anything. People need to understand what rehabilitation awaits them, what their alternatives are, whether the pain will continue even after surgery, whether their risks increase due to their age or other reasons and so on, if they receive this information in a way and language they understand, they may make another decision that will save them A lot of suffering later on. ”

Exercising rights is part of the treatment

And in the age of artificial intelligence, it is also possible to talk not only about making information about rights accessible but also about exercising the rights according to the patient’s personal need, for example regarding the exercise of the rights we are entitled to in Social Security. HMOs can set up a system where if a patient is required to file a Social Security claim, the HMO will centralize for him all the relevant data from the medical file, including his medical history, and pass all information to Social Security so members of the Social Security Medical Committee can be impressed. Without the patient being required to stamp his feet. ”

It is important to understand that the times when we are required to recognize our medical rights are obviously required when we are sick and not available to deal with the exercise of the rights, so every effort should be made to facilitate these steps. “When we are healthy, we are not interested in patient rights issues. If you do not need physical therapy, why should you know how many such treatments you deserve? But when you are sick, when this information is relevant, you are exhausted, stressed and preoccupied with your health. “Customized, health eligibility must be part of the medical care we receive.” Now that it seems as if the system is right for advancing the issue of exercising rights, it is time to join hands and produce more fruitful cooperation and thus enable more and more patients to achieve better health.

It should be emphasized that the choice of possible treatment is for the decision of the therapist who registers the prescription in consultation with the patient.
The information is as of November 2021. For more information, please contact the attending physician. Public service. Served under the auspices of Roche Pharmaceuticals (Israel) Ltd.

By Editor

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