ORDER OF THE GOVERNMENT OF THE REPUBLIC OF MOLDOVA

of October 10, 2018 No. 988

About approval of Rules of the organization of primary medical care

Based on part (3) article 36-1 of the Law No. 411/1995 on health protection DECIDES: the Government

1. Approve Rules of the organization of primary medical care (are applied).

2. To the Ministry of Health, work and social protection and the National company of medical insurance to bring the regulations into accord with this resolution.

3. To impose control of execution of this Resolution on the Ministry of Health, work and social protection.

4. Recognize invalid:

1) the Order of the Government No. 1134/1997 about development of primary medical care (The official monitor of the Republic of Moldova, 1998, Art. No. 6-7, 33);

2) the Order of the Government No. 749/1999 about approval of regulations on execution of the Law on the minimum of free medical care guaranteed by the state (The official monitor of the Republic of Moldova, 1999, Art. No. 98-100, 845).

5. This resolution becomes effective from the date of publication.

6. Provisions of Rules of the organization of primary medical care of rather independent execution of profession of the family doctor, are applied:

1) for the practician of the family doctor in the village (commune) without family doctors - from the date of the introduction in operation of this resolution;

2) for the practician of the family doctor, except specified in subitems 1) and 3) - since January 1, 2019;

3) for the practician of the family doctor in municipium of Chisinau, except for villages (communes) as a part of municipium, - since July 1, 2019.

Approved by the Order of the Government of the Republic of Moldova of October 10, 2018 No. 988

Rules of the organization of primary medical care

Chapter I Basic provisions

1. Rules of the organization of primary medical care (further - Rules) establish regulations of rather primary medical care in the Republic of Moldova which functions on the principles of family medicine.

2. The family medicine is medical specialty which provides primary medical care and by means of preventive, educational, therapeutic and recovery actions helps to support health of individual, family and community.

3. The basic principle of the organization of primary medical care is guaranteeing access of the population to primary medical services in amount and quality, stipulated by the legislation.

Chapter II Family doctor

4. The family doctor is the doctor allowed to implementation of professional activity of the family doctor according to the procedure, established by the Ministry of Health, work and social protection (further - the Ministry).

5. Person answering to conditions of article 4 of the Law No. 264/2005 on profession of a physician can perform profession of the family doctor.

6. The family doctor has the following obligations:

1) to have professional skills according to the standards approved by the Ministry;

2) to be primary contact Item in health care system, providing to patients non-discriminatory access;

3) it is effective to use health care system resources, coordinating the medical care provided to patients, directing them to profile specialists or to hospitalization;

4) to observe the obligations provided in Article 14 and part (3) article 36-2 of the Law No. 411/1995 on health protection;

5) to observe the obligations provided in article 17 of the Law No. 264/2005 on profession of a physician;

6) in case of allocation of practice of the family doctor during for more than three months to begin profession of a physician in the territory of practice;

7) to sign mutual contracts according to the sample approved by the Ministry with one or several family doctors owners next the practician for replacement in case of absence for a period of up to 3 months;

8) to organize registration in the lists of the population of the allocated practice and the population transferred practicians according to Item 23;

9) to organize and coordinate provision of medical services by office of family medicine in which works;

10) to observe requirements for personal data protection of patients;

11) to respect standards of behavior and medical ethics;

12) nobility and respect the rules of safety and labor protection;

13) to fulfill other duties, stipulated by the legislation.

7. The family doctor has the following rights:

1) to petition for allocation on competitive basis of free practice of the family doctor;

2) to perform professional activity independently in one of forms of the organization of the professional activity provided in the Law No. 411/1995 on health protection or as the worker at the supplier of primary medical care;

3) to control work of nurses and other personnel of office of the family medicine connected with execution of functional and service duties;

4) to receive the salary according to post and results of activities or to gain income in result of independent professional profession of a physician;

5) to earn reward for efficiency in work and other privileges, according to regulating documents;

6) to perform other rights according to the legislation.

Chapter III of the Practician of the family doctor

8. Practice of the family doctor (further - practice) represents territorially limited sector including on circumstances, one or several settlements, streets, private or apartment houses which population meets the average recommended standards of 1700 people, with the minimum number of 1200 people and to the maximum number of 2200 people for one practice.

9. Display and differentiation the practician are carried out by the Ministry taking into account Item provisions 8, of the administrative-territorial organization, official statistical data, the most compact placement of the population and settlements within one practice, rural or city arrangement, radius of servicing and sidings.

10. When the population of one settlement is not enough for forming of practice and at the same time it cannot be carried to other practice and when the population exceeds maximum, but cannot be carried to other practice, practice with departure from the regulations stated in Item 8, before disappearance of circumstances which caused exception can be by way of exception created.

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