Coordinated care in primary healthcare

Coordinated health care - a higher standard in primary health care

Coordinated care is a model of patient care in a Primary Health Care Clinic (POZ) that coordinates the entire treatment process:

Diagnostics
First, preliminary diagnoses
Specialist diagnoses that are intended to lead the patient to improve his health

This means that the primary care physician will be able to order tests for the patient (in medically justified situations) that were previously reserved for a specialist. The treatment will be based on an individual treatment plan (Individual Medical Care Plan) and will include not only tests, but also consultations between the primary care physician and a specialist, as well as additional consultations, e.g. with a dietitian.

What does coordinated care involve?

Patient care coordination in our clinics covers Diabetology, Cardiology, Endocrinology and Pulmonology. In the case of patients diagnosed with diseases in these areas, the primary care physician conducts a comprehensive consultation during which an individual treatment plan is established.

Tests and additional advice ordered by your family doctor

The introduction of coordinated care in primary healthcare will provide access to:

Expanding the catalog of tests in primary care will shorten the time needed to perform diagnostics, allowing for faster diagnosis and the introduction of appropriate treatment. This includes, among other things, about:

Thyroid test package: anti-TPO, anti-TSHR, anti-TG
Stress ECG
Holter ECG (24, 48, 72 hours)
Doppler ultrasound of the lower limb vessels
ECHO of the heart

Consultation with a specialist. This will facilitate comprehensive care for the patient, without the need to refer him to a specialist providing services within the framework of outpatient specialist care.

Consultation of the patient's health condition by a primary care physician with a specialist. Medical consultations will also be possible remotely. Direct discussion of the patient's test results and further treatment course between doctors will result in greater effectiveness of therapy and patient safety.

Comprehensive visits with an Individual Medical Care Plan (IPOM). This will improve the care of chronically ill patients and contribute to the implementation of care standards for chronic diseases covered by coordination.

Educational advice provided by nurses.

Dietary advice provided by dietitians (when diagnosing e.g. diabetes).

Higher quality of care

In the new care model, the patient will gain access to a coordinator who will take care of, among other things: about:

Monitoring the quality of care (striving for continuous improvement of the quality of care).
Ensuring appropriate standards of care are maintained.
Better communication between doctor and patient.
Planning and monitoring the course of diagnosis and therapy.
Reminding the patient about upcoming visits.
Information about the next stages of treatment.
Verification and active appointment of the patient for preventive programs.
Collaboration with people who provide medical services as part of coordinated care.

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