Treatment of Patients Without Compulsory Health Insurance

Diplomsko delo analizira obravnavo pacientov brez obveznega zdravstvenega zavarovanja, skupine, ki je iz sicer domnevno javno dostopnega zdravstvenega sistema izključena oziroma ji je dostop do slednjega otežen ali celo onemogočen. Njegovo raziskovalno jedro je sestavljeno iz analize odgovorov zdravstvenih delavcev, ki ponujajo vpogled v njihovo odločanje, dileme in ravnanje v situacijah, ko se srečajo z nezavarovanimi pacienti. Skozi prizmo tega poskuša nasloviti, razumeti in kontekstualizirati položaj zdravstvenih delavcev na stičišču med samim sistemom – s pripadajočimi omejitvami – in ljudmi. Naloga tako predstavlja to, kar so izpostavljali že drugi, namreč, da je problem nezavarovanosti veliko večji in bolj kompleksen, kot se zdi na prvi pogled. Tako kot so različne situacije in zgodbe posameznikov, ki iz različnih razlogov niso zdravstveno zavarovani, so različni tudi odzivi in reakcije zdravstvenih delavcevmedtem ko nekateri sprejmejo odločitev za brezplačno obravnavo, je drugi ne. Delo obenem predstavi pomen pro bono ambulant in predlog za dodatna izobraževanja bodočih zdravstvenih delavcev po vzoru tujih avtorjev. Dodaten problem, ki ga izpostavlja, je dejanska nujnost sklenitve dopolnilnega zdravstvenega zavarovanja glede na sistem javnega zdravstvenega varstva.This paper addresses a specific area of compulsory health insurance. It focuses on the treatment of patients without compulsory health insurance, a group which is excluded from what is otherwise considered a public health system or has difficulties accessing it. Its research core consists of an analysis of responses from healthcare workers, which offer an insight into their decision-making, as well as their dilemmas and behaviour when meeting uninsured patients. From this perspective, it tries to address, understand and contextualize their position in relation to the system – with its barriers – and people. In this frame, it represents what has already been stated – the problem of uninsurance is much broader and more complex as it may seem. Stories and situations of individuals without insurance are different, as are responses and reactions from healthcare workerswhile some might opt for free treatment, others might not. This paper also strives to present the importance of pro bono clinics and follows the suggestion of foreign authors for additional education of healthcare workers. An additional problem that it points out is the actual necessity for additional health insurance, considering the system of public health protection