The future of Estonian healthcare

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Occupational healthcare

My employer has been sending me to the occupational health doctor for years. Hands up, spin around, stick out your tongue – that’s roughly how it goes. Each time, I’m left confused. Why is my employer paying for this service on my behalf? It seems like something that could easily be handled by a general practitioner. It appears to me that we could save a considerable amount of money if this service were integrated with health centers and general practitioners. Funding a parallel world where part of my health is managed by the occupational health doctor and part by my general practitioner simply doesn’t make sense financially. Can anyone suggest how much money this would free up for other purposes within the system?

M
Mihkel Marketing and sales

Additional suggestions

T
Töötaja

Data Viewer 1.43.13

If there is a trace left in the health portal of the viewer, the patient does not receive information about what is happening in the occupational health data viewer. View, copy, duplicate, distribute, etc

T
Töötaja
Terviseandmed on delikaatsed ja töötajal ei ole kohustust tööandjale diagnoosi detaile avaldada. Kui näiteks arst kirjutab tervisetõendile, et inimene ei tohi kätt õlavöötmest kõrgemale tõsta, siis põhjust ta lisama ei pea. Kui töötaja jääb haiguslehele, siis ei ole tööandjal õigust nõuda selle põhjuseid. Delikaatne info on näiteks ka töötaja rasedus, millest vahel räägitakse ühele kolleegile ja järgmisel päeval teab uudist juba terve kontor. tervis. postimees. ee/6533101/tasub-teada-kas-tooandjale-tuleb-kindlasti-raakida-oma-haigustest-voi-rasedusest Aga töötervishoiuarstid peaksid ümber kvalifitseeruma perearstideks, kellest on puudus.
T
Töötaja
Tänu töötaja tööandja rollile medteenuse osutamisel, on töötervishoiuarst ainus arst keda ei saa usaldada, ja kellele oma terviseprobleemidest ja eraelust ka ei räägita. Ja kui, siis ainult legende. Töötajate tervisekontroll on oma sisult töötaja vaime ja füüsiline käperdamine. Ka arstikabinetis räägitu võib kosta koridoris ootajateni, või on medbussis mitu töötajat koos, sest nii saavat kiiremini.
T
Töötaja
Töötervishoiuteenuse osutajad teatavad oma veebilehel, et töötaja diagnoose ja muid terviseandmeid nemad töötaja tööandjale ei edastata. Tegelikult on töötaja eriliiki isikuandmeid edastatud juba paarkümmend aastat. Tööandjale ei edastata mitte diagnoose, vaid esmadiagnoose. Seega, kui töötervishoiuarst on suunanud töötaja edasi psühholoogi, psühhiaatri, günekoloogi, naha – ja suguhaiguste arsti jne poole, siis teatatakse sellest ka töötaja tööandjat. Sellise tegevusega põhjustatakse töökollektiivis töökiusu ja tagarääkimist. See on info, mis edastatakse tööandjale ametlikult. Aga see, mida tööandjale tuttavaks saanud töötervishoiuarst või õde tööandjale eraviisiliselt veel edastab, ei ole kontrollitav ega ka takistatav. Tööandjat huvitab näiteks seegi, kas sekretär tegi ikka aborti, või siis kas raamatupidaja plaanib jääda lapsepuhkusele jne. On lubamatu, et töötaja tööandja kui kolmas isik osaleb töötervishoiuteenuse osutamisel, valides talle sobiva töötervishoiuteenuse osutaja, valides protseduurid ja tasub selle kõige eest, mis sisuliselt võib olla ka eriliiki isikuandmete ostu-müügi tehing. Näiteks juhi- või relvaloa taotlemisel kolmandad isikud ei osale meditsiinitõendi taotlemisel, ja andmekaitse probleeme pole. Töötervishoius on aga töötaja vaid andmeobjekt ja tema tööandja patsiendi esindaja, mis on töötaja jaoks mõnitav ja alandav. Vt. ka: andmekaitse inspektsiooni aastaraamat 2023
L
Laine

No one should be forced to undergo a medical examination, as it constitutes a violation of bodily integrity. Currently, occupational health doctors have the final say on whether an employee is fit to work or not. A doctor paid for by the employer should not have such authority. It is true that not everyone voluntarily visits their family doctor to monitor their health, but that is their free choice. In a democratic society, compulsory treatment (which includes forced health checks) is strictly limited. Everyone should have the option to choose a job that does not require health checks, except in professions where health requirements are absolutely necessary and mandated by specific laws (e.g., military personnel, pilots, etc.).

There are constant complaints about severely ill patients struggling to access medical care and facing long waits for treatment, while healthy individuals are subjected to unnecessary examinations, often being shuffled between specialists, tests, and their family doctor, with the employer usually not covering these costs. Please put an end to this humiliation of employees; the primary role of healthcare should be to treat patients, not to conduct checks and issue approvals.

M
Martin

Reorganizing work processes can lead to efficiencies, but experience and real-life situations have shown that mandatory visits to the occupational health doctor often serve as the only regular touchpoint with the healthcare system for many individuals, particularly men, who tend to avoid seeking medical help. This experience has shown that some people, especially men, are more likely to endure symptoms rather than seek assistance. In some cases, visiting the occupational health doctor has helped detect serious illnesses that might have otherwise been ignored over time. Therefore, simply “ending” mandatory health checks without careful consideration is not a solution.

K
Kadi

At the same time, the resources of occupational health doctors could be better utilized, as they see virtually all working-age and employed people over a couple of years. If family doctors are unable to handle preventive care, this could be the role of occupational health doctors, who could also receive funding from the Health Insurance Fund for this purpose.

R
Reet

Occupational health funding comes from the employer, not the Health Insurance Fund. However, it does use healthcare resources.

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