Hospitalizacja pacjenta „hotelowego” – wybrane problemy

Abstract

The subject of the article are the issues related to problems arising in the practice of entities conducting therapeutic activity concerning the stay of a patient who is a minor or incapable of independent living and who no longer requires treatment in an entity providing health services, but is in need of permanent care, when the family does not want to provide this care and does not take the patient from this entity. The legal regulation relating to the subject matter in question contained in the current regulations provides entities providing health care services with instruments aimed at disciplining the patient’s family so that the family can fulfil their duty of care and collect the patient from this entity after the end of treatment. The persons obliged to do so are the legal representatives and persons who have a statutory duty to maintain the patient. If they refuse to collect the patient, health care providers are entitled to arrange for sanitary transport to bring the patient to the place of his or her previous stay. The costs of such transport are borne by a spe­cific municipality, which has the right of recourse against the persons responsible. It is also possible to charge these persons or the patient himself with the costs of further, unjustified stay in this entity. However, the solutions adopted are not without drawbacks that make it diffi­cult to enforce the care of the patient and to cover the costs of further unnecessary hospitalisation. The aim of the study is to identify the weaknesses of the current regulation, which is to bring about a solution to the problem of patients not collected by the family, so important for the practice of medical entities, and to propose the way of solving them.