Felkai Péter, Gorove László
SOS Hungary Orvosi Szolgálat, Budapest.
Orv Hetil. 2009 Sep 20;150(38):1780-5. doi: 10.1556/OH.2009.28685.
In the previous part of the paper authors described the repatriation process, the complex medical task of the patient returning home from abroad, and in particular its most crucial phase, the patient repatriation. Authors reviewed the indications and the basic terms of the patient-repatriation. Vehicles and their availability for the different type of repatriation modalities were analyzed as well. In the second part of the paper, the authors analyze the professional aspects and the decision making procedure on the repatriation. Unfortunately, sometimes the treating doctor does not realize the minimum terms of the ability for the transport of the patient. Therefore he might provide an incorrect suggestion on the time and modality of the repatriation. The responsibility of the transport belongs to the doctor who makes the decision, and to the medical team, who performs the repatriation, respectively. The decision has to be made by the doctor of the insurance company, upon detailed and correct medical information. When a non-professional person is involved into the decision making, patient can be jeopardized; and the repatriation process can be failed. The medical transport is a medical activity in Hungary, therefore it must be performed according to the medical regulations and to the professional standards, the protocols and the transport should be carefully documented. Employees of the assistance team of the insurance companies must be familiar with that regulations and protocols.
在论文的前一部分，作者描述了遣返过程，即患者从国外回国这一复杂的医疗任务，尤其是其最关键的阶段——患者遣返。作者回顾了患者遣返的适应症和基本条件。还分析了不同类型遣返方式所使用的交通工具及其可用性。在论文的第二部分，作者分析了遣返的专业方面以及决策程序。不幸的是，有时主治医生没有意识到运送患者的最低条件。因此，他可能会在遣返时间和方式上给出错误的建议。运输的责任分别属于做出决策的医生和执行遣返的医疗团队。该决策必须由保险公司的医生根据详细且正确的医疗信息做出。当非专业人员参与决策时，患者可能会受到威胁，遣返过程可能会失败。在匈牙利，医疗运输是一项医疗活动，因此必须按照医疗法规和专业标准进行，运输过程应仔细记录。保险公司援助团队的员工必须熟悉这些法规和协议。
