Regulation No 11 / 1953 Coll.
Health Circuits Regulation
Valid
Effective from 28.02.1953
11.
Regulation of the Minister for Health
of 17 February 1953
about medical circuits.
In agreement with the Unified Trade Union Organisation pursuant to § 6 and § 16 (1) of Act No. 103 / 1951 Coll., the Minister for Health hereby orders uniform preventive and curative care:
In order to ensure continuous and continuous care of the health of the people, health professionals of executive health institutions, in particular district hospitals with district health centres, district and district health centres and women's and children's counselling, provide basic health care according to the perimeter system. This system is based on the principle of full responsibility of the doctor for providing health care for a certain population group, after a certain group of workers in the establishment.
(1) The Regional National Committees provide basic health care for the population by the system of territorial and workshop health districts.
(2) Circumstantial health services (medical services, basic care for women and children), after dental care, are provided to all persons living in the district, and also to those persons who do not live in the district, but who work in establishments which are in the district and where there are no workshops.
(3) Workshops shall provide similar services to those in the territorial districts and according to the nature of the production and composition of the staff and other professional services to all persons working in a particular establishment.
(1) For each medical district, the district national committee shall establish a medical practitioner. The district (workshop) doctor shall carry out, organise and manage the health work in the district for which he has been designated, shall be responsible for the health status of the population in this district and for the level of health services provided therein.
(2) If there are more specialised practitioners of children and women working at the National Health District Institute, the District National Committee shall require them to provide health services to the extent necessary under the circumference system. If more dental practitioners or dentists work in the district institution, the district national committee may take the same action with them.
(1) The number of inhabitants in the territorial area is generally 4,000 persons, and in exceptional cases more but not more than 6,000 persons. Under unfavourable communication conditions, a territorial perimeter can be established for 3,000 inhabitants and, in very exceptional cases, for even fewer. In determining the number of inhabitants in the district, the district national committee shall also take into account the number of all workers in the establishments, offices, institutes and facilities which are in the territorial district and in which workshop circuits are not set up.
(2) When defining the territorial area, the district national committee shall, in particular, follow the state of health of the population, sanitary and epidemiological conditions, class composition and density of the population, economic and communication conditions and nature of the terrain; The boundary of the circuits shall be such that the peripheral settlement of the circuit is not more than 8 km from its centre.
(3) The workshop district will be set up by the district national committee in the plant where a racing medical facility is built, where a practitioner with a work obligation of 200 hours a month works. If more than one practitioner is working in a medical facility, the district national committee shall set up additional workshop circuits in the plant so that one practitioner with a 200-hour working obligation per month works in each district.
(1) The District National Committee shall define the territorial and workshop districts after consultation with the regional authorities of the Single Trade Union Organisation, the local national committees and the management of important establishments. The definition of health districts is approved by the Regional National Committee in agreement with the Regional Trade Union Council.
(2) In the case of difficulties in reaching health care in certain peripheral counties of the district, the District National Committee shall agree on a method of healthcare security in such municipalities with the District National Committee of the neighbouring counties; This Regional National Committee shall, in particular, ensure full health care for the population of these municipalities, communicate continuously to the relevant Regional National Committee information on the health status of their population, health and epidemiological conditions and measures and report as prescribed.
(3) The Agreement of the participating Regional National Committees is approved by the Regional National Committee and, if neighbouring counties are in different regions, both participating Regional National Committees.
In agreement with the competent authority, the district national committee shall impose uniform trade union organisations on district doctors already established to provide health services to the population of neighbouring districts or parts thereof, if not established for all districts in the district.
(1) All health services referred to in § 2 are provided by doctors designated for the medical district; only in exceptional and particularly justified cases, the district national committee, after having been authorised by it by the Director of the District Institute of National Health, may authorise treatment with a doctor other than the competent doctor.
(2) In large cities (usually in cities with more than 50,000 inhabitants), the Regional National Committee, in agreement with the Regional Trade Council, may, on a proposal from the District National Committee, leave the single trade union organisation body to hold an organised choice of doctors. When granting consent, the Regional National Committee shall determine the time limit within which the District National Committee is obliged to establish a district system.
(3) The choice of doctors referred to in paragraph 2 shall be possible only within the districts which the district national committee has brought together for that purpose.
(1) The district system under this Regulation shall be introduced gradually, first in workshops and rural districts. In order to ensure proper preparation of the implementation of the perimeter system, the Regional National Committees shall draw up a plan of the necessary measures in agreement with the Regional Trade Councils.
(2) The establishment of a perimeter system must be preceded by careful and well-prepared persuasion actions between workers and health workers carried out in close cooperation with the authorities of the Single Trade Union Organisation.
The measures taken in accordance with the provisions of this Regulation before it is effective shall be those taken to implement it.
This Regulation shall enter into force on the day of its publication.
Zaporocký v. r.
Plojhar v. r.
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Regulation Information
| Citation | Regulation No. 11 / 1953 Coll., on health circuits |
|---|---|
| Regulation Type | - |
| Author | - |
| Collection | Code of Laws |
| Date of Promulgation | 28.02.1953 |
|---|---|
| Effective from | 28.02.1953 |
| Effective until | - |
| Status | Valid |
The regulation text is for informational purposes only.
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