Tuesday, 15 June 2021

Dijana Zadravec Presents Her Evidence of Corruption in a Zagreb Hospital

ZAGREB, 15 June, 2021 - The National Anti-Corruption Council on Tuesday interviewed the dismissed head of the radiology ward of Zagreb's Sisters of Charity Hospital, Dijana Zadravec, who presented her evidence of criminal activities used to siphon money from the hospital.

Zadravec, who has been on sick leave since May, told members of that parliamentary body that she learned yesterday from the media that acting hospital director Zoran Vatavuk had given her a warning before dismissal for harming the hospital's reputation, noting that the hospital's reputation was harmed by corruption and those who committed and covered it up.

Zadravec said that her fight against corruption started in 2016, when her persecution and harassment started as well.

She said that as the deputy hospital head she reported in 2016 the charging of fictitious overtime work which the then director Mario Zovak had covered up, adding that she had reported this to the prosecutorial authorities and the Health Ministry.

Zadravec said that in late 2020 she discovered a criminal network at the hospital, with public money being siphoned by doctors, which was why she reported them for abuse of office.

The doctor, who claims to have extensive documentation proving her allegations, says that offers to suppliers with whom the hospital did business without public tenders, since the last public tender was conducted in 2019, were signed by doctors Vladimir Kalousek and Branimir Čule, and that the offers exceeded HRK 30 million.

She also cited cases when less material was used for operations than the quantity ordered from suppliers.

Commenting on Zadravec's allegations, the State Secretary and chair of the Sisters of Charity Hospital Steering Board, Tomislav Dulibić, said that hospital documentation was being checked by inspectors from the health and finance ministries and the HZZO health insurance agency.

"According to preliminary information, no significant departures have been found, except for some minor irregularities. Eleven inspectors are working on this, invite them to testify," Dulibić told the Anti-Corruption Council.

He said that the decision to carry out the inspection at the hospital was made a couple of weeks ago, noting that the relevant proceedings were underway.

The chair of the Anti-Corruption Council, Nikola Grmoja, asked if anyone had responded to Zadravec's claims, to which Zadravec said that after she reported the false charging of overtime work, Health Ministry inspectors were called in and concluded that the matter should be investigated by the hospital director.

Allegations should be investigated as soon as possible 

After conducting the interviews today, the Anti-Corruption Council adopted a conclusion asking the ministries of health, finances and economy as well as the prosecutorial authorities and the USKOK anti-corruption office to determine facts related to the case as soon as possible.

Zadravec was told to submit copies of the reports she had sent to the competent authorities as well as the text message in which, she claims, Parliament Speaker Gordan Jandroković lobbied for Zovak's reappointment as the hospital head.

The Anti-Corruption Council will send the audio recording of today's hearing to the prosecutorial authorities, and it will ask the Health Ministry to submit all documents on inspections conducted at the hospital since 2016 or explain why no inspections were conducted.

The Council will also ask the government to secure additional conditions for the employment of financial investigators at courts in four big cities.

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Tuesday, 11 May 2021

Feasibility Study For Hospital Project in Osijek to be Prepared

ZAGREB, 11 May, 2021 - The 35 million kuna contract on the elaboration of a feasibility study for the construction of a new complex housing the hospital centre in Osijek was signed on Tuesday in that biggest eastern Croatian city.

The document on preparing the feasibility study was signed by Health Minister Vili Beroš, the Osijek Hospital Centre head, Željko Zubčić and the representative of the consortium of bidders. As many as 30 million kuna will be provided from European funds, whereas the health ministry will cover the remaining 5.2 million.

Regional Development and EU Funds minister, Nataša Tramišak, said at the contract-signing ceremony that the co-funding from the EU funds was ensured through the "Slavonia, Baranja and Srijem" project.

She said that the construction of the future hospital centre was estimated at two billion kuna, and the exact sum would be known after the Osijek hospital centre provided full information.

Zubčić said that the new hospital centre "is a greenfield investment", and would be built at a new location. He said that the new hospital complex "is a necessity for Osijek and Croatia's east.

The elaboration of the feasibility study is expected to take a year.

(€1 = HRK 7.5)

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Tuesday, 4 May 2021

Health Minister Vili Beroš Expects Hospitals To Provide Patients With Medical Services

ZAGREB, 4 May, 2021 - Health Minister Vili Beroš on Tuesday said that the solution to acute problem of the shortage of radiologists in two hospitals in Zagreb was within the responsibility of those hospitals and that he expects those institutions to provide patients with appropriate and immediate health services.

"The solution to the acute problem of the shortage of radiologists at the Sisters of Mercy hospital and the clinic for treating cancers, which is part of that health institution, is up to the administration at the hospital and I expect them to provide all the patients with the appropriate medical services, and in particular oncology patients and those with grave diseases," said Beroš.

He underscored that patients have to be above organisational problems of an institution.

Beroš underscored that patients must not be left without services because of organisational problems or human relationships.

"That's my clear message to directors and all their associates who are responsible for managing those processes in hospitals. Problems have to be resolved," said Minister Beroš.

He added that Croatia has an increasing number of younger radiologists with experience in working in clinical centres and health institutions that could be the core of creating a system based on the example of developed countries with advanced health systems.

"Creating an efficient system of radiology services at the country level that could provide efficient, quality and financially rational services to a larger number of health institutions that are faced with a shortage of staff such as radiologists, which surfaced in the Sisters of Mercy hospital, are an inevitable step towards resolving this and similar problems," he underscored.

He underscored that as Minister of Health he has already "launched certain activities to provide organised radiology services based on the experiences of other countries that have proved to be efficient and economically justified and are appropriate to our needs and capacities.

For more about health in Croatia, follow TCN's dedicated page.

Monday, 28 December 2020

Croatian Healthcare Workers: Christmas's Forgotten Heroes?

December 28, 2020 – Amidst the difficulties of a second lockdown, a socially distanced Christmas and yet more earthquakes, have we forgotten about Croatian healthcare workers? TCN decided to interview a doctor working on the front line of the fight against COVID

During the first lockdown, it was all about the balconies. Saxophonists, DJs, opera singers – we were entertained on social media by a string of balcony-based stunts that somehow showed resilience, community spirit, humour. Zagreb was no exception. A trend of clapping on balconies in appreciation of healthcare workers passed from country to country and was picked up in Zagreb. After the applause finished, people went back inside. Nothing much had changed. It was a nice enough gesture.

Since the start of summer, no such applause has been heard. Perhaps the release from lockdown gave the signal that the lives of Croatian healthcare workers had also become much easier? That certainly wasn't the case. Though the number of people infected with COVID has grown significantly over recent weeks, Croatian healthcare workers have been treating people sick with COVID since springtime.

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Croatian healthcare workers are currently busier with COVID patients than at any time before. And yet, there are no more trips out onto the balconies to show our appreciation for them. Perhaps it's now too cold outside? Perhaps some aren't aware how busy Croatian healthcare workers currently are with COVID patients? Are we perhaps guilty of taking Croatian healthcare workers for granted? Or, maybe we have simply put Croatian healthcare workers to the back of our minds as we struggle with our own challenges?

Throughout this year, TCN has been pleased to report many instances of generosity and innovation directed towards the fight against COVID. Certainly, not everyone in the country is guilty of forgetting about the Croatian healthcare workers who are on the front line fighting this disease. But, how much impact do these instances have on the general lives of Croatian healthcare workers? What is it like to no longer hear the nightly appreciation from our balconies? And, just what is life like as one of the many Croatian healthcare workers battling COVID in the year of the pandemic? TCN decided to interview one to find out.

The doctor we spoke with is a resident physician, working at a smaller community hospital in the continental part of Croatia. They agreed to speak with us on the condition that they do so anonymously.

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Looking back at the first lockdown, we didn't know so much about COVID back then. We didn't know exactly how it was spread, the different manifestations of the disease, what course the disease took, nor what the recovery could be like. I think the government did a really good job of responding to the threat as they saw it. We had a small spike in cases, but that is minuscule to what we have now.

I think people generally did what they were told because they thought it would be temporary and they could see the sense in starving the disease out.

At the hospital, we were at first caught a little off guard with the amount of PPE we had and some other resources that we needed. For ICU and ventilators, we were well equipped.

Some of the residents were given some paid leave. It was important to put human resources into tiers. Croatian healthcare workers were certainly more predisposed to catching the disease, simply because they were around it every day.

After such great early successes, I was surprised that everything was relaxed later on to allow the tourist season to take place how it did, and for events like the Vukovar commemoration. It felt like it was a calculated risk. The lockdown we are now in is perhaps too little, too late. The disease is out there now, wild. The numbers of infected people are significantly higher.

The difficulty with this disease is that people can be infected and have very few or no symptoms at all. They might not know they are spreading the virus. You might not know you're sitting next to someone who has it.

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Even though we're not at the centre of care for a major population area or city, we saw cases of the disease almost immediately. Our community hospital services an area containing around 150, 000 people. The first cases in April came from nursing homes – elderly, vulnerable people, many with pre-existing conditions. We were well equipped to handle it. Now, we are stretched on a daily basis. We fill the beds with sick people as soon as we empty them.

We wear masks and PPE all day, all the time. All Croatian healthcare workers in hospitals currently do this. Every patient who comes in, regardless of their symptoms, we treat them as though they are carrying the disease.

A lot of residents like me, who are working towards getting their specialty, go to do some periods of work in larger hospitals in the bigger cities. Now, many of those residents have been called back to their community hospitals – we are short on human resources.

The hospital has had to restructure itself significantly. Lots of doctors have been asked to provide cover in the emergency department. Over half of that area is now fully dedicated to COVID.

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What do COVID patients look like in regards to their symptoms? It depends on their age and risk group, but you see people who look like they have flu or bacterial pneumonia, you see people who are in acute respiratory distress. Sometimes they have neurological changes, some of them look like they have had a stroke. Some people who have been infected and have supposedly got over the worst of the symptoms, come back in after a month or two with blood clotting problems – blood clots in the legs, which have a tendency to travel up to the lungs and cause a pulmonary embolism. That's a pretty big medical emergency. Some who have pre-existing heart conditions come in with a heart attack triggered by them catching COVID – it's more complicated trying to revive someone when you know they have COVID. The presentation of the disease is so variable.

It's not only older people. I've seen young people be admitted with serious reactions to COVID - young, healthy people who have no pre-existing conditions. I've seen young people come in with mild symptoms, they are sent home with antibiotics and steroids. That is the standard treatment – antibiotics to prevent a bacterial super-infection and steroids to prevent an acute reaction by the body's immune system to COVID. - that's what can cause big problems later on, in the course of the illness. But, sometimes that's not enough. I had a young patient just last week - super healthy, worked out regularly, no pre-existing conditions – and his lungs just looked awful. He had to go to the ICU immediately (sadly, this patient later died). That's like no disease I've ever seen before. Really, COVID is a completely new kind of animal.

The new strain of COVID? There is evidence that it can be spread more easily, and that it can affect more younger people, but there is no evidence that it is any more severe. The vaccines will work against it.

We're short on ventilators now. Really, we need two free ventilators at any time, in case there is an emergency admission. We are not currently in the position where we always have two free ventilators – sometimes they are all in use. That's a worry. I worked one shift where the anaesthesiologist said “We just don't have any more space for them – we will just have to put them in the hallway”. I've never seen that before.

I've heard of Croatian healthcare workers, colleagues in other hospitals getting sick with COVID and the hospital asks them to prove they got sick at work. It's pretty clear that's the most likely place they would have got sick because they're working with COVID patients. They were forced to be off work, but only on a lower level of sick pay. If you get ill because of being at work, you get full pay. But, they couldn't prove it, so they didn't get that.

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I've been lucky – I haven't caught COVID yet. Well, as far as I know. My pay hasn't gone down, it's gone up – but only because I'm working so many double shifts. I volunteer to provide cover when other members of staff get sick. The specialists – the consultant doctors – they have it worse than us resident doctors. They are more responsible, so they are expected to work more hours. Nobody is pressured or threatened into picking up extra shifts, it's just something that almost all of us just do.

I've read some nice stories about fundraising efforts and donations to Croatian healthcare workers and hospitals in different parts of the country. Everything is appreciated. But, I personally haven't seen any effect of that on our day to day lives at work. Not at our hospital. Maybe there were PPE donations or cash donations, but it hasn't impacted the daily lives of me and the Croatian healthcare workers who are my colleagues. I think I heard that a local garage was giving free cups of coffee if you show your medical ID. Every little is appreciated.

For me and the Croatian healthcare workers who are my colleagues, instead of any kind of personal discounts or donations to staff, we would much prefer if people just took this disease more seriously. Things look very different when you work in a hospital compared to someone outside who maybe doesn't know anyone who got sick.

I came off a particularly difficult double shift a couple of months ago – it was just non-stop COVID admissions, some severe cases. As I was walking home, I walked past a bar that's near to the hospital. They had signs on the walls telling people to keep their distance. But, the bar was absolutely packed – full of young people. It just felt so disappointing. I couldn't help but think of the older relatives they would come in contact with, some who might get really sick.

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Instead of people clapping on balconies, I think Croatian healthcare workers would just prefer more general vigilance and personal responsibility – wear your mask, wash your hands regularly, no more parties in the basement. Clapping on balconies is a nice gesture, but ultimately it's an empty one.

How does it feel to know that there are some people out there, in every country, all around the world, who believe COVID is a hoax, or a plot, or not so serious, or that the vaccine is dangerous or something other than what it is?

Well, it's not always the content of the conspiracy theory that appeals to these people as much as it is their inability to accept facts – the truth – because they have little faith in the authorities that are telling them this. Here in Croatia, I think that distrust is quite high – a lot of people are disillusioned with the state and politics, because of corruption. Sometimes over 50% of the population choose not to vote. The dissemination of misinformation over social media doesn't help - if that's where people get their news from. If you look at that example from your own country, where strict measures about movement were put in place by your government, and immediately afterward, the Chief Advisor to the Prime Minister, was caught breaking them to travel across the country with his family to a second home in the countryside, going out on day trips. And he was defended by his colleagues after he was found out! When people see those kinds of things happening, the distrust between people and the authorities just grows.

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All of the images in this article are used as illustrations only. None of the places or people depicted are in Croatia or Croatian, except for the first image, a panorama of Zagreb

Thursday, 3 September 2020

Zagreb Children's Hospital Gets Therapy Dog

September 3, 2020 – A Zagreb Children's Hospital is preparing to welcome its first canine member of staff – Jupi, a border collie

They are often said to be the most intelligent of all dogs. Used traditionally for herding livestock, border collies can learn a very large number of signals and commands. They are eminently trainable. Now, that intelligence is to be applied to the area of therapy, as one Zagreb children's hospital prepares to welcome its first border collie as a member of the team.

Still only a puppy, Jupi is being prepared for the role by her owner, Iva Zečević, a clinical psychologist at the Psychiatric Hospital for Children and Adolescents. At the moment, Jupi still needs to get her jabs, go for training and pass a therapy dog exam, Iva revealed to Jutarnji List journalist Lada Novak Starčević in a recent interview.

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Border collies are very intelligent and eminently trainable. They take their name from the sheep farming lands which are situated on both sides of the Anglo-Scottish border © Yuppy Ermeton

Iva is undertaking the training herself with help from puppy coach Ana Odak and The Croatian Association for the Training of Guide Dogs and Mobility. Iva decided to dedicate herself personally to the task because she knows the Zagreb Children's Hospital where she works would struggle to pay for a fully trained therapy dog. Despite the time and costs involved in the necessary process, Iva has previously seen the positive effects dogs can have on her patients and knows it's a worthwhile undertaking. She is an experienced dog owner and has kept and trained several, although this is the first she has trained as a therapy dog.

Border collies are so clever that they thrive best in households that can give them lots of play and exercise. It is a British breed of dog, taking its name from the sheep farming lands which are situated on both sides of the Anglo-Scottish border. The word collie comes from the old Celtic word for useful.

All of today's purebred border collies can trace an ancestral line back to one dog. Old Hemp lived in Northumberland between 1893 and 1901 and was so skilled in his work with sheep, as well as having exactly the right temperament, that many shepherds used him as a stud for their future working dogs. Old Hemp is believed to have sired as many as 200 puppies to be reared as sheepdogs.

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Wednesday, 27 February 2019

12 Million Kuna Investment for Rovinj Hospital in Next 15 Months

As Novac/Barbara Ban writes on the 26th of February, 2019, ''Dr. Martin Horvat'' Rovinj Hospital has proudly stated the fact that in 2019, it plans to invest heavily in the amount of 12 million kuna, and it ended 2018 in a surplus in regard to finance and the number of patients. They claimed that they had 500 patients more than one year earlier, that they provided 16,440 more medical services than they did last year, marking an increase of 26.5 percent.

Rovinj Hospital finished of the business year of 2018 with a financial gain of 623,000 kuna. This is the fifth year in a row that Rovinj Hospital has managed to conclude with some excellent financial results, with all of our employees being paid all of their salaries within the deadline, as well as regressions, Christmas bonuses, vouchers, jubilee awards, money for children for St. Nicholas, retirement benefits, sickness benefits, and assistance in accordance with our underlying collective agreement. I'm proud to show this positive change and an increase in the number of visits to our institution from year to year because better implementation means better addressing the needs of our citizens,'' says dr. sc. Marinko Rade, who was recently elected to the Working Group of the Ministry of Health for the drafting of the Ordinance on Health Tourism.

Investments of 12 million kuna are planned to be carried out over the next fifteen months, and alterations have already begun in the department where the patients from the AUVA insurance company stay during their time at Rovinj Hospital. The hospital's entire roof will be changed, the façade will be renewed, and works on the hospital's energy sources will be carried out, a new elevator will also be installed. The total value of these investments currently stands at five million kuna, with renovation of the main building also planned.

''Investments for a further seven million kuna will be issued shortly, including the renovation of the façade, the replacement of the entire roof, and works regarding the change of the energy [system] of the main building of the hospital, where there are clinics and departments in which our local patients are treated. We're investing the most in these departments. Reconstruction should start at the end of 2019,'' added Rade.

He added that so far, everything they invested has been covered by money from the hospital's significant profits, and now they are financially secure enough to safely borrow. In addition to all of the works Rovinj Hospital is set to undergo, a library will be opened soon in the department, and a new therapeutic park will be set up.

''So far, we've collected 6,000 books donated by citizens, which is a truly impressive and record-breaking number for a public action. At this time, we're separate the books by their categories and languages, and we're renewing the space where the library will be located at the department. Additionally, the placement of a therapeutic park is ongoing, which is being carried out within the Design/Build project in collaboration with the George Washington University from the USA. The project will be completed by April this year,'' noted Rade.

Rovinj Hospital isn't ''only'' planning to invest in buildings, but also in their much appreciated employees, in terms of their continued and additional education. This will amount to up to 250,000 kuna.

''This is the money that this institution allocates from its income, ie, from the income generated from the private market,'' Rade added that owing to several factors, Rovinj Hospital can't raise anyone's salary regardless of their position, and that's why the hospital's administration has been looking for more innovative ways to properly reward and thus hopefully retain such valued employees, and one way is to pay them in continued, additional education.

''Of course, doctors and healthcare staff are paid for their training and for congresses in order to become superior in their specialties, which means more access to patients. But we're also investing in the non-medical staff who work in our hospital, which I consider to be equally important links in the chain. This means that, let's say, chefs and cooks can receive paid education which then allows them to progress and provides them with technical education and training that can help them out more in their day-to-day work. That's why we've reserved a lot of money,'' concluded the director of Rovinj Hospital.

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Click here for the original article by Barbara Ban for Novac/Jutarnji

Tuesday, 19 June 2018

First Emergency Clinic For Tourists Opened in Rovinj

Stepped on an urchin, been lying in the sun too long or slipped on a rock? Never fear!

Wednesday, 28 March 2018

Zagreb Clinical Hospital Centre Terminates Croatia’s Best Neurosurgeon

Despite being willing to work in retirement, it seems that the largest Croatian hospital has no need for one of Croatia’s best surgeons.

Thursday, 15 June 2017

Specialty Hospital Medico in Rijeka First in Croatia to Obtain AACI Certificate of Excellence

Croatia is steadily becoming one of the leading destinations for health tourism, and a clinic holding the AACI certificate for excellence is a valuable incentive for further development of this tourism segment

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