2024-02-09 18:49:22
The Ministry of Health and the autonomous communities have reconciled in the Interterritorial Health Council a battery of commitments to rescue Primary Care. The Minister of Health, Mónica García, has reported that the use of masks in health centers will be lifted, once the flu is controlled.
The Minister of Health, Mónica García, offers a press conference at the end of the Interterritorial Council of the National Health System, this Friday in Madrid. EFE/Zipi
The “fruitful” Primary Care summit has culminated with several commitments between the Ministry of Health and the communities: review the accreditation criteria to win places, improve the skills of professionals to retain them and allow the MIR who finish this summer to work this summer anus.
“We share concerns and we also share diagnoses, and from that point of view we have reached the commitment to work together in the search for solutions for our National Health System,” highlighted the Minister of Health, Mónica García, in the subsequent press conference. to the Interterritorial Council.
An Interterritorial that has ended in a very different way from how it began, marked by criticism from the PP because the extra increase of 1,000 places per year had not been included in the agenda, and which has ended with the satisfaction of all the councilors for the commitments “torn” from the Ministry, as several of them expressed upon leaving.
The singularities of each community will be studied
The first of the commitments has been to review the conditions of accreditation of Family and Community Medicine places, but “always respecting and ensuring the quality of the training” of resident doctors, which will allow more places to be gained over the already offered.
To this end, next week a working group will be launched that will culminate with the convocation, within two weeks, of a Human Resources Commission to analyze the proposals that the communities are making at this time.
From the Ministry, the minister has guaranteed, “each of the singularities of each of the communities” will be studied in detail and will analyze why they are not able to accredit all the places that Health offers each year.
“In some cases it has to do with rural care, in others with the lack of attraction of the specialty, in others even with the infrastructure,” he detailed before reiterating his commitment that he will work “side by side” with the counselors to see how the places can be increased.
Although training programs must be reviewed, for example in relation to tutoring, this will not mean that common criteria that “guarantee quality training” cease to exist. “We are not going to lower quality standards, but we are going to evaluate the conditions,” she stressed.
Up to 90% MIR leakage
But there is no point in increasing the number of positions if working conditions are not improved, “including skills, roles and de-bureaucratization”, something on which the members of the Interterritorial have also agreed.
Mónica García has valued the effort that all communities have made to train more professionals, especially in Primary Care, but the reality is that 9% of MIRs abandon their residency before finishing it and between 30% and 90% leave their residency training. Depending on the territory, they do it as soon as they finish it.
Another of the agreements reached is to start working on the next Primary Care plan 2024-2025; They will do so on the basis of the previous one, of which García has given some data: of the 52 actions that were contemplated, more than 60% are in an advanced state or have been completed and 7 of the 13 objectives have adequate effectiveness, thus They will not start “from scratch.”
The intention is to also prepare it within a Permanent Primary Care Commission that Health has proposed creating and that will be discussed in an upcoming Interterritorial meeting, a proposal that has been well received by the councilors.
The communities will complete the Registry of Health Professionals
For their part, the autonomies have guaranteed that they will complete the State Registry of Health Professionals (REPS) to be able to “understand where they are and who they are.”
This is a registry that was created in 2012 with the purpose of facilitating the planning of needs of health professionals and coordinating the human resources policies of the SNS, with data on all health professionals authorized to work in Spain; However, today 30% of these workers are missing.
Finally, the minister has assured that there will be no hole in residents this summer; The covid generation, those who began their residency in the summer of 2020 but had to delay it from June to September due to covid, “will finish their training in a timely manner to fully complete their training programs.”
As he recalled, in the training plans for final year residents, the R4, it is contemplated that they can “autonomously take charge of the consultations and the rest of the healthcare” without tutoring.
What’s more, this is going to be a year “in which even two generations will coincide” in the summer, those who start it and those who finish it in September.
But what does not occur is the exceptional situation of the pandemic, when they were granted an extension of incentives. “Right now exceptionality does not exist, neither in the health system nor in the epidemiological conditions,” concluded the head of the Ministry of Health.
Prior to this meeting, the medical profession called for a great national pact to resolve the crisis that Primary Care is going through.
The Minister of Health, Mónica García (c) poses with the advisors of the branch of the autonomous communities during the meeting of the Interterritorial Health Council held this Friday in Madrid. EFE/JP Gandul
Health lifts the use of masks in health centers with the flu under control
The Minister of Health has stated that the rule on the mandatory use of masks in health centers is declining since the epidemic wave of flu and other respiratory infections “is controlled” and has thanked “the effort and responsibility” of the communities, professionals and patients during this weeks.
Mónica García has highlighted the report of the director of the Center for the Coordination of Health Alerts and Emergencies of the Ministry of Health, Fernando Simón, for this purpose and has indicated that they point to a favorable situation.
The minister has reiterated that Health and the communities have “acquired the commitment” to begin working “now” with the data of this latest epidemic for the plans for the 2024 and 2025 season.
EFE/Javier Tovar
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