José Ramón García, Santiago Morón, María del Carmen Aragón, María Elena Nevado and José Antonio Contreras.
The shortage of doctors Primary Care in the rural environment has led administrations to seek solutions to guarantee health care in the provinces of the so-called emptied Spain. Resort to non-EU doctors to fill places with difficult coverage is one of the alternatives that have been gaining strength in the different health services, although the recipe does not convince all political groups equally. While formations like the People’s Party have highlighted its usefulness in some regions, others such as vox They consider that it is not the solution. For him Socialist Party or the platform soria already It is something that requires further study.
Table on the emptied Spain in the XIII Global Meeting of Parliamentarians of Health.
This divided vision has been one of the keys to the discussion table that has brought together different regional political spokespersons within the XIII Global Meeting of Health Parliamentarians who organizes Medical Writing. The meeting has made it possible to expose the reality that territories affected by depopulation are going through as Castilla-La Mancha, Castilla y León, Aragon or Extremadura, as well as knowing the formulas in which they work to guarantee a sufficient number of doctors and nurses in all its corners. The event has the collaboration of Aproafa, Boehringer Ingelheim, Chiesi, Gilead, Pfizer, Sanofi, and CSL Vifor.
The People’s Party has put on the table the role played by the arrival of doctors from other countries to cover the demand generated during the Covid-19 pandemic in Extremadura. A strategy that was promoted through decrees of urgent measures, but that now they have opted to extend with a new regulation that eliminates previous “requirements”. “It is a solution when there is a guarantee of training and approval of non-community toilets”, has defended the spokesperson for the PP in the Health Commission of the Assembly of Extremadura, Maria Elena Nevado.
From the Socialist Party they agree that the usefulness of reinforcing the medical staff with professionals from outside our borders, although they do not consider it as a definitive solution, but as “something complementary” to another set of measures. “An effort has been made in the homologation so that these professionals have the same powers as other physicians”, stressed the PSOE spokesman in the Health Commission of the Castilla-La Mancha Parliament, Jose Antonio Contreras.
María Elena Nevado del Campo, spokesperson for the PP in the Health Commission of the Assembly of Extremadura.
José Antonio Contreras Nieves, spokesman for the PSOE in the Health Commission of the Castilla-La Mancha Parliament.
Somewhat more cautious have been shown from platforms such as UPL-Soria Alreadywhich is committed to analyzing this alternative in “more detail”. Jose Ramon Garcia, His spokesman in the Health Commission of the Castilla y León Parliament, has questioned whether physicians from other countries have the same level of “requirement” in terms of career, specialization or MIR training. “A doctor from another country comes with fewer years of preparation and nothing happens”has regretted.
He doesn’t look kindly on this possibility either. voxwhich rules out using extra-community doctors to solve the deficit that Primary Care is going through in rural areas. “We do not believe that the solution is to import specialists. The solution is to improve working conditions, offer them stable contracts and put an end to job insecurity”, he added. Santiago Moron, spokesman for the training in the Health Commission of the Cortes de Aragón.
José Ramón García, spokesman for UPL-Soria Already in the Commission for Agriculture, Livestock and Rural Development of the Parliament of Castilla y León.
Santiago Morón, spokesman for Vox in the Health Commission of the Cortes de Aragón.
Solutions to save Primary in emptied Spain
Beyond the appeal of non-EU doctors, the regional parliamentarians have taken advantage of the discussion table to put on the table another series of proposals that have been under consideration for years to reduce the deficit of toilets in rural areas. Everyone agrees on two big ideas. On the one hand, it is necessary to provide financial incentives for physicians so that they bet on practicing in territories with greater demographic dispersion. While on the other, it is necessary to reinforce the investment in infrastructure, public services or broadband of internet so that it pays for them to settle in these provinces.
The establishment of a doctors ratio differently for the most depopulated provinces, the search for new compensation formulas in the regional financing model or the reinforcement of university chairs on Family Medicine are other keys that have been pointed out throughout the debate. Some more doubt has generated the use of the telemedicine. Although it is well received method for practitioners to exchange information or diagnostic tests, does not have much support when proposing a model of direct assistance for the elderly.
Some changes have been added to the battery of initiatives that have a direct impact on the training model. The socialist spokesman has proposed that more MIR teaching units in rural areas, as well as guarantee that all residents do a part of their recycling in unpopulated areas to know their reality. While he considers it necessary to complete this strategy with fixed contracts of at least 3 years once the residence is finished.
María del Carmen Aragón, former president of the Senate Health, Consumption and Social Welfare Commission.
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