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RESUMEN CONFERENCIA DEBATE SOBRE LA SITUACIÓN DE LA ATENCIÓN PRIMARIA PROMOVIDO POR LA PLATAFORMA SOS SANIDADE PUBLICA CON LA PARTICIPACIÓN DE LOS COLECTIVOS QUE DEBERÍAN INTEGRAR LOS EQUIPOS DE SALUD
En el debate participaron la mayor parte de los colectivos que deberían formar parte de la Atención Primaria: Terapeutas Ocupacionales, Personal de Servicios Generales (PSX), Logopedas, Matronas, Enfermería de Familia y Comunitaria, Fisioterapeutas, Trabajo Social, Psicología Clínica, Medicina Familiar y Comunitaria. Disculparon su asistencia el personal de Odontología y de Farmacia Clínica de AP. Participaron también los responsables sindicales de UGT y CIG y Asociación Galega para a Defensa da Sanidade Pública.
Las intervenciones de todos los colectivos subrayaron la importancia de la atención primaria para abordar de manera integral los problemas y demandas de salud de la población y que ésta solo puede ser prestada mediante equipos multidisciplinarios que incluyan a todas las categorías profesionales (que desarrollen sus conocimientos y habilidades propias). También se consideró como imprescindible actuar sobre los determinantes de la salud y la problemática social promoviendo la implicación de la comunidad y de los recursos del entorno.
Se constataron la existencia de problemas de masificación de los centros, de medicalización de la atención (casi toda se concentra en las consultas médicas) y de una respuesta adecuada o racional a la demanda. El crecimiento del malestar social, la huída al sector privado y el abuso de los servicios de urgencias son el resultado de las demoras de más de seis días de media, la masificación de las consultas médicas, la escasa atención domiciliaria, la ausencia de participación e implicación social. El abuso de medicamentos y pruebas, se explican por la escasez de las plantillas y por la ausencia de trabajo en equipo.
Las personas intervinientes mostraron el crecimiento del malestar y frustración profesional y la necesidad de incorporar a los Centros de Salud a nuevas categorías profesional (que ya están incluidas en los servicios de atención primaria de numerosas Comunidades Autónomas), establecer de manera consensuada los perfiles profesionales y las ofertas de servicios de cada grupo, recuperar los recortes de personal, incrementar el presupuesto, impulsar el trabajo en equipo y garantizar la autonomía de gestión de la Atención Primaria suprimiendo las Gerencias Integradas (EOXIS) que la someten a las de los centros hospitalarios.
Se consideró como un éxito el encuentro de las diferentes categorías profesionales de la AP y la Plataforma SOS Sanidade Publica
Se acordó
1. Mantener la participación de la Comisión Técnica acordada con la administración para la reforma de la AP, dando como plazo para llegar a acuerdos con la administración el mes de octubre.
2. Elaborar propuestas consensuadas que recojan los puntos comunes (para ello se confeccionará un resumen con las aportaciones realizadas por cada colectivo)
3. Consolidar una gran alianza social y profesional para alcanzar estos objetivos, que compagine la negociación con la movilización en caso de que esta fracase
Manuel Martin Portavoz
Colegios de Médicos de Santiago.
3 de octubre del 2019
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