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Las urgencias de los hospitales madrileños vuelven a estar saturadas ofreciendo un espectáculo deshumanizado e incompatible con una atención sanitaria digna y de calidad, y como suele suceder en estos casos los responsables sanitarios se desentienden de un problema que en gran parte han creado ellos.
¿Porque se produce esta saturación de las urgencias en Madrid?. Las causas son múltiples pero todas ellas responsabilidad de la política de recortes y privatizaciones que ha protagonizado la Consejería de Sanidad:
- Disminución continuada de las camas hospitalarias de la región (3,17/1000 habitantes frente a 3,30 del conjunto de las CCAA, 5,5 en la UE) que siguen disminuyendo (197 camas menos en 2017,etc), lo que hace que en los momentos de mayor demanda los enfermos que deben ser ingresados permanezcan retenidos en urgencias en condiciones inapropiadas. Recuérdese que la Comunidad de Madrid abrió 11 hospitales nuevos con un endeudamiento desmesurado y disminuyendo las camas hospitalarias.
- Insuficiencia de camas de media y larga estancia (0,15 camas/1000 habitantes en Madrid frente a 0,35 en España y 1,1 en la UE), situación que no se ha paliado pese a las reiteradas promesas (por ejemplo hace 2 años que se prometió convertir el antiguo hospital de Puerta de Hierro en un centro de media y larga estancia sin que se haya hecho nada al respecto).
- Privatización en aumento lo que deteriora los presupuestos de los centros públicos y aumenta los costes de la atención sanitaria tal y como ha señalado la Cámara de Cuentas.
- Realización de obras en varios centros hospitalarios públicos que han disminuido aun mas el numero de camas utilizables, obras que se han iniciado en octubre de este año, probablemente para que la Consejería pudiera realizar las inauguraciones antes del inicio de la campaña electoral.
- Desmantelamiento de la Atención Primaria que se concreta en una continuada disminución presupuestaria, ya que ha pasado del 12,67% del presupuesto sanitario de la Comunidad en 2010 al 10,71% previsto para 2019. Lógicamente el resultado es un aumento del número de TSI por profesional sanitario colocándose a la cabeza de todas las CCAA, y consecuentemente un aumento de las demoras en las citas de AP que pueden alcanzar fácilmente una semana y más días. Obviamente en los aumentos de demanda asistencial (la temporada de invierno) la gran presión desborda la capacidad de la AP y los usuarios se quedan con acudir a urgencias como la única alternativa de atención sanitaria pública.
- Inactividad ante los problemas de contaminación de mediambiental de la región por parte del gobierno de la Comunidad, siendo conocido que los incrementos de contaminación coinciden con aumentos de la demanda de atención sanitaria.
Todo ello ha provocado un aumento de las urgencias hospitalarias de la región (un 27% en los últimos años) que además sufren también los recortes de personal que han repercutido en todos los centros públicos de la región.
En resumen estamos ante el resultado de una gestión incompetente de la Consejería de Sanidad solo preocupada en privatizar y deteriorar la Sanidad Pública, y ante el vergonzoso espectáculo (un año mas) de culpar a la climatología y a los virus de lo que solo es el resultado de una política sanitaria empeñada en recortar, deteriorar, privatizar y desmantelar la Sanidad Pública.
Asociación para la Defensa de la Sanidad Pública de Madrid
11 de Enero de 2019
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