Priorities of the new electoral session

It is not possible to deny everything that democracy and freedom did for all of us. There is no health without democracy, and there are no health societies that are not free. We have received very sad news and anxiety in the 51 -year -old democracy time, which we have a record number of obstetric emergency and gynecological diseases, without forgetting pediatrics. It is important to think about the reason for this limit to access to health care.

Written by Mario Andre Massideo *

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Like all complex problems, there is only one reason responsible for this real crisis. Looking at a map of the areas with more difficulty, the importance that the areas that pressure the housing area on the horizon, in the final result of the final emergency situations, are the importance of the areas that pressure the housing area on the horizon, in the final result of the final emergencies. As well as in the coverage of the doctor and the family nurse, because it should not be forgotten that everything is related.

It is not realistic to ask the nurse to come from the north to the Lisbulon or Garvan region, when the average cost of the small house is higher than your salary. The situation is not very different in the case of doctors. If the housing problem is not solved, and the costs hinder even income citizens higher than average, access to health care will never be global.

Professionals are missing in public health service at this time, especially medical professionals at an early age, able to take over the emergency services leadership. There is no lack of training because it was not able to protect the composition, and its absence today weakens our ability to form in the near future. In addition, the country created the wrong incentives. By reducing the value of work and teams, creating more visible alternatives in the short term, created a system that drives these professionals to get out of specialization and work in providing non -distinct services. It is necessary to rethink how to build the difference in public health service, to replace the correct incentives to improve the response of services, and thus access to health care by citizens.

It is extremely difficult to manage such a complex institution as a local health unit, without being able to make a decision on human resource employment. Do you need primary health care a specialist in family medicine and family medicine, where there are people who do not have a complete health team? The government must declare. No expert nurses to ensure the running of the birth block? The mandate must come from the ministry. Do you need a superb and technical diagnosis to take photo exams on Saturday, or a superior technician to improve logistical services? Either a central license comes, or nothing. This lack of autonomy, and the delay in licensing new appointments, causes dangerous entropy and embarrassment in institutions. First, because it dangerously limits the practice of planning. How do you plan without being knowledge that the needs of human resources enhancement will be declared?

Do not forget that after the licenses finally arrive, it is necessary to ensure that professionals are employed and kept. Despite some recent developments, health professionals and salaries, and health workers remain in non -clinical areas, are still completely deprived of reality.

Improving access to health care should be one of the main priorities of the next Ministry of Health team. To achieve this goal, it is necessary to address the issue of housing, organize work, incentives, team building, professional responsibilities, professions, and salaries. Health can be everyone. But it is necessary to have a political will to solve these chronic problems.

* A nurse specialized in healthy children and children An article was originally published on Healthnews.PT.

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