Taller PolicyAES y OMC: “Gestión sanitaria y Medicina. La necesaria convergencia de la visión sistémica y la del profesionalismo médico”

On January 16, the day of Medical Associations (CGCom) is celebrated at the headquarters of the General Council of Officials of Medical Associations (CGCom) Health management and medicine. The necessary convergence of systemic vision and that of medical professionalismOrganized by the Group of Political Interest in collaboration with the Collegiate Institution -the Collegiate Medical Organization (WTO) -and its Foundation for Training, also with the participation of the Spanish Public Health and Administration Society and Administration -Sanitary (sesespas. The effort carried out during the past year for establishment collaborations key constitutions in the configuration of health policies that allow to exchange and, to the extent of the possible one, to the extent of the extent of the extent, to the extent, to the extent. Treated.

AES has a long way traveled in the elaboration and present of reports and proposals on the improvement of governance and management of public health at different levels of aggregation (macro, meso and micro). For its part, the WTO can explore a series of initiatives and documers where alternatives to the coordination of the Health System (SNS), to the good governance of the health centers, the autterity polyics, to the promotion of the gestia, of the gestia need for large agreements that allow implementing reforms that are felt and consensual reforms.

The day was structured in three acts and a colloquium. The first of these was the institutional present by Tomás Cobo, president of the CGCOM, Celia Gómez, General Director of Professional Planning of the Ministry of Health, in addition to Serafín Romero (former president of the CGCOM and coordinator of the Observatory of the Edicádica – Opimed – Opimed) Observatory, Eduardo Satué (President of Sespas) and Anna García -Altés (President of AES and Politics Coordinator).

Promotion of cohesion and aime of the role of the professional in the co -government of the system to advance health management

In the second table Tomás Cobo and Vicente Ortún (former president of Sespas and AES), moderated by José Ramón Repullo (Emeritus Professor of the National School of Health of the Carlos III-Ans-Fiscii Health Institute), the seestives anustists anusantives anusantives anusantives are unusual. Tomás Cobo emphasized the need for professionals for the solutions that the SNS needs in the amit of management. He affirmed that “a cohesion mayor of the system is necessary and awaken the co -government so that doctors have a more active role in this parcel plot of thus ate teaching the management and chiefs of service so that these are not to the albur of the policy of the policy. In their opinion, to improve the management it is urgent to end or solve the three great bankruptcies of the system that are: the precariousness of the system. Time for continuous medical training and the remuneration model.

For his part, Vicente Ortún warned about the need to go to action in taking measures related to human resources management in our health. In leader with what has already pointed out by Tomás Cobo, he put the advantages of doto as mayor autonomy in the management of the professionals of the most will go for the next years and what financing will have the system. ”

The linkage and motivation of professionals require empzar apply measures

The third table of the meeting, focused on the challenges and the Estagias for the linkage and motivation of the SNS professionals, featured the contributions of José Ramón Reploower, Javiers (of the Foundationonón Institute of Researchi García Alegría (former president of the Federation of Spanish Medical Scientific Associations -Facme- and of the Spanish Society of Internal Medicine – Semi), Rosa Arroya (ViceEpressidate Second of the CGOM) Seraphorm.

Javier García Alegria stressed that “we have the moral commitment to know what was happening in 2019 and that it is happening in 2024; we have the bad lacacion of the political decellites are supported by scientific evidence -inflation to respect, Serafín Romero said that it is needed» more political, managerial and professional volume. «In this sense, Ricard Meneu explained that the Opinion of the Commission for Social and Economic Reconstruction It is a clear road map, «but Nieie starts leading any of the things that we all have to do. There is already a lot of theory and literature to respect, but it is necessary to go to action and pregnant to work.»

Serafín Romero explained how, after the reform of primary care in Spain, “the system based on self -management and autonomy -refirming to the amita this was due to a that productivity was measured according to objectives that did not take into account the quality of the work done, but only considered quantitacious aspects, he added.

On the indicators that must be taken into account to assess efficiency, Rosa Arroyo emphasized that «we would have to participate to the agents involved: Sanitary Administration, Medical Colleges, Union, Scientific Societies …». In addition, he pointed out that the medical profession is learning to know that value -not only economical -they have health resources. Along the same lines, he pointed out as an «educate citizens, so that he knows what is consumed – in terms of health resources – in what terms should be done», thus value the importance of the importance of medicine.

Regarding the loyalty of professionals, Javier García Plantoó that we have to «try to balance and join personal and professionalades with the institution and services, since these fundamental children for avoidant the deaudection of professionals.» Thus, the framework that really welcomes these professionals “needs to observe which we can verify as the most important measures for design forms of Reaffation Compatible with the system. «Ricard Meneu riveted that» it is not a merato issue of more human resources, but to improve the response of the system an expectations of professionals. «

For José Ramón Repullo, «we must be able to design political to loyalty to professionals to the public system through incentives. Structural incentives (the link with salary, quality of employment, all more basic aspects, and etc.), etc., etc., etc., etc. which are those that guarantee the loyalty of the staff.» In addition, the ContrastThat is, conflicts of interest, as well as «create a framework where the virtuous behavior of the most easier sea professors and where to behave well» heroic «, added repuris, since the intrinsic motivation in the Sama professions is very important.

Rosa Arroyo recalled that professionals, in addition to the obvious assistance activity, have to «acquire, maintain and improve clinical skills, thus transverse and digital. All this, you have to add teaching.» For these reasons, from the association of young doctors in Europe (EJD) they have reflected the main needs and stimuli that Sonscials to loyalty to professionals in two documents: ‘From mandate to motivation‘AND’From tradition to the transition‘.

On the other hand, Serafín Romero explained that “it is not invested in human resources in primary attitude, and proof of this is that in 2010 there were 34,891 family doctors and pediatricians in primary care, and in 2023 the total was 37,598. Past from 74,476 to 95,448. To redirect this situation, the keys go through prioritizing family conciliation and health. training, research research, etc.

Final a brief colloquium was developed with the attendees, in which the participation of young doctors and interested in the perspectives of the future of the SNS was highlighted.

A way of conclusion, the three organizations (AES, WTO and Sespas) have issued a Joint positioning in which different ways of progress highlight in the disaffection of doctors and other health professionals respect for the National Health System.

The readers to whom this note has known little by little can attend in deferred to the Day on the channel of YouTube of the WTO. Remembering that the next Policyaes activity will be the workshop on Questions and Answers about the survival of functionia mutualitiesIn the AES days in Madrid, which were held in the month of June.