January 31, 2023

Maria Luisa Carcedo.
rethink the system primary care With a holistic approach to diseases, multidisciplinary teams and ‘Mandatory’ rotation Which allows this level of care to be closely known among teams of doctors in a generalized manner. This is the ’emergency plan’ proposed by Marie Louise Carcedo To clean and strengthen the gateway to the national health system as a former health minister.
After participating in the expansion of the strategic framework for primary care during his time as head of the Department of Health, the current chairman of the Committee on Regional Policy and Public Function put it on the table in an interview with Congress. medical writing a battery of measures necessary, in his opinion, to improve running health centers Following in the footsteps of the ‘Roadmap’ marked by the Govt.
What does the future present itself in primary care at a later stage of this pandemic?
For now, the first plan has been approved, which aims to develop a strategic framework and deal with the situation. All measures in this framework that go beyond resources have to be implemented.
What is most urgently needed for this level of care?
Everything of everything. As far as the primary budget is concerned, it all depends on what you eat. Therefore, whether it is 25, 30 or 14 percent relative because whether you can include the pharmacy or not, the referral… In any case, the primary needs to be considered within the system, self-assessment by professionals, both medical And nursing, and start-up multidisciplinary teams, that was already thought about, but I think we should continue to put a lot of emphasis on that. I am talking about physiotherapy or dentistry, which used to be reflected in the oral health plan we started. This is one of the most painful issues and one of the most serious causes of disparity in health, as portfolios are so scarce.
What about mental health? Do you especially need reinforcement after going through a crisis of this ability?
Yes, coordination with mental health centers needs to be improved. With the support of a psychologist or not. It depends on how it is organized, but in any case strengthens the relationship with mental health and community centers.
What would be the guidelines to change the perspective and move in that direction?
Graduate training in the importance of primary care and prevention is required to exist. Within health, it is essential to know what the social and environmental determinants of health are. It’s no use for us to be at the end of a cancer cure chain when you have to avoid them. You have to stop people from getting sick and bear all this cost for the system, which is not only a health cost but also an economic cost, it’s society’s cost of suffering, pain… we have to change Look, rearrange the system and for that it should be done from undergraduate and postgraduate levels.

“Hospital doctors should know what is being done in health centers for prevention”
We start with the fact that the Family and Community Medicine doctor is just as specialized as the Gastroenterologist or Cardiologist. So just as a primary care doctor has to visit hospitals to learn techniques, a hospital doctor must know what is being done in health centers to prevent diseases that eventually reach them. Huh.
In other words, in your opinion, there should be a mandatory rotation…
That’s what we put in the frame. Imbricate both levels with greater force. Not only that there is a manager who coordinates and when the result is out, he says that it should be kept in the electronic medical record and the primary doctor can see it.
Collaboration has to go beyond the management of hospitals and health centres. It has to be pursued with the co-responsibility of professionals. Especially with a more holistic view of the system as a whole. Where does the disease start and how to prevent it. Always follow the mandate of the General Health Law, which tells us, since 1986, that the priority should be towards disease prevention and health protection. And in all this, it is necessary to rely on multiple administrations, not only in the health sector, but at many institutional levels.
There is a claim that doctors focus exclusively and this is the difference they find in comparison to hospital care professionals not only in terms of accreditation but also in terms of salary… how can this be resolved?
This measure has also been considered in the Framework. It can be approached like any other remuneration system. But that doubt remains, it’s a bit unfortunate. But it is and you have to face it.
Can we talk about the time frame for implementing all these measures?
I am also not into day to day management and hence I am not in a position to give an opinion but yes, it should be horizon, as they are equal experts and put a lot of importance in people’s health. ,
While it may include statements, data or notes from health institutions or professionals, the information contained in medical writing is edited and prepared by journalists. We advise the reader to consult a health professional on any health-related questions.

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