Democracy and freedom have done for all of us for the health of all of us. There is no health without democracy, and healthy communities are not free. It is a great tragedy and concern that we have received the news that there are obstetrics and gynecological emergencies, exactly what is not forgotten by 51 years of democracy. It is important to reflect the cause of this limit for health care.
Writer Mario Andre Macedo *
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Like all complex complications, this is not just a reason for this real crisis. When you look at the map of areas with high difficulty, the end of the end of the end of the emergency, which is suitable for jumping in the home of the housing area. It should not be forgotten that everything is associated with a doctor and family nurse’s coverage.
When the average cost of a small house is higher than your salary, it is not realistic to tell a nurse from the north to Lisbon metropolitan area or alcarway. A situation that is not very different in the case of doctors. If the housing issue is not resolved, even if costs are a barrier to citizens with higher income, even if the cost is not resolved, access to health care will never be universal.
At this time, professionals in the public health service are missing, especially at a young age, and are capable of accepting the leadership of emergency services. There is no shortage of exercise because it is unable to protect the creation, and today it reduces the ability to develop in the immediate future. In addition, the government made false offers. By evaluating work and groups, creating a system that works in the short -term alternatives in the short term, these experts have created a system that works for excellence and unrelated services. It is necessary to review how teams are built in the public health service, change the right offers to improve the response of the services, and result in accessing the health service by citizens.
It is very difficult to manage such a complex company as a local health unit, without deciding on hiring human resources. Because there are no complete health team, the primary health service usually requires an expert and family medicine? The government must recognize. Is there any expert nurses to confirm the functioning of the birth constituency? The authorization must come from the Ministry. Do you need a better diagnosis and therapeutic technician or a better technician to improve logistics to make image choices on Saturday? One comes from central recognition, or nothing is done. The lack of this autonomy and the delay in the recognition of new employees cause serious entrovers and embarrassment in companies. First, because it seriously controls the exercise of planning. How to plan without the knowledge that human resignation requirements will be recognized?
After the accreditation finally comes, it is not forgotten that it is necessary to ensure that experts are hiring and retaining. In spite of some recent evolution, health workers, the rest of the health and non -clinical areas of the health professionals, are very disadvantaged from the fact.
Improving access to health service should be one of the main priorities of the next Ministry of Health. To achieve this purpose, it is necessary to solve the problem of housing, work system, concessions, group construction, professional responsibilities, industry and salary. Health may be everyone. But these are the political options needed to solve these chronic problems.
* Special nurse in child and child health The article was first published in Healthnews.Pt.
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