Madrid Society of Family and Community Medicine (SoMaMFyC):: The Interactive Medical Journal, Electronic Healthcare::
The SoMaMFyC stresses that four percent drop in satisfaction of citizens of Madrid regarding the AP summarizes the poor performances of the Ministry Sunday, March 27, 2011
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Editorial Society calls on the Administration "to be aware of the damage it is causing to the first level of care, strangled economically and dismantled in organization "
Madrid (26/28-3-11) .- The fall of four percent, reflected in a public survey of citizens' satisfaction with primary care of Madrid in the last two years shows" wrongness of the actions of the Madrid Health Ministry in the current legislature, as highlighted by the Company Madrid Family and Community Medicine (SoMaMFyC). The Society sees the causes of the deterioration of the PA in the decrease in the percentage devoted to primary care, the freezing of human resources and drift in policy planning.
The presentation last days of the "Evaluation of User Satisfaction of the Public Health Care Services in the Community of Madrid. Year 2010 'by the Ministry of Health shows, in the opinion of the Company, "the high value that citizens have of their community health services, which is a source of pride for all professionals who provide services. "
AP The overall satisfaction is 84 percent compared to only three percent of dissatisfied citizens. Similar notes are also obtained in the evaluation of the friendliness and effectiveness of professionals and the number of patients would recommend their health center, and even the quality of facilities. Draws attention to the dissatisfaction with the time to get quotes and even more for access to consult the family doctor and pediatrician.
"However, in a system that strives for excellence, we need only compare the figures with previous years surveys to check the sharp decline that is occurring in primary care. While satisfaction was global in 2004, 2006 and 2008 of 86, 87 and 88 percent respectively in 2009 fell to 86 percent and in 2010 drop to 84 percent, the worst outcome from health transfers. The same trend experienced by other indicators collected, "highlights the SoMaMFyC.
These data, he adds, are consistent with those published by the Ministry of Health in their annual series until 2009 (pending, 2010) in which highlights the stagnation of the AP in Madrid against cross-global improvement. Also for the first time the satisfaction with hospitals, 86.5 percent, exceeds satisfaction with primary care.
a political cause
SoMaMFyC For this crash just the past two years is in line with the policy pursued by the Ministry in the last legislature. "On one hand restrictive budgets spent a shrinking percentage at the first level, a trend that continues in the budgets of 2011 that involved the 10.08 compared to 10.88 in 2009 after discounting the pharmaceutical expenditure in both cases," says.
"Moreover, the failure of AP Improvement Plan 2006-2009 left without completing the template for family physicians with a deficit of approximately 500 professionals, all despite being approved unanimously by the Assembly of Madrid. As the Community Madrid has recognized a growing population of more than one million people in recent years, it is easy to explain the dissatisfaction with waiting times, the result of the mass of the consultations, "he adds.
Finally, the Company complains that since the end of the previous legislature, "there have been plans for primary care. From 16 Integrated Health Counselor Area Lamela, through the mixture of self-managed teams with type Alzira single management proposal to the beginning of this term, up to the paralysis that has led the design and entry into force of the Single Area, has sunk in embarrassing to all professionals Madrid PA. "
Therefore, the SoMaMFyC asked "repeatedly" to the Ministry of Health and the political forces "to be aware of the damage it is causing to the first level of care, strangled economically and disjointed in its organization."
The Company notes that without a primary care quality, "that would solve most health problems at minimum cost, our system is unsustainable. It is necessary that the next legislature to focus on getting primary care budget will receive the boost it needs and, above all, with a commitment to the participation of professionals in a clinical management model based on the quality and involvement of professionals with demonstrated ability to respond to the problems of population health. "
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