/cloudfront-eu-central-1.images.arcpublishing.com/larazon/J46GGGRRMFGXPHDIMK6VC5DXUY.jpg "«At least 10,000 more doctors needed in Primary in five years»")
The count of agreements reached in recent weeks between the CESM and the Health services of the various autonomous communities is positive. Even so, the Confederation has declared today “It will remain vigilant” if this favorable climate serves only electoral interests.
What are the demands of the profession that the patient is most empathetic to?
Basically, we have an obligation to create a quality and sustainable National Health System (SNS). We cannot remain silent while our health system inevitably collapses, with long waiting lists, progressive decline, dehumanization and decline in quality, basically due to the neglect and mistreatment of labor and professionals suffered by its professionals who, logically, fled to a more favorable environment.
Can you summarize the changes required to be able to “save” Primary Care (PC) and Emergency services?
In Primary Care it is important to increase their financing, provide resources to increase their care capacity and make them more assertive so that they can respond to the majority of patient needs. In the short term, one of the threats that will affect the shortage of specialists is great retirement rates forecasted for the coming years, can only be solved by allowing for a voluntary extension of the retirement age, which is necessary to make these places more attractive. Other than that, it has to be increasing the MIR offer of Family and Community Medicine and accelerating the homologation of specialist titles from non-EU countries. you should too debureaucratize them; professional staff size properly to avoid excessive maintenance.
Proper PC functionality will free hospitals and hospital emergency services of most of the requests they currently support, which will greatly help reduce waiting lists. In Emergency Services and Hospital Emergency Services The most important thing is to be able to rely on trained specialists, as is the case in neighboring countries, create specialization Emergency Medicine and Emergencies.
Do you believe that meaningful and meaningful agreements will be reached in some areas?
Yes. I believe that in the vast majority of health care deals will be reached with the demands of professional medical unions, because they are fair to solve the problems that we have announced and which are exacerbated by the pandemic. In some areas without having to call a strike – as happened in Murcia and in Castile and Leon– where the deal is practically closed.
Do you think the main problem is a lack of professionalism?
I would say that it is one of the most important, of course. The AP talks about 9,000-10,000 doctors, between those who have disappeared and those who will be vacant due to retirement in the next 5 years. In the rest of the specialties there is also a shortage, whereby the need for doctors in the coming years, only in the SNS, will amount to approx 12,000. Everything reveals the terrible planning that has happened to human resources in Spain, where lists of highly in-demand professionals are still a figment of the imagination.
What is the average salary of an AP doctor on SNS?
Total gross salary, with an average of four trienniums and a level two professional career amounts to around €53-58,000/year, depending on the health service. If we add the mandatory annual overtime, including evenings, holidays and Sundays (about 700 hours/year), the notorious medical shift, it can reach €74-80,000/year. But these numbers have to be put in context, because, In neighboring countries such as Germany, France or the UK, they receive between 71 and 150% more than the average annual income in Spain.
How many non-EU doctors are currently working at SNS?
Practical data is impossible to know since then no reliable list of professionals, but what can be said is that it has grown rapidly in recent years and many are working on SNS without the specialist qualifications required by current legal regulations, conditions known to the Ministry of Health, although it is true that the contractor is a different CC.AA health service.
Why do our doctors go to other countries?
Because they have better job and professional offers and because nowadays language is not a barrier to emigration.
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