Home » CGIL Medici and Pensionati CGIL: “Family doctors: dependence is the clearest way”

CGIL Medici and Pensionati CGIL: “Family doctors: dependence is the clearest way”

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“The family doctors are in difficulty, they feel like fish out of water, because they are isolated without the support of the network and the system. Enough slogans, now real reforms but be careful with Nadef, 5 billion are cut to health care”. Retirees and union doctors are calling for a shared reform of health care and denouncing a definition of health care in the coming years. “The new models are not satisfied with slogans, but require a true rethinking, starting with professional practices and work”

06 OTT – “Healthcare is built together”. This is the assumption from which the SPI Cgil and the Fp Cgil Doctors and SSN Executives start, who for October 7 organized a day dedicated to discussion on the hot topics of health, starting with the PNRR and the reform of local medicine.

“The Spi CGIL is a trade union organization that represents millions of members who belong to the oldest generations of the country” he says. Antonella Pezzullo Spi-Cgil National Secretary. “And yet he believes that today it is not just a question of invoking the leadership of citizens, who also need to be heard and to participate in fundamental decisions in terms of rights” explains Pezzullo.

“We represent a generation that substantially questions the NHS – he remarks -, having participated decades ago in its construction, and therefore deeply knowing its political and social value. This generation also knows well that it is at the center, and protagonist, of a powerful change, demographic first of all, but nonetheless cultural “but for the Spi CGIL

“This change is answered with real, substantial, not superficial changes. It deals with new responses to new needs, and to new citizens, more aware and more informed. Not understanding it means multiplying ineffectiveness, inequity, unsustainability”.

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“The elderly – explains the trade unionist – of this country are among the longest-lived in the world and Italy is aging at a rapid pace. Yet the services dedicated to chronic diseases, such as the great theme of non self-sufficiency, are among the worst in Europe. The pandemic has shown what the costs can be in terms of human lives if healthcare organizations do not adapt their models and underlying paradigms. And the new models are not satisfied with slogans, but require a true rethinking, starting with professional practices and work, because practices and work transform rights into tangible services “.

“For us, putting people at the center, in order to build around people the appropriate answers to an increasingly complex health question, means starting with making citizens and operators dialogue, because it is only from this relationship between different points of view that the courageous response that this change requires “concludes the secretary of the SPI.

The fact remains that today on the table there are, on the one hand, the proposal of Ministerial Decree 71 prepared by Agenas and the Ministry of Health which redesigns territorial assistance and on the other the document of the Regions to review the relationship between family doctors and the Ssn.

“The system proposed by Agenas is a good map of services, but the substance is lacking, the issue of personnel is not faced with courage in terms of needs, organization and working relationships, in fact today the resistance to change is evident expressed by corporate interests “, underlines the secretary of the FP Cgil Medici, Andrea Filippi which reaffirms that the real weak point of territorial assistance is general medicine beyond the “diatribe between convention and dependence”. “First – he underlines – it is necessary to understand what the citizen needs and what the citizen asks for. Professionals are all available to change for the good of citizens, the resistance is of those who have represented them in recent years “and explains” Taking charge of citizens must be trustworthy but multi-professional not managed by the individual nor by the private sector “.

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From this point of view Filippi positively judges the Community Houses but specifies: “We need to build multifunctional services in which all the staff have the same employer and the same organization and then evaluate well if they really respond to the citizen’s need to have a fiduciary relationship with the service and with the multi-professional team in which the doctor also works “.

And then the jab: “Family doctors, on the contrary, are in difficulty, they feel like fish out of water, because isolated without the support of the net and the system, they are forced to operate in their aquariums, overloaded with requests, but where they do not they manage to sustain complexity and promote health as they would like “. For this Filippi proposes that there is a clear “identification of an inter-professional social and health network system and of an employer that must be the same for everyone and that gives all the means, places and organization to work well, because the inequalities we have today generate disorganization not only pockets of privilege or mortification but also of citizens’ rights “.

And here we go back to addiction. “For us – he explains – it is the clearest path. Even a more stringent convention risks creating individualisms that can lead to a private relationship that creates fragmentation. And then in our hypothesis I want to specify that the employed doctor is also a manager who is recognized as independent and professional in the transversality and contamination of skills “.

In this context, the problem of the training of family doctors is inserted, but not only “if we want the equalization of training courses at specialization schools, too, it is essential to follow the rules that provide for university accreditations of the Mur, while extending the training network to local services, we must overcome “home-made” training, without criteria and without standards of the Regions “.

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But if this is the model, the two members of the CGIL denounce how everything risks being thwarted by what is reported in the Nadef 2021. “The discussion on the PNRR risks being a mass distraction weapon. In absolute terms, over the next 2 years there will be a 5 billion cut in healthcare ”.

“A very serious fact – underline Pezzullo and Filippi – because resources are needed on the ordinary fund for recruitment after the cuts of the last decade and for the fact that in the next 3 years there will be many retirements. Many more specialization grants have been financed but in a few years we risk going from the training funnel to the working one with the serious danger of having spent millions of euros to train young doctors who will then be attracted by the sirens of the private sector and abroad ” .

L.F.

06 October 2021
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