Home » Family doctors. Smi: “The proposals of the Regions aim to cancel”

Family doctors. Smi: “The proposals of the Regions aim to cancel”

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The National Council of the Italian Doctors Syndicate intervenes in the debate on the reform of conventional medicine. “The attack on the category hides the intent to privatize general medicine. It is time to relaunch the trade union unit in defense of the Public Health Service ”.

27 SET – “The National Council of the Italian Doctors Syndicate, meeting this weekend to launch the congressional path that will lead to the renewal of statutory offices next year, rejects without appeal the document presented by the regions that deals with the hypotheses of changes in the employment relationship between the Service National Healthcare and General Practitioners, in light of the funding provided by the PNRR ”, said a press release from the meeting of the SMI.

“As regards the proposals for commissioning and accreditation to private players for the assistance to certain catchment areas, we believe that they should be rejected because this would mean the outsourcing of primary care and the transfer to third parties of a piece of public health, one of the strategic assets of our country. This puts social cohesion at risk ”continues the SMI.

“We are also in the presence of a denigrating media campaign, unprecedented towards the category that only serves to distract the attention of citizens from the real problem: the lack of doctors and the dismantling of the Public System of care. The pandemic should have produced profound revisions of a health system model such as that of some northern regions (which proved to be unsuccessful in the fight against Covid) which has, in fact, canceled the network of public territorial services, entrusting the provision of home services to private agencies and competition between the public and private sectors in the hospital sector, strongly unbalanced in favor of the latter. For these reasons, we reiterate our unconditional support for a fair and accessible public health service ”.

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“The Italian Doctors Syndicate has for some time presented its proposals starting from the need to establish a specialization school in general medicine, solving the training funnel to allow young doctors to enter the profession. We have also proposed to amend art. 8 of Law 502/1992 to allow the integration of affiliated doctors within public structures (districts, health houses or communities) and transition to dependency, on a voluntary basis, already in October 2020 by submitting an amendment under the decree law 104/2020 asking the political forces to amend the aforementioned law. We have even come to identify the need to standardize the contractual areas of general medicine to provide for the extension of the protections, already in place for service doctors and outpatient specialists, to all contracted doctors, creating an atypical dependency “.

“The National Council of the SMI, moreover, as regards the draft under discussion for the National Collective Agreement expresses a very negative opinion and hopes that it will be rejected in its entirety. This ACN as a whole does not capture the effort made by all doctors during the pandemic, does not respond to the need for better pay to make the profession more attractive and block early retirement and exodus abroad of young doctors, does not invest in capital human, does not find a way to connect to the huge resources provided by the PNNR “.

“From the point of view of remuneration, on the contrary, it takes a step back by years by eliminating the salary weighting fund and instead links the bonuses to regional policies: a striking contradiction with the fact that doctors are asked to ensure uniform services on throughout the national territory. In the coming months, very risky challenges await us, which is why we appeal to all trade union forces to work for a unity of action capable of defending the entire medical category and citizens, subjected to an unmotivated and unprecedented attack “he concludes the note.

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September 27, 2021
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