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state employees? This is not how health is saved

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ANCONA – The issue is delicate and even if a few days have passed since the proposal of the Regions – who would like to change the relationship between the public health service and family doctors, making them pass to the employ of the State or binding them through an accreditation – it has already aroused the harsh reaction of the Federation of Family Doctors in Walk. With a letter to the governor Acquaroli and the councilor for Health Saltamartini, also sent to the Minister of Health Speranza for information, the regional secretary general Massimo Magi wrote down the reasons for the protest.


The missive
“We are so disconcerted – underlines Dr. Magi – that we asked the Region if it reflects itself in these positions and shares them or does it intend to distance itself, demonstrating a more critical and constructive vision, avoiding blaming general medicine itself for the many deaths it has had. among its members “. Doctor Magi underlines the active role in the battle against Covid supported by family doctors, starting from the collaboration with the Usca for the management of patients at home, to arrive at the contribution in the vaccination campaign that has undergone a strong acceleration in the last three weeks.

The reasons for the category
“We are irritated by the document issued by the State-Regions conference which claims to change the status from a contracted freelancer to employee or employee of cooperatives. In addition to the non-payment due until the month of March – underlines Dr. Magi -, we are even more alarmed and ready to misstate our positions for this hypothetical and absurd plan. In the face of so much activity we are also punished. We are more than 1000 thousand family doctors in the region: we are not saying that we should not think about some organizational methods or improve performance. But it is not with the eradication of the figure of the family doctor that changes take place: ours is a figure that represents the strength of the national health system. In this way the private sector would immediately enter the assistance of the people ».

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The route to follow
According to the Fimmg trade union of the Marche there are four coordinates to keep in mind in the reorganization of the general medicine system: «Resources are needed for adequate investments capable of promoting health and reducing socio-economic inequalities in health care. Organization is needed, for the transition to a more innovative and modern pro-activity medicine also through a more widespread use of information technology, digital and first level. Incentives are needed to identify new remuneration models that favor quality performance, coordination and prevention and evaluation with systems for measuring the outcomes achieved. In a word: to give effective tools to general medicine so that it can do its mission well “. The regional secretary Magi again underlines the discomfort of the category after the proposal made by the Regions: “We cannot fail to underline the serious discomfort caused by the document and the risk that all this could lead to a harsh protest of the category with unpredictable consequences for the entire system regional health care “.

The direct effect
A hard and decisive conclusion that warns the Region about the effects that the possible advancement of the proposed reform could cause: “We expect an immediate clarification and an unequivocal sign that the Marche Region intends to work for real progress and strengthening of territorial care – concludes Dr. Magi – a sign of protecting the health of citizens and social cohesion of our communities “

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Last updated: 15:33


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