Η Σουηδική "επιθεώρηση εργασίας" θεωρεί ότι >1500 πολίτες/Γ.Ι. είναι πολλοί.

[schumifer]

Ναι, και για να το πετύχει πρέπει να γεννήσει πόσους εκατοντάδες ειδικούς γενικής ιατρικής;

[Argirios Argiriou]

Ναι, και για να το πετύχει πρέπει να γεννήσει πόσους εκατοντάδες ειδικούς γενικής ιατρικής;

Απαντά σε σχετικό σχόλιο στο facebook, ο Γενικός Ιατρός Δημήτρης Κουναλάκης, και συμφωνώ μαζί του (το δημοσιεύω μετά από άδειά του):

Κατεβάζοντας το όριο, νομιμοποιεί την περιφέρεια να πάρει περισσότερους ιατρούς->θα ακολουθήσει μετακίνηση γιατρών από λιγότερο επιθυμητές θέσεις σε περισσότερο επιθυμητές -> στις άδειες θέσεις θα υπάρχει μεγαλύτερος μισθός για να έρθουν από την υπόλοιπη ευρώπη και αυτό δημιουργεί ένα οικονομικό και εργασιακό κίνητρο προσέλκυσης στην ειδικότητα.

( Από την άλλη συμφωνώ και μαζί σου schumifer ότι επί δεκαετίες τώρα οι Σουηδοί δεν καταφέρνουν να βρουν όσους Γενικούς Ιατρούς θα ήθελαν. Κατά την γνώμη μου αυτό οφείλεται ότι επιμένουν να έχουν τους Γενικούς Ιατρούς υπαλλήλους. Στην Δανία ή την Γερμανία όπου λειτουργούν πιο πολύ σαν μικροί επιχειρηματίες που το Κράτος τους δίνει εργολαβία την ΠΦΥ, δεν έχουν έλλειψη Γενικών Ιατρών ).

[Argirios Argiriou]

Σχολιάζει σχετικά συνάδελφος Γενικός Ιατρός που έχει σπουδάσει Ιατρική στην Ιταλία:

- στην Ιταλία όταν ήμουν φοιτητής ήταν 1000/οικογενειακό γιατρό και πολλοί γιατροί δεν άντεχαν και κατέβαιναν στους 800, έστω κι αν αυτό σήμαινε λιγότερες αποδοχές

και του απαντά, πολύ εύστοχα κατά την γνώμη μου, άλλος Γενικός Ιατρός:

- Και εδώ ένα τέτοιο νούμερα θα λειτουργήσει ως πραγματικό. 600-800 άτομα ανά γιατρό εκτός αν είναι γραμμένα και δεν πάνε ποτέ

[Argirios Argiriou]

Παρατηρείστε ότι σε αυτό άρθρο γράφει ότι ο Γενικός Ιατρός θα αναλάβει πληθυσμό 500 ατόμων. Γιατί δεν αναλαμβάνει 2.000 άτομα, αφού οι Γάλλοι πληρώνουν τόσο καλά, για να βγάλει τα τετραπλάσια και να πιάσει μέσα σε λίγα χρόνια την καλή; Αναρωτήθηκε κανείς;

02-09-2022

A queue of more than 120 people to register with a new attending physician in Évron

His arrival was eagerly awaited in Évron, in the Coëvrons: a new doctor is currently moving to the health center, located in the town. The first registrations for patients began this Thursday, September 1. Rather than saturating the switchboard with hundreds of calls, residents looking for a doctor had to go directly to the site. Result: a long queue with more than 120 people, starting this Thursday. Residents who were unable to register returned to queue this Friday, September 2.

Registration started on Thursday September 1 and continued on Friday September 2. © Radio France
– Maïwenn Bordon
Hundreds of patients without a doctor
The first patients arrived at 9:30 a.m. on Friday September 2 to ensure that they had a treating doctor, while registration only started at 2 p.m. Most of them have not been followed by a practitioner since the retirement of three doctors in Évron in June. “My husband came at 9:30 am, I came later: we take turns so as not to lose our place“, describes Marie, a resident of Évron. Like her, many patients in the queue came the day before but did not manage to register before the closing of the secretariat of the health center.

After an hour, my husband went to get me my walker because I could only stand: 3 hours yesterday, 4 hours today.
A 76-year-old patient.

Patients waited their turn in the rain for hours. © Radio France
– Maïwenn Bordon
The town hall of Évron has installed chairs so that the wait is shorter. Some patients came with their own chair, an umbrella to wait in the rain and even something to eat. “I decided to come early so I could have my chance. I have a family of four and all four of us are without a doctor, including my first, who is 18 and hasn’t had a doctor for two years.“, underlines Manuela, the first patient to register with the new doctor’s patient base this Friday, September 2. Others prefer to give up in the face of the long queue. “I turn around, it’s no use“, loose Sylvie, who does not believe her eyes.

Most of the patients in the queue are retired. Those who work have more difficulty finding the time to travel. “I shift my schedules and then I go back to work“, confides Lydie, who is the deputy director of a medico-social establishment. This mother wanted to be present so that her three children could have a doctor.

Isabelle, she leaves empty-handed, without the possibility of registering on the list of patients of the new doctor. She was followed by a doctor from Évron who has retired and she thought she could be followed by the new doctor at the Maison de Santé. But as she lives in Montsûrs, she is therefore outside the sector. “In Montsûrs, there is also the same problem that here a doctor has just left“, regrets this Mayennaise. By her side, her mother Ginette: she was able to register as she lives in Évron. “At 74, you say to yourself, you need a doctor. My husband absolutely needs one. We only have a prescription until November“, she points.

To be able to be followed by the new doctor, you must live in the sector circled in red on this map. © Radio France
– Maïwenn Bordon
In total, the new doctor will be able to take care of 500 patients. He is the second new doctor to move into the Évron nursing home. A third new practitioner could arrive before the end of the year: the town hall is hopeful that he will be practicing as of November. These facilities would allow the health center to accommodate six practitioners in total.

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[Argirios Argiriou]

Οι Βρετανοί Γενικοί Ιατροί θέλουν να αναλαμβάνουν πληθυσμό μέχρι 1.000 άτομα. Θέλουν επίσης ο μισθός τους να αναπροσαρμόζεται ετησίως ανάλογα με τον πληθωρισμό:

Commitment to one GP per 1,000 patients

The GPC wants the new GMS contract to ‘support the recruitment, retention and return of GPs’ to reduce the GP to patient list size to ‘a safe ratio’, from the current rate of 2,293 patients per full-time equivalent GP. It wants the Government and NHS England to commit to ‘an in-perpetuity policy ambition’ of reaching the ‘optimal goal’ of one GP per 1,000 patients.

‘This will therefore mean modelling and projecting how many GPs the population will need to reach this goal, and subsequently resourcing the GMS contract accordingly to ensure GP registrars can be recruited into the NHS as soon as they qualify,’ the document said.

‘Sustained’ annual investment and year-on-year uplift

Setting out its demands to end collective action, the GPC said core funding should rise by at least £40 per patient for 2025/26, but in the long term it is calling for ‘sustained annual investment’ in general practice, taking into account inflation, and uplifted year-on-year.

Τhe new contract should ‘enable general practice to return to being a family doctor service’, according to the BMA, and would be characterised by this set of principles:

Have adequate time for every patient, and be able to routinely see the same patients on a list limited in size, per full-time equivalent GP, to an agreed safe ratio

Be able to keep up to date with the latest clinical practice

Have complete clinical freedom while in accordance with the GMC’s Good Medical Practice

Have adequate, well-equipped premises

Have at their disposal all the diagnostic aids, social services and ancillary services required to serve the needs of their patients within a community setting

Be encouraged to acquire additional skills and experience in special fields, which enable them to better serve the needs of their local community

Be adequately paid by a method acceptable to them, which encourages them to do their best for their patients

Have a work-life balance, which assures doctors with caring responsibilities a career in general practice is feasible.

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