What goes against the national health system

Often hurting a team, and not using another verb, they are the stars, those who appear in the middle of preparations and who come with their promise to immediately enter the game and replace a certain position holder as the coach used to. Planning. This is what happens in football, but the players are already prepared for this possibility. However, when a teammate is in better shape than a teammate who is presented as a strong reinforcement and who earns more, disagreements begin and the team ends up overthinking the situation. What’s better for life, going for the ball and building the game pass, the one that scores and takes the team to the podium, to win the game or to a reasonable place in the league table! The coach will notice what is happening and intervene, but the result often puts him in question and he himself is the first to leave and leave his place in the leadership of the team vacant.

What happens in the world of football, happens in any other way of collective action, happens in any company of the private economy or service of the state. It happens, that is, in the National Health Service (SNS).

Last Saturday, a few hundred doctors demonstrated in front of the Ministry of Health, demanding the repeal of the OE / 2022 law that provides for admission of non-specialist doctors to perform the service of family doctors, considering it an attack on the specialty of general medicine and family medicine. In the words of the president of the Portuguese Society of General and Family Medicine, this situation reflects “a setback in the provision of care to users in health centres”. According to the same official, the fact that there are “already more than 1,700 specialists outside the SNS” is due to the lack of “the ability to attract and retain them in the SNS”, which might be different if there were “better working conditions and better conditions”. Global assessment” for these professionals.

Objectively speaking, the above rule provides not only for non-specialist doctors to be integrated into the role of family health, but also to earn significantly higher salaries than their older colleagues and specialists. As in the case of footballers, implementing the government’s solution will displease those who have worked longer on health center teams, who will feel undervalued and outdated. It certainly would not be the best solution to solve the problem of citizens without a family doctor. Any non-specialist doctor who joins the “staff” of each health center will be viewed with suspicion by colleagues and even users. Moreover, it seems to me that the focus should not be on increasing the number of people registered in the SNS, as Marta Temido did to justify admission of non-specialist physicians, but on creating conditions for specialists who have at some point been lost and the motivation to continue in the SNS could lead to a rethinking of their trajectory. professional and eventually return to their role in the state, even if this situation did not resolve so quickly. Breaking down the acceptance criteria may not be the best solution ever. exactly the contrary. No physician with a certain background would gladly accept the inclusion of a colleague without experience in the pool of professionals who must pass the specialty sieve to gain their place in health centers. If they have to do this, and if they are faced with real situations, it is very likely that they will also try to break off the working relationship, cancel the effect of the new admission and even aggravate the situation regarding the pre-acceptance period. No player, no matter how good he is, can perform the same in all positions on the field. As diverse as a person can be, this does not mean equal competence in different positions in the chess game of medicine, but more so when it comes to diagnosing and treating the most diverse diseases in people.