The Subcommittee of the Covenant Health has faced its third session of hearings to listen to 'private healthcare' a exconsejero and health law perspective. SNS diagnostics performed by Juan Abarca Cidón, general secretary of IDIS, the Catalan exconsejero Xavier Pomes and member of the Spanish Association of Health Law, Julio Sanchez Fierro, covering different perspectives but agree on the need to finally receive therapy the system is left out of the political confrontation.
For the Covenant depends Cidón covers "the problem" is solved
The first to present their point of view to the parliamentary speakers has been the Secretary of the Institute for the Development and Integration of Health (IDIS), Juan Abarca Cidón who depoliticize health considered essential because otherwise, he warns, "the problem is not going to fix and pay the citizenry. " Hence it has asked the parliamentary spokesmen "an effort for consensus" that would reform the National Health System (NHS) "without having to resort to major structural reforms". Cidón covers factors identified as aging NHS imbalance, chronicity and gaps in technological innovation, whileproposes several solutions to address it. Among them, delimit the range of services; reassess the governance, leadership of the state in health outcomes and indicators, aside from politics and being audited "by an independent service"; apply business management criteria and optimize public and private resources, expanding mutual model autonomous communities, and promote "re-education of the general public."
'The chair' Xavier Pomes
For exconsejero Catalan and current president of the Hospital de la Santa Creu i Sant Pau and the Hospital Clínic of Barcelona, Xavier Pomes, the important thing right now is not to diagnose the NHS or seek the most appropriate therapy, since, according to him, this work is more than done. The question now is to seek consensus "from below" of a health system that should be based on four pillars. Four 'legs' should have "the chair" conceptual Pomes, which would be: professionals, managers, providers and patients. In the management section, the Catalan exconsejero Abarca takes over Cidón and speaks of "depoliticize" the hospital management appointments. "They must be professionals who annually ask for a review of budgetary targets, care, teaching and public health," he explained. The union of these four pillars with consensual agreements "from abajor "would lead to agreements that the Ministry would take" as their own ", and from there derive the debate in Congress contase with all possible consensus for subsequent legislation. In short, the ultimate decision would come from "full legitimacy" that vitiate Pomes, the policy of the royal decrees. At this time, the obstacles are the lack of "dialogue and pedagogy" that, in his opinion, should guide decisions about the NHS.
Fierro Sánchez identifies three urgent challenges
Representing the Spanish Association of Health Law has appeared Julio Sanchez Fierro, member of the entity. The vice president also Health Advisory Council has clear the most pressing challenges of the NHS: reorganization and downsizing assistance, prioritizing the role of primary care and geriatric care, the human resource planning, recovering "the great political consensus of the LOPS "and making" operational "commitments spelled out in the law, and a new vertebrate pharmaceutical policy in a strategic plan" to bet on the drug for health recovery, without seeing it as public enemy number one. "
Like the other experts, Fierro Sanchez urged politicians "to keep up with what citizens want a public system, sustainable and quality". In this linea, hopes that "therapy" that Congress consider most appropriate for the NHS is left out of "tactics and political circumstances that lead to a certain position" and, on the contrary, they show "sense of responsibility"