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the proportion of a nurse per doctor in Spain in21st century is irrational, pointless and unjustifiable ”
la Association of community nursing (AEC) denounces therole and the current number of Spanish nurses
Barcelona, 2012-may Spain is at the tail of Europe innumber of nurses per 100,000 inhabitants while that doctorsSpaniards are laid down in the European in terms of number of optional podiumIt exercised
for the Association of nursing community (AEC) thishistorical deficit, far from wane, has increased with the passing of the years being essential andurgent move towards another type of management and health care model in which the result notequals the nurses to work in conditions ofinequality and that their work is undervalued by the health system.
according to the World Health Organization there are in Spain237.775 nurses, while doctors rub 200,000 professionalsexercising his profession. of thisparity of percentages (54.2% of nurses 45,58% optional) follows a scenario that for the President of theAssociation of community nursing (AEC), José Ramón MartÃnez is irrational,unnecessary and unjustifiable ”. Although three decades ago the ratio between professionalsSpanish health was of two nurses per doctor, the evolution of the figures and themodel of the system and health expenditure have led to unsustainable situations as inthe nursing community in which the Organization of some health centres,focused towards the demand asitencialista and over-medicalised, has led to an allocationa nurse for every two or three doctors ”, confirms the Vice-Dean of coordinationNursing and mobility of the University of Alicante academic.
the latest figures and data caution that in Europe onlyGreece and Bulgaria have one smaller proportion of nurses/doctors ”, communicates thePresidency of the AEC who contextualizes these numbers and statisticsthey should be collated with co-workers profession at European level sinceour country has one 34.2% less than nurses than the average ocupándo place22 with regard to this value.According to sourcesthe AEC institution Spain of Community Nursing Dean, aims tothat only the community of Navarra exceeds the average by autonomous communitiesEuropean it refers to number of nurses for every 100,000inhabitants with 900 professionals, exist between the rest of territoriesnational great contrasts, as evidenced that the autonomy of the regionMurcia has a ratio of 348,61 nurses for every 100,000citizens.These same sourcesdescribe that, on the other side of the balance, Spain has a ratio of 445,38Physicians for each 100.00 inhabitants, equivalent to 34,68% more than theEuropean average, ocupándo second place in terms of number of optionalEuropeans, being only behind Europe.
discrimination, crisis and solutions
between this dance of figures has recently cemented thebased on one of the historical claims of the nursing Spanish alreadywhich is currently forming the first batch of specialists ofFamily and community nursing.
according to the AEC community nursing rolerepresents 25% of the total of Spain nurses by what one of every fourSpanish nurses, those professionals engaged in their day to day attentionprimary of the citizen, you will have the opportunity to see officially endorsed their roletraining and prevention for the self-management of people’s health. NotHowever, it does be curious and paradoxical that there is still planning toidentifying how these professionals will be integrated into carePrimary and how vertebrará activity specialized with the nursesCommunity general practitioners currently working in health centres ”, underlines thePresident of the SRA.
for José Ramón MartÃnez the problem is not only that inSpain reach heights in which the ratio of community nurses is up in43% lower than the European average but that the national health care model is not listening andIt discriminates against the role of the nurse. Currently the budget destined to thePrimary care accounts for 14% of the total, still far from the levelHospital ”. In this way, the Chairman of the AEC explains that the health and economic crisisrepresents the poor role of managers responsible for management to date, byWhat is urgent and necessary a change of roles and models. This is where comesat stake the role of nursing has to be part of the groups ofdecision and management sociosanitarios, which is one of the reasons for being and existencethis profession ”.
from the governing bodies of the AEC are indicatednumerous advantages that citizens would gain as a result of the work ofcoordination and health management by nursing. A compliancemore efficient therapeutic, better health care to the chronicity and dependence70% of health expenditure, the balance between the usetechnology and the personalized attention to citizens with prevention campaignsand promotion of health, less politicized management, are, according to thisHealth institution, obvious examples of the advantages of havingwith the professional judgment of the nurse.
nurses have already had the opportunity to demonstrate theircapacity management in health services. The real innovation lies in thatWe are able to incorporate many international experiences alreadythey exist and that, properly coordinated, provide sufficient elementsto deal with the enormous problems that we have today in the systemhealth. The action of nurses practice advanced as suppliersmain has managed to demonstrate the high efficiency and quality of their performance. InSpain what we lack is to leave the model of training and self-responsibilitythe population for self-care, as well as education focused on the promotionhealthy habits, to be exercised and developed also by nursing ”,José Ramón MartÃnez concludes.
