Quality of care experts reject cuts and copayment.

Spain, 2011-October “The copay would provide very little and would create many problems;” “we must tackle reforms, but the solution cannot be indiscriminate cuts without the agents involved,” says Pedro Parra, outgoing President of the Spanish society of quality healthcare, dry, during the XXIX Congress, held in Murcia with the participation of 360 health professionals. And adds that the current situation of cuts has a clear impact on the quality of health systems ”.

“In the same vein, José Ramón Repullo, head of planning and economy of the health of the national school of health (Instituto de Salud Carlos III) asserts that our health system is viable and, with some changes, it may be an example of modernization in the management and service”. And between the actions provided for is not so discussed establishment of the co-pay, although the change the criteria of free medicines on the basis of income, a measure which would be a great saving, “we are the Olympic champions of the consumption of drugs in Europe”. “In his opinion, the co-payment would expensive to manage, inefficient and anything fair”.

Repullo is convinced that one of the weaknesses to deal with this situation are the health professionals; professional culture and the management have crystallized a reactive model, based on the external sustainability and little given to concessions or substantial changes ”, said.

In his view, move the professional and managerial culture is today a priority ”. To continue having social medicine in the middle of a casino capitalism, the medical profession nurse shield morally and should be able to swim contra-corriente. Culture management would articulate a set of measures of professionalization of managerial posts, and mechanisms of good governance ”.

Is a problem that we were unable to respond: the unbearable lightness of the national system of health, lack of effective governance and cooperation mechanisms, and whose diffuse institutionalization does not allow nor clearly defined rights of assurance, or financing mechanisms for cohesion, or models of coordination extracompetencial.

Reach a political agreement to complete the institutionalization of the SNS would provide vital support for this stage ”, says Repullo.

Points out also that must abandon the comfortable State of unrest ” (all happy throwing the blame to another of our evils), and reverse the current path of disorder, abandonment and entropy. quality advocates doing good medicine and nursing, day by day; but also assuming all new initiatives to make more functional and efficient our organizations: rehearsing clinical management models, looking for work processes between levels and with social networks, avoiding waste, and redirecting efforts towards effective improvements to the health of our fellow citizens ”, concluded.

Finally, Carmen Moya has stated that the national health system must be sustainable, without this change its public character, its universality and the level of quality that is currently ”. The Director general of the national health system quality agency, has I desataco the efficiency of the system and which is one of the main engines of the economy ”.

On the other hand, during the Congress, the Spanish society of quality healthcare, dry, has presented a proposal for quality indicators for the national health system hospitals on Thursday morning.

The objective of the proposal of indicators presented last Thursday is monotorizar and promote continuous improvement in the hospitals of the national health system.

The main contribution of the efforts coordinated from the dry is to provide the system of a set of potentially usable indicators by all those involved, thus providing common reference to facilitate agregadamente converge towards best practices.