SemFYC proposed taxes on the tobacco or the incentive to doctors by results as an alternative to the co pay

MADRID, 16 ( EUROPA PRESS)

The society Spanish of Family medicine and community ( semFYC) has emphasized Friday that there are alternatives to the copay to ensure the sustainability of the National system of health ( SNS), such as the tobacco excise, encourage professionals by results or reinforce primary care (AP).

SemFYC, representing approximately 20,000 primary health care medics, is contrary to the co-pay, believing that he may have “harmful effects on equity and health of the population”, as one of its objectives is to serve as a “deterrent tool” to eliminate abusive and unnecessary consumption and reduce the demand.

In this regard, emphasize that “there is no conclusive evidence of the benefits associated with the implementation of this measure, but yes there are data on its possible harmful effects on equity and health of the population, especially the most vulnerable socially”.

As alternative of rationalization of expenditure, AP doctors opt for that is incentive professionals directly results in the improvement of the management and the agendas of work, the use of drugs, the rational use of complementary tests and coordination with other levels of care.

Another possibility would be the establishment of indirect taxes on products such as tobacco or modify policies of coverage of new drugs and the portfolio of medicines or the prices of the products that it included, on the basis of objective criteria of effectiveness and efficiency.

Are also establishing a catalogue of benefits and portfolio of public health services that allows to eliminate the ineffective or with an unacceptable cost effectiveness. Also, another good idea would be, say, strengthen the role of the PA

“The experiments carried out in other countries of our surroundings and the scientific literature allow secure that strengthening the role of the family doctor, as well as the budgetary control of AP and the outpatient hospital specialties in the hands of family doctors, could improve the management of health care”, assert.

“For example, with the latest changes introduced by the Government of United Kingdom, where the budget is managed directly by family physicians, expected savings of 45 per cent only in administrative costs and an improvement in the overall health care quality”, concludes.