The Minister of Health of the Government of Navarra, Fernando Dominguezdeclared this Tuesday in the Provincial Parliament that all health centers in the Community will have smart standard from October 10.
Viana, Villatuerta and Allo, on October 8, and Ancin and Los Arcoson October 10, will be the last five centers of the network of Primary care of the Navarrese health service – Osasunbidea to integrate this intelligent switchboard system into its phones.
During a parliamentary appearance at the request of the UPN to address the report of the Chamber of Accounts on accessibility to Primary care 2018-2023the advisor explained that “the collapse that the telephone lines suffered, especially from 8 to 10 a.m., was something that we knew not only in Health not because of the complaints and unease expressed to us by citizens and our administrators, but because the company that manages the telephone lines warned that its network was completely collapsing.
The intelligent standard, whose pilot project began in May In some centers in the Pamplona area it allows users to choose, if the line is busy when they call the center, by dialing the number 8, that the center staff will automatically call them back without having to call more than once .
This tool, gradually implemented since June in the health centers of Pamplona, Tudela and Estella-Lizarra, is part of the measures announced by the Navarrese Health Service-Osasunbidea in the spring to improve telephone accessibility to health centers.
The councilor explained that “the reality is that it is a measure that gives excellent results, it improves accessibility, the perception of citizens and the work of our administrative staff”.
The operating system is that if someone calls your health center for a procedure and the line is busy, a voice recording will indicate the option to dial 8 to request automatic redial through the center.
This call remains in a queue, in the same position as if the user was tracking the phoneand once the line is freed, health center staff will call back in order. 3 attempts are made every 5 minutes to contact the patient; If you do not respond to any of the three answers, the user must call the center again.
Regarding the report of Chamber of Accountsthe advisor indicated that “all the recommendations have been well received, some are already being developed, others depend on other organizations and others require an investment that we cannot make at the moment or it would involve to change certain rules which would also take time”. change, but everything “What we can cover with the human and economic resources we have and the regulations in force, we will do.”
Nevertheless, Fernando Dominguez He clarified that the report covers “five years in which we could say that in almost three of them the Covid-19 pandemic occurred” and “in 107 pages, the word Covid-19 is mentioned four times “. “We have almost three years out of the five analyzed which condition everything that happened subsequently and this is cited four times. Four,” he insisted.
The advisor explained that “the conclusion of the report is that there is a lack of doctors, they carry out less activity and there are more absences, some forced and known, such as those derived from the recognition of people with gray hair. ” “Without going into the evaluation of past decisions, I reiterate that in Navarre the ratio of doctors is one of the highest in state“, he stressed.
After that, the advisor indicated that “we must carry out a correct redistribution of human resources available throughout the territory according to criteria of population, dispersion, communications, etc., a work that we are developing but which takes time, it cannot be done in months which has not been done for years and we’re not going to rush into something so complex.”
In this sense, Domínguez indicated that “we work to attract professionals from other Communities, to create contracts almost à la carte according to the personal needs of each or working with the MIR during their training in a personalized way to train them and, in quotes, to ensure their stay in Navarre.
UPN spokesperson Leticia San Martinstressed that the Comptos report “confirms that accessibility to primary care has deteriorated over the last five years and has deteriorated mainly because what is offered by primary care centers does not cover the perceived needs of users”. “We see a clear decrease in medical consultations from 2018 to 2023,” he said, adding that “there are fewer doctors in primary care than in 2018.” “We are already tired of the explanations, we have to start trying to change the real situation that we have,” he said.
The PSN spokesperson, Maïté Esporrinassured that by listening to the UPN parliamentarian, “it makes us want to flee the Community, because it seems that we are in a catastrophic situation and we can barely get medical care.” “This is not the case, we cannot oppose all subjects, and with health, which is one of the most important subjects, we must collaborate together, whether we are in Government or in the “opposition”, he said, stressing the importance of “moving away from these exaggerations”.
On behalf of EH Bildu, Txomin González recommended working on “retaining professionals at work”. “90% of health problems are solved in primary care and we know that if primary care professionals carry out their work more stably, hospitalizations decrease and health indicators improve. Therefore, working to improve this loyalty and stabilizing staff would be important,” he noted.
Geroa Bai’s spokesperson, Isabelle Aranburustressed that “many of the problems raised in the study of the Chamber of Accounts have already been clearly overcome thanks to the actions carried out by the Ministry of Health” and also stressed that the report “clearly indicates that there is family medicine and pediatric professionals available. In any case, Aranburu estimated that the regional Health law, on which the Regional Executive is working, “will improve care and accessibility, which are two inseparable things”.
On the PPN side, Irene Royo stressed that “the report makes it very clear that accessibility has deteriorated over the period 2018-2023.” “There has been a reduction in consultations because there are no doctors and there has been an increase in absences. This, combined with greater demand, has deteriorated accessibility,” he said. he indicated, encouraging the Department of Health to “continue working, seeking solutions from the hand of medical groups, closest to patients.
From Contigo-Zurekin, Daniel Lopez He said his group is “clearly committed to primary care and an increase in the primary care budget as part of the solution to the current problems in the system.” He mentioned that there is the problem of lack of availability of personnel, “something that does not only come from Navarre, but from the entire state, but it is one more factor to take into account.”
Finally, the spokesperson for Vox, Maïté Nosti, He showed himself in general terms “totally in agreement with the Chamber of Accounts and I believe that the advisor also agrees and will follow some of the recommendations”. To retain professionals in Navarre, he proposed that MIRs be recognized for this period of work as part of their professional career.
