Health

Medical-scientific union against health fragmentation

Five Spanish medical-scientific societies have promoted a manifesto addressed to the Minister of Health, the Ministers of Health and the Health spokespersons of the Parliamentary Groups of the Congress and the Senate under the slogan “do not compartmentalize health care any more”. Said manifesto has been initialed…



Five Spanish medical-scientific societies have promoted a manifesto addressed to the Minister of Health, the Ministers of Health and the Health spokespersons of the Parliamentary Groups of the Congress and the Senate under the motto “Don’t compartmentalize healthcare anymore.” This manifesto has been signed by the Spanish Society of Primary Care Physicians (SEMERGEN), the Spanish Society of Family and Community Medicine (SemFYC), the Spanish Society of General and Family Physicians (SEMG), the Spanish Society of Internal Medicine ( SEMI) and the Spanish Society of Preventive Medicine, Public Health and Health Management (SEMPSPGS). These societies “They request that specific training areas be created for Infectious Diseases and Emergencies” to avoid healthcare fragmentation.

The manifesto states that, at the present time, Spanish demography shows an aging population with a tendency to increase in the next 20 years. Elderly people accumulate diseases and multimorbidity in the same person is becoming more frequent and that “health professionals, and more specifically doctors, are no strangers to this aging process, and a significant number of retirements are expected in the coming years. To this must be added the tendency of many professionals to emigrate to other countries. These circumstances are causing a general lack of doctors in our country with difficulty in filling vacancies“.

It also states that “Population aging, multi-morbidity and a shortage of physicians make it increasingly necessary for professionals with versatile knowledge who are adaptable to the changing circumstances of today’s world. Any fragmentation of the areas of knowledge with the creation of new specialties goes against this need and may endanger future care for the population.“.

Also, the manifesto explains that “Some areas of knowledge, such as emergencies and infectious diseases, are transversal and inherent to all medical specialties. Other very specific areas may be surpassed in the future by advances in medicine with the appearance of new therapies and diagnostic procedures.” and that “professionals who currently work in specific areas of knowledge, such as emergencies and infectious diseases, need formal training and deserve professional recognition“.



Similarly, it stresses that “In addition, the doctors who dedicate themselves to them must have specific knowledge that is broader than that received during their training as specialists.” and that, “In the event that there are future changes in the epidemiology of diseases or advances in knowledge that make their participation expendable, they must be allowed to dedicate themselves to their initial base specialty. This will only be possible if specific training areas are created. In addition, these specific training areas should not conflict with the program of the specialties from which they generate“.

For all of the above, andconsidering that the creation of new medical specialties must give rise to a necessary prior reflection on the health model“, the signatory companies request that specific training areas for Infectious Diseases and Urgencies and Emergencies are created“.


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