spanish needs and solutions in rural practice. 2013
TRANSCRIPT
The needs and solutions for Rural PracticeEuropean Countries
Spain
Jaume Banqué Vidella - Semfyc – Camfic - Spain
ICSalut – Tortosa Oest – [email protected]
Spanish background
• Important variety (geography, population, culture,...)• Multiple and different administrations• Primary care reorganization is seen as “a need”• Many GPs associations• Not general presence of Family Medicine in universities• General crisis: political and economical• …....
What is happening on Rural Health in Spain
• Primary care is not a real “key point” on health services• Primary care has less budget every year...• Primary care nowadays: reducing salaries, reducing
services, chronic care focused on hospital needs,...• No Rural health differentiation inside primary care. Only
local initiatives are taking place.• Reducing rural services: less doctors, less out-of-hours
centres, centralization, ......
Needs for Rural Practice in Spain
• Primary care recognition as a “key point” on health services
• Rural health differentiation. Producing a “sensitive” plan• Underlying Rural health specificities: isolation, need of
particular and wider competences for rural professionals, defining hospital relationship,...
• Recognition of the importance of social determinants in health services.
Solutions for Rural Practice in Spain
• Taking advice from experts and professionals. Creating specific rural schemes
• Consolidating the “Collaborative Practice” • Professional rural recognition: working for a specific
management and resolution.
Needs for
• Education: Fully recognition of Family Medicine in universities and in any kind of medical specialization.
Rural campus (pre-graduate) and Rural rotation (post-graduate): definition, promotion and consolidation.
• Quality: Implementing specific projects. • Research: Importance of medical associations and
foundations. • Policy-making: Working for a real “lobby” on Primary care.
A single GPs association ?, a Real College for GPs ?