CNSS decide primary care

The Vice President Rafael Alburquerque said that the decision about whether postponed or not the start of primary care, planned for next may, is a power of the National Council of Social Security (CNSS), and that its members will act in the manner that is most convenient for the affiliated

while other sectors are the primary care strategy will begin in the country as a pilot plan when the conditions are givenshall be applied gradually and as a result of a consensus between all the actors of the system, which will allow go maturing each step.

In this agreed yesterday the Minister of public health, Bautista Rojas Gomez, and the general manager of Social Security, Rafael Pérez Modesto, who emphasized important dialogue it has opened up in this regard and that clinics and doctors have understood that the first level of care will begin gradually, as the u000aprovides Act

However, the Dominican society of family medicine, which brings together family physicians, found unsettling and irrational attitude assumed by the Dominican Medical Association (CMD) and the Association of private clinics (Andeclip) against the strategy of the first level of care home.

Interviewed environment to the announcement by the President of Andeclip, that the beginning of the primary health care will be postponed as a result of an agreement, Rojas Gomez said that the most important thing is that a table of dialogue that makes easier the implementation of this strategy in a gradual manner, opens which allows to go adapting and applying successfully.

"More than agreement that has been raised is to open a table of dialogue to go facilitate things, considering that the strategy be established gradually, maturing each step, for the purposes that sustainability is given the same knowledge and the" u000a"experience", stated. He said that the CNSS is taking decisions, as Ministry are doing the part proper by providing the fundamental instruments for the establishment of the strategy and the idea is to be learning of each step.

Committee
in turn, Modesto Perez said that the provision of the Social Security Council has always been that the beginning of this strategy is gradually, not an imposition and that this was created a Special Commission to listen to all sectors and chart patterns on how and when to start.

Explained that this Committee will submit a proposal in this regard, which is going to discuss with all sectors, including clinics and doctors, at beginning of year and finally to may begin a selective, gradual process, that will be taking his fruit, people will assimilating the benefits for both Pocket of affiliates and the decrease in costs of the system and u000athe sale of a preventive care of first order.

Pointed out in the month of may you can start your application conditions have occurred, "and indeed there are units of primary health care, what we will do is test pilots who testify that that mechanism that applies in all parts of the world is functional, effective and positive".

Family doctors
to turn, in written statements Aidé Kuaz, President of the society of family medicine was struck with the position of CMD, which considered parcializada in relation to centres for primary care, regardless that the majority of licensed doctors are not grouped in different societies specialized.

he explained that family medicine is a new culture of health, where the doctor as well as treat the biological part is the part social, psychological and spiritual.

pointed out that the u000amodel that has adopted the country's centers of primary care (CAP) may include 500 to 700 families and units would be composed of a medical team that would have family physician, a gynecology-obstetrician, a psychologist, a pediatrician, a health technician, a promoter and a nurse.

First level of care
opinions were issued on the announcement by the President of AndeclipRafael Mena, in the sense that had been an agreement between Government and the various actors in the system so that the beginning of the first level of care as a gateway to family health insurance of the contributory scheme will be postponed and that it is done in a phased manner.

The CNSS had established by a decision that his home would be the first of May next, the primary care is established in the law and implies that members attend the first level of health, through specific centres, and be referred u000aa second and third level when their cases merit. Contrary to what happens now that the patient comes directly to the specialist.

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