publicado em 18/10/2012 às 19h28:00
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The future of health and medicine

Vital Carlos Correa Lima, 1st Vice President of the Federal Council of Medicine (CFM).

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Foto: CFM
Vital Carlos Corrêa Lima, vice president of the Federal Council of Medicine
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Vital Carlos Corrêa Lima, vice president of the Federal Council of Medicine

Since 1998, opinion polls commissioned by the Palácio do Planalto health point as the area most criticized by the population. Gradually established itself as the Achilles heel of successive administrations. The peak of dissatisfaction was recorded in the last survey assessment made by Ibope government, in partnership with the Institute This Brazil in 2012. Of the total respondents, 61% identified health as the main problem of the country.

Given this situation and the desire to simplify the complexity of health care, the government reduced the problems in access and quality of services to the maxim that "missing doctors in the country." Since then, arguments have been lined up to justify the opening of medical schools and vacancies in existing ones.

These measures have generated uncertainty impact on the quality of training of young doctors and the exposure of the Brazilian people without due preparation for diagnosis and prescription. This is a dilemma of life and death.

The option of the government purposely ignores the decisions of structuring character, such as increased lending to the sector, improving the management and the adoption of policies for the recognition and appreciation of doctors and other health profi ssionais. In order specifi c, these gaps compromise the future of SUS.

But the public system is not dead. Despite numerous complications that affect it, it is still possible to reverse this situation. It is essential that the political will to change will not occur by demagogic or media interests. After all, everyone knows that a doctor alone, however well intentioned it may be, will not have full conditions to treat and save lives.

One must understand the need to expand the fi nancing of health in Brazil. Countries with higher medical reason / capita as Germany, France, Spain, Uruguay, Argentina and England, have strong state participation in financing. That is, it is understood that the relationship between the number of profi ssionais and population size is not enough to ensure good attendance, greater investment is necessary also to keep standing programs and welfare policies.

The group of countries with universal access models, Brazil's what has the lowest participation of the state in its fi nancing. This percentage is 44%, slightly more than half of which is invested by the UK (84%), Sweden (81%) and France (78%). Even neighboring Argentina invests more (66%).

The low public investment in health in Brazil, inconsistent with the universal system advocated by the Constitution, also causes unequal distribution of doctors are amplified. There is general lack of doctors. There is an imbalance in the distribution, with pockets of shortages in certain localities and public service.

The country lacks a policy to classify the training of new doctors, seeking more quality than quantity professionals. We need to rethink the current model, in which the minimum criteria for the establishment of schools are not observed.

To stimulate the migration of physician disadvantaged regions, the government should seek the direct recovery of a trader. More than the recomposition of the amounts paid, the country needs a career State to the doctor. This is the only way to ensure its presence in areas difficult to uphold.

Besides remuneration consistent with the dignity and responsibility and commitment required, the manager will be required to offer full support to the work of the physician: adequate infrastructure, equipment, supplies and multidisciplinary team.

This context is not just for medical benefit. Brings advancements to the entire community. We advocate structural changes in the SUS, beginning with the end of underfunding, increased state presence and strengthening of human resources policies with a focus on valuation of doctors and other health profi ssionais. Only then will proceed to design a stable nation, fair and recognizing the human right to quality healthcare.

Source: APM
   Palavras-chave:   Opinion poll    Presidential Palace    Ibope    Carlos Correa Lima Vital   
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