This year, 2022, the Spanish healthcare is defined by two main axes: A more controlled COVID-19 pandemic A sharp reduction in the number of deaths, along with the release of hospitals and restrictions Fight between doctor and administration public which is still running and is set to continue till 2023.
Furthermore, SNS has been seen as an unwelcome guest throughout this year. monkey pox has erupted around the world as CAR-T They continue to demonstrate that there is no limit to their potential, and there have also been changes in the presidency of two institutions of great importance in the scientific and health world, such as the State Agency of the Higher Council for Scientific Research (CSIC) and the Spanish Federation of Medical Scientific Societies (faceme,
The specialty of 2022 has also been competition ruckus which has arisen during the debate on new standards related to health, along with the publication of the Nursing Prescription Guide mental health strategy or unlucky health advertising law with the aim of tightening the rules on Advertising of health products and services, An initiative that finally knocked in the Congress.
Collapse due to co-infection by COVID and other respiratory viruses
However, it should be remembered that the year began with the largest number of people infected with COVID-19 in the middle of the sixth wave of infections, because of the speed of the ÓMicron variant that started the record, which has caused plans in half the world. broke. To give an example, some Spanish provinces have managed to add more than 25% to all positive cases reported so far in just one month.
This coinciding with the flu further saturated primary care, which was already providing services beyond its limits, and which was also not immune to the virus. On 5 January, 1,500 toilets were on leave due to the coronavirus, more than 500 nurses and around 270 doctors. The outlook was not encouraging if we add that a quarter of doctors needed psychological support two years after the pandemic.
Such was the pressure on the health service in primary care that the Ministry of Health approved an order, valid for two months, to allow professionals to volunteer in the afternoons. More than 520 were added, 251 active doctors and 196 nurses and 68 retired doctors and six nurses. The measure remained necessary despite the shocks caused by COVID-19, and an order to the same effect was re-approved in July, seeking options to cover the contagion and sick leave, permits and holidays of employees. In view of the difficulty
But well, despite the fact that the system itself reached a point where it wasn’t even enough to test the population, by February the cumulative incidence of coronavirus began registering its first decline since the start of the sixth wave. done. In such a situation, the mask is no longer mandatory outside in this month. Six days later, it was approved that the stadiums would reach 100% capacity by March. It was also agreed that adults infected with Kovid-19 would have to wait five months to receive the third dose along with two doses of the vaccine. Children aged five to 11 who were infected before being immunized will be given just one dose starting at eight weeks. And finally, a fourth dose for immunocompromised people was approved five months after the third.
It was on March 2 when the Ministry of Health announced that it would stop publishing daily incidence, vaccination and infected data in order to gauge the good development of the sixth wave of the pandemic. Not surprisingly, the occupancy rate of critical care units with COVID-19 patients in hospitals fell to 4.8 percent in the community. The 14-day incidence in people over the age of 60 was 450 cases.
After the beginning of a return to normalcy, came more decisions, such as whether to remove masks indoors or how to deal with the wave of silence that hit Spain again in July. But, fortunately, in September it was possible to reach historical lows for the event.
need to strengthen public health
If the pandemic made anything clear, it was the work and need to reinvent public health. The shadow of the shortage of doctors, especially the family, lengthened to such an extent that it was already reaching nursing bags for replacements, which was a perfect storm that prompted both national and regional measures to be taken. was forced to. which were not completed.
A situation and distance between unions and administration that ended in health protests and strikes. The first took place in Madrid, but later they began to spread to other communities where the situation with SNS was not much better. However, in Madrid, where the proposals started earlier after being completed only a month before the start primary care health strike The regional government and unions recently found at least one point in suspending the protests during the Christmas season. This was confirmed in an agreement signed by Ministry of Health and headed by workers’ representatives Amitsmajority among doctors, for Keep the strike suspended till 11 January When both sides have committed to maintain dialogue.
In the joint letter, chaired by the Directorate General of Human Resources of the Ministry of Health, it is said that the commitment with which they will start the new year is based on “analysis and evaluation of the measures presented”.increase the value of individual health cards for each professional” and “encourage coverage of afternoon shift places for family doctors and paediatrics”,
Thus, it seems that 2023 will begin with the resolution of tensions in the health sector after a year in which, despite the reduction of infections by the corona virus and a return to practically normalcy, health has remained one of its biggest weaknesses. and how, in order to survive and provide the necessary support to the population, a series of measures are required that improve both its resources and its conditions. The national health system needs to take care of its professionals and listen to the needs of patients after two years of work quotas and much more patients than is recommended at the European level. If the waiting list continues to increase, there will come a point where it cannot be reversed and will therefore continue to collapse over time.
We’ll keep reporting…