Saturday, June 3, 2023

Exodus in prepaid: due to the lack of specials, 3 out of 10 Members are already served in the public sector

Delays, of more than two months, to obtain a change of medicine through social work or a promise, are no longer surprising. The pre-solved crisis is natural and contains several crises: one of the proper medicine.

But now it is primarily inaccessible and “skinny”. You have to be doubly patient so that you can take advantage of the documents. Or do you have to look for both?

Each detail in the middle of this panorama becomes information.

Clarín verified that in the migration center via WhatsApp of the two main coverages in the country, the assistants (people) already inform in advance, and with almost the same number, that the consultation will not take place soon.

Today, if you ask for mental health, dermatology, ophthalmology, dentistry and even pediatrics, especially, you get a message like this: “we have May shifts, will we stay?”

Due to the lack of affiliates with expert doctors in prepaid, 3 out of 10 members choose public hospitals. Photo by Juan Tesone

For many affiliated people – who pay all their growth – the bill is an invitation to seek out “outside” artists. And there are two tracks. One is “new”.

There are those who pay for a private consultation, although they already pay month to month, and those who are more inland, but also in the city, seek care in the public, although they have affiliated documents.

And the statistician puts the context to this double use.

According to the Study on Access and Perception of Health, carried out by the Colsecor Foundation, people already value their own public sector and 3 out of 10 use two health systems. In addition, less than 10% “minimized” and continued with the same plan as before.

You receive it. 34% have social/prepared work and use public or private services without distinction. 32% have social or organized work and use the private health system. It’s almost a league. And 26% are treated free of charge in public hospitals, compared to 5% who practice privately for doctors.

The exodus of professionals in pro-paying, headaches for associates by employing shifts.

The exodus of professionals in pro-paying, headaches for Associates by employing shifts.

Which difference is best chosen according to the size of the states.

In cities with fewer than 10,000 inhabitants (35 cities randomly selected from all over the world in research), even if they have social security, 41% use a public or private service without distinction. In these, with more than one hundred thousand inhabitants, the percentage reaches 29%. It is also high.

At the same time in large cities, even with prepaid, 41% regularly use the private health system, compared to 23% who use it that way in less famous cities.

Why is it particularly the case in small or medium-sized states?

“The providers are mixed, and they are almost the same. In addition, the public service is not rushed nor is it as great as in the larger cities, or, the private offer is very limited,” Mario Riorda, responsible for the service; explains the study and director of the Master’s Degree in Political Communication at the University of the South.

“Also, they go to the public, but when there are no shifts or more complexities or public coverage is not enough or fast, they must take refuge in the same professionals in the private sector, with social or financial or individual work! payments,” details.

As for medical specialties, there is an overlap of expenses and “transitions” of the same patients. From private to public, from public to private.

For example, they are treated in the public sector, where they are not provided with comprehensive coverage for their case, they often go to a private service with the same doctors. And the same patients usually need social coverage, sometimes they have provincial funds, and even so with a fee (sometimes black).

The attack on spending is threefold: they pay a contribution to the public system, they pay a social or pre-paid work contribution and they pay an individual contribution.

In terms of digital access to services, specialties and medical equipment, it is the highest approval for the private health service. Within the public system, proximity to private homes and the availability of free drugs are valued.

A little deeper in private, but there is almost no difference in the human sense and serious attention and sense of comprehensive coverage, compared to the public system.

“lean” primers

What is proper discrimination? The Argentine Health Union (UAS), which gathers several private medical associations, recognizes the special crises that leave the primary care and included in the “big crisis” of the entire medical system prepared: the insufficient funding that the system has. .

Properties have different tariffs and different amounts between pre-payments. In all these tariffs there is a delay with respect to inflation. Many experts decide to stay only in the primary that renders them the best for the patient or go completely private.

Why is there a distinct use of public and private services even in large cities?

“It is clear that there are characteristics that people pay for private consultation or among those who have reduced their policy of coverage to save money, they sought the end of shifts in public office. you also see it in hospital guards,” Jorge Gilardi, former president of the Association of Municipal Doctors of the City of Buenos Aires, said Clarín.

In the two hospitals where these “double patients” are seen, mainly Fernández and Piñeiro, where Gilardi works. “But it happens all over Buenos Aires,” he said.

What? “Today, you have to wait three months for an appointment with an expensive prescription. Many doctors release the paper. This happens especially in the “girls” specialty. But also in pediatrics. Unless the baby with a cough, which will be. go to give the whole priority, the family in two months from now on they must be checked,” he said.

Also, notes the expert, there are “big technological delays”. It indicates an appointment, carefully, for a CT scan or another very complex study.

The problem in chronic diseases is not perceived because cancer or diabetic patients go four months before their control schedule. “Agenda” before they open.

“There is a general crisis. You can judge from the lack of resident doctors throughout the country, since before they were registered in the residencies of the city, the province, the nation, in any that can enter, and today they are vacant; even in pro-pensing, doctors are completely depressed because of salaries. How can they not be emotional patients seeking care as they can?

“Experts have to work very long to meet the targets. The preparation is left with fewer professionals and, at the same time, with fewer of the best,” he concludes.

Since Clarín was able to learn from sources in the sector, in the Province, specialist quota vacancies are also noted as zero in public outpatients. In pediatrics, the coverage is only 28.8% of the appropriate areas. In neonatology it reaches 39.8% and in other clinical specialties the levels are much less than 60%.

Hello first

Going back to the studies, 78% of the population did not change the way they approach health because of financial reasons.

Among those who have made changes, 7% said that they have social work/prepared and to a cheaper one, 6% who pay private medical practices and now do some in the public service and 5% who have social work/presented. he began to use public policy.

In the “general” perception of the health service, what is private is valued slightly better than what is public. 66% versus 61% testing. The private part is slightly higher, but there is almost no difference, even in the human sense and the serious attention and sense of comprehensive coverage compared to the public system.

This is another reason why women are more affected by price and growth than men in matters of health.


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