The Foundation Institute for the Development and Integration of Health (IDIS) has just presented the ‘Manifesto for a better Health, in which a call is made to the Administrations to alleviate the current deficits and achieve a viable system in the future. Promote public-private collaboration, more funding for public health (with special emphasis on Primary Care), as well as creating an Information, Evaluation and Quality Agency to increase transparency and payment for results are some of the points of the document, to which adherence will be requested from the public and will be launched in a campaign on Change.org.
Our health system already showed clear symptoms of frailty before the SARS-CoV-2 crisis (Covid-19) such as coordination difficulties, increase in waiting lists and excess mortality from all causes, inequity between autonomous communities, cohesion and financing problems or deficiencies in strategic cooperation with the private sector, among others. The claim of the Manifesto is to generate support from society as a whole, because what it is about is make an appeal to the Administrations so that they implement concrete and urgent strategies that respond to current deficits in such a way that a viable, competitive and thriving health system is illuminated for the future.
The IDIS Foundation urges to have a quality healthcare and understands that it is necessary to bet on continuity of care focused on patients and with the participation of professionals, where urgent problems are prioritized (waiting lists, adaptation to complex chronic diseases), and the creation of a Public Health Agency and a plan against the outbreak of the pandemic. The document insists on the need to have the participation of patients and their representatives at all levels and to measure their experience. It also mentions the possibility of implementing digital tools and facilitating access to the data of the electronic medical record, which are the property of the patient.
With health professionals, as the best asset of the system, the importance of taking care of their working conditions to achieve the best health and health within a sufficient and sustainable system. Another aspect is equity, which must underlie access to innovation in matters of diagnostic tests, treatments and therapies, regardless of place of residence. Likewise, the importance of public financing guaranteeing the coverage of the portfolio of services in all the autonomous communities. Efficiency is also key, which is why the manifesto indicates that organizations must have the capacity to strategic, economic and personnel management. The IDIS Foundation considers that the health system has to be open to plans and reforms based on research and responsible innovation and believes in the digitization of its processes. In this sense, it is essential to carry out a digital transformation and updating the technology park. It is proposed to create an Information, Evaluation and Quality Agency with the collaboration of all the agents involved to measure and compare health results. Finally, and as stated in the document, adequate financing of the public system that meets the needs of Primary and Specialized Care and socio-health care is considered essential, reinforcing the inter-territorial cohesion fund.
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