[ad_1]
The final document of the National Health System Pact for Quality, Efficiency and Sustainability is awaiting approval. As published by BonDia, the first call for the signature with photo was supposed to be this Thursday, but just two days ago the actors involved received an email announcing the postponement of the appointment to July 8 next year at noon. According to the sources consulted, some of the agents involved have not yet made the decision to comply with the agreement.
It should also be noted that, in fact, the final text of the Convention was communicated on the very same day that the new ratification date was announced. There are even some participating associations that, until today, have not received the final document. Therefore, although they want to ratify the document and “trust in the goodwill of the government”, they continue to ask, as they have repeatedly done in recent months, to see how the final document will turn out.
The associations’ motivation for not adhering to the National Health Pact was in some cases related to the lack of support from political forces, some of which had indicated that they would not support it soon after the first draft was presented, especially due to the lack of details in the document regarding the proposals and their timing. Some entities stated that they had previous experience in developing strategic lines and action documents, but that they believed that after intensive work, these experiences had not been put into practice.
There are also some professional associations in the health sector that consider not signing the Pact. Moreover, as BonDia has learned, some important entities in the health sector, whose membership is not clear at all, will end up supporting it after receiving a request from the government that insists on giving a “yes”. As for the parties that are still unclear about their membership, at this time they still need to complete the content of the final document and decide what they want to do. In mid-January, the first draft of the Health Pact was presented. At that time, the head of the government, Xavier Espot, guaranteed that the work would be completed in a few months. Half a year later, the document is about to be initialled, but the final part has not yet been completed, recording which parliamentary groups and political parties have signed, but also which professional associations or entities in the health sector have signed. It is taken for granted that the government, the management of CASS and its working committees, the management of SAAS and La Visura Ciutadana are committed to it.
Increased reference to disabilities, youth and vulnerable groups
The final document of the National Pact on Quality, Efficiency and Sustainability of the Health System introduces more references to different groups that were not sufficiently included in the first draft. In this sense, it should be remembered that the Minister of Health, Helena Mas, already assessed in April that among the 170 comments made on the draft, many stressed the importance of certain groups, “which must be reflected in the agreement in a more horizontal way”. It is in the section dedicated to the objectives of the National Pact that it is stated that it is necessary to ensure access to health services for people with disabilities and functional diversity. An expression recently introduced as a novelty throughout the document.
In this integrated perspective of care, vulnerable groups such as the elderly, people with chronic, serious illnesses or developing disabilities, people with mental health problems or people who are in unnecessary loneliness are included. For young people, we commit to evaluating lines and services specifically for them to guarantee their access. Similarly, a gender perspective is introduced in prevention and care plans to distinguish the specific issues of each gender.
Among the priorities, palliative care was mentioned, as was the need to coordinate action with the Ministry of Social Affairs to care for people living alone.
The final document retains the original structure and is enriched by the above allusions etc. However, it is always within the framework of a declaration of intentions and principles that must be translated into concrete policies. This seems to be what has prevented some from joining.
[ad_2]
Source link
