/cloudfront-eu-central-1.images.arcpublishing.com/prisa/NLD5AEQJZAU5OATF62QGGD5DHY.jpg "The pandemic sums up the primary attention in a permanent saturation | Sociedad")
The primary care facilities are within the limits of their services. “Agotados”, “desanimados” y “extenuados”, herhaal una y otra vez. In the first case, there was a wall of contention against the epidemic; in the second, vigidas de covid a pie de calle and centinelas de las residencias. And while trying to get rid of the virus, he also took part in the evacuation and alert campaign against the diseases caused by the pandemic. In recent years, the assistance provided by the sanitation crisis has been recruited and health centers have been set up in a state of permanent saturation. “Everybody has the most resources and the same resources,” said José Polo, spokesman for the Spanish Society of General Practitioners (Semergen). And this is an invoice: to the professionals, who note an assessment of their mental health, and to the patients, who are pierden by the truck or late and have been consulted.
In the waiting room of the Creu Alta de Sabadell primary care center, Josefa Cerezo, for 76 years, and his wife Marga gave the time for no part. ‘My ha costado venir. To communicate with the health center it is difficult because the phones are saturated. It has a sciatic nerve and will help you get rid of acne. I want to check the tension “, Josefa explains. Apenas has patients in the hallways. To avoid contact and optimize resources, make telephone consultations and attendance at presentations. Geen hooi tanto bulicio en las salas de espera, pero de puertas a dentro de la consultant, el rhythm es frenético. “The access has changed, but the only ones waiting are asking that it is not serious, as an urinary tract infection, in the chronic patients and the following in the final stages of life at home domination,” explains Ángeles Zamora, center nurse. In the plant it is, in addition, the covid zone. “In the first ola venian cases more serious. Now there are more family contacts, but more lives. “The people who keep themselves alive are free from the virus and come to be assisted and cared for,” said Laura Estirado, who was imprisoned in a single and double mask of protection.
The primary concern is the door to access to the sanitation system, but the pandemic has created a source of difficult bottlenecks of salvage. The workloads have been multiplied: in addition to the cargo of detection and control of cases with covid-19 and its contacts, the doctors and nurses of family visits to its habitual patients, recovering water that the pandemic has two days, hacen Domestic and palliative care consultations, coordinate the attention in the residences of its reference area and sum up the evacuation, flu and covid camps. All, advierten, with cases the same remedies that antes of the pandemic. “Tal y como estamos es casi impossible asumirlo todo. The nursery has up to 130 million consultations and the vacancy of covid-19 to the general population involves 50 million more consultations. Es decir, significant increase in 50% activity. Necesitas recursos ”, according to Salvador Tranche, president of the Spanish Society of Family and Community Medicine.
Sanitary and non-abstinence sanitation do not seek to aggravate the circumstances of a sector that has been affected by the reports since 10 years ago. “Antes de pandemia calculamos que hacían falta 15,500 enfermeras más en attención primaria. Now, the only carencia in nursing is bestial. It is imperative to increase human resources, ”said María José García, spokesperson for Satse. Read the information from the Organización Médica Colegial (OMC), the party for public health reduced by 8,636 million euros (12.24% less) from 2009 to 2014. Pero en la atención primaria el tijeretazo fue más duro, del 16.17% (1,742 million menus). “We have the agendas and people’s agendas for psychological problems. The precaution and increase. As is the case here, primary care should not be taken, ”lamented Maria Justicia, head of primary care at the Amyts Medical Union.
The eye of the third one wanted to put it in the health centers. Tienen has more experience, diagnostic resources (can test, which in the first place on the podium) and protection teams, but lacks manos. “We are absolutely disembarked and overwhelmed,” said Rosa Magallón, president of the Spanish Red Cross of the Athens Primary School of Public Health (Sespas).
And so it is, above all, in the access to the patient system covid. Some are well-groomed and have chronic, more compensated clothes. Others, lost in the midst of the bureaucratic entanglement, are not safe and sound. “The diagnostic tests that take place are bestial. We have hospitalized patients who are retarded and our tumors are found to have very advanced or important changes in quality of life due to some pathology ”, advises Tranche. The interventions he paid 36% in the first semester of 2020 with respect to the same period of 2019 and the demonstrations were lost – the media hope for a prosthesis of rodilla is 183 days, for example—. “We have many queues of patients for retrospective trials and surgeries. A cataract is not an urgent pathology, but the patient is alive, ”said Polo.
Signal tranche that access failure, league to sanitation precaution, which provokes much staff mobility, assistance continuity failure, primary care key clause. Magallón val saam: “Those who double turn, are patients who do not know the discontinuum [la discontinuidad] assistant and producer retrasos. Because we do not have time to see well in patients. Other retrievers also produce because they do not want to go to the sanitation centers ”.
The patient charter has turned the applause of the accused into reproach. “The crowd is covered. Nos riñen porque no se sinten attendidos ”, asume Tranche. “Están huraños, enfadados y rebotados”, tercia Polo. Without embarrassment, Zamora states that her activity “is not uncommon, we are safe”: “We are assisted, we will lose accessibility”.
Sanitary wards
Work in an atmosphere of continuous assisted care that is unheard of for professionals. “We should consult the antes and salimos at the time that can be. Nadie nos lo pide ni nadie nos lo retribuye, pero lo hacemos. Y eso te va quemando. Hooi mucha sobrecarga. The professionals are desperate and willing to work as friends, ”said Cándido Pequeño, head of the Salud de Cee Center, in A Coruña.
The research studios of the Hospital del Mar de Barcelona reveal that at the meeting of the sanitary professionals present a huge amount of mental trauma caused by the pandemic. “There is a percentage of people who have the highest levels of sanitation that are both antipsychotics and antidepressants and a lot of pain for post-traumatic stress disorder,” said Maria Justicia. In the opinion: “We are not an elastic band. The humanitarian and human beings are already staring, some of us are going to be robbed ”.
Las olas que vendrán: mental health and patient patients
The primary care professionals auguran months difficult. Although the epidemic curve is changing, there are other oil, so all, due to the impact of all these water-borne conditions — for the system or the duration of the patient proposals — to cause the pandemic. “The oil of mental illness, chronic pathology is compensated and pathology is subdued and afflicted. Although assistance activities have been maintained, we have lost preventive activities, as have cancer rates, ”said Salvador Tranche, president of the Spanish Society of Family and Community Medicine.
In addition, the sanitary facilities hope for a new patient profile, now known: persistent people, who present very unspecified symptoms, from cancer and fat have osteomuscular pains, and which have only one joint in common. “It’s because we’re all there to be, but we’re emphatic to leave and there are many who are prolonging it. There are many cases of difficult management because there is much to be done with them, there is no treatment, ”said Carlos Eirea, Vice-President of the Galega Association of Family Medicine and Community Medicine. For now, attention to these cases is shared with hospitals. “His new patients for all, but our preoccupation can be converted to chronic patients and has no treatment”, val saam María Justicia, of the medical union Amyts.
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