La desconfianza en la huelga de atención primaria firmada por la salud y el Cematse
The director general of health, Ana Castillo, and various representatives of the Cematse Union signed an agreement on Saturday morning allowing for the strike of primary care on March 31 and the following day.
The general manager expressed satisfaction with the agreement reached and believed that a new negotiation process was beginning, which would be very fruitful for the overall health of Aragon. «We will create different working groups to reach a consensus and a lasting project for primary care,» he said.
The agreement allows for a two-month period to bring positions closer together, without exhausting them. The general manager stated, «We will try to expedite and reach an agreement as soon as possible because we believe that both Zaragoza and the citizens of Aragon will benefit.»
Health has promised to temporarily halt the processing of Decree 59/1997 starting on April 29, issued by the government of Aragon, which approves regulations for the operation of primary care teams in the autonomous community of Aragon.
«The most significant obstacle to negotiation that has been addressed has been overcome, but it is a reform that must be carried out and unions are aware of it. We cannot continue with regulations from ’97 when we are in a completely different environment today, including urban growth and healthcare,» stated Castillo.
Furthermore, health guarantees that current working conditions are maintained during this suspension. Additionally, the commitment to pause the proposal to improve the urgent primary care request (DUAP), a health project that included changes in continuous care in the urban area of Zaragoza, due to the current shortage of professionals.
The new agreement establishes the formation of a working group with the signatories of this agreement to reach necessary agreements over two months for the new organization of continuous care in Urban Zaragoza, without excluding the creation of other working groups for studying similar models, working conditions, and remuneration.
Subsequently, the study of continuous care in the rest of Aragon will continue. The resulting text from the conclusions of these groups will be brought to negotiation.
The agreement also ensures the granting of continuous care exemptions for those over 55 who request it, and it states that this year will see the creation of new positions for family medicine, pediatrics, and specialist family and community healthcare in primary care.
Cematse acknowledges that, given the current lack of doctors, a different continuous care organization system is necessary. Until the new organization of continuous care in Urban Zaragoza is established, the current system will remain.
Concerning drug and medical assistance personnel currently working in continuous care teams (Mac and EAC), their situation remains unchanged while negotiations continue. The health department’s goal is to integrate these professionals into primary care.
Moreover, despite this agreement, health continues negotiations with all union organizations representing workers to establish working groups for the future organizational model of primary care.
The signed text establishes that any modifications to primary care regulations proposed by the Health Department must be negotiated and agreed upon by professionals through their representatives.
Regarding the economic cost of a different future model, Cematse insists on negotiating remuneration. Finally, the agreement stipulates that the government of Aragon commits to studying the economic impact of new actions resulting from these negotiations and implementing them accordingly.
The agreement is signed by Leandro Catalán Sesma, María Cruz Oliván Lacasa, Mercedes Ortín Ferrer, Ana Isabel Asín Sofín, Asun Gracia Aznar, Félix ÚBELA PÉREZ, LAIA CELA, VANESA SERRO MARTÍÁ MARTÍLEZE, CELTRÍA, CELTRÍA CLELTRÍA CLELTRÍA, CLATÍ Mariano Lozano Pasamar on behalf of Cemsatse.
FUENTE
