WONCAEurope2010: Una torre de babel de Médicos de Familia

WONCAEurope2010: Una torre de babel de Médicos de Familia

Los días 6 , 7 y 8 de Octubre se celebró el congreso WONCA Europe 2010 en la localidad de Málaga. Esta ciudad fundada por los cartagineses acogió con éxito el congreso de muchos médicos de familia de toda Europa con aportaciones de médicos del resto del mundo.

Con una asistencia final de unos 3000 médicos de más de 40 países distintos el palacio de congresos se convirtió en durante unos días en la torre de babel de la Medicina de Familia.

La oferta de múltiples “workshops” y conferencias, junto a las múltiples conversaciones en un comedor con centenares de meses redondas , permitieron intercambiar el estado de la asistencia primaria entres los diferentes asistentes.

De los cuatro temas principales del congreso , dos se referían específicamente sobre algunos de los temas favoritos de UniversalDoctor: Cómo adaptar la atención sanitaria a una sociedad cada vez más multicultural y en segundo lugar las migraciones de los propios médicos dentro del espacio europeo.

En un post que editaremos próximamente, explicaremos cómo se desarrollaron dos workshops donde se  explicaron temas relacionados con la educación y la atención sanitaria a los colectivos inmigrantes. En un workshop catalogado de muy interesante por los asistentes , la Dra.Miriam Navarro explicó como desde el Hospital Ramón y Cajal de Madrid (España) han creado un equipo que es capaz de incidir en la educación de muchos inmigrantes en todo el territorio español , junto con la ayudad de diversas ONGs. En otra sesión la Dra. muijsenbergh explicó como la asociación Pharos contribuye en Holanda a crear, estudiar y difundir el conocimiento  necesario para atender mejor a pacientes de cualquier rincón del planeta.

Como el espíritu de nuestro blog es el de prestar la máxima atención a la diversidad en la comunicación y la salud, os dejamos con el “statement” , en inglés,  que las organizaciones semFYC ( Sociedad Española de Medicina Familiar y Comunitaria) y la  WONCA (Organización mundial de Médicos de Familia).

The Malaga Statement:

A joint policy Statement by semFYC and WONCA

Primary care as a sustainable way to improve the efficiency of national health systems

Thirty years ago , developing primary health care was presented as a need for health systems that sought to promote a series of values, principles and approaches aimed at improving public health standards.This new care model, which has been gradually introduced in all countries and has helped to improve equality, accessibility and efficiency, is base on a holistic vision of health which goes far beyond the limited medical model. As a result, several goals are achieved: improved health , decreased morbidity, increased equality and a substantial rise in the efficacy and efficiency of health systems.

The problem lies in the fact that health systems and health promotion programmes have become a mosaic of disparate components. This is true, particularly  , in the rich countries , where there is excessive specialization and where often , primary care is not the axis around which the health system revolves. Resources are largely reserved for hospital services , and health promotion and prevention activities are neglected. In short, such health systems are less efficient and effective than they could be.

Growing challenges , such as population ageing and the enormous impact of chronic illnesses, new emerging diseases and the recent pandemics  that the world has suffered show clearly that health models need to undergo a substantial change in direction if their sustainability is not to be compromised.

Primary care provides a way of ordering and organizing health care as a whole through a community –base vision in which health prevention and promotion and a holistic approach to illness are paramount.

This is line with the World Health Assembly resolution WHA 62.12 called “Primary Health Care, including health system strengthting”

As a result, primary care forms a sustainable, evident and efficient way of resolving health and health care problems. The above description shows clearly that primary health care is the ideal field in which future family doctors should learn their profession. Consequently, the education and university systems be structured appropriately in order to provide a response to his need.

For this reason,  Wonca Europe calls on European state governments that are currently making budget adjustments to make primary care a priority gateway to their national health systems, and to adjust their health care expenditure in line with this goal.

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