2024-01-02 14:30:00
The increase in cases of flu, covid and other respiratory diseases keeps Spaniards in suspense in the middle of the Christmas festivities. And with them a Primary Care, already stressed in itself, that resists the query volume in the last days of the year. A situation that professionals have highlighted, highlighting the inconsistency of the recommendations that are usually offered by the professionals themselves on these dates: “Do not go to work with symptoms, but if they are mild, do not go to the health center either.” so as not to overload.” Is this an opportunity to re-debate the auto shop?
It is the dilemma posed by the nurse Héctor Castiñeira, which reminds that proof must be presented at work whenever the employee is not going to work. Better known as Saturated Nurse, in his X profile (former Twitter), he reflects on the solution: a “responsible declaration” -as they already do in many European countries- to “Be able to be absent for 3-4 days for minor processes that you can treat at home. But as long as that doesn’t exist here, the patient has no alternatives“.
A few months ago, the Primary Care Forum raised the possibility of giving the worker the ‘power’ to issue a self-discharge of up to three days duration due to common contingencies given the “difficulty of access” to Primary Care and thus avoid queries to obtain a “immediate” medical certificate. However, this is an alternative that many patients rule out because of “society itself” and that Familia considers as a “tricky” issue, since, as there are still no regulations at the state level in this regard, it depends on each company.
Make self-discharges viable in the SNS
As explained by family doctor Juan Sergio Fernandez a Medical Writingduring the strong time of the pandemic In some autonomous communities, a normative which allowed the worker to request self-discharge. But currently, “there is no regulation that supports the absence from work and that can be justified by the employee himself.
With the debate on the table about whether it should be considered make the model viablethis specialist affirms, emphatically, that “yes, without a doubt.” “I want to think about the patient responsibility and employers in the sense that they should trust them when a worker calls their company and says they have a fever of 40. That should be enough, at least, for him to missing for three days to work with this self-justification. From the fourth day onwards it would be medical intervention necessary that would justify a longer absence,” Fernández stressed.
This measure would be a way of relieve care pressure who live Emergency services, both from health centers and hospitals. “This regulation would not only be viable but desirable to avoid these collapses.” In Andalusia, as this doctor added, the Emergencies are “completely saturated” after 3 p.m., which is the time when these services begin, and where there is already 15 to 20 patients with a flu case waiting. “They are 90 percent of the cases,” he detailed.
But, if in a hypothetical case If this regulation were to come back, there would also be workers who could take advantage of it. In this sense, Fernández has highlighted that he believes that “the vast majority not going to lie”, but it must be recognized that some people can use this “escape” route to justify an unjustified absence from work. “Statistically there will be some who do lie. “We are not going to fool ourselves,” he acknowledged.
In this sense, his colleague Marga Jaume believes that “we must be aware of where we live.” “I don’t know to what extent people could also invent symptoms,” adds the specialist. However, despite considering it a “double-edged sword” she also sees it as “viable” and very interesting to relax the Primary at this time. To make it safer for the patient, she believes that it could be complemented with other measures that ensure the veracity of the symptoms. “For example, the Pharmacy offices They already helped during the pandemic, you can request to attach a photograph of the positive test of the positive person carried out there to verify that you are not knowing that you are inventing the symptoms and that the system issues the sick leave for the specific days necessary. the system issues the leave for the specific days needed,” he notes.
Self-discharge for chronic pathologies
The family doctor of the Balearic Islands considers that a pilot project at the level of seasonal respiratory pathology as a way of testing. “If we later see that it is viable, we would extend it to other minor pathologies, such as migraine,” he points out. “I have a patient who has migraine attacks Every so often they incapacitate her so much that she can’t even take the car, if for any reason she can’t contact the health center I can’t cancel her because it doesn’t appear. I know that she is not cheating on me, that she only needs two days and I see that being a chronic illness is a good example. ”
Although it may contain statements, data or notes from health institutions or professionals, the information contained in Medical Writing is edited and prepared by journalists. We recommend the reader that any health-related questions be consulted with a healthcare professional.
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