María Jesús Calcedo, Francisco Jesús and Amparo Fernández de Simón.
The Minister council has approved this Tuesday the Law Project by which the Organic Law 2/2010, of March 3, of Sexual and Reproductive Health and Voluntary Interruption of Pregnancy. The regulation is loaded with novelties, among which the right to temporary sick leave for women with painful periods. A new procedure that directly impacts the operation National Health System (SNS), specifically in relation to the management of casualties. A task before which Primary Care requested a collaboration in which neither Gynecology nor Emergencies seem willing to participate.
Before the number of sick leaves assumed by family doctors, from the Primary Care Forum A series of proposals to free them from bureaucratic overload were already raised before the regulation was approved, still pending completion of its parliamentary process: the patient self-lowering o to involvement of the gynecology and emergency services. Far from picking up the glove, the professionals of both disciplines reject this competition, considering that the current legislation does not allow it.
This has been revealed Maria Jesus Cancelovice president of the Spanish Society of Gynecology and Obstetrics (BLESSING) and head of the Gynecology and Obstetrics Service of the Guadalajara Hospital, who assures in statements to Medical Writing that “the Family doctors are the only doctors who can process a temporary incapacity for worka concept under which the period pain“.
In fact, Cancelo stresses that “the participation of gynecologists it is limited to diagnosing why this woman has pain with her period, establishing treatments to improve this symptomatology and, if it does not improve, sending the patient to her Primary Care doctor to manage the temporary incapacity for work “.
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Amparo Fernández de Simón: “Emergency physicians cannot process the temporary leave of women with painful periods” |
An opinion that he also shares Amparo Fernandez de Simonpresident of the Spanish Society of Emergency and Emergency Medicine (Semes) Andalusia, with this medium. For the specialist, “the management of Temporary leave of women with painful menstruation It falls solely and exclusively on Primary Care doctors, so the Emergency Department doctors cannot process it”.
Bureaucratic ‘war’ to manage casualties for painful rule
Faced with the bureaucratic burden, predictably increased now, involved in the management of sick leave Primary Carethese specialists have warned that “as of 2023, no family doctor is going to issue a discharge report for a patient who is admitted to the hospital or under observation in the emergency room”, as pointed out by Francis Jesus Saezrepresentative of the Spanish Society of General and Family Physicians (SEMG) in the Primary Care Forum.
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María Jesús Calcedo: The rules for painful sick leaves concern Primary Care, “so the Spanish legislation says” |
To make this determination, the Primary Forum alleges that “the IT management legislation of 2014 makes it very clear that any optional of National Health System (SNS) who assesses the patient is the one who has to issue the sick leave. However, this is not carried out by hospital doctors.”
However, for the vice president of the SEGO, the management of casualties due to painful rules is a task that concerns only Primary Care, not because gynecologists do not want to assume it, but because “so says the spanish legislation“. In this sense, Calcedo emphasizes that “in order for gynecologists to be able to process sick leave due to painful periods, the first step that must be carried out would be the modification of current legislation and, after this, agree that hospital doctors can also manage them,” he concludes.
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