2023-05-04 10:05:07
In the midst of a difficult economy, there are sensitive activities that are going through a critical situation. The sector of the health private It faces difficulties of all kinds, from financial to lack of personnel due to low income.
The camera Adecra+Cedimwhich brings together more than 420 institutions including clinics, sanatoriums, private hospitals, laboratories, and diagnostic and outpatient treatment centers, presented the 2022 annual economic report that warns of the “disorganization” suffered by the sector and proposes a series of policy guidelines public.
According to statistics from Idesa Institutewhich measures the evolution from 2012 to 2022 of the labor situation of people over 20 years of age in Argentina, of 12 million registered workers, only half are salaried in the private sector, which is the one that contributes the most to financing the social Security.
“Employment in the public sector dependency relationship and the monotax grew, but they do not constitute a genuine source of financing,” the report indicated, noting that what also rose is the indicator of adults over 65 years of age, “product of the aging process”, and that of informal employment.
“If the GDP does not grow, but the population does, there are more and more mouths to feed with the same amount of bread,” he warned. George Hilleconomic adviser to the chamber and head of the study.
In this scenario, financial inconsistency, poor regulations regarding Labor laws and the overlapping of national interventions in provincial and municipal functions are some of the biggest “disruptions” in the health system.
“The population with contribution derivation will be maintained, but it is not projected to grow significantly. The health sector should not wait for more resources to come from the side of the private salary, and the national and prepaid they will continue to stagnate”, he considers in the study.
Regarding the resources of the provincial social works, he points out that “they are not going to grow considerably either.”
“There will be more and more people to attend to with limited provincial public resources, which will not grow in line with the increasing demand of the population without medical coverage or with underfunded coverage that is treated at the public hospital,” he adds.
The study describes the current situation in private health companies due to the lack of financing and personnel: “Medical residencies in clinics and pediatrics are not covered, but those in specialties are filling up; caesarean sections are imposed instead of natural births to make more use of resources; and low physician fees and hospital fees make volume a vital resource for survival, but funders push these fees down.”
As part of the alternatives to order the system, from Adecra+Cedim assured that “the proposals to build a National system of health and/or to nationalize the health system” and stated that “a comprehensive modernization of the legislation is fundamental labor Argentina”. Likewise, they considered that, “on the basis of a more orderly public health sector, private providers could work in coordination in public-private articulation schemes with the provincial and municipal public sectors.”
This last point in particular will be dealt with in one of the panels of the V Health Congress, the event that will be organized by Adecra+Cedim on August 23 and 24 in the Buenos Aires town of Pilar, where more than 30 leaders of business management in the sector will debate.
Among other data, the report explains that “provincial obras sociales cover 10% of adults with 1% of GDP, while national ones cover 30% of adults with 1.5% of GDP. What the provinces allocate to public financing is not little, but it is managed centrally and without registers of people without coverage.”
On the other hand, the AMONG it covers a sector of the population that is growing more and more, but always with “the same financing rule”.
“11% of the population is over 65 years of age, the modernization of medical practice has become widespread and in the last decade the irruption of biological medicines has put health systems around the world under financial stress,” the work specifies. .
Another distortion of the system is given by the difference in the public policy agenda of the health centers depending on the province in which they are located: “Private health care institutions CABA their relationship with prepaid companies is almost a monopolistic agenda item, while in the rest of the provinces (except for the Conurbano, Córdoba, Santa Fe, Tucumán and Mendoza) private organizations focus centrally on provincial social work and AMONG.”
“Private health providers are stifled by low fees and tariffs, and the need to financially sustain a very expensive technological medical structure. They respond efficiently to the restriction of resources, but they are the last link in the medical care production chain, the one that suffers the most from this lack of resources when they are in charge of the patient”, warns the report.
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