Health, more investment and reduce waiting lists
The problems of public health in the Canary Islands are not different from those of the rest of the country, but on the islands the indicators that determine the quality of the system are between last posts in the ranking of the seventeen autonomous communities.
With waiting lists above the state average, insufficient human and technical resources, and a shortage of beds, health care has established itself as one of the biggest worries of Canarian citizens, only behind unemployment.
The latest annual report of the Federation of Associations for the Defense of Public Health (FADSP) notes a global worseningl -partly derived from the collapse suffered by the system due to the overload of the pandemic- which is evident in the service as a whole and especially in the primary care.
Political parties are aware of the need to improve the public health system, under regional jurisdiction, and give health a relevant place within of the proposals that they carry in their electoral programs for the 28M.
As the party that has presided over the Government of the Canary Islands in the last four years, the PSOE begins by recalling the effort made to attend to the covid pathology, without closing health centers and with a insole reinforcement of more than 7,000 professionals who have remained to continue with the care demand of non-covid patients.
The PSOE also highlights that between 2019 and 2023 it has increased the budget for health, 18.3%, with nearly 700 million more. With 3.8 million euros in 2013, the Canary Islands is the second autonomous community that has increased its budget the most and already exceeds the national average for health spending per inhabitant.
For the next legislature, the Socialists undertake to continue increasing investment in health with the forecast of reaching the 10% of GDP.
Regarding the care model, the PSOE is committed to a change to adapt it to the new demands of patients, derived from a population aging progressive and an increase in chronicity. To this end, it proposes promoting home care both from primary care and promoting hospitalization at home.
With the objective of reducing waiting lists by a minimum of 40% and achieving an average delay less than 90 daysthey propose to process a law that guarantees its compliance.
The creation of new positions and the stabilization of personnel every three years through Public Job Offers These are the measures proposed to strengthen the professional workforce. The forecast is that in the next four years the stabilization of 19,282 public employees of the SCS will be completed.
The PP rejects any attempt to discredit public health, which it considers "absolutely unjustified" and to alleviate the specific problems it proposes a rescue plan of public health in the Canary Islands, which includes the reduction of waiting lists health services by establishing maximum terms and annual audits, improving emergency services by promoting agreement in times of peak care, and strengthening health and social health infrastructures and improving chronic care with alternative hospitalization systems and greater use of ICT (telemedicine, e-health).
The rescue plan of the popular also includes the booster of primary care -with measures such as improving out-of-hospital emergency services so that they can function 24 hours a day-, promoting biomedical research and preferential care for patients with special needsmental health oncology and child population.
An outstanding chapter in the PP program is the one dedicated to the humanization of healthwith a determined commitment to a palliative care strategy, the implementation of "friendly" hospitals to improve the stay of patients, the improvement of urgent medical transport and the implementation of an effective system of expenses to be compensated for patients and their relatives in reference hospitals outside their municipality of residence, together with the improvement of chronic pain and palliative care units.
The nationalist formation highlights that the Canarian health system has been extremely stressedespecially in the last two decades, due to population growth that is twice the Spanish average and due to ageing: the population over 65 years of age increased by 89% on the islands, compared to the rest of the country that did so. did by 19%.
CC proposes to undertake a health reform prioritizing the investments in social servicesto equalize the care received by people in need regardless of their social background and place of residence.
In their program they carry the review of the organizational model and resource allocation of the health system based on the new post-pandemic needs and analyze the need for specific rehabilitation centers and chronic patients, whose health care needs exceed those offered by the centers, in addition to adopting the necessary decisions so that mental health and addiction services improve their endowment, catalog of services and organization.
The nationalists propose update the health map of each one of the islands so that it responds to population growth and distribution and to adapt and increase the health infrastructures to bring care closer to people, especially in non-capital islands.
CC also claims the correction of the financial insufficiency by the state government with a financing model adjusted to the special circumstances of the Canary Islands, and undertakes to multiply investment in the public health system in primary care and specialized care, adding the resources of the agreement.
The canarian formation considers that the coronavirus pandemic showed the capacityd of the health system, but also the need to strengthen it, for which it is committed to reaching a great social and political agreement on the future of health, to make it sustainable and generate more satisfaction, both among health personnel and in Canarian society.
Regarding the deficit of professionals, he proposes improving both the motivation such as participation in innovation and, above all, taking advantage of all the teaching capacity to train new professionals.
With primary care as the axis of the system, NC proposes the creation of Primary Care Emergency Centers (CUAP), such as establishments that attend health emergencies; equipped with radiography, basic analysis, ultrasound, minor surgery and other elements that allow immediate high-resolution attention, reducing the care pressure of the hospitals.
They also plan to create Sanidad Canaria Responde, as a center of digital health care that allows health care and consultation to be attended by telephone, social networks and teleconference, as well as non-face-to-face health care as a complement to face-to-face care.
United Yes We Can
The alliance led by Noemí Santana points to primary care as a fundamental pillar of public health and proposes that the current model stop revolving around hospital specialties to revolve around community health.
Among the measures he proposes is the establishment of a minimum consultation time in each category of services provided in primary care centers: as a general rule, there will be a progressive trend towards a minimum duration of 10 minutes per face-to-face medical consultation.
In this line, they undertake to dedicate the 25% of health spending to primary care. With regard to hospital care, they propose an unavoidable commitment for the new legislature to improve the reduction of waiting lists, both for specialties and surgical ones, reinforcing and consolidating the template of professionals in all hospitals on the islands.
Unidas Sí Podemos has in its program a section dedicated to the feminist healthcarein which it undertakes to guarantee compliance with the laws that guarantee specific health rights for women, beginning with the right to voluntary termination of pregnancy in nearby public hospitals, at least one on each island. Also in the right to assisted reproduction and a dignified birth avoiding obstetric violence.
They also propose promoting and promoting studies and research in health with gender perspective against scientific androcentrism and promote the training of health personnel to introduce the perspective of sexual and family diversity in health care.
Regarding the endowment of resources, they propose promoting a regional health lawthat guarantees a minimum annual investment of 8% of GDP, taking into account the criteria of inclusion, social and territorial equity. And at the same time rationalize the pharmaceutical expense and deprivatize services such as ambulances and diagnostic tests or hospital meals.