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Archive for 11 julio 2013

Efficacy in the provision of care coupled with efficient use of scarce resources is the goal of any social and health care system. Or is it?

Governments feel hijacked by their constituencies. They feel the need to provide quick answers to problems that, in most cases, their constituencies are not even aware of. Politicians feel the need to do something, and that something has to be readily visible. If you were an average  politician, what would you prefer? A front page picture in the paper of the inauguration of a hospital, or a long interview in the middle pages explaining how you have bet on primary care? You can fill in the blank ________________.

And yet, we all use a lot more primary care services than those of an acute hospital, no matter if we are young or old. We rely for our well-being on proximity services: social and health primary care. Only on extreme occasions do we use an acute setting.

Furthermore, primary care is focused on prevention, as opposed to remedial actions provided by acute hospitals. To top it off, prevention is recognized as the basic pillar of efficacy in care and efficiency in the use of resources.

And then, why is it that prevention is the black swan of care? I can only think of one answer and it is not a pretty one: our politicians need quick fixes and they have neither the knowledge nor the willingness to confront complicated problems.

Can we do something about this? I would like to think that we can. The constituents, or in other words the professionals and users of the socio-health system, should make their voices heard loud and clear: we would like a system that helps us to prevent ailments, not a system that only takes care of us when it is too late.

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