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Desde la Asociación para la Defensa de la Sanidad Pública de Madrid hemos realizado una evaluación de los resultados de los centros en los que se ha producido la reducción horario de citaciones hasta las 18,30 hs.
Esta evaluación se ha efectuado a pesar de las numerosas trabas puestas por la Consejería de Sanidad, que incluso en alguna Dirección Asistencial ha dado instrucciones de que no se faciliten los datos, en un claro afán por mantener la “transparencia” que siempre le ha caracterizado. Por otro lado se han producido retrasos en la implantación de la medida, por lo que cuando se hizo la encuesta un centro aun no había comenzado con los recortes.
Por ello solo hemos podido analizar datos de 11 de los 14 centros. En todo caso los resultados son “espectaculares” y confirman la sospecha de que el recorte horario produciría mas demoras en los centros. La tabla adjunta compara las demoras en las citas de medicina de familia y pediatría en la semana pasada en estos centros:
|
|
|
Mañana
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Tarde
|
|
Medicina de Familia
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Promedio días citaciones
|
2,54
|
4,72
|
|
MF
|
Porcentaje de citas >24 horas
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36,36%
|
72,72%
|
|
Pediatría
|
Promedio días citaciones
|
1,35
|
1,63
|
|
|
Porcentaje de citas >24 horas
|
27,27%
|
36,36%
|
Es evidente que las citaciones en el turno de tarde son claramente superiores a las del turno de mañana, tanto en promedio de días de demora como en el porcentaje de citas con más de 24 horas. Lo que demuestra lo que ya señalamos al instaurarse este cambio horario: se aumentaran las demoras, y eso que el modelo lleva poco tiempo en funcionamiento.
Entendemos que todos estos datos refuerzan la necesidad de acabar de manera inmediata con este nuevo sistema de citas y volver a la apertura total de los centros hasta las 21 horas para garantizar la accesibilidad y continuidad en la Atención Primaria.
Asociación para la Defensa de la Sanidad Pública
11 de Marzo de 2019
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