Feel Nauseous After Zipfizz

many shadows and few lights in the privatization of the public health agendas

D. VICENTE RUBIO Bigorre, Medical Family Health Center Guadassuar and D. M iguel MORERA LLORCA , family physician Algemesí Health Center, Board members of staff, wrote an article in professional journal The Doctor (03/12/2004) that can be read on pages Sindicat website or Doctors of Public Health ( http://www.simap.es/muchassombras.htm ) in analyzing the operation of the Area 10 and the Hospital de la Ribera.
is a very interesting study that should be read carefully.

start saying

• in April 2003 took place in the Health Area No. 10 in the Community Valenciana a important fact: the primary care management passed into private hands, as had occurred 4 years earlier with specialized care, the opening of the new hospital. Thus, private enterprise assumes, both qualitatively and quantitatively, an unprecedented prominence in the English health: a whole area of \u200b\u200bhealth with their hospital, more than 250,000 people attended and a 15-year government concession to a Joint Venture Company (UTE) for profit. As established by the Health Department Commissioner will feature a joint venture, which will ensure the maintenance of benefits health, under the portfolio of services, which the Administration is secured, and according to established quality criteria. Public financing and private provision: the classic speech, sponsored for many years by the government of a particular party, which has materialized another government, of opposite sign.

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And end with the following:

• All this leads us to ask ourselves whether, given the enormous market posed health care population, stable market and future, and huge assumed management responsibility is not easy to transfer management to private management and exercise only control functions.

• face the dilemma of the superior efficiency of private management of health care we wonder about the result townhouse annual comprehensive audit to be made by the Generalitat Valenciana (on their own or others' .)

• We wonder about the first results of monitoring of the Joint Commission and the Commissioner .

• We wonder whether private management in our community is going to be a kind of experiment in various health areas.

• We wonder about the formula for managing the new hospital de la Plana (Castellón), whose start-up, 22 October 2000 was because after the Bank.

• We asked about the ratio s camas/1000 inhabitants compared with other areas of the Valencian or English Communities (eg in area 2 Hospital La Plana, Castellón, cited earlier, ratio is 1.2 per thousand inhabitants), we present addition to the referral hospital that is the General Hospital of Castellón, while the Hospital de la Ribera with 1.07 is itself by its service portfolio referral hospital.

• We wonder why the weakest element of the system, the health worker or not, whether in Spain and the health we enjoy the honor of having a wage, compared with countries around our lower If private management is or will elaborate on this honor.

• We wonder, with some references dissenting which will definitely be public offer of employment in the area 10 , earrings resolution. We would also ask for the incorporation of new professionals, either directly by the private management of public money, does not respect the principles of access to the public. Nor is there any job vacancies.

• We wonder if the city does not care who runs, but as his health is managed.

• We wonder if the prod uctividad prevail over all things loads such assistance and consultation time, some early morning appointments for radiographic examination in an outpatient.

• We asked about studies on the costs "indirect" patients with shorter average stays, it is clear that the health manager has what it costs to him, and is worthy of return on scarce resources but from the point of view of society as soon as or costs to society and family home care .