This end of 2022 has been the moment chosen by doctors from different autonomies, governed by different political parties, to say enough is enough.

They have been asking for improvements in labor, remuneration, organization, the size of the workforce for years... And although some communities such as Cantabria and the Region of Murcia have managed to reach agreements with the Administration in their respective territories, others maintain their protests and strike calls.

The main reason for

the stoppages in health centers on the situation of care pressure and lack of professionals in primary care.

However, other regions focus both on this care level and on the hospital level.

Madrid has been the first to light the fuse of these mobilizations and today it is celebrating its twelfth day of strike in primary care that could be prolonged if the meeting held today by the convening union, Amyts, fails to reach an agreement with the Ministry of Health .

She, and unless otherwise agreed, could be followed

by Catalonia, the Valencian Community and Aragon, which have already made their strike announcements effective for the first month of 2023

.

The Extremadura Medical Union, immersed yesterday in union elections, is pending to set the date of the strikes and in Andalusia, the union that represents the doctors has already started its calendar of protests with a concentration in Malaga demanding improvements in primary care that could culminate in a strike on January 27.

The doctors of the Foral Community of Navarra have also announced mobilizations, in this case for next February that could also lead to a medical strike.

In the Canary Islands, the Balearic Islands and the Basque Country, protests and strikes are not ruled out, and in Galicia, for the moment, a concentration has developed in the Vigo area.

CATALONIA

The Doctors of Catalonia (MC) union, the majority among doctors, has given the government of Pere Aragonés two months to sit down to negotiate and reach an agreement that avoids

a strike to which 25,000 professionals are called on the 25th and 26th of January

.

The central reproaches the Department of Health for its "ignorance and lack of control" over public health medical personnel.

"Quantifying and registering the doctors who currently work in the system is essential to plan the need for professionals in the short, medium and long term," says Médicos de Catalunya.

Precisely, this lack of professionals is one of the most pressing problems for the union and that "will be aggravated by the retirement of 9,000 doctors in Catalonia in the next ten years, according to medical demography studies."

The head office understands that this

generational change will not be possible if the working and remuneration conditions offered in the group are not improved

.

Among the list of claims, MC includes recovering the working day of 35 weekly hours and unifying the ordinary working day of all doctors in 1,533 hours per year;

make annual studies of workloads discriminated by specialties and work centers;

25-28 patients on average per day and 12 minutes per face-to-face visit;

that doctors can allocate a third of their day to continuing education, teaching and research, and eradicate job insecurity.

Valencian Community

The third week of January, specifically

the 17th and 18th, has been the date chosen by the Valencian Community Medical Union (CESM-CV) to call the strikes with those who demand "quality public health" and "recognition of the doctors"

.

A strike that could also be joined by the CSIF union, which this week has staged a protest outside the Ministry of Health to demand solutions to a system that "is deteriorating by leaps and bounds", reports Noa de la Torre

CESM-CV denounces, among other issues,

the lack of doctors, the collapse of health centers and hospitals

, "unaffordable" waiting lists, the total absence of protection in attacks on health personnel, "deplorable, with endless days", and "Third World or garbage contracts" remuneration.

The Minister of Health of the autonomy, Miguel Mínguez, has indicated that the community has made an effort with the creation of 6,000 jobs of which 1,475 would correspond to doctors.

Some figures that for the plant are not enough.

In the case of primary education, CESM-CV points out that only 18% of the places have been allocated to family medicine, while to pediatrics, a "meager" 1.6%.

The list of claims also includes a limit of 26 patients per day in family medicine and 20 in pediatrics, "with maximum quotas of 1,300 patients per family doctor and 800 per pediatrician."

Aragon

Days before the strike begins in Catalonia (if an agreement is not reached before),

the primary care doctors in Aragon will stop

.

The dates chosen are

January 23 and 24

, if before the government of the socialist Javier Lambán does not meet their demands, reports Javier Ortega.

The Aragonese primary care doctors

ask to attend a maximum of 35 patients in Family Medicine and 30 in Pediatrics

;

that breaks be guaranteed, not exceeding the established working hours limits, that their work be debureaucratic, reorganize staff and bet on family reconciliation.

They also demand to make the working day more flexible and unify the closing hours of the health centers at 5:00 p.m.

The crisis committee has drawn up a mobilization calendar, which includes a demonstration in the center of Zaragoza on December 18 and a concentration outside the government headquarters.

Andalusia

The Andalusian Medical Union (SMA) has already begun mobilizations to demand improvements in primary care.

The first of these took place last Wednesday with a rally in front of the Malaga Health Delegation, which will be followed by two more on December 16 and January 12 at the Palacio de San Telmo in Seville, seat of the Andalusian government.

The plant has already announced that, if no agreement is reached with the Administration, there will be a strike on January 27.

The demands of the SMA to the Junta de Andalucía include, among other issues, that the schedules be limited to a maximum of 35 patients a day, and that patients who exceed that number automatically go to the afternoon shift.

Estremadura

The Extremadura Medical Union (Simex)

has not yet set a date for calling a strike

due to the union elections that were held yesterday.

But everything indicates that the strike will take place, since the affiliates of Cáceres and Badajoz endorsed that possibility, after carrying out several acts of protest in front of the hospitals but with messages destined for primary care.

The work overload (they denounce that each doctor attends to about 70 patients a day) due to the

lack of personnel and the "delicate" situation of public health in Extremadura

, are the focus of their claims, reports David Vigario.

Navarre

Remuneration and work overload are the focus of the demands of the Navarra Medical Union, which has already announced

mobilizations for next February and an indefinite strike

that would begin that month if an agreement is not reached with the government headed by María Chivite.

According to the criteria of The Trust Project

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