{"id":436782,"date":"2020-09-24T13:54:03","date_gmt":"2020-09-24T11:54:03","guid":{"rendered":"https:\/\/slf.se\/dlf\/?p=436782"},"modified":"2021-09-21T19:01:32","modified_gmt":"2021-09-21T17:01:32","slug":"oppet-brev-den-medicinska-kvaliten-ar-minst-lika-viktig-i-glesbygden","status":"publish","type":"post","link":"https:\/\/slf.se\/dlf\/nyheter\/oppet-brev-den-medicinska-kvaliten-ar-minst-lika-viktig-i-glesbygden\/","title":{"rendered":"\u00d6ppet brev &#8211; Den medicinska kvalit\u00e9n \u00e4r minst lika viktig i glesbygden"},"content":{"rendered":"\r\n<p><strong>Den medicinska kvalit\u00e9n \u00e4r minst lika viktig i glesbygden<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Svenska Distriktsl\u00e4karf\u00f6reningen inst\u00e4mmer helt med Centerpartiet att:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\n<li>andelen av befolkningen som har fast v\u00e5rdkontakt \u00e4r f\u00f6r l\u00e5g<\/li>\n<li>det borde vara en sj\u00e4lvklarhet att alla inv\u00e5nare har r\u00e4tt till fast l\u00e4kare<\/li>\n<li>reglerna f\u00f6r att driva h\u00e4lsocentraler ska vara enkla<\/li>\n<\/ul>\r\n\r\n\r\n\r\n<p>Svenska Distriktsl\u00e4karf\u00f6reningen vill se<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\n<li>en utveckling som fr\u00e4mjar framv\u00e4xten av fler sm\u00e5 v\u00e5rdgivare i glesbygd och p\u00e5 landsbygden<\/li>\n<li>att regelverken f\u00f6r v\u00e5rdgivare \u00e4r utformade sa\u030a att sm\u00e5, medelstora och stora v\u00e5rdgivare f\u00e5r lika goda m\u00f6jligheter att etablera sig<\/li>\n<li>att det kommer riktade statsbidrag till glesbygden, till exempel ekonomiskt st\u00f6d vid nyetablering<\/li>\n<li>en l\u00e5ngsiktig planering p\u00e5\u030a minst 5\u201310 \u00e5rs sikt f\u00f6r att skapa stabila f\u00f6ruts\u00e4ttningar n\u00e4r det g\u00e4ller kapitering och finansiering<\/li>\n<li>att \u00e4ven hitta andra sett att attrahera den yngre generationen och blivande specialister i allm\u00e4nmedicin till glesbygd (t.ex. avskrivning av studiel\u00e5n, h\u00f6gre l\u00f6n eller olika st\u00f6d till individen i form av boende, handledning, m\u00f6jlighet till individuella l\u00f6sningar, inflyttningsbidrag och hj\u00e4lp med jobb f\u00f6r medf\u00f6ljande)<\/li>\n<li>att ers\u00e4ttningssystemen utformas p\u00e5 ett s\u00e4tt som utg\u00e5r fr\u00e5n uppdragets storlek och omfattning, s\u00e4krar konkurrensneutralitet, l\u00e5ngsiktighet och styr mot kvalitet.<\/li>\n<\/ul>\r\n\r\n\r\n\r\n<p>Centerpartiet f\u00f6resl\u00e5r att den fasta l\u00e4karen inte beh\u00f6ver vara specialist i allm\u00e4nmedicin, att det inte heller beh\u00f6vs allm\u00e4nl\u00e4kar- och distriktssk\u00f6terskekompetens p\u00e5 varje h\u00e4lsocentral.<\/p>\r\n\r\n\r\n\r\n<p>Vi \u00e4r fullt medvetna om att det finns brist p\u00e5 specialister i allm\u00e4nmedicin.<\/p>\r\n\r\n\r\n\r\n<p>Men att s\u00e4nka kravet p\u00e5 utbildning kan inte p\u00e5 n\u00e5got s\u00e4tt l\u00f6sa prim\u00e4rv\u00e5rdens tillg\u00e4nglighetsproblem. Det kommer skapa \u00e4nnu st\u00f6rre strukturella problem, bland annat \u00f6ka belastning p\u00e5 sjukhus och akutmottagningar. <strong>Studier visar tv\u00e4rtom att fast l\u00e4karkontakt med specialist i allm\u00e4nmedicin minskar v\u00e5rdbehovet och \u00e4r resurssparande.<\/strong><\/p>\r\n\r\n\r\n\r\n<p>Under en \u00f6verg\u00e5ngsperiod beh\u00f6vs listning p\u00e5 ST-l\u00e4kare i allm\u00e4nmedicin i slutet av sin utbildning och specialister i den prima\u0308rva\u030ardsna\u0308ra verksamheten. De kommer arbeta tillsammans med specialister i allm\u00e4nmedicin p\u00e5 h\u00e4lsocentraler f\u00f6r att uppn\u00e5 ett rimligt antal listade inv\u00e5nare per l\u00e4kare tills ett tillr\u00e4ckligt antal nya specialister i allm\u00e4nmedicin hunnit utbildats.<\/p>\r\n\r\n\r\n\r\n<p>Under en \u00f6verg\u00e5ngsperiod f\u00f6resl\u00e5r vi<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\n<li>Listning p\u00e5\u030a andra l\u00e4kare a\u0308n specialister i allm\u00e4nmedicin, som ST-l\u00e4kare i allm\u00e4nmedicin i slutet av sin utbildning och\/eller specialister i prima\u0308rva\u030ardsna\u0308ra verksamhet, eftersom det f\u00f6r n\u00e4rvarande finns f\u00f6r fa\u030a specialister i allm\u00e4nmedicin f\u00f6r att uppn\u00e5\u030a ett rimligt antal listade inv\u00e5nare per l\u00e4kare.<\/li>\n<li>Att ST-l\u00e4kare inom allm\u00e4nmedicin successivt ska kunna ta ett st\u00f6rre ansvarsomr\u00e5de och fa\u030a en st\u00e4rkt st\u00e4llning. Men utan specialister i allm\u00e4nmedicin p\u00e5 h\u00e4lsocentralen faller m\u00f6jligheten helt bort att utbilda, handleda AT-, BT- och ST-l\u00e4kare och vi kommer aldrig lyckas att bli tillr\u00e4ckligt antal specialister i allm\u00e4nmedicin.<\/li>\n<li>M\u00f6jlighet f\u00f6r kollegial dialog, m\u00f6jlighet att ta ledigt samt fortbildning. Det \u00e4r redan verklighet i Norge, Danmark, Estland. Det \u00e4r inte attraktivt f\u00f6r den nya generationen av l\u00e4kare att arbeta ensamma p\u00e5 mottagningar.<\/li>\n<\/ul>\r\n\r\n\r\n\r\n<p>Vad kr\u00e4vs f\u00f6r att det ska vara attraktivt f\u00f6r l\u00e4kare att arbeta i glesbygd?<\/p>\r\n\r\n\r\n\r\n<p>Det som beh\u00f6vs ut\u00f6ver det ekonomiska \u00e4r:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\n<li>Avgr\u00e4nsad patientlista<\/li>\n<li>Goda f\u00f6ruts\u00e4ttningar f\u00f6r utbildning och fortbildning<\/li>\n<li>Adekvat administrativt st\u00f6d<\/li>\n<li>M\u00f6jlighet till n\u00e4ra samarbete med andra yrkeskategorier<\/li>\n<li>M\u00f6jligg\u00f6ra f\u00f6r l\u00e4kare att vara chefer med \u00e4ndam\u00e5lsenliga befogenheter<\/li>\n<li>Inflytande \u00f6ver sin arbetssituation, vardag och verksamhet<\/li>\n<\/ul>\r\n\r\n\r\n\r\n<p>Region G\u00e4vleborg har idag ett t\u00e4mligen bra v\u00e5rdval, vilket ocks\u00e5 visar sig genom att av ca 40 h\u00e4lsocentraler \u00e4r knappt h\u00e4lften i privat drift.\u00a0V\u00e5rdvalet G\u00e4vleborg tar redan idag h\u00e4nsyn till glesbygden, d\u00e5 de f\u00e5r extra ers\u00e4ttning.<\/p>\r\n\r\n\r\n\r\n<p>Men h\u00e4lsocentraler har under de senaste 10 \u00e5ren g\u00e5tt med kraftiga underskott vilket allm\u00e4nl\u00e4kark\u00e5ren har p\u00e5pekat o\u00e4ndligt antal g\u00e5nger. H\u00e4lsocentralernas chefer k\u00e4mpar p\u00e5 men ser att det blir allt sv\u00e5rare och sv\u00e5rare att klara ekonomin. Det som Region G\u00e4vleborg borde g\u00f6ra \u00e4r att tillf\u00f6ra resurser f\u00f6r att prim\u00e4rv\u00e5rden skulle kunna klara av uppdraget genom att anst\u00e4lla allm\u00e4nl\u00e4kare och distriktssk\u00f6terskor \u2013 d\u00e5 skulle man f\u00e5 ett v\u00e5rdval som gynnar alla.<\/p>\r\n\r\n\r\n\r\n<p>Svenska Distriktsl\u00e4karf\u00f6reningen v\u00e4lkomnar fortsatt dialog med Centerpartiet hur vi ska n\u00e5 j\u00e4mlik v\u00e5rd f\u00f6r alla Sveriges inv\u00e5nare.<\/p>\r\n\r\n\r\n\r\n<p><strong>Marina Tuutma, Ordf\u00f6rande i Svenska Distriktsl\u00e4karf\u00f6reningen<\/strong><\/p>\r\n\r\n\r\n<div class=\"wp-block-sharing mt-8 lg:mt-12 first:mt-0 hidden:print\">\n    <div class=\"print:hidden mt-8 lg:mt-12 first:mt-0 hidden:print\">\n  <ul class=\"flex flex-wrap items-center\">\n          <li class=\"mr-2 flex text-gray-600\">\n        Dela\n      <\/li>\n    \n    \n    <li class=\"mr-2\">\n      <a\n        class=\"\n          w-8 h-8 flex items-center justify-center\n          bg-facebook text-white text-center\n          rounded fill-current\n          transition-transform duration-100\n          hover:text-white hover:scale-110 focus:scale-110\n        \"\n        rel=\"nofollow\"\n        href=\"https:\/\/www.facebook.com\/sharer\/sharer.php?u=https%3A%2F%2Fslf.se%2Fdlf%2Fwp-json%2Fwp%2Fv2%2Fposts%2F436782&#038;quote=%C3%96ppet+brev+%26%238211%3B+Den+medicinska+kvalit%C3%A9n+%C3%A4r+minst+lika+viktig+i+glesbygden\"\n        title=\"Dela p\u00e5 Facebook\"\n        aria-label=\"Dela p\u00e5 Facebook\"\n        target=\"_blank\"\n        onclick=\"window.open(this.href); 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<a href=\"https:\/\/slf.se\/dlf\/nyheter\/oppet-brev-den-medicinska-kvaliten-ar-minst-lika-viktig-i-glesbygden\/\">L\u00e4s hela<\/a><\/p>\n","protected":false},"author":352,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1],"local_restriction":[],"class_list":["post-436782","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.8 (Yoast SEO v27.8) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Svenska Distriktsl\u00e4karf\u00f6reningen (DLF)<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/slf.se\/dlf\/nyheter\/oppet-brev-den-medicinska-kvaliten-ar-minst-lika-viktig-i-glesbygden\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u00d6ppet brev - Den medicinska kvalit\u00e9n \u00e4r minst lika viktig i glesbygden\" \/>\n<meta property=\"og:url\" content=\"https:\/\/slf.se\/dlf\/nyheter\/oppet-brev-den-medicinska-kvaliten-ar-minst-lika-viktig-i-glesbygden\/\" \/>\n<meta property=\"og:site_name\" content=\"Svenska Distriktsl\u00e4karf\u00f6reningen (DLF)\" \/>\n<meta property=\"article:published_time\" content=\"2020-09-24T11:54:03+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-09-21T17:01:32+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/slf.se\/dlf\/app\/uploads\/2020\/09\/marina-tuutma-002.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"3757\" \/>\n\t<meta property=\"og:image:height\" content=\"2919\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Leena Bergstr\u00f6m\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Skriven av\" \/>\n\t<meta name=\"twitter:data1\" content=\"Leena Bergstr\u00f6m\" \/>\n\t<meta name=\"twitter:label2\" content=\"Ber\u00e4knad l\u00e4stid\" \/>\n\t<meta name=\"twitter:data2\" content=\"4 minuter\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/nyheter\\\/oppet-brev-den-medicinska-kvaliten-ar-minst-lika-viktig-i-glesbygden\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/nyheter\\\/oppet-brev-den-medicinska-kvaliten-ar-minst-lika-viktig-i-glesbygden\\\/\"},\"author\":{\"name\":\"Leena Bergstr\u00f6m\",\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/#\\\/schema\\\/person\\\/f68969e98345db699388be3726e6cd0b\"},\"headline\":\"\u00d6ppet brev &#8211; 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