{"id":437499,"date":"2021-02-11T10:11:05","date_gmt":"2021-02-11T09:11:05","guid":{"rendered":"https:\/\/slf.se\/dlf\/?p=437499"},"modified":"2021-09-21T19:01:35","modified_gmt":"2021-09-21T17:01:35","slug":"loftet-om-fast-lakare-hotas-av-regionernas-ointresse","status":"publish","type":"post","link":"https:\/\/slf.se\/dlf\/nyheter\/loftet-om-fast-lakare-hotas-av-regionernas-ointresse\/","title":{"rendered":"L\u00f6ftet om fast l\u00e4kare hotas av regionernas ointresse"},"content":{"rendered":"\r\n<p>Fr\u00e5gan om att f\u00f6rb\u00e4ttra tillg\u00e5ngen till fasta l\u00e4kare har funnits p\u00e5 dagordningen l\u00e4nge. Trots det ser vi inga tecken p\u00e5 f\u00f6rb\u00e4ttring.\u00a0I en rapport av Myndigheten f\u00f6r v\u00e5rd- och omsorgsanalys fr\u00e5n 2016 framkommer att 42 procent av patienterna hade en fast l\u00e4kare. I motsvarande rapport fr\u00e5n 2021 framg\u00e5r att bara en av tre har fast l\u00e4kare. Andelen patienter med en fast l\u00e4kare forts\u00e4tter allts\u00e5 att minska \u2013 trots allt arbete med god och n\u00e4ra v\u00e5rd. \u00c4ven andelen specialister i allm\u00e4nmedicin har minskat och ligger bara p\u00e5 16 procent, betydligt l\u00e4gre j\u00e4mf\u00f6rt med flera andra europeiska l\u00e4nder.<\/p>\r\n\r\n\r\n\r\n<p><strong>N\u00e4r Svenska Distriktsl\u00e4karf\u00f6reningen (DLF)<\/strong>\u00a02019 och 2020 bad regionerna att redovisa hur deras kompetensf\u00f6rs\u00f6rjningsplaner ser ut uppenbarade sig en dyster verklighet. De flesta av Sveriges regioner ber\u00e4knar inte alls hur m\u00e5nga specialister i allm\u00e4nmedicin som finns, vare sig till antal eller omr\u00e4knat till antalet heltidstj\u00e4nster. <a href=\"https:\/\/slf.se\/dlf\/om-oss\/kompetensforsorjning\/\">L\u00e4s rapporten fr\u00e5n 2020 h\u00e4r.<\/a><\/p>\r\n\r\n\r\n\r\n<p><strong>I Sveriges l\u00e4karf\u00f6rbunds\u00a0<\/strong>enk\u00e4t till l\u00e4kare i prim\u00e4rv\u00e5rden 2015 var det drygt h\u00e4lften som ans\u00e5g att deras v\u00e5rdcentral kunde erbjuda en fungerande fast l\u00e4kare. 2018 konstaterade Myndigheten f\u00f6r v\u00e5rd- och omsorgsanalys att omkring h\u00e4lften av v\u00e5rdcentralerna har vakanser och att var femte l\u00e4kare \u00e4r hyrl\u00e4kare eller vikarie. Det finns \u00e4ven stora geografiska skillnader i tillg\u00e5ngen till fast l\u00e4karbemanning i prim\u00e4rv\u00e5rden.<\/p>\r\n\r\n\r\n\r\n<p><strong>Det \u00e4r inte\u00a0<\/strong>bara viktigt att s\u00e4tta tydliga m\u00e5l, lika viktigt \u00e4r att regering och regioner har tydliga strategier f\u00f6r att uppn\u00e5 m\u00e5let.<\/p>\r\n\r\n\r\n\r\n<p><strong>Det kr\u00e4vs en<\/strong>\u00a0st\u00e4rkt planering och styrning av allm\u00e4nl\u00e4karf\u00f6rs\u00f6rjningen:<\/p>\r\n\r\n\r\n\r\n<ul class=\"wp-block-list\">\n<li>Staten och regionerna beh\u00f6ver ta ett samlat nationellt ansvar f\u00f6r antalet specialister i allm\u00e4nmedicin.<\/li>\n<li>Staten och regionerna m\u00e5ste utveckla och anv\u00e4nda mer avancerade prognoser som tar h\u00e4nsyn till f\u00f6r\u00e4ndringar i behovet av specialister i allm\u00e4nmedicin.<\/li>\n<li>Staten beh\u00f6ver forts\u00e4tta arbetet med att se \u00f6ver och anpassa inneh\u00e5llet i de traditionellt sjukhusfokuserade grund- och specialistutbildningarna f\u00f6r att \u00f6ka intresset f\u00f6r allm\u00e4nmedicin.<\/li>\n<li>Det b\u00f6r inf\u00f6ras listningstak f\u00f6r varje heltidsspecialist i allm\u00e4nmedicin. Det \u00e4r en f\u00f6ruts\u00e4ttning f\u00f6r en fungerande fast l\u00e4kare med god tillg\u00e4nglighet, relationell och longitudinell kontinuitet och samarbete mellan team \u00f6ver v\u00e5rdgr\u00e4nser. Listningstaken utg\u00f6r \u00e4ven underlag f\u00f6r r\u00e4tt planering av allm\u00e4nl\u00e4karf\u00f6rs\u00f6rjningen.<\/li>\n<\/ul>\r\n\r\n\r\n\r\n<p><strong>Varken listning p\u00e5\u00a0<\/strong>utf\u00f6rarniv\u00e5 eller individniv\u00e5 \u00e4r n\u00e5gon garanti f\u00f6r en fungerande fast l\u00e4kare och kontinuitet om det saknas god tillg\u00e5ng till specialister i allm\u00e4nmedicin, om den fasta l\u00e4karen m\u00e5ste ansvara f\u00f6r orimligt m\u00e5nga individer eller om v\u00e5rdcentralen inte har finansiering utifr\u00e5n uppdragets omfattning.<\/p>\r\n\r\n\r\n\r\n<p><strong>I en adekvat<\/strong>\u00a0resurs- och kompetensf\u00f6rs\u00f6rjd prim\u00e4rv\u00e5rd finns f\u00f6ruts\u00e4ttningar f\u00f6r att arbeta med hela m\u00e4nniskan, utifr\u00e5n dennas situation och n\u00e4rmilj\u00f6. I kontinuerliga relationer, med s\u00e5v\u00e4l f\u00f6rebyggande och h\u00e4lsofr\u00e4mjande insatser som med behandling och rehabilitering.<\/p>\r\n\r\n\r\n\r\n<p><strong>Marina Tuutma <\/strong>ordf\u00f6rande Svenska Distriktsl\u00e4karf\u00f6reningen<\/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%2F437499&#038;quote=L%C3%B6ftet+om+fast+l%C3%A4kare+hotas+av+regionernas+ointresse\"\n        title=\"Dela p\u00e5 Facebook\"\n        aria-label=\"Dela p\u00e5 Facebook\"\n        target=\"_blank\"\n        onclick=\"window.open(this.href); return false;\"\n      >\n        <svg class=\"flex-1\" viewBox=\"0 0 512 512\">\n  <path d=\"M211.9 197.4h-36.7v59.9h36.7V433.1h70.5V256.5h49.2l5.2-59.1h-54.4c0 0 0-22.1 0-33.7 0-13.9 2.8-19.5 16.3-19.5 10.9 0 38.2 0 38.2 0V82.9c0 0-40.2 0-48.8 0 -52.5 0-76.1 23.1-76.1 67.3C211.9 188.8 211.9 197.4 211.9 197.4z\"><\/path>\n<\/svg>\n      <\/a>\n    <\/li>\n\n    \n    \n\n    \n    <li class=\"mr-2\">\n      <a\n        class=\"\n          w-8 h-8 flex items-center justify-center\n          bg-linkedin 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        target=\"_blank\"\n        href=\"https:\/\/www.linkedin.com\/sharing\/share-offsite\/?url=https%3A%2F%2Fslf.se%2Fdlf%2Fwp-json%2Fwp%2Fv2%2Fposts%2F437499&#038;title=L%C3%B6ftet+om+fast+l%C3%A4kare+hotas+av+regionernas+ointresse\"\n        title=\"Dela p\u00e5 LinkedIn\"\n        aria-label=\"Dela p\u00e5 LinkedIn\"\n        onclick=\"window.open(this.href); return false;\"\n      >\n        <svg class=\"flex-1\" viewBox=\"0 0 512 512\">\n  <path d=\"M186.4 142.4c0 19-15.3 34.5-34.2 34.5 -18.9 0-34.2-15.4-34.2-34.5 0-19 15.3-34.5 34.2-34.5C171.1 107.9 186.4 123.4 186.4 142.4zM181.4 201.3h-57.8V388.1h57.8V201.3zM273.8 201.3h-55.4V388.1h55.4c0 0 0-69.3 0-98 0-26.3 12.1-41.9 35.2-41.9 21.3 0 31.5 15 31.5 41.9 0 26.9 0 98 0 98h57.5c0 0 0-68.2 0-118.3 0-50-28.3-74.2-68-74.2 -39.6 0-56.3 30.9-56.3 30.9v-25.2H273.8z\"><\/path>\n<\/svg>\n      <\/a>\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-primary 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=\"mailto:?subject=L\u00f6ftet%20om%20fast%20l\u00e4kare%20hotas%20av%20regionernas%20ointresse&#038;body=https:\/\/slf.se\/dlf\/wp-json\/wp\/v2\/posts\/437499\"\n        title=\"Mejla\"\n        aria-label=\"Mejla\"\n        onclick=\"window.open(this.href); return false;\"\n        target=\"_blank\"\n      >\n        <span\n          aria-hidden=\"true\"\n          class=\"material-icons text-mxl align-middle\"\n        >\n          email\n        <\/span>\n      <\/a>\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-primary 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=\"#\"\n          title=\"Skriv ut\"\n          aria-label=\"Skriv ut\"\n          target=\"_blank\"\n          onclick=\"window.print(); return false;\"\n        >\n          <span\n            aria-hidden=\"true\"\n            class=\"material-icons text-mxl align-middle\"\n          >\n            print\n          <\/span>\n        <\/a>\n      <\/li>\n      <\/ul>\n<\/div>\n  <\/div>\n\r\n","protected":false},"excerpt":{"rendered":"<p>Fr\u00e5gan om att f\u00f6rb\u00e4ttra tillg\u00e5ngen till fasta l\u00e4kare har funnits p\u00e5 dagordningen l\u00e4nge. Trots det ser vi inga tecken p\u00e5 f\u00f6rb\u00e4ttring.\u00a0I en rapport av Myndigheten f\u00f6r v\u00e5rd- och omsorgsanalys fr\u00e5n 2016 framkommer att 42 procent av patienterna hade en fast l\u00e4kare. I motsvarande rapport fr\u00e5n 2021 framg\u00e5r att bara en av tre har fast l\u00e4kare. &hellip; <a href=\"https:\/\/slf.se\/dlf\/nyheter\/loftet-om-fast-lakare-hotas-av-regionernas-ointresse\/\">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":[57],"class_list":["post-437499","post","type-post","status-publish","format-standard","hentry","category-uncategorized","local_restriction-svenska-distrikslakarforeningen-dlf"],"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=\"description\" content=\"Svenska Distriktsl\u00e4karf\u00f6reningen v\u00e4lkomnar \u00f6ronm\u00e4rkta resurser f\u00f6r att utveckla fasta l\u00e4kare i prim\u00e4rv\u00e5rden och att SKR och regeringen enats om att fler ska ha en namngiven fast l\u00e4kare. Tydliga m\u00e5l \u00e4r bra, men lika viktigt \u00e4r vad som beh\u00f6vs f\u00f6r att uppn\u00e5 m\u00e5len, skriver f\u00f6reningens ordf\u00f6rande Marina Tuutma i en artikel i Dagens Samh\u00e4lle.\" \/>\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\/loftet-om-fast-lakare-hotas-av-regionernas-ointresse\/\" \/>\n<meta property=\"og:locale\" content=\"sv_SE\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"L\u00f6ftet om fast l\u00e4kare hotas av regionernas ointresse\" \/>\n<meta property=\"og:description\" content=\"Svenska Distriktsl\u00e4karf\u00f6reningen v\u00e4lkomnar \u00f6ronm\u00e4rkta resurser f\u00f6r att utveckla fasta l\u00e4kare i prim\u00e4rv\u00e5rden och att SKR och regeringen enats om att fler ska ha en namngiven fast l\u00e4kare. Tydliga m\u00e5l \u00e4r bra, men lika viktigt \u00e4r vad som beh\u00f6vs f\u00f6r att uppn\u00e5 m\u00e5len, skriver f\u00f6reningens ordf\u00f6rande Marina Tuutma i en artikel i Dagens Samh\u00e4lle.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/slf.se\/dlf\/nyheter\/loftet-om-fast-lakare-hotas-av-regionernas-ointresse\/\" \/>\n<meta property=\"og:site_name\" content=\"Svenska Distriktsl\u00e4karf\u00f6reningen (DLF)\" \/>\n<meta property=\"article:published_time\" content=\"2021-02-11T09:11:05+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-09-21T17:01:35+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/slf.se\/dlf\/app\/uploads\/2021\/02\/lakare-132-1-1140x760.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1140\" \/>\n\t<meta property=\"og:image:height\" content=\"760\" \/>\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=\"3 minuter\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/nyheter\\\/loftet-om-fast-lakare-hotas-av-regionernas-ointresse\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/nyheter\\\/loftet-om-fast-lakare-hotas-av-regionernas-ointresse\\\/\"},\"author\":{\"name\":\"Leena Bergstr\u00f6m\",\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/#\\\/schema\\\/person\\\/f68969e98345db699388be3726e6cd0b\"},\"headline\":\"L\u00f6ftet om fast l\u00e4kare hotas av regionernas ointresse\",\"datePublished\":\"2021-02-11T09:11:05+00:00\",\"dateModified\":\"2021-09-21T17:01:35+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/nyheter\\\/loftet-om-fast-lakare-hotas-av-regionernas-ointresse\\\/\"},\"wordCount\":550,\"articleSection\":[\"Uncategorized\"],\"inLanguage\":\"sv-SE\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/nyheter\\\/loftet-om-fast-lakare-hotas-av-regionernas-ointresse\\\/\",\"url\":\"https:\\\/\\\/slf.se\\\/dlf\\\/nyheter\\\/loftet-om-fast-lakare-hotas-av-regionernas-ointresse\\\/\",\"name\":\"L\u00f6ftet om fast l\u00e4kare hotas av regionernas ointresse - Svenska Distriktsl\u00e4karf\u00f6reningen (DLF)\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/#website\"},\"datePublished\":\"2021-02-11T09:11:05+00:00\",\"dateModified\":\"2021-09-21T17:01:35+00:00\",\"author\":{\"@id\":\"https:\\\/\\\/slf.se\\\/dlf\\\/#\\\/schema\\\/person\\\/f68969e98345db699388be3726e6cd0b\"},\"description\":\"Svenska Distriktsl\u00e4karf\u00f6reningen v\u00e4lkomnar \u00f6ronm\u00e4rkta resurser f\u00f6r att utveckla fasta l\u00e4kare i prim\u00e4rv\u00e5rden och att SKR och regeringen enats om att fler ska ha en namngiven fast l\u00e4kare. 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