{"id":230605,"date":"2021-09-06T08:00:19","date_gmt":"2021-09-06T06:00:19","guid":{"rendered":"https:\/\/slf.dgstage.se\/sylf\/moderna-lakare\/?p=230605"},"modified":"2021-09-01T12:06:18","modified_gmt":"2021-09-01T10:06:18","slug":"privatlakarforeningen-st-lakarna-behovs-i-vardvalen","status":"publish","type":"post","link":"https:\/\/slf.se\/sylf\/moderna-lakare\/privatlakarforeningen-st-lakarna-behovs-i-vardvalen\/","title":{"rendered":"Privatl\u00e4karf\u00f6reningen: ST-l\u00e4karna beh\u00f6vs i v\u00e5rdvalen"},"content":{"rendered":"

Traditionellt sett har Svenska Privatl\u00e4karf\u00f6reningen samlat taxel\u00e4kare. Taxel\u00e4karna \u00e4r egenf\u00f6retagare d\u00e4r det finns ett personligt avtal med regi\u00adonen om att f\u00e5 bedriva regionfinansierad sjukv\u00e5rd enligt en s\u00e4rskild ers\u00e4ttningsmodell, taxan. Taxans niv\u00e5er f\u00f6rhandlas mellan SKR och L\u00e4karf\u00f6rbundet och fastst\u00e4lls sedan av regeringen som en f\u00f6rordning. Sven S\u00f6derberg ber\u00e4ttar: <\/p>\n

\u201cVi \u00e4r allt f\u00e4rre som anv\u00e4nder oss av taxan, f\u00f6rr var vi ca 2500 l\u00e4kare och nu \u00e4r vi nere p\u00e5 ca 800 stycken. Det kommer inga nyetableringar, s\u00e5 d\u00e4rf\u00f6r minskar antalet kraftigt. Ungef\u00e4r h\u00e4lften av v\u00e5ra medlemmar idag \u00e4r taxel\u00e4kare.\u201d<\/p>\n

De flesta av de \u00f6vriga medlemmarna jobbar inom verksamheter som h\u00f6r till v\u00e5rdvalen, men det finns ett mindre antal resursl\u00e4kare och ett f\u00e5tal helt privata l\u00e4kare. Huvuddelen av SPLF:s medlemmar jobbar inom regionfinansierad v\u00e5rd.<\/p>\n

Det finns ingen anledning att regionerna ska fungera som 21 olika l\u00e4nder.<\/p><\/blockquote>\n

Dialog kan ge b\u00e4ttre v\u00e5rdval<\/strong>
\nSPLF driver sina fr\u00e5gor b\u00e5de inom L\u00e4karf\u00f6rbundet och direkt gentemot politiker och SKR. Sven S\u00f6derberg ber\u00e4ttar att SPLF har flera h\u00f6gprioriterade fr\u00e5gor.<\/p>\n

\u201cVi har en hel del v\u00e5rd i Sverige som drivs av stora v\u00e5rdf\u00f6retag. Vi i SPLF menar att det beh\u00f6vs mer offentligt finansierad, sm\u00e5skalig professionsdriven v\u00e5rd d\u00e4r l\u00e4kare f\u00e5r m\u00f6j\u00adlighet att som egenf\u00f6retagare utforma v\u00e5rden. En av f\u00f6reningens mest aktuella uppgifter \u00e4r att hitta ett alternativ till det nuvarande taxesystemet, ett nytt l\u00e5ngsiktigt system med vettiga ers\u00e4t\u00adt\u00adningar f\u00f6r offentlig v\u00e5rd i privat regi.\u201d<\/p>\n

En annan fr\u00e5ga som Sven lyfter som s\u00e4rskilt angel\u00e4gen \u00e4r utformningen av v\u00e5rdvalen.<\/p>\n

\u201cVi jobbar mycket med att utveckla v\u00e5rdvalen och ett av huvud\u00adproblemen idag \u00e4r att det \u00e4r upp till regionerna att sj\u00e4lva best\u00e4mma vad som ska ing\u00e5 i v\u00e5rdvalen, det blir v\u00e4ldigt plottrigt och nationellt helt o\u00f6versk\u00e5dligt. Vi \u00f6nskar att staten fastst\u00e4ller vad som \u00e4r rimliga resurser och upp\u00adgifter inom v\u00e5rdvalen. En s\u00e5 enkel sak som ers\u00e4ttnings\u00adniv\u00e5er borde vara desamma \u00f6ver hela landet, det finns ingen anledning att regionerna ska fungera som 21 olika l\u00e4nder. Det blir oj\u00e4mlik v\u00e5rd f\u00f6r inv\u00e5narna, det g\u00f6r mig personligen mycket uppr\u00f6rd.\u201d<\/p>\n

Sven S\u00f6derberg menar att det saknats en fungerande dialog mellan professionen och regionerna kring hur v\u00e5rdvalen utformas: <\/p>\n

\u201cD\u00e5 v\u00e5rdvalen st\u00e4ndigt \u00e4ndras ute i regionerna blir det f\u00f6r sm\u00e5\u00adf\u00f6retagare helt of\u00f6ruts\u00e4gbart hur verksamheten ser ut n\u00e4sta \u00e5r. Det ger d\u00e5liga f\u00f6ruts\u00e4ttningar f\u00f6r att bedriva en stabil mottagning. Vi i SPLF arbetar h\u00e5rt f\u00f6r att f\u00e5 en b\u00e4ttre dia\u00adlog med regionerna och mer f\u00f6ruts\u00e4gbarhet och stabilitet i systemen\u201d.<\/p>\n

Vill ha fler ST-l\u00e4kare p\u00e5 privata mottagningar<\/strong>
\nMedlemmarna i SPLF \u00e4r specialister men det finns ett stort intresse att locka yngre kollegor och visa p\u00e5 m\u00f6jligheterna i att vara l\u00e4kare och sm\u00e5f\u00f6retagare:<\/p>\n

\u201cVi vill g\u00e4rna ha fler ST-l\u00e4kare som utbildar sig hos oss p\u00e5 v\u00e5ra specialistl\u00e4karmottagningar. B\u00e5de f\u00f6r att kunna bidra med utbildning men ocks\u00e5 kunna dela med oss av hur privat verksamhet kan fungera.\u201d<\/p>\n

Det finns inga tydliga riktlinjer f\u00f6r utbildning av ST-l\u00e4kare inom v\u00e5rdvalen och det saknas modeller f\u00f6r ers\u00e4ttning till de mottagningar som tar emot ST-l\u00e4kare. Sven S\u00f6derberg ber\u00e4ttar att det p\u00e5g\u00e5r ett pilotprojekt i G\u00f6teborg d\u00e4r ST-l\u00e4kare delvis f\u00e5r sin utbildning i gynekologi p\u00e5 privata mottagningar som verkar inom taxesystemet.<\/p>\n

\u201cVi i SPLF ser det som ett stort misslyckande att dessa riktlinjer saknas. Det uppst\u00e5r problem n\u00e4r vi inte f\u00e5r n\u00e5gon ers\u00e4ttning f\u00f6r att utbilda, d\u00e5 tappar vi int\u00e4kter och ekonomin g\u00e5r inte runt. Vi beh\u00f6ver hitta en rimlig ers\u00e4ttningsniv\u00e5. I \u00f6ppenv\u00e5rden har vi m\u00e4ngder av vanliga patientfall som knappt finns p\u00e5 sjukhus idag, som \u00e4r viktiga att f\u00e5 ta del av under sin ST. F\u00f6r oss som specialister \u00e4r det v\u00e4ldigt stimulerande att f\u00e5 dela med oss av kunskap och f\u00e5 visa upp ett yrke man \u00e4r stolt \u00f6ver.\u201d \u2022<\/p>\n

[faktaruta 1]<\/p>\n","protected":false},"excerpt":{"rendered":"

Traditionellt sett har Svenska Privatl\u00e4karf\u00f6reningen samlat taxel\u00e4kare. Taxel\u00e4karna \u00e4r egenf\u00f6retagare d\u00e4r det finns ett personligt avtal med regi\u00adonen om att f\u00e5 bedriva regionfinansierad sjukv\u00e5rd enligt en s\u00e4rskild ers\u00e4ttningsmodell, taxan. Taxans niv\u00e5er f\u00f6rhandlas mellan SKR och L\u00e4karf\u00f6rbundet och fastst\u00e4lls sedan av regeringen som en f\u00f6rordning. Sven S\u00f6derberg ber\u00e4ttar: \u201cVi \u00e4r allt f\u00e4rre som anv\u00e4nder oss av … L\u00e4s hela<\/a><\/p>\n","protected":false},"author":5,"featured_media":230606,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[8],"local_restriction":[],"class_list":["post-230605","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-reportage"],"acf":[],"yoast_head":"\nModerna L\u00e4kare<\/title>\n<meta name=\"description\" content=\"Privatl\u00e4karf\u00f6reningen \u00e4r en yrkesf\u00f6rening inom L\u00e4karf\u00f6rbundet. 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