Medical shifts and salary: why don’t they disappear?

Miguel Angel Garcia, Thomas Thoranzo and Maria Jose Campilo.

Despite the fact that 60 percent of medical professionals admit that they would prefer do not guard, the truth is that four out of ten are committed to maintaining the model, either because they see it as the only option for providing 24-hour, 365-day assistance, or because they see it as a good salary supplement. In particular, according to a study conducted by State Confederation of Medical Unions (CESM)In particular, 41 percent of those surveyed said it was a good idea to continue with the “current system”, with some differences as to whether there should be a maximum limit of 12 hours. On the contrary, up to 59 percent would eliminate security if there was no loss of wages.

According to the results of the latest CESM health care survey, presented this Thursday by its president, Thomas Toranzo; Secretary of Finance and Services, Maria Jose Campilo; and the Secretary for Professional Research, Miguel Angel Garcia87% of the doctors consulted (3686 professionals participated in the study) performed shifts, of which 9% did so in a work center other than their own.

The majority of those consulted (91 percent) perceive this model as a management tool “Reducing the cost of wages in health care”but accept it “reconciled” because it works salary supplement to compensation. A salary which, in turn, “they perceive as insufficient for such skilled work and of such social significance”.

In this sense, the current security system is considered “correct” by 41.1 percent of doctors. Of course, most would change its duration to 12 hours. The remaining professionals advocate for the end of the shift (34.10%) or at least for its mandatory nature (24.79% of the total sample), covering assistance through regular 12-hour shifts, supplemented by volunteer security guards.

Seven out of ten over 55 are still in service

On the other hand, the CESM study shows that there is a clear decrease in shifts with age seven out of ten doctors over the age of 55 keep doing them. “Despite the fact that this cohort is predominantly male, gender does not seem to affect whether they are on guard or not, as a slightly higher percentage of men are on guard in larger middle-aged cohorts. details in the report.

About whether security guards should be registered for retirementthe position of the respondents is unanimous: this regime, “as it is a job that must be added to the working hours of the doctors who perform them”, must have full attention in the working day and therefore in the rights arising from it.

“Among them, retirement stands out at a time when the profession is growing aware of the difficulties of this mode of operation and its impact on the health and quality of life of doctors ”.

During the presentation of the study, Toranzo said that the statements of doctors confirm “the will to change” in the call system, which must be followed from the start of work in order to be able to propose a new organizational model and perhaps differentiated for different levels of care. “We have many indicative results from the preferences of professionals, which shows that the duty model is in crisis and we need to look for alternatives that need to work and see how to maintain health care with the available medical population,” he said. he.

In this sense, Maria Jose Campilo calls for a new pay model for doctors “more rational than the current one, which according to the survey would be willing to replace medical shifts with shifts of up to 12 hours without causing a loss of pay: therefore, the working day will be reduced to 1370 hours a year and the doctor must be considered a night worker for all purposes.

Although it may contain statements, data or notes from healthcare institutions or specialists, the information contained in Medical Writing is edited and prepared by journalists. We recommend that the reader consult all health issues with a health professional.

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