Elevated capital point will increase the number of GPs

Increased capital points in primary health care will increase the number of family doctors and reduce their outflow abroad, and the next steps should be focused on proper redistribution of staff and equipment, as well as increased authority in order for less patients to be forwarded to tertiary health,  » It was held today in the Government.

With the recent government decision, the capital stitch of the General Medicine and Gynecology Doctors increased from 75 to 100 denars, or by 33 percent, while for the family dentists growth of 23 percent, ie from 61 to 75 denars.

Saso Klekovski, director of the Health Insurance Fund (HIF), assessed that this is the first step in solving problems that has not been worked for a long time and that it is important to change the structure in funding.

– The most common criticism of the World Health Organization is that we spend too much in hospital treatment and not investing in primary health. You must first stop the fall and then expect growth as adding new expectations from GPs when they are already in poor financial condition will only worsen the situation, Klekovski said, indicating that it will need a radical recovery of the staff given the expected wave of retirement by GPs – said Klekovski.

Asked about plans to support young doctors Klekovski emphasized that the first prerequisite is for the salary to be attractive, and the next step on how to facilitate the transfer of existing practices to follow generations due to the current complicated transmission.

Monitoring the application of the new measures will take place through the Health Insurance Fund.

– We are trying to set things on a partnership with doctors, family doctors. Monitoring is in the Fund because complete management of contracts, capitulations and services is in the Fund. Basically all payments to GPs, 70 patients are a fixed amount for basic work and 30 processes are paid to achieve certain preventive goals. They are divided into general and special purposes. General goals are generally controlled by medicines and issued illnesses, and for special purposes they differ in general medicine, dentists and gynecologists. In gynecologists, the key preventive goal is to prevent cervical cancer with a system of checking the condition and referring to the following levels, whether for a PAP test or for holcoposcopy. There is a precise system of invitation and normally we control that system because most of this system is digitized – said Klekovski.

Lily Cholakova Dervishova, president of the Association of GPs, assessed that the new government measure is a good stimulus to increase the number of family doctors. He emphasized that this is the historic biggest increase in the 2002 capital point.

– The primary health is the pillar of the health system and we as an association have existed since 1992, we have repeatedly sought reforms, in order to serve our patients and to go to Skopje. The number of 1800 doctors has dropped to 1470 and I think this is a good stimulus to increase the number of family doctors, to re -covering in rural areas, we have a great deal with HIFM which bypassing many conditions by solving mass problems, such as improving the condition for rural doctors. It is a real wealth to find a doctor in a small place and patients in small places to have a doctor because the seconds also mean life. There is a joy in primary health, and there is a saying that everyone respects him as much as you pay. However, it is a good stimulus to increase the number of doctors and primary health care so that young doctors can want to stay in the country – said Cholakova Dervishova.

The future steps that the Government should take, according to her, should be aimed at increasing the authority of GPs and patients to be less referred to in tertiary health, and should be discussed on the payment model because there is no law on doctoral activity.

– To work more echo, dopplers, carodite overview, many of the stem and we have perfected ourselves, we see and echo, we try to buy appliances, but we will need government support and make a unification and good distribution of appliances and education, and patients to go to the other. More pathohistologists need to diagnose and national strategy for the proper redistribution of staff and appliances and equipment to send as much in tertiary health – Dervishova said.

Legislative changes are also needed, as it says, as the legal relationship for concessionaires and doctors in their own practices is different.

Director of the University Clinic of Gynecology and Obstetrics, Irena Aleksieska Papestiev, spoke about the impact of the new measure in early detection and assessed that the government’s decision was a serious investment that would motivate GPs.

– Primary health care in gynecology and obstetrics is an extremely important link, and their family gynecologists are carriers of screening programs, dieging and treating a number of non -surgical interventions, contraceptive advice, premature birth prevention. I welcome this decision of the government and think it is a serious investment because it will stimulate more gynecologists to devote themselves to the screening program, said Aleksieska Papestiev.

She noted that prevention avoids unnecessary costs to treat chronic and oncological diseases.

– As the basic carriers of the preventive program after we included their family doctors, 20,000 bumps that were performed annually for cervical cancer detection increased to 60,000. Annual HIF for treatment of patients with malignant disease consumes 29 million denars. I think this measure will stimulate doctors to do better screening and indirectly the state will save unnecessary cost to treat these patients – she said, adding that she expects to increase interest in gynecologists and reduce unnecessary referral to patients in the clinic.

According to Laurent Strashevski, a family dentist, dentists as participants in primary health care have a great benefit from the increase in the capital point that he believes will expand and modernize the dental activity.

– This financial impetus will enable some of the finances to be used for further education and equipping the practices with modern appliances and materials, ie to bring dentistry worldwide to get patients to get better dental protection. Young dentists will not be allowed to go abroad and use this financial stability to open their own offices – said Strasevski.