A general practitioner spends 40% of his working day on bureaucracy


Between 30% and 40% of the working day of one primary doctor of Catalonia It is dedicated to bureaucracy. A do paperwork this could be done, the professionals consulted by this newspaper agree“in another way”. For example, primary care centers (PACs) continue to sign the low sick people. Your doctors still have to validate recipes what other colleagues have done for you, something “anachronistic and offensive” for professionals. to carry out school receipts or reports for the dependency law. Usually a general practitioner must not make more than 28 visits per day, although the reality is quite distant: depending on the health centers, there are those who are over 30, 40 or even older. The bureaucracy comes to hinder even more working hours that leave little room for flexibility.

“The bureaucracy from which CAP doctors suffer cry to the sky We lack professionals; Let’s try to make the doctor act like a doctor most of the time because we spend a lot of time doing things that add no value and what could be done by another professional or automated”, assesses the family doctor of CAP Sardenya Jaume Sellares, vice president of Col.legi Oficial de Metges de Barcelona (comb).

In the opinion of many of them, the self-reported victims They would take “a lot of work” from them, as happened early last year with the sixth wave of covid-19: people with the virus who could not telecommute could process the leave themselves through La Meva Hi, among other tools. “We also ask that if patients leave the hospital, get it processed there. Nail femur fracture treated in the hospital must be managed there,” says Meritxell Sanchez-Amat, CAP Besòs doctor and president of the Catalan Forum of Primary Care (Focap).

In countries like Englandfor example, the absences of less than five days they are self-declared. There are labor inspectors who monitor suspected fraud. “There are two types of drops: those that require medical supervision and those in which the patient already knows what he has – for example, the menstruation or migraine- and you don’t have to go to the doctor to get it,” Sànchez-Amat continues.

clinical assistants

Doctors like Sellarès ask to join a new profile professional at the CAP: the clinical assistant. is a number similar to what is called covid managers, who, at the worst time of the pandemic, acted as a kind of administrator who followed the viral traceability (they called the positives and their contacts).

“The covid managers have helped a lot, but They were only used for the covid. At CAP Sardenya, the figure of the clinical assistant already exists, but it is a pilot test. And the patient is delighted,” says Sellarès, who undertakes to extend this figure to other health centers. A clinical assistant, precise, “He is not a health administrator”, but it’s someone who does his job “nearby” of doctors and nurses.

The nurses

According to the nurse Ester Gimenez, President of the Association of Family and Community Nurses (Aificc), there are some things that “got better” and some that didn’t. For example, some hospitals They begin to take casualties, although this is a pilot test and it is the CAP that continues to take most of them.

They also improved electronic prescriptions. When we explore diabetics, for example, we can already program all the annual prescriptions In one time. Before, if they came three times a year, you had to make the receipts three times,” explains Giménez.

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The nurses, admits Giménez, they have less bureaucracy than doctors, although they do for example “short stockings”. “The ambulance request it is also a bureaucracy that does nursing and that could be eliminated,” Giménez assesses.

The same health “advisor”, Manel Balcells, He acknowledged in December in an interview with EL PERIÓDICO that “there is an urgent need to lighten the bureaucracy so that doctors can become doctors again”. Balcells assured while Salvation was working on a plan to make up “as a matter of urgency” for the lack of professionals, “remove more bureaucratic burdens so they have more time to be a doctor.” So far, he has not presented this plan.

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