The process of reorganization territorial health care – which provides for the “merger” of the two roles of medico basic and doctor of medical guard In the figure of the single doctor of primary assistance – everyone does not like it. In these days, the trade unions are receiving the grievances of numerous doctors who, being already included in the rankings of the region for the opening of their doctor’s study, risk seeing themselves “climbing over” by colleagues of the medical guards who for pure luck are found in the so -called “lacking areas”, that is, those areas where the basic doctors are missing.
What is the “unique role”
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To understand what is happening, you have to take a step back: the Ministry of Health has outlined a new model of health service that provides for the creation of the figure of the single -tenor’s only primary assistance: a hybrid between the attending physician as we know it today and the medical guard doctor. This figure will work for an overall mountain of 38 hours per week, to be divided between activities in community homes and “study” activities, with the latter that can grow proportionally to the increase in the number of patients. The discipline of relations between this new figure of doctor and the healthcare companies is contained in a national collective agreement dating back to 2024, and which then delegates the definition of the organizational structure to the Regions.
The problematic passage
The problem arises in these days because the Region, on 10 June, published the announcement for the presentation of the applications that allow the transition to the unique role of primary assistance of the doctors who hold the assignment or with temporary assignment in those medical guards who insist in the lack of areas. In fact, by fact, the ranking valid for 2025.
The protest
Among the “victims” doctors of this system there is Stergios Francesco Goulas, owner of Medical Guard in Santa Cesarea Terme, in Salento. His situation reflects that of a group of colleagues, of which Goulas is made a spokesperson: “The national collective agreement – he explains – provides for article 32 that in the event of assistance deficiency, the medical officer’s offices can be assigned to those medical guard doctors which by pure chance and fortunately are found in the municipalities that only now have been identified as” lacking areas “. So now the Region is proceeding with the stabilization of these doctors, while in our opinion it would be more right to draw preliminarily to the ranking to which the doctors have had access with meritocratic criteria, and only in submission to “random” stabilizations ».
The unions
In fact, the unions are also receiving several reports, as confirmed by Alberto Mangiacavallo, vice -president of the autonomous national union of Italian doctors (Sneami). “If the lack of areas were published in March as expected, and not late – he comments – the doctors in the ranking could have chosen the transfers when the previous collective agreement was still in force”. It also remains the node of the general supplementary agreement, signed last May, that to say the doctors would be incomplete. “The agreement – writes a group of professionals – concerns the organizational model of general medicine alone, and not also the hourly activity to be lended to Community houses. But the new doctor’s figure – notes professionals – must necessarily be regulated in order to be included in a context in which until now there was a clear division between the two profiles “. And while clarity is missing on the new role, recruitment and stabilization procedures have already started. “The call for the region – the doctors notes – means that the general practitioners who perhaps have been waiting for the transfer from another region or from another province for years, are” overwhelmed “in obtaining the areas lacking general medicine from colleagues with a lower seniority of service, not yet registered in the regional ranking 2025, or even from colleagues who have not yet finished their training and do not even graduate of general practitioners”.
The request
Hence the request: “At the moment the transition to the unique role is a leap into the void, because the needs of the ASLs for community homes, nor the activities that this doctor will have to carry out, are not known. We ask to apply the procedure that has been implemented up to now, and to draw, in the “stabilizations”, to the already existing regional ranking valid for 2025 “.
