スペインのカスティリヤ=ラマンチャ(Castilla-La Mancha)自治州政府が、医療費削減のためにやく100'000人が影響する21市町村の診療所のある農村部は15:00から08:00までと週末の土曜日と日曜日の診察の廃止と、ある町村部は20:00から08:00まで?の夜間(緊急)診療を廃止
Las urgencias rurales cierran para 100.000 vecinos de Castilla-La Mancha
Manifestaciones y encierros por el recorte de 21 centros sanitarios
El paciente tendrá que desplazarse hasta 50 kilómetros
Cuatro concejales del PP dimiten
La ‘marea blanca’ apela al Gobierno
Alejandra Agudo Guadalajara 14 ENE 2013 - 21:54 CET
Emergencies close to 100,000 rural residents of Castilla-La Mancha
Demonstrations and sit-ins by the cut of 21 health centers
The patient will have to travel up to 50 miles
Four PP councilors resign
The 'white tide' appeals to the Government
Alejandra Agudo Guadalajara 14 ENE 2013 - 21:54 CET
More than 100,000 citizens of one hundred municipalities of Castilla-La Mancha will have to do many miles if ill late in the morning or on weekends. The Government of María Dolores de Cospedal has decided to close from Monday 21 Points Continuous Care (PAC) across the five provinces in the "low flow" of patients to these emergency services night. This decision will force thousands of residents of small towns to make trips up to 50 miles to get to your new referral center if they need health care.
The move has aroused the indignation of those affected who have not hesitated to splashing of community protests. According to the new schedule, 10 health centers in the municipalities in which the PAC is removed close at 15.00 on weekdays and no weekend service. The emergency department will rest until 20.00 and on weekends. The move affects seven municipalities of Cuenca, Guadalajara six, four in Ciudad Real and Toledo and Albacete two respectively.
Neighbors Tembleque (Toledo) have staged sit-ins, evictions and mass demonstrations, most recently this afternoon, in an attempt to make the health center will not cast their municipality closing at eight overnight. Most of the 150 residents of Hiendelaencina (Guadalajara) remained in the PAC of the people for the same purpose until early in the afternoon they cleared the Civil Guard. Its mayor, Mariano Escribano (PSOE), he locked himself in the building of the Delegation of the Community Board in Guadalajara to get the Minister of Health, José Ignacio Echaniz, agrees to receive the mayors of the affected populations. "I am outraged. We send 40 kilometers in the opposite direction to the hospital, "the mayor complained to this newspaper. Escribano, along with three other mayors in the province who were with him, left the building without that promise. "We have said that the decision was taken and was immovable. But contravenes the law that stipulates that a citizen has to have an emergency department within half an hour, "he declared angrily Juana Jimenez Abobes mayor, whose residents now have to travel more than 50 miles to their new PAC in Molina de Aragon .
The Community Board emphasized in a statement, to be given only technical criteria such as attendance, the rate of population or geographical location and weather of each locality.
Some mayors of the affected municipalities governed by the PP have joined the rejection of the measure. Mayor Sisante (Cuenca), Peter Garde, declared in Blue Radio "This is a shoddy management." Also complained that he had no answer to his proposal to hire a professional, a doctor, and to pay part of his salary. The four councilors Popular Honrubia City Council, in the same province) yesterday presented his resignation to the PSOE mayor, Julián Pardo, saying they disagreed with the closing night of the municipality emergencies. "I will accept," Pardo confirmed to this newspaper. The Community Board has insisted on a note that the schedule set Sescam provided in these 21 PACs in order to ensure the sustainability of the health system and allocate resources where the needs really are, while recalling that, the 182 centers that make up the network, 161 had not recorded any changes.
"Close the CAP since 1500 hours is tantamount to claiming that a heart attack, an episode of sudden death of an infant or an accident occurring only in the mornings and Monday through Friday," Hiendelaencina neighbors claim in a manifesto of protest . Fear of lack of medical care is not the only denouncing those affected. The mayors and civil platforms running counter to the extent that this decision adds to the closure of schools and the elimination of services that have taken place in the community, which lead to the depopulation of rural areas. This was also thought Magdalene Valerio, national deputy for Guadalajara by the PSOE. "They close opportunities for rural development, and in this case with something as fundamental as health," he said in the Hospital of Guadalajara, where he protested with a hundred people, including politicians and residents of the province. The Basin gathered in protest have chosen to represent a symbolic funeral procession for public health around the hospital, who have supported about 200 people.
Some health professionals have also been raised against the closing night emergencies. The nursing union of Castile-La Mancha (SATs) believes that this is a decision "unacceptable because due solely to economic criteria" and "will increase the likelihood of morbidity of the affected population." Juan Manuel Bachiller, president of the Health Sector CSIF (Independent Trade Union Officers) of the community, also rejected the measure. "No technical explanation. The leaders do not know the region. These closures have decided based on maps and statistics. But there are many small villages with poor roads of mountains, where snow and often freezes in winter, which slows down the movement. Leave them over an hour to a health center is outrageous, "says. "Geographically, Cuenca and Guadalajara will be greatly affected," he added. The expert warning also that saturate the emergency centers assume citizens are now without CAP as it has no evidence that will strengthen the medical teams.
The PSOE de Castilla-La Mancha estimated that with the closing of the PAC will save 21 million euros. An amount considered could be obtained from other items in 2013 have experienced large increases. This applies to the disclosure and campaigns aimed at institutional DG Health Care, which happens to be endowed with 1,700 euros in 2012 to 688,000 this year, as recorded in the budgets of the community.
"It's the first time I closed this door in five years"
The emergency health center Chiloeches (Guadalajara) has closed today at 20.00 as the new schedule stipulated by the Government of Cospedal. It has done an hour later after the Civil Guard to evict fifty neighbors locked themselves to protest the removal of Continuous Care in the municipality. "It's the first time I closed this door in five years," said Jose Luis, the medical center. Among the protesters was Marta Miranda, Loranca resident. To this day if I had an emergency in the morning, Miranda took his car and went to the PAC Chiloeches. Due to the closure of this service in the town now have to drive to Miranda. "I recently had to take my son, age 16, of otitis. Had it been today should have done a 40 minutes that if the road is good, "he said. Gualajara is the province, along with Cuenca, most affected by the measure. Not only because six of his PAC respectively stop working, but because its geography and climate impede rapid movement between municipalities. So a hundred people, including elected officials, neighbors and political representatives of the province nationally focused on the Hospital Universitario de Guadalajara. The congregation shared concern in cliques. "This is surreal. In an emergency shift gives you time to die, "said Miranda.
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