{"id":24660,"date":"2023-02-10T09:13:20","date_gmt":"2023-02-10T09:13:20","guid":{"rendered":"https:\/\/tintafresca.net\/?p=24660"},"modified":"2023-02-11T09:40:13","modified_gmt":"2023-02-11T09:40:13","slug":"comissao-de-profissionais-dos-csp-contesta-formacao-da-uls-da-regiao-de-leiria","status":"publish","type":"post","link":"https:\/\/tintafresca.net\/index.php\/2023\/02\/10\/comissao-de-profissionais-dos-csp-contesta-formacao-da-uls-da-regiao-de-leiria\/","title":{"rendered":"Comiss\u00e3o de  Profissionais  dos  CSP  contesta forma\u00e7\u00e3o da  ULS  da  Regi\u00e3o de  Leiria"},"content":{"rendered":"<div id=\"attachment_11881\" style=\"width: 510px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" aria-describedby=\"caption-attachment-11881\" class=\"wp-image-11881 size-full\" src=\"https:\/\/tintafresca.net\/wp-content\/uploads\/2021\/12\/Leiria_Centro_Saude_10.jpg\" alt=\"\" width=\"500\" height=\"281\" \/><p id=\"caption-attachment-11881\" class=\"wp-caption-text\">Centro de Sa\u00fade de Leiria Dr. Gorj\u00e3o Henriques<\/p><\/div>\n<p>O novo\u00a0 Diretor\u00a0 Executivo\u00a0 do\u00a0 Servi\u00e7o\u00a0 Nacional\u00a0 de\u00a0 Sa\u00fade emitiu uma\u00a0 delibera\u00e7\u00e3o\u00a0 (DE\u00a0 013\/2022\u00a0\u00a0 de 9\u00a0 de\u00a0 dezembro\u00a0 de\u00a0 2022)\u00a0 em\u00a0 que\u00a0 se\u00a0 formaliza\u00a0 a\u00a0 cria\u00e7\u00e3o\u00a0 de\u00a0 um\u00a0 grupo\u00a0 de\u00a0 trabalho\u00a0 mandatado\u00a0 para\u00a0 elaborar\u00a0 um\u00a0 plano\u00a0 de\u00a0 neg\u00f3cios\u00a0 de uma\u00a0 Unidade\u00a0 Local\u00a0 de\u00a0 Sa\u00fade\u00a0\u00a0 (ULS)\u00a0\u00a0 da\u00a0\u00a0 Regi\u00e3o\u00a0\u00a0 de\u00a0\u00a0 Leiria,\u00a0\u00a0 E.P.E.. Contudo, os\u00a0\u00a0 profissionais\u00a0\u00a0 de\u00a0\u00a0 sa\u00fade\u00a0\u00a0 dos\u00a0\u00a0 Cuidados\u00a0\u00a0 de\u00a0\u00a0 Sa\u00fade\u00a0 Prim\u00e1rios (CSP)\u00a0 dos\u00a0 concelhos\u00a0 a\u00a0 serem\u00a0 integrados\u00a0 nesta\u00a0 eventual\u00a0 ULS,\u00a0 nomeadamente\u00a0 Alcoba\u00e7a,\u00a0 Batalha,\u00a0 Leiria,\u00a0 Marinha\u00a0 Grande,\u00a0 Nazar\u00e9,\u00a0 Our\u00e9m,\u00a0 Pombal\u00a0 e\u00a0 Porto\u00a0 de\u00a0 M\u00f3s,\u00a0 contestam a medida e anunciaram mesmo a\u00a0 constitui\u00e7\u00e3o\u00a0 de\u00a0 uma\u00a0 Comiss\u00e3o\u00a0 de\u00a0 Profissionais\u00a0 dos\u00a0 CSP\u00a0 contra\u00a0 a\u00a0 ULS da\u00a0\u00a0 Regi\u00e3o\u00a0\u00a0 de\u00a0\u00a0 Leiria que, \u00e0\u00a0\u00a0 presente\u00a0\u00a0 data,\u00a0\u00a0 conta \u00a0\u00a0j\u00e1 com\u00a0\u00a0 352\u00a0\u00a0 assinaturas.<\/p>\n<p>\u201cEsta\u00a0\u00a0 Comiss\u00e3o\u00a0\u00a0 nasce\u00a0\u00a0 da\u00a0 frustra\u00e7\u00e3o\u00a0 que\u00a0 n\u00f3s,\u00a0 enquanto profissionais\u00a0 de\u00a0 sa\u00fade\u00a0 de\u00a0 proximidade\u00a0 das\u00a0 popula\u00e7\u00f5es,\u00a0 sentimos\u00a0 perante\u00a0 um\u00a0 processo\u00a0 em\u00a0 que,\u00a0 em\u00a0 momento\u00a0 algum, n\u00e3o\u00a0 fomos\u00a0 ouvidos,\u00a0\u00a0 nem foram consideradas\u00a0 as\u00a0 nossas leg\u00edtimas preocupa\u00e7\u00f5es\u00a0 e\u00a0 justificadas\u00a0 reservas\u00a0 em\u00a0 rela\u00e7\u00e3o\u00a0 ao\u00a0 modelo\u00a0 ULS proposto\u00a0 pela\u00a0 Dire\u00e7\u00e3o Executiva do\u00a0 SNS.\u00a0 E\u00a0 s\u00e3o\u00a0 v\u00e1rias\u201d, adiantam os profissionais de sa\u00fade em comunicado datado de 9 de fevereiro.<\/p>\n<p>A\u00a0\u00a0 primeira\u00a0\u00a0 \u00e9\u00a0\u00a0 imediatamente\u00a0\u00a0 consequente\u00a0\u00a0 do\u00a0\u00a0 processo\u00a0\u00a0 em\u00a0\u00a0 si,\u00a0\u00a0 questionando\u00a0\u00a0 como\u00a0\u00a0 \u00e9\u00a0 poss\u00edvel\u00a0\u00a0 implementar\u2010se\u00a0\u00a0 um\u00a0\u00a0 modelo\u00a0\u00a0 que\u00a0\u00a0 defende\u00a0\u00a0 a\u00a0\u00a0 integra\u00e7\u00e3o\u00a0\u00a0 de\u00a0\u00a0 cuidados\u00a0\u00a0 sem\u00a0\u00a0 ouvir e\u00a0\u00a0 conhecer\u00a0\u00a0 os\u00a0 problemas,\u00a0 as\u00a0 dificuldades\u00a0 e\u00a0 a\u00a0 realidade\u00a0 dos\u00a0 profissionais\u00a0 dos\u00a0 CSP\u00a0 que\u00a0 s\u00e3o\u00a0 a\u00a0 base\u00a0 do\u00a0 SNS? \u201c\u00c9\u00a0 contradit\u00f3rio\u00a0 com\u00a0 o\u00a0 objetivo\u00a0 final\u00a0 preconizado,\u00a0 a\u00a0 integra\u00e7\u00e3o.\u00a0 Excluir\u00a0 n\u00e3o\u00a0 \u00e9\u00a0 integrar\u201d, alegam.<\/p>\n<p>O\u00a0 segundo\u00a0 dem\u00e9rito\u00a0 da\u00a0 ULS\u00a0 \u00e9\u00a0 relativo\u00a0 ao\u00a0 facto\u00a0 de,\u00a0 \u00e0\u00a0 presente\u00a0 data,\u00a0 e\u00a0 com\u00a0 a\u00a0 primeira\u00a0 ULS\u00a0 existente\u00a0 no\u00a0 pa\u00eds\u00a0 contar\u00a0 j\u00e1\u00a0 com\u00a0 23\u00a0 anos,\u00a0 n\u00e3o\u00a0 existirem estudos ou\u00a0 outro\u00a0 tipo\u00a0 de\u00a0 trabalhos que\u00a0 demonstrem\u00a0 que\u00a0 as\u00a0 ULS\u00a0 sejam\u00a0 superiores\u00a0 em\u00a0 alcan\u00e7ar\u00a0 os\u00a0 ganhos\u00a0 de\u00a0 sa\u00fade\u00a0 que\u00a0 afirmam concretizar.<\/p>\n<p>Pelo\u00a0 contr\u00e1rio,\u00a0 v\u00e1rios\u00a0 trabalhos\u00a0 dispon\u00edveis,\u00a0 de\u00a0 entidades\u00a0 diversas\u00a0 e\u00a0 independentes,\u00a0 apontam\u00a0 no\u00a0 sentido\u00a0 oposto:\u00a0 aumento\u00a0 global\u00a0 do\u00a0 n\u00famero\u00a0 de\u00a0 reclama\u00e7\u00f5es;\u00a0\u00a0 aumento\u00a0\u00a0 do\u00a0\u00a0 n\u00famero\u00a0\u00a0 de\u00a0\u00a0 urg\u00eancias;\u00a0\u00a0 aumento\u00a0\u00a0 dos\u00a0\u00a0 custos\u00a0\u00a0 com\u00a0 medicamentos\u00a0\u00a0 e\u00a0\u00a0 produtos\u00a0 farmac\u00eauticos\u00a0\u00a0 em\u00a0\u00a0 internamento;\u00a0\u00a0 aumento\u00a0\u00a0 no\u00a0\u00a0 n\u00famero\u00a0\u00a0 de\u00a0\u00a0 hospitaliza\u00e7\u00f5es\u00a0\u00a0 desnecess\u00e1rias;\u00a0\u00a0 estagna\u00e7\u00e3o\u00a0\u00a0 do\u00a0 tempo\u00a0 m\u00e9dio\u00a0\u00a0 de\u00a0\u00a0 espera\u00a0\u00a0 para\u00a0\u00a0 acesso\u00a0\u00a0 a\u00a0\u00a0 cirurgias\u00a0\u00a0 programadas;\u00a0\u00a0 aumento\u00a0\u00a0 do\u00a0 tempo\u00a0 m\u00e9dio\u00a0\u00a0 de\u00a0\u00a0 estadia\u00a0\u00a0 em\u00a0 internamento;\u00a0 aumento\u00a0 do\u00a0 tempo\u00a0 m\u00e9dio\u00a0 para\u00a0 primeira\u00a0 consulta\u00a0 hospitalar;\u00a0 entre,\u00a0 outros. Portanto, segundo esta Comiss\u00e3o, \u201c\u00e9\u00a0 um\u00a0 processo\u00a0 que\u00a0 n\u00e3o\u00a0 se\u00a0 baseia\u00a0 em\u00a0 rigor\u00a0 t\u00e9cnico\u00a0 e\/ou\u00a0 cient\u00edfico.\u201d<\/p>\n<p>Em\u00a0 terceiro\u00a0 lugar,\u00a0 os profissionais de sa\u00fade est\u00e3o preocupados com\u00a0 o\u00a0 pouco tempo\u00a0 disponibilizado\u00a0 para\u00a0 a\u00a0 elabora\u00e7\u00e3o\u00a0 de\u00a0 um\u00a0 plano\u00a0 de\u00a0 neg\u00f3cios realista,\u00a0 multidisciplinar\u00a0 e\u00a0 integrador: apenas\u00a0 umas\u00a0 escassas\u00a0 10\u00a0 semanas.\u00a0 Especialmente,\u00a0 num\u00a0 per\u00edodo\u00a0 de\u00a0 aus\u00eancias\u00a0\u00a0 de\u00a0\u00a0 profissionais\u00a0\u00a0 e\u00a0\u00a0 de\u00a0\u00a0 sobrecarga\u00a0\u00a0 de\u00a0\u00a0 trabalho,\u00a0\u00a0 por\u00a0\u00a0 maior\u00a0\u00a0 press\u00e3o\u00a0\u00a0 por\u00a0\u00a0 patologia\u00a0\u00a0 aguda,\u00a0\u00a0 num\u00a0 contexto\u00a0 de equipas\u00a0 incompletas\u00a0 e\u00a0 listas\u00a0 de\u00a0 utentes\u00a0 sobredimensionadas,\u00a0 ap\u00f3s\u00a0 o\u00a0 natural desgaste\u00a0 decorrente\u00a0 da\u00a0\u00a0 crise\u00a0\u00a0 pand\u00e9mica.<\/p>\n<p>A \u00a0disponibilidade\u00a0\u00a0 de\u00a0 tempo\u00a0\u00a0 para\u00a0\u00a0 discuss\u00e3o\u00a0\u00a0 e\u00a0 reflex\u00e3o\u00a0\u00a0 conjunta\u00a0\u00a0 \u00e9,\u00a0\u00a0 necessariamente,\u00a0 limitada.\u00a0 Al\u00e9m\u00a0 disto,\u00a0 assistiu\u2010se\u00a0 a\u00a0 uma\u00a0 altera\u00e7\u00e3o\u00a0 s\u00fabita\u00a0 da\u00a0 composi\u00e7\u00e3o\u00a0 do\u00a0 grupo\u00a0 de\u00a0 trabalho\u00a0 respons\u00e1vel\u00a0 pela\u00a0 elabora\u00e7\u00e3o\u00a0 do\u00a0 plano\u00a0 de\u00a0 neg\u00f3cios\u00a0 da\u00a0 ULS,\u00a0 devido\u00a0 \u00e0\u00a0 sa\u00edda\u00a0 dos\u00a0 cinco\u00a0 concelhos\u00a0 do\u00a0 norte\u00a0 do\u00a0 distrito\u00a0 e\u00a0 o\u00a0 envolvimento\u00a0 de\u00a0 outros\u00a0 tr\u00eas\u00a0 concelhos\u00a0 (Alcoba\u00e7a,\u00a0 Nazar\u00e9\u00a0 e\u00a0 Our\u00e9m),\u00a0 de\u00a0 Agrupamentos\u00a0 de\u00a0 Centros\u00a0 de\u00a0 Sa\u00fade\u00a0 (ACES)\u00a0 e\u00a0 Administra\u00e7\u00e3o\u00a0 Regional\u00a0 de\u00a0 Sa\u00fade\u00a0 (ARS)\u00a0 distintas,\u00a0 com\u00a0 formas\u00a0 de\u00a0 trabalhar diferentes,\u00a0 acrescendo\u00a0 ainda\u00a0 mais\u00a0 complexidade\u00a0 ao\u00a0 processo.<\/p>\n<p>Como\u00a0 \u00faltimo\u00a0 ponto,\u00a0 os profissionais de sa\u00fade consideram que esta decis\u00e3o n\u00e3o\u00a0 concretiza o\u00a0 idealizado\u00a0 no\u00a0 novo\u00a0 Estatuto\u00a0 do\u00a0 SNS,\u00a0 que\u00a0 deveria\u00a0 refor\u00e7ar\u00a0 a\u00a0 proximidade e\u00a0 a\u00a0 descentraliza\u00e7\u00e3o,\u00a0 nomeadamente\u00a0 a\u00a0 n\u00edvel\u00a0 dos\u00a0 CSP,\u00a0 com\u00a0 refor\u00e7o\u00a0 da\u00a0 autonomia\u00a0 dos\u00a0 ACES. \u201cA\u00a0 decis\u00e3o\u00a0 por\u00a0 uma\u00a0 ULS\u00a0 \u00e9\u00a0 ainda\u00a0 mais\u00a0 incompreens\u00edvel\u00a0 quando,\u00a0 o\u00a0 mesmo\u00a0 novo\u00a0 Estatuto\u00a0 do\u00a0 SNS,\u00a0 aponta\u00a0 para\u00a0 uma\u00a0 solu\u00e7\u00e3o\u00a0 alternativa de\u00a0 integra\u00e7\u00e3o\u00a0 de\u00a0 cuidados\u00a0 que\u00a0 salvaguarda\u00a0 a\u00a0 autonomia\u00a0 das\u00a0 diferentes\u00a0 partes\u00a0 e\u00a0 refor\u00e7a\u00a0 a\u00a0 participa\u00e7\u00e3o\u00a0 dos\u00a0 agentes\u00a0 da\u00a0 seguran\u00e7a \u00a0social,\u00a0 prote\u00e7\u00e3o\u00a0 civil,\u00a0 educa\u00e7\u00e3o\u00a0 e\u00a0 dos\u00a0 munic\u00edpios (Sistemas\u00a0 Locais\u00a0 de\u00a0 Sa\u00fade)\u201d, alegam.<\/p>\n<p>Assim, \u201co modelo\u00a0 ULS\u00a0 pode,\u00a0 sim,\u00a0 ter\u00a0 o\u00a0 efeito\u00a0 delet\u00e9rio\u00a0 de\u00a0 agravar\u00a0 ainda\u00a0 mais\u00a0 as\u00a0 atuais\u00a0 fr\u00e1geis\u00a0 condi\u00e7\u00f5es\u00a0 para\u00a0 atrair\u00a0 novos\u00a0 profissionais\u00a0 dos\u00a0 CSP\u00a0 na\u00a0 Regi\u00e3o,\u00a0 t\u00e3o\u00a0 urgentes\u00a0 e\u00a0 necess\u00e1rios. Tal\u00a0 j\u00e1\u00a0 foi\u00a0 aparente\u00a0 no\u00a0 \u00faltimo\u00a0 concurso,\u00a0 de\u00a0 janeiro\u00a0 de\u00a0 2023,\u00a0 em\u00a0 que\u00a0 das\u00a0 9\u00a0 vagas\u00a0 disponibilizadas,\u00a0 apenas\u00a0 3\u00a0 foram\u00a0 preenchidas.\u201d<\/p>\n<p>Esta\u00a0 Comiss\u00e3o garante que enveredar\u00e1\u00a0 todos\u00a0 os\u00a0 esfor\u00e7os\u00a0 necess\u00e1rios\u00a0 junto\u00a0 da\u00a0 popula\u00e7\u00e3o\u00a0 e\u00a0 autarcas\u00a0 dos\u00a0 concelhos\u00a0 de\u00a0\u00a0 Alcoba\u00e7a,\u00a0\u00a0 Batalha,\u00a0\u00a0 Leiria,\u00a0\u00a0 Marinha\u00a0\u00a0 Grande,\u00a0\u00a0 Nazar\u00e9,\u00a0\u00a0 Our\u00e9m,\u00a0\u00a0 Pombal\u00a0\u00a0 e Porto\u00a0\u00a0 de\u00a0\u00a0 M\u00f3s, Comunidade\u00a0 Intermunicipal\u00a0\u00a0 da\u00a0\u00a0 Regi\u00e3o\u00a0\u00a0 de\u00a0\u00a0 Leiria\u00a0\u00a0 (CIMRL),\u00a0 Dire\u00e7\u00e3o\u00a0\u00a0 Executiva\u00a0\u00a0 do\u00a0\u00a0 Servi\u00e7o\u00a0 Nacional\u00a0\u00a0 de\u00a0\u00a0 Sa\u00fade e\u00a0 Minist\u00e9rio\u00a0 da\u00a0 Sa\u00fade\u00a0 de\u00a0 forma\u00a0 a\u00a0 os\u00a0 sensibilizar\u00a0 para\u00a0 o\u00a0 impacto\u00a0 negativo\u00a0 que\u00a0 a\u00a0 cria\u00e7\u00e3o\u00a0 de\u00a0 uma\u00a0 ULS\u00a0 tem\u00a0 na \u00a0qualidade\u00a0 da\u00a0 presta\u00e7\u00e3o\u00a0 de\u00a0 cuidados\u00a0 de\u00a0 sa\u00fade\u00a0 \u00e0s\u00a0 popula\u00e7\u00f5es\u00a0 destes\u00a0 concelhos,\u00a0 especialmente\u00a0 quando\u00a0 s\u00e3o\u00a0\u00a0 conhecidas\u00a0\u00a0 outras\u00a0\u00a0 formas\u00a0\u00a0 de\u00a0\u00a0 organiza\u00e7\u00e3o\u00a0\u00a0 e\u00a0\u00a0 de\u00a0\u00a0 integra\u00e7\u00e3o\u00a0\u00a0 de\u00a0\u00a0 cuidados alternativas.<\/p>\n<p>Assim,\u00a0\u00a0 como\u00a0 primeiras\u00a0 a\u00e7\u00f5es,\u00a0 a\u00a0 Comiss\u00e3o\u00a0 ir\u00e1\u00a0 pedir\u00a0 audi\u00eancias\u00a0 urgentes\u00a0\u00a0 com\u00a0 os\u00a0 autarcas dos\u00a0\u00a0 concelhos\u00a0 mencionados,\u00a0 CIMRL,\u00a0 Dire\u00e7\u00e3o Executiva do SNS\u00a0 e\u00a0 Minist\u00e9rio\u00a0 da\u00a0 Sa\u00fade,\u00a0 e\u00a0 iniciar formas de\u00a0 sensibiliza\u00e7\u00e3o\u00a0 da\u00a0 popula\u00e7\u00e3o.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>O novo\u00a0 Diretor\u00a0 Executivo\u00a0 do\u00a0 Servi\u00e7o\u00a0 Nacional\u00a0 de\u00a0 Sa\u00fade emitiu uma\u00a0 delibera\u00e7\u00e3o\u00a0 (DE\u00a0 013\/2022\u00a0\u00a0 de 9\u00a0 de\u00a0 dezembro\u00a0 de\u00a0 2022)\u00a0 em\u00a0 que\u00a0 se\u00a0 formaliza\u00a0 a\u00a0 cria\u00e7\u00e3o\u00a0 de\u00a0 um\u00a0 grupo\u00a0 de\u00a0 trabalho\u00a0 mandatado\u00a0 para\u00a0 elaborar\u00a0 um\u00a0 plano\u00a0 de\u00a0 neg\u00f3cios\u00a0 de uma\u00a0 Unidade\u00a0 Local\u00a0 de\u00a0 Sa\u00fade\u00a0\u00a0 (ULS)\u00a0\u00a0 da\u00a0\u00a0 Regi\u00e3o\u00a0\u00a0 de\u00a0\u00a0 Leiria,\u00a0\u00a0 E.P.E.. Contudo, os\u00a0\u00a0 profissionais\u00a0\u00a0 de\u00a0\u00a0 sa\u00fade\u00a0\u00a0 [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":24673,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[6],"tags":[],"class_list":["post-24660","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-saude"],"_links":{"self":[{"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/posts\/24660","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/comments?post=24660"}],"version-history":[{"count":3,"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/posts\/24660\/revisions"}],"predecessor-version":[{"id":24663,"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/posts\/24660\/revisions\/24663"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/media\/24673"}],"wp:attachment":[{"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/media?parent=24660"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/categories?post=24660"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/tintafresca.net\/index.php\/wp-json\/wp\/v2\/tags?post=24660"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}