{"id":840597,"date":"2019-04-15T21:14:01","date_gmt":"2019-04-15T20:14:01","guid":{"rendered":"https:\/\/www.pressenza.com\/?p=840597"},"modified":"2019-04-19T08:54:27","modified_gmt":"2019-04-19T07:54:27","slug":"ciutadania-i-participacio-social-la-veu-dels-barris","status":"publish","type":"post","link":"https:\/\/www.pressenza.com\/ca\/2019\/04\/ciutadania-i-participacio-social-la-veu-dels-barris\/","title":{"rendered":"Ciutadania i Participaci\u00f3 social \u2013 La VEU dels Barris"},"content":{"rendered":"

Per Antoni Barbar\u00e1 Molina.-<\/em><\/p>\n

Un element imprescindible i necessari a considerar en qualsevol proc\u00e9s de canvi, de millora o de redefinici\u00f3 del Sistema Nacional de Salut d’un pa\u00eds, \u00e9s la forma en qu\u00e8 la ciutadania participa. De forma activa i determinant, en les decisions estrat\u00e8giques, en la supervisi\u00f3 de la gesti\u00f3 i en el control del seu funcionament i finan\u00e7ament.<\/p>\n

Aquest paper coprotagonista de la ciutadania constitueix una aut\u00e8ntica \u201ctercera pota\u201d del Sistema de salut i sanitat, juntament amb la del component Administraci\u00f3\/Titularitat i la de professionals \/treballadores.<\/p>\n

Una Comissi\u00f3 de treball <\/em><\/strong><\/p>\n

D’aquest i altres temes rellevants hem estat debatent en una Comissi\u00f3 anomenada de \u201cdesprivatitzaci\u00f3\u201d que s’ha reunit en el Ministeri de Sanitat, en quatre ocasions, en els \u00faltims quatre mesos. Explor\u00e0vem estrat\u00e8gies i mecanismes que puguin permetre una reversi\u00f3, una recuperaci\u00f3, un rescat d’aquells serveis i centres sanitaris que s’han estat privatitzant sense contemplacions i per diversos sistemes.<\/p>\n

Tindrem ocasi\u00f3 d’exposar, a grans trets, els temes que s’han exposat a ambd\u00f3s costats de la taula, vuit persones, quatre a proposta del Govern del PSOE i altres quatre pel Grup d’Unid@s Podemos.<\/p>\n

En s\u00edntesi, es pot avan\u00e7ar que revertir a p\u00fablic all\u00f2 que ha estat privatitzat no \u00e9s f\u00e0cil i aix\u00f2 ho sab\u00edem des de l’inici. Per\u00f2 tamb\u00e9 concloem que si hi ha voluntat i determinaci\u00f3 pol\u00edtica, \u00e9s possible. El cas de l’hospital d’Alzira al Pa\u00eds Valenci\u00e0 \u00e9s paradigm\u00e0tic.<\/p>\n

Tamb\u00e9 v\u00e0rem convenir que les f\u00f3rmules de recuperaci\u00f3 a \u201cp\u00fablic\u201d han de ser rigoroses i particulars, gaireb\u00e9 a mida, com a conseq\u00fc\u00e8ncia de l’aplicaci\u00f3 estricta de les cl\u00e0usules de concessi\u00f3 o concertaci\u00f3, amb inspeccions sistem\u00e0tiques, amb rendici\u00f3 de comptes, amb criteris d’efici\u00e8ncia, amb valoraci\u00f3 de dates i per\u00edodes acordats i sobretot amb el compliment impecable de les lleis i normatives que regulen la prestaci\u00f3 de serveis p\u00fablics com la sanitat (o l’educaci\u00f3 o les atencions socials o a depend\u00e8ncia). I en aquest context emergeix un punt de gran entitat:<\/p>\n

La participaci\u00f3 de la ciutadania<\/em><\/strong><\/p>\n

Habitualment en els Desenvolupaments legislatius o normatius se sol esmentar el cap\u00edtol \u201cPARTICIPACI\u00d3\u201d al final de text, amb un car\u00e0cter formal, com un toc de bona feina, o com a simple const\u00e0ncia d’exist\u00e8ncia d’aquest element important. La figura de la representaci\u00f3 i les funcions d’aquesta ciutadania solen estar molt limitades a una pres\u00e8ncia testimonial. Sovint es parla d’un \u201cflorer\u201d incrustat en el si de l’\u00f2rgan rector o de control.<\/p>\n

Aix\u00ed doncs, la primera acci\u00f3 en, i per a, un proc\u00e9s desprivatitzador ha de ser un CANVI CONCEPTUAL sobre aquest tema. Una nova dimensi\u00f3 de la participaci\u00f3 social, inclosa la ciutadana, pel que fa a funcions, habilitats, compet\u00e8ncies i fins i tot responsabilitats i complicitats.<\/p>\n

Cal rebutjar el sofisma que per a intervenir i, encara m\u00e9s, decidir en mat\u00e8ria de sanitat \u00e9s necess\u00e0ria una acreditaci\u00f3 acad\u00e8mica (en el sector) i\/o una determinada preparaci\u00f3 t\u00e8cnica. No es pret\u00e9n que les persones interfereixin procediments m\u00e8dics-sanitaris (ni t\u00e8cnics) sobre com executar les prestacions. Aquesta funci\u00f3 correspon a l’equip de personal professional capacitat. Per\u00f2 S\u00cd que puguin coajudar a concretar quin tipus de sistema de salut trien i construeixen, a quin tipus d’atenci\u00f3 aspiren, quin esfor\u00e7 estan disposats a aportar, quina visi\u00f3 cr\u00edtica externa introdueixen, i com s\u00f3n presents i s\u00f3n garants en els mecanismes de control i rendici\u00f3 de comptes.<\/p>\n

\"\"<\/p>\n

Codecisi\u00f3. Titularitat<\/em><\/strong><\/p>\n

Al cap i a la fi \u00e9s aquesta mateixa ciutadania qui finan\u00e7a, mitjan\u00e7ant impostos, tot el sistema i per tant ha de ser considerada cotitular, codecis\u00f2ria i vinculant. A m\u00e9s de ser la receptora i l’objecte final de les atencions sanit\u00e0ries, tamb\u00e9 ha de tenir veu i vot. Ha d’implicar-se i, lluny de ser tractada com a \u201cclient\u201d, o simple usuari, o pacient passiu, ha de rebre consideracions de coprotagonista.<\/p>\n

Aquesta participaci\u00f3 ha d’abastar una s\u00e8rie de segments heterogenis i orientar-se a reequilibrar i reduir\/eliminar les desigualtats; ja siguin de g\u00e8nere, socioecon\u00f2miques, d’origen, \u00e8tnia i cultura, de discapacitat, etc. gr\u00e0cies a la seva dimensi\u00f3 inclusiva, solid\u00e0ria i universal.<\/p>\n

Aix\u00ed haur\u00e0 de garantir-se la participaci\u00f3 activa de la representaci\u00f3 ciutadana, a m\u00e9s d’agents socials ja incorporats, en consells, en debats, \u00f2rgans de direcci\u00f3, disseny estrat\u00e8gic, planificaci\u00f3 i control.<\/p>\n

L’acreditaci\u00f3 per a aquestes formes de participaci\u00f3 respondr\u00e0 al seu mateix car\u00e0cter, objectiu, tipologia, comprom\u00eds pel sistema sanitari p\u00fablic (els lobbies ja s\u00f3n presents). En qualsevol cas evitant possibles incompatibilitats o conflictes d’interessos, sense afany de lucre, sense esponsoritzacions ni finan\u00e7aments de la ind\u00fastria o del mercat. Parlem b\u00e0sicament d’AA.VV., de plataformes socials i marees, d’entitats en defensa del sistema p\u00fablic de salut, d’entitats c\u00edviques compromeses i en conclusi\u00f3 de la ciutadania organitzada i apoderada.<\/p>\n

Un paper rellevant ser\u00e0 la col\u00b7laboraci\u00f3 social en l’elaboraci\u00f3 de plans estrat\u00e8gics, per a una formaci\u00f3 intel\u00b7ligible de la ciutadania; participar en informes t\u00e8cnics o epidemiol\u00f2gics, en guies de bones pr\u00e0ctiques, en anotacions de gesti\u00f3 des de l’\u00f2ptica de qui rep l’assist\u00e8ncia. Igual pres\u00e8ncia tindrien en controls de qualitat, avaluaci\u00f3 econ\u00f2mica i maneig financer, i en el suport actiu en el social i medi\u00e0tic a les diverses actuacions desprivatitzadores, en mecanismes de control i rendici\u00f3 de comptes i en implementaci\u00f3 i desenvolupament d’auditories ciutadanes.<\/p>\n

Sense aquesta alian\u00e7a democr\u00e0tica i sense la reciprocitat de respecte i empatia amb la ciutadania organitzada no es podr\u00e0 construir un aut\u00e8ntic Sistema Nacional i P\u00fablic de Salut.<\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Per Antoni Barbar\u00e1 Molina.- Un element imprescindible i necessari a considerar en qualsevol proc\u00e9s de canvi, de millora o de redefinici\u00f3 del Sistema Nacional de Salut d’un pa\u00eds, \u00e9s la forma en qu\u00e8 la ciutadania participa. De forma activa i…<\/p>\n","protected":false},"author":1122,"featured_media":840607,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[35529,35531,35506,35528,35524,35526],"tags":[57758],"class_list":["post-840597","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-comunicats-de-premsa","category-contingut-original-ca","category-europa-ca","category-opinions-ca","category-politica-ca","category-salut-ca","tag-europe-netting-ca"],"yoast_head":"\nCiutadania i Participaci\u00f3 social \u2013 La VEU dels Barris<\/title>\n<meta name=\"description\" content=\"Per Antoni Barbar\u00e1 Molina.- Un element imprescindible i necessari a considerar en qualsevol proc\u00e9s de canvi, de millora o de redefinici\u00f3 del Sistema\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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