Short self-discharge with medical support for flu-COVID combo

The rise in cases of flu, Covid and other respiratory diseases has kept Spaniards in suspense amid Christmas celebrations. And with them a primary care, as opposed to already stressed in itself query volume In the last days of the year. The situation that the professionals have highlighted highlights the inconsistency of the recommendations that are usually offered by professionals on these dates: “Don’t go to work with symptoms, but if they are mild, don’t go to a health center either.” So that overloading does not happen.” Is this an opportunity to debate again? auto lower,

This is the dilemma posed by Nurse Hector Castinera, Which reminds that the proof must be presented at the workplace whenever the employee is not going to work. In her X profile (formerly Twitter), better known as Saturated Nurse, she considers the solution: A. “Responsible Declaration” -as they already do in many European countries- to “Will be able to be absent for 3-4 days for minor procedures Which you can treat at home only. But as long as he is not present here, the patient has no choice,

A few months ago, the Primary Care Forum had raised the possibility of giving the employee ‘power’ to issue self-exemption of up to three days for general contingencies. “Difficulty accessing” primary care. and thus avoid questions to achieve a “Urgent” medical certificate. However, this is an option that many patients reject due to “society itself” and Familia considers it a “tricky” issue, as there are still no regulations in this regard at the state level, it depends on each company. .

Make self-discharge feasible in SNS

As the family doctor tells Juan Sergio Fernandez To medical writingduring strong times of pandemic In some autonomous communities, a of standard Which allowed the worker to request self-discharge. But currently, “there is no regulation Which supports absence from work and can be justified by the employee himself.

There is debate on the table as to whether this should be considered make the model viableThis expert emphatically confirms “Yes, without a doubt.” “I want to think about it patient responsibility And employers in the sense that they should trust them when an employee calls their company and says he has a fever of 40. This should at least be enough for him to be able to missing for three days Dealing with this self-justification. This will happen from the fourth day medical intervention required This, Fernandez insisted, would justify the long absence.

This measure would be a way to ease the health care experience emergency services, from both health centers and hospitals. “This regulation would be not only feasible but also desirable to avoid these collapses.” In Andalusia, as this doctor said, the emergency situation becomes “fully saturated” after 3 pm, which is when these services start, and where there are already 15 to 20 patients Waiting for a case of flu. “Those are 90 percent of the cases,” he explained.

But, if in A imaginary case If this regulation comes back, there will be workers who can take advantage of it. In this sense, Fernández highlights what he believes to be “the vast majority.” I will not lie”, but it must be acknowledged that some people may use this “escape” route to justify unjustified absence from work. ,Statistically there will be some people who lie. “We’re not going to make fools of ourselves,” he admitted.

In this sense, his colleague Marga Jaume believes that “we must be aware of where we live.” “I don’t know to what extent people can invent symptoms,” the expert says. However, despite considering it a “double-edged sword” he considers it “feasible” and very interesting to relax the primary at this time. To make it safe for the patient, he believes it can be complemented with other measures that ensure Veracity of symptoms. “For example, pharmacy offices have already helped during the pandemic, you can request to attach a photo of the positive test taken there by a positive person to verify that you have no symptoms and discharge the system Issues required specific days. The system issues leave for required specific days,” he explains.

Self-discharge for chronic deformity

family doctor The Balearic Islands believe that a Pilot project at the level of seasonal respiratory pathology As a method of testing. “If we later see that it is viable, we will extend it to other minor diseases like migraine,” he explains. “I have a patient who has migraine attack Sometimes they disable her so much that she can’t even drive a car, if for some reason she can’t contact the health center I can’t cancel it because she doesn’t show up. “I know he’s not lying to me, that he only needs two days and I see that being a chronic illness is a good example.”