Doctors and nurses would become public employees with the new health reform: what the change consists of

Senator Norma Hurtado and her position on the 2023 Health Reform. Photo: Archive

The Health Reform, which is led by Carolina Corcho, continues to generate debate in the sector, now a new question arises related to whether doctors and other workers in health care institutions would become State employees, as mentioned by the senator Norma Hurtado, president of the Seventh Commission of the Senate in Mañanas Blu.

The Minister of Health does not attend to the EPS assured the union: “We asked for communication channels, the answer was negative”

Currently, the health unions are requesting the Health portfolio to have access to the document of the reform project in order to contribute from experience, however, so far from the institution they have only been presented with a presentation with the central points

This statement was made after an early meeting with the ministry, in which the project proposes that both doctors and nurses become public employees and provides that private and mixed institutions will be regulated by a special regime.

“All those who have to do with the development of the service within an institution, enter the staff of the public health service provider institution… With a fair and timely salary,” Hurtado explained.

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The former official who earned the respect of the international medical community for his handling of the pandemic feels great concern about what, so far, is known about the document

Thus, except for medical specialists, they would be public sector workers, nurses, assistants, speech therapists, therapists, workers in the field of X-rays and all those who have to do with the development of the service provision activity within a company. institution, as indicated by the president of the Seventh Committee of the Senate.

Regarding the issue, the president of Acemi, Paula Acosta, spoke on Blu Radio and mentioned that the EPS have the most formalized segment in the health sector, although she stressed that this type of decision must be reviewed in depth to assess the impact that have.

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The president of Colombia stressed that the project that was the flagship during his electoral campaign seeks a public, decentralized system without the intermediation of private entities

“Nine out of 10 workers have a formal employment contract. It is important to move forward in particular, but you have to recognize the differences. There is a very significant deficit of specialists and probably that is the way to respond to the needs of the population”, highlighted the official of the Colombian Association of Comprehensive Medicine Companies.

In turn, Acosta opined that it is not possible to have a 100% public health model, since Colombia has developed quality service providers, explaining that “what does change is the way in which the provision of the service is articulated and that is a more important point.”

Agreements of wills between entities responsible for payment, health service providers and health technology [email protected] Official website

In Decree 441 of 2022 published by the Ministry of Health in Colombia, guidelines were provided on the contracting models that would be incorporated by the Entities Responsible for Payment (ERP), health service providers and technology providers in health.

Within the regulations that were released in March, a negotiation stage is established between EPS, IPS and health technology providers, with minimum compliance requirements for each of the three actors.

The EPS must present a health care model, in which a characterization of the health situation is generated, as appropriate and in accordance with the regulations issued by the Ministry of Health and Social Protection.

In the case of the IPS, a model of provision of health services will have to be exposed, related to the characteristics of each territory. Among the generalities to take into account are: the headquarters, authorized health services, the degrees of complexity, the modalities of service provision and the health services and technologies.

It should be clarified that the parties involved in the contracting phases must integrate common criteria for negotiation: indicators established in the Mandatory System of Quality Assurance of Health Care, those that account for the health results defined in the Integral Routes of Health Care, both mandatory and prioritized by the entity responsible for payment.

The actors will also have to provide the identification of foreseeable risks inherent to the agreement of wills, taking into account that they are different from the technical and primary risks, their typification and the mechanisms of administration and distribution of their effects.

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