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The National Union of General Practitioners of Public Health (SNMGSP) is sounding the alarm about the deterioration of working conditions in emergency services where doctors are reduced to distributing tickets behind a counter. This is what Dr Abderrahmane Maskri, president of the national union of general practitioners of public health, told the Young Independent this Wednesday.
Denouncing the “undignified” working conditions imposed on general practitioners in emergency services, the president of the SNMGSP affirms that in a letter addressed to the Minister of Health, Abdelhak Saïhi “we have launched an appeal for the urgent intervention of the Minister to restore fairness to the general practitioner and take appropriate corrective measures, because what is really happening on the ground is unprecedented and unworthy of our health system.”
The union thus alerted the first manager of the sector to the major dysfunctions in the sorting of emergency services, emphasizing that these are “unacceptable practices which violate the rights of general practitioners relegated to cramped boxes or behind” glass counters or metallic.” These health professionals see themselves reduced to simple “tellers, thus flouting their professional dignity” deplores the president of the SNMGSP. He also insisted on the fact that instead of exercising their medical expertise, doctors are assigned the thankless task of distributing tickets to patients.
The trade unionist underlines that this has fueled the anger of this medical profession and that during the recent Study Day organized by the National Institute of Public Health under the title “Organizing emergency and disaster medicine services” certain professors of medicine have endorsed the fact of forcing the general practitioner, under penalty of administrative sanctions, to carry out this task unworthy of his field of competence. This is under the pretext of the lack of trained personnel for triage missions and guidance in terms of emergency reception.
Dr Maskri insists that faced with this position against realistic geological doctors that “we firmly reject this decision and consider it, as a national union, a professional and moral contempt which affects our honor and the nobility of the medical profession, and tarnishes the image of the health system that the President of the Republic strives at all times to develop and modernize.
He argues that far from concentrating on their core business, general practitioners are forced to take on time-consuming administrative tasks that have no medical meaning, such as distributing tickets and entering computer data. These tasks, which distract them from their primary mission of providing patient care, lead to a loss of valuable expertise and growing frustration among doctors.
Once again, a general practitioner, trained to diagnose and treat pathologies, finds himself reduced to a simple “ticket distributor”, he protests. .
The SNMGSP called for an urgent revaluation of the role of the general practitioner, too often relegated to subordinate administrative tasks to the detriment of their primary mission “the medical care of patients”. Believing that this humiliating situation only reinforces the feeling of discomfort and devaluation felt by doctors. Faced with these serious failings, the SNMGSP demands urgent measures to restore the rights of general practitioners and improve the quality of emergency care.
Furthermore, as part of the solutions proposed to remedy this situation, the SNMGSP reiterates its pressing request to implement the provisions of the patient action plan (PAM) concerning the training of reception agents trained in the triage process initial. Arguing that “it is time to launch the training of nurses specialized in triage as is the case in all advanced health systems which have proven their effectiveness and which are subject to scientific standards defined by specialists in the field” .
The implementation of dedicated training would make it possible to optimize the care of patients as soon as they arrive at the emergency services, by streamlining the care pathway and relieving general practitioners of time-consuming tasks. The training of assistants would contribute to general practitioners, allowing them to concentrate on their primary mission which is the medical care of patients. The entire emergency system would benefit, with better efficiency and faster and more qualitative patient care.
The SNMGSP also calls for expanded consultation between all players in the sector for a complete overhaul of the computerized medical record in order to make it an efficient tool adapted to the real needs of the health system.
For this, he appeals to those responsible for the digitization of medical records to work in consultation with all professionals in the sector, including specialist doctors, nurses, anesthetists, midwives, medical agents, and all person concerned with medical records or patient management at the hospital, in order to clarify the role of each person in this program.