DR1 - At just eight days from the target date set by the authorities for the Primary Care Centers program to go into effect, a clash of interests between all the actors in the Dominican Social Security System (SDSS) is putting the beginning of the model at risk.
The Deputy Minister for Public Health, Nelson Rodriguez Monegro, reported that as of yesterday four proposals have been addressed to the affiliates of the Family Health Insurance (SFS) that are payroll contributors. Each proposal is aimed at a different sector.
The first is the Ministry of Public Health, which wants to start in Health Region VI, because it has the best development level of the public network, both in its Primary Care Units as well as public hospitals. Another proposal is from the employer sector that suggests that the start of the model should be in San Pedro de Macoris and later in Puerto Plata.
These ideas were discussed. Yet to be heard is one from the Dominican Medical Association (CND) and one from the labor sector that will be discussed tomorrow Wednesday, 25 April, at the meeting of the commission.
In principle, the CMD supports the Ministry of Public Health proposal, because Region VI, which consists of the provinces of Azua, San Juan de la Maguana, Elias Pina and Barahona, is one of the regions with the least number of payroll deduction affiliates and has more than 130 Primary Care Centers. The doctors believe that this program has the advantage of being a pilot plan that will allow them to go about creating confidence according to the capacity of these units to resolve the cases presented.
In the case of the proposal by the business community, Rodriguez Monegro said it was not viable because there are only four private Primary Care Centers in the province (San Pedro de Macoris), the population is of more than 120,000 patients and it has been stipulated that each center has to be able to care for 500 families. Read original at DR1.