675. Reform Plan: Doctors warn of health constraints

The National Reform Plan, presented on Thursday by the Government, provides, among other measures, ophthalmological screening in 28 health center clusters (ACES) and free dental consultations in the framework of pilot projects under development.Speaking to Lusa, rod José Manuel Silva considered these two measures positive, highlighting the inclusion of dental medicine and stomatology in the primary care of the SNS (Portuguese public health service).We welcome dental medicine in primary health care. We salute the ophthalmological scrubs that are going to be implemented, but they must be done with doctors and dentists of the SNS, said José Manuel Silva, still defending a career in dental medicine / stomatology in primary health care within the SNS.He also acknowledged that the state itself contributes to the withdrawal of doctors to the private sector by paying more to private sector doctors working for the SNS.We see with great concern, to keep for the public sector the philosophy of enter one, leave two or leave two, enter one. Recently there has been much talk about hospital infections, and we all realize that there is a dramatic lack of human resources in hospitals. Strengthening the hiring of nurses and technical and operational assistants is apparently not foreseen and this will continue to put constraints on functioning, he said.José Manuel Silva also called attention to the need for the measures that are foreseen in the National Reform Plan not to be made through outsourcing.We will see how the pilot experience will be implemented and then how it will be analyzed, but it is positive, there has been a gap [absence] of dentistry in the SNS, he stressed.

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