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Plump Protests By The Family Doctors Association

The Latvian General Practitioners’ Association (LGA) voted at the general meeting that if the government does not address issues relevant to doctors, it is ready to hold protests.
At the general meeting, the GAEC also agreed not to sign the memorandum of cooperation proposed by the Minister of Health Guntis Belevics (ZZS), which has already been signed by the Latvian Association of Rural Family Doctors.
GPs also call for the use of eHealth to be made voluntary.
At the general meeting of the association, several doctors indicated that they are not against the introduction of e-health in Latvia, however, they are concerned about the security of patient data, as well as the fact that this system must be used by all doctors from 1 December.
The association also agreed that it would address the topical issues to the Prime Minister Maris Kuchinska (ZZS). These issues include increased funding for primary health care, an increase in GP salaries, and state support for opening up new practices. GPs also want the issue of the legal status of their practices to be addressed, as well as e-health issues.
If the government does not address the issues that are important to GPs, they are also ready to think about protests. As Paul Princis, a member of the board of the association, pointed out at the meeting, the protest action can be not only not going to work, but also not signing agreements with the National Health Service on e-health testing.
Almost all of the 340 members of the association present voted on these issues.
As reported, the Ministry of Health (MoF) concluded a cooperation agreement last week only with the Latvian Association of Rural Family Doctors, while the representatives of the LGA did not come to the ministry at all.
The commitments in the MoC include a set of measures to address human resource problems in primary health care, such as promoting the availability of doctors in the regions by applying a “rural coefficient” to the remuneration of doctors outside urban and remote areas, and improving the organization of qualified doctors, thereby promoting the training of residents in the regions.
The agreement also envisages a commitment of the Minister of Health to provide more funding for primary health care and to direct additional funding for the full capitation payment to family doctor practices as of 1 July this year.
According to Līga Kozlovska, the head of the Association of Rural Family Doctors, in this way, in addition to each family doctor practice, an average of 250-280 euros would be allocated. In its turn, as pointed out by Valērijs Valdmanis, a member of the board of the association, the necessary funding for the full payment of capitation money in the family doctor’s practice is already provided in the state budget and it will be formed from savings by reducing the number of useless outpatient examinations.
In addition, together with family doctors, it is planned to develop a program of work quality criteria that would be motivating for family doctors, would be as an additional payment and at the same time would promote the realization of patients’ interests.
It is also planned to address the issue of attracting additional funding to provide support for GP practices that are closed in connection with the retirement or termination of the GP due to the GP’s medical condition, covering the costs incurred by the GP practice in connection with redundancy benefits under the Labor Code. conditions of law.
The memorandum also envisages mutual cooperation and support in the implementation of e-health in order to promote the most user-friendly solution possible – for family doctors.

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