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According to the doctors, the visible signs seem threatening: young doctors continue to carry suitcases, the rest are concentrated in large cities and more than half of the doctors are of retirement age. Furthermore, the pandemic has only aggravated the situation, so after a while the situation could become very sad.
Trying to put out the “fire” due to the lack of doctors, the Akmenė district municipality attracts doctors with extremely solid numbers: up to 60 thousand people volunteer to settle with a commitment to work for 5 years. euros.
According to the mayor of the district Vitaly Mitrofanov, at present it is necessary to have specialists in various specialties: at least 3 family doctors and several therapists. These large grant programs were necessary because as many as 5 physicians left the polyclinic when another primary level private medical center was in town.
A national problem
Auristida Gerliakienė, president of the Lithuanian Medical Movement (LMS), pointed out that Akmenė is just one of the municipalities facing the same problem.
“It is very difficult or impossible to invite specialists to work in the regions. This is especially difficult if you cannot offer a high salary and such conditions to the visiting doctor. For example, a doctor who works in Alytus or Jiezna is offered 2.5 thousand. euros in hand. It is not a very bad salary, but it is not as attractive as the conditions offered in this case in Akmenė, ”he said.
The interlocutor emphasized the need for systemic solutions in cooperation with the Ministry of Health, universities and municipalities.
“Because what is happening now, one municipality is trying to attract by offering very good conditions, and others are still at a disadvantage. Yes, the situation with kovidu It is very difficult and difficult for those in power to direct their attention elsewhere, but when it is easier, this matter should be dealt with as soon as possible. After all, it is not about a municipality or ministry, but about a national level, ”he said.
Delayed action pump
The representative of the doctors recalled that the figures written in black on white have been ignored for a long time; Currently, most doctors are of retirement age, so to keep young, fewer amounts may need to be scraped.
“Currently, people over 65 years old. There are 13,504 active doctors and people between 35 and 64 years old. In the age group – only 10,251. Therefore, the predominance of doctors of retirement age is higher in the Today. So, if that relationship continues, we will lose those doctors very quickly. And then you will have to look for even larger sums to call them. And do it not only in the regions, but also in the main cities, “warned A. Gerliakienė.
According to the interlocutor, this problem is like a delayed pump that does not stop and time does not favor us.
“All the more it does not help the spirit of society itself when observing various articles in the media that discredit the specialty of medicine. The situation is very bad and I think it is necessary to change the public’s attitude towards doctors, especially at a time when they have been saving many people for years, saving lives, working tirelessly and in very difficult conditions. I would like the public not to see the doctor as a service personnel, ”he said.
Skvernel’s “ride” tip works
As the president of the LMS pointed out, a very significant change is necessary in the working conditions, remuneration and attitudes of civil servants.
“The” go “reply thrown at the residents of Prime Minister Saulius Skvernelis a few years ago worked perfectly. Now the emigration of residents abroad in search of good working conditions works perfectly and, I don’t know how that flow will have to be stopped and what can Lithuanian politicians offer for young people to return or stop emigrating ”, emphasized A. Gerliakienė.
He added that he doubted whether it was possible to cover any hole with people who immigrate from other countries: Ukraine or Belarus. The LMS representative pointed out that it will not be as easy to hire doctors as builders, as this is hampered by the language barrier: “Lithuanian is not learned that fast, so immigration is not a solution.”
According to the interlocutor, observing the fact that a large part of the returned emigrants do not settle in the main cities, but rather choose the regions, shows that people see opportunities to materialize there.
“So obviously we have to think about creating an infrastructure that is comfortable to live in, creating and expanding our own healthcare facilities and getting closer to the person,” he said.
The COVID-19 crisis has shown importance
Vygantas Sudaris, president of the Lithuanian District Hospitals Association and director of Pakruojis Hospital, emphasized to the colleague that Lithuania is not only Vilnius and Kaunas, but also cities and towns.
“People are born, grow up, live here, need services just like people in big cities,” he said.
According to the interlocutor, the importance of the regions was all the more demonstrated by the pandemic: “Without institutions in the districts, the so-called maternal hospitals would not have been able to cope with the flows of patients. There was no possibility of that. We have to take that into account so that we don’t need each other when we are bad, and when we are doing well, we are already on the margins. “
And the huge disparities between big cities and regions are obvious. That’s a thousand. There are 6.9 doctors in Kaunas county, 5.5 in Vilnius, 2.2 in Telšiai county, 2.6 in Šiauliai and 2.9 in Utena.
“The Vilnius and Kaunas regions always look better, because they are medical forges. But in Šiauliai, the Panevėžys areas there are much worse numbers. Also, the number of doctors in Lithuania is not increasing. They have decreased precisely because of additional deaths related to COVID-19, “said V. Sudaris.
Submitted a letter to the Ministry
According to the interlocutor, the number of doctors may increase unless specialists complete their residency, doctors return from abroad or there is an internal redistribution.
“Unfortunately, no matter the significant changes, it is not and no one expects it to be. As a result, the association that I lead also wrote to the Ministry with a letter about the need to increase the number of residency places, especially emergency physicians and other specialties, so that they could be funded by the state and we could train doctors who could work in Lithuania,
According to him, some laws also cause excessive tensions.
“There are requirements, mandatory conditions, that -determined amounts and levels of specialists- we must have to carry out the activities. If one is missing, you may need to close all activities.
For example, let’s say there is a requirement to have a doctor and an endoscope around the clock, regardless of whether the office doesn’t even have a surgical department. Logically, it would not even be necessary, but such a law, because if there is a problem, we still move to another institution and do the procedure again. By changing this, it would be possible to reduce some of the tensions, “said the hospital director.
The portal tv3.lt recalls that he wrote that in the districts there is a lack of doctors in the municipality who offer exceptional conditions.
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