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HEALTH

Madrid shuns private healthcare takeover

More than a million people in Spain's capital will have their health put in the hands of three private companies from September onwards.

Madrid shuns private healthcare takeover
Spanish health care workers and many patients fear the new law will put profits before quality and lead to the firing of thousands of support staff. Photo: Pedro Armestre/AFP

Spain’s government placed the capital’s hospitals under the hammer last April despite numerous mass protests by doctors and patients alike who feel the move will put profits before people.

La Marea Blanca, or White Tide, as the anti-privatization movement is known, gathered again on Sunday in front of Spain’s Health Ministry to garner support for what up to know has been regarded as one of the world’s best public health systems.

“We’re fighting against what we believe will be irreparable damage to the health system,” Juan Ruiz, one of the platform’s spokespersons, told Spanish news agency Europa Press.

“It’s a dangerous move to try to buy off health professionals by offering them the chance to be shareholders.”

From September 2013, previously government-run health centres in Spain’s capital will be able to manage their own affairs like private clinics.

So far, six Madrid hospitals will start to operate as independent health clinics in two weeks’ time: Infanta Leonor, Hospital del Tajo, Infanta Cristina, Infanta Sofía, Sureste y del Henares.

Spain’s ruling Popular Party’s failed to awaken as much interest from potential buyers as originally anticipated.

Only British-owned Sanitas, Ribera Salud and Puerto Rican group  HIMA San Pablo bought up the Madrid hospitals after the Spanish government drastically dropped the initial sale price.

Spanish health care workers and many patients fear the new law will put profits before quality and lead to the firing of thousands of support staff in favour of cheaper replacements.

Nationally, Prime Minister Mariano Rajoy's government has slashed health spending by €7 billion ($9.1 billion) a year as part of a campaign to squeeze €150 billion out of the crisis-racked country's budget by 2014.

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HEALTH

When can doctors in Denmark refuse to continue treating patients?

General Practitioners in Denmark have the right to break off a patient-doctor relationship in specific circumstances.

When can doctors in Denmark refuse to continue treating patients?

Although doctors in Denmark have the right to decide not to continue treating a patient – requiring them to find a new GP – the circumstances in which this can happen are limited, and must be approved by health authorities.

The frequency in which the circumstances arise is also low. A doctor decided to no longer receive a patient on 375 occasions in 2016, according to the medical professionals’ journal Ugeskrift for Læger. The following year, newspaper Jyllands-Posten reported the figure at 458.

There are two main categories of circumstances in which a doctor can choose to take this step. The first is in instances of violent or threatening behaviour from the patient towards the doctor. 

The second (and most common) is when the doctor considers the relationship to have deteriorated to the extent that confidence has broken down, according to Ugeskrift for Læger.

It should be noted that patients are not bound by any restrictions in this regard, and can decide to change their GP without having to give any justification.

A patient also has the right to appeal against a doctor’s decision to ask them to find a new GP. This is done by appealing to the local health authority, called a Region in the Danish health system.

In such cases, a board at the regional health authority will assess the claim and if it finds in favour of the patient may order the doctor to attempt to repair the relationship.

Doctors cannot end a relationship with a patient purely because a patient has made a complaint about them to health authorities. This is because patients should have the option of making complaints without fear of consequences for their future treatment. 

However, if this is accompanied by the conclusion on the doctor’s part that there is no longer confidence in them on the part of the patient, they can remove the patient from their list.

The right to no longer see patients in the circumstances detailed above is provided by doctors’ collective bargaining agreements, the working conditions agreed on between trade unions and employer confederations under the Danish labour market system.

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