Browsing Date

6 julio, 2021

Alberto de Rosa, Opinión

Por una salud responsable

6 julio, 2021 • By

Hoy os quiero compartir en mi blog una entrevista que me hicieron recientemente en La Voz de Galicia

La apuesta del grupo Ribera y de Centene por la comunidad gallega es un hecho desde hace ya varios años. Gestionamos allí tres hospitales: Ribera Povisa, en Vigo; Ribera Polusa, en Lugo; y desde hace apenas unas semanas, Ribera Juan Cardona en Ferrol. Y es por eso que en la entrevista expreso, una vez más, las fórmulas para hacer sostenible el sistema sanitario y reitero con firmeza que habría sido imposible dar una respuesta eficaz a la pandemia sin la colaboración del sector privado. Nosotros apostamos por un modelo de salud responsable, y esa es la clave para afrontar los retos del sistema y garantizar la sostenibilidad del sistema.

A continuación, podéis leer la entrevista.

La tercera aseguradora norteamericana, el gigante Centene Corporation, posee tres hospitales en Galicia a través de su filial española, Ribera Salud. El director ejecutivo para Europa, Alberto de Rosa (nacido en Valencia en 1962, «el 17 de octubre, como Pablo Iglesias e Isabel Díaz Ayuso», insiste), reflexiona sobre los retos del sistema sanitario tras el covid.

-La pandemia ha puesto de manifiesto la necesidad de sistemas sanitarios fuertes. ¿Qué papel puede jugar la sanidad privada?

Habría sido imposible dar una respuesta eficaz a la pandemia sin la colaboración entre la sanidad privada y la Administración pública. El sector ha colaborado con lealtad. Es un aprendizaje de esta pandemia: debemos buscar líneas de colaboración. Hay que repensar el sistema sanitario y el papel que queremos que juegue la sanidad privada.

-Si la sanidad pública no habría podido con todo, como dice, se podría interpretar que lo que hace falta es reforzarla.

Hay que reforzar todo. Tenemos un gran sistema público, con unos valores que todos queremos mantener: universal, gratuito y con equidad. Pero hay que tener en cuenta en qué sociedad vivimos. El 22 % de los ciudadanos deciden estar cubiertos por aseguradoras privadas, además del sistema público. ¿Por qué? Porque la gente quiere la tranquilidad del sistema público pero quiere tener la flexibilidad, capacidad de elección, inmediatez y cercanía del sector privado. Queremos un sistema público fuerte y para eso necesitamos un sistema privado importante.

-Es curioso, porque en la crisis financiera del 2008 también crecía el aseguramiento privado. ¿Si se reforzase el sistema y se eliminasen las listas de espera habría menos asegurados?

-Soy de los que les gusta hablar cada vez menos de lo público y lo privado. Es un lema que quiero introducir en el grupo: un modelo de salud responsable.

– ¿Qué significa?

Tenemos que ver los retos a los que se enfrenta el sistema. El fundamental es la sostenibilidad, tanto en el sector público, financiado vía impuestos, como el privado, financiado porque la gente lo paga. Algunos se empeñan en hacer separaciones, cuando la gente lo tiene más claro. Al reto de la sostenibilidad del sistema tienen que contribuir todos los agentes implicados.

-Habla de repensar el sistema. Repiense en voz alta.

Tenemos que avanzar en una salud más digital. Fuimos el primer grupo que implantó la historia electrónica y estamos implantando un portal de salud. Tenemos un sistema sanitario diseñado en los 80, y la sociedad es distinta. El hospital tiene que salir de sus muros y tener más relación con atención primaria, con los servicios sociales y con el domicilio del paciente.

-¿Cómo se hace sostenible el sistema?

Hay retos como la evolución de los costes, el envejecimiento, las nuevas enfermedades, las tecnologías… Propondría volver a hacer lo que se hizo a principios de los 90, el informe Abril, en el que los expertos en la sanidad pongamos ideas en común.

-¿Le gustan las fórmulas que proponía el informe Abril? Hablaba del copago, de la colaboración público-privada…

Nunca he sido partidario del copago, puede ser injusto. Hay otras ideas que sí. Hay que volver a pensar muchas cosas.

-En los 90, Ribera Salud inició el modelo Alzira: la Comunidad Valenciana les encargó la gestión de toda un área de salud, hospital y primaria. ¿Ese es el modelo?

En Sanidad hay muchos grises. El modelo fue muy interesante para unas situaciones concretas. Funcionó muy bien, permitió inversiones milmillonarias. Hay otras fórmulas de colaboración que han funcionado fenomenal, como Muface, en el que los funcionarios eligen entre recibir asistencia en el sistema público o en compañías privadas, o como las oficinas de farmacia.

-El gobierno de PSOE y Compromís dejó caducar la concesión de Alzira y ya ha anunciado lo mismo para Torrevieja.

Después de tres años, el retorno de Alzira a la gestión pública ha sido un fracaso. Los datos públicos indican que le cuesta a la Comunidad Valenciana 80 millones al año más que antes. Las listas de espera se han triplicado. Los ciudadanos tenían una asistencia de calidad. En mitad de una pandemia, valdría la pena no tocar las cosas que funcionan.

«Queremos trabajar muy cerca del Sergas»

En octubre, Alberto de Rosa dejó de ser consejero delegado de Ribera Salud y pasó al cargo de director ejecutivo de Centene en Europa. Dice que solo pidió mantener un cargo: el de presidente del patronato de la Escuela de Enfermería de Povisa.

—Han comprado tres hospitales gallegos en menos de dos años. ¿Por qué este apetito por Galicia?

Tuvimos mucha relación con Povisa muchos años y entrar en Galicia adquiriendo Povisa fue una oportunidad extraordinaria de la que nos sentimos orgullosos. Cuando entramos en una comunidad, estudiamos si puede haber otras oportunidades. Aparecieron Polusa (Lugo) y Juan Cardona (Ferrol) y estamos felices. Pero la idea inicial era incorporar Povisa al grupo. Cuando entramos en Galicia solo estábamos en dos comunidades [Valencia y Madrid], ahora en cuatro [con Galicia y Extremadura] y le anuncio que dentro de poco estaremos en una quinta.

—¿Cuál?

No digo más. En los países donde estamos vamos a apostar por seguir creciendo.

—¿En Galicia también?

Estamos abiertos a cualquier oportunidad que surja, pero no voy a decir nada más.

—Tomaron el control de Povisa en diciembre y en marzo llegó la pandemia.

Fue muy afortunado para el grupo, que recibió una ayuda excepcional de Povisa, y me gusta pensar que también para Povisa. Los grupos pueden ayudar en situaciones como esta.

—¿Qué relación le gustaría mantener con el Sergas? Sus tres hospitales tienen conciertos.

Me gustaría trabajar muy cerca de ellos, ayudarles y aportarles ideas e iniciativas que puedan ser positivas. El concepto de lealtad es importante para nosotros.


English

Nurses, the soul of the healthcare centers

6 julio, 2021 • By

Last Sunday I had the honour of participating as the keynote speaker in the graduation of the CEU Cardenal Herrera University of Valencia’s 17th year of nursing. It was a very moving ceremony and it filled me with pride addressing the new nursing professionals, one of which was one of my children. They are very well prepared and, above all, they are eager to demonstrate that their profession is vocational and that they want to take care of our health from now on.

You can see my speech below.

Dean, Vice-Dean, members of the CEU Cardenal Herrera University’s teaching staff and educational community, and especially new GRADUATES and their families who are following us at home.

It is an honour to address you as the keynote speaker at the CEU Cardenal Herrera University of Valencia’s 17th year of nursing graduates.

Dear nursing graduates.

Today is a day filled with emotion and one in which I share the happiness of both what you have accomplished and what you represent as professionals within the nursing group to which you have joined as of today. For these reasons, I want to express my sincere congratulations and appreciation.

Today you have come to the end of your initial preparation in this great profession and have reached the finish line. Carry out your profession and your vocation with bravery and limitless devotion. But my duty as THE KEYNOTE SPEAKER is to tell you that, in practice, TODAY IS NOT THE END OF ANYTHING, BUT RATHER THE BEGINNING OF EVERYTHING. The start of the route that you have chosen for your professional life, is a route that, without a doubt, is going to be passionate, but involves great RESPONSIBILITY.

Allow me to address you as a man in the street, as a healthcare manager, and also as the father of a student from this year’s graduation.

As a citizen I want to begin by expressing my deepest gratitude. Thank you, thank you, thank you so much. This tragic pandemic has placed value on many things, the most important of which is, without a shadow of a doubt, the role of all of the healthcare professionals facing the biggest crisis of the last century with bravery and dedication. You have started to form, and have already formed, part of history, the best part of our history, being those brave people that studied, finished their studies and faced a terrible pandemic. YOU ARE TERRIFIC.

This pandemic has brought to light the importance of your role in the system. We have been able to see over the last year how people come to our health centers worried and afraid, and IT IS YOU that have been there and YOU that continue to be there on the front line of healthcare.

I could tell you a lot of stories about what has happened in our health centers during these tragic months, stories that are lovely, tough, HUMAN, examples of vocation and devotion, of personal and professional involvement etc. but what I will tell you is that there has always been a nurse in each and every one of these stories. I feel such pride.

This is because, in addition to treating this treacherous disease that has had to be faced alone, nursing professionals have accompanied patients at all times, they have held their hand when they have needed it and have dried many tears but they have also given the encouragement and hope that all patients, and their families, need at difficult times.

YOU ARE THE HEART AND SOUL of the health centers!

Friends. Health is the most precious gift that we have, and you, as graduates in nursing, are a key part of health promotion, disease prevention and patient recovery, in other words, of ensuring the well-being of our society. This is all done with respect, generosity, humanity, dedication, a strong work ethic and continuous training to which you have committed yourselves with your life choice: your professional career.

The word RESPONSIBILTY in professions that are vocational and focused on taking care of people, implies COMMITMENT, RESPECT AND MATURITY.

Remember what I’m about to tell you now.

You are going to be responsible for our health at the most difficult and delicate times of our lives.

We are going to put our lives in your hands.

We will trust you with our fears, hopes, wishes and plans.

I ask that you always treat patients, that you always treat US, with enthusiasm and devotion. And with care. With a lot of care. Patients, people that have a health problem, feel fragile at times. Or worried. Or alone. And the nursing staff is key for them.

Always put the patient above everything else!!

As a healthcare manager I have learned a lot over the many years I have been in healthcare, the importance of nursing within the healthcare system. Not only are people putting their health in your hands but also organizations NEED you to stay connected to the needs of the patients. You are the main asset of a healthcare organization, and in order to achieve the objective of excellent healthcare, active, well-trained and committed nursing will always be required. Due to that, ongoing training is essential and should be something that always accompanies you throughout your professional career.

You are one of the essential professions within healthcare, with a role that has gained importance in recent decades. And you are going to be protagonists in the evolution and growth of the role of nursing, due to the importance of health and well-being in the 21st century society and due to your all-round view of the patient, their emotions and their environment.

Covid-19 has been the biggest tragedy that we have faced in the last century, but I do not want it to make us forget the big challenges that you are going to face. They are challenges that are already on the table, macro trends of the system itself exacerbated by this pandemic.

And I am referring to the ageing of the population, the chronicity of illnesses, the constant appearance of new technology etc. These are challenges that are going to keep putting immense pressure on the system, to which we have to add the consequences of Covid-19, with an increase in waiting lists, late diagnosis of diseases, etc.

The Bologna convergence with the degree, Masters and PhD, the development of the specialities and advanced practice nursing, together with the boost of new graduates like you, have to be the determining elements in obtaining the degree of recognition and value that nursing deserves in the healthcare sector and society in general.

I am sure of it and of your role in the future of healthcare.

You are the best in history!

Always remember that you have received the best training, and place value on commitment, courage and an eagerness to work.

To conclude, as a father, I would like to speak to you on behalf of all of your families that, unfortunately, cannot be present today and that are following us on television or on the computer at home.

I ask that you work with passion, giving the best of yourselves.

We are very proud to see you here today, reaping the benefits of your efforts. It is such a wonderful day for you, but also know that it is for us also, your families. We have suffered when you have had problems, we have been happy with your achievements, and seeing you here today fills our hearts with joy.

We never want you to lose the enthusiasm that you have today. Your work, responsiblility, commitment and humanity are very important for the patients that you are going to treat. And also for their families.

REMEMBER THAT YOU ARE PEOPLE THAT TAKE CARE OF PEOPLE. That is my motto. Give a smile, a friendly gesture, understanding, care and respect to those around you. I assure you that they are the perfect accompaniment that will make the training you have received in this magnificent University, CEU Cardenal Herrera University, shine even brighter.

Take care of us! Of everyone! That should be the main aim of your professional life.

And I’ve come to the end, friends. Really. For me, being the KEYNOTE SPEAKER of this graduation is a “gift” that I will proudly carry with me forever wherever I go.

And I promise you that I will work so that this year of graduates has all of the possible opportunities and the visibility that you deserve. Count on me!

A hug to each and every one of you with all of my admiration, gratitude and respect.

You are now nurses!! Congratulations and get to work, we need you!!