There are conditions related to the birth, development, work, adult life and aging of people, which are directly associated with their destinies. The great determinants such as social and economic forces and systems, development plans and programs, regulations and public policies, are the generators of what we call “everyday life” and it must be understood that these conditions are variable in different groups or sectors. population and cause changes in the results obtained in various areas of human development and health is no exception.
Although some of these conditions are unavoidable in their origin difference (what we call “inequality”), we also have some that are unnecessary and even avoidable and that is what is known as “inequality”. It is important to understand this subtle difference, since it is in our hands to establish mechanisms, public policies and appropriate goals to increase equity, in an effort to achieve better or optimal levels of development.
Now, what is this dissertation related to? This scheme of thought is the foundation of what the World Health Organization establishes in its “Social Determinants of Health” that provide the way to solve different problems that affect the quality of life of populations, which encompass concepts of security , mobility, violence prevention, urban health, non-communicable diseases and injury prevention, as well as the importance of the economy in health services.
At the core of these determinants, especially in relation to the provision of health services that are accessible and guarantee equity mechanisms, a large and serious problem is evident that is a real obstacle to achieving these health objectives and is what is referred to to under-investment in clinical care systems, in relation to human resources (doctors, nurses, technicians, among others) but also in infrastructure and technology (hospitals, laboratories or blood banks, to name a few). It should be noted that we are a country that today is prolific in educating and graduating a multitude of health professionals, but without having the tools to be able to support them in their daily practice, in addition to not guaranteeing jobs and adequate income, sufficient and just.
It has been taken for granted that health care workers will “be there” regardless of their perceived pay, occupational hazards, or unfavorable working conditions. But this is not so. It is notorious that this under-investment in health, especially in the human workforce, is now conditioning a shortage of professionals at an international level and our country is no stranger to this problem. The uneasiness, drop in morale, depression and other conditions resulting from a hostile work environment, as well as economic perceptions that are not in accordance with wear or level of responsibility, are causing (at an increasingly accelerated rate) the lack of production and availability of resources in health and the situation of those who, even already trained and licensed to practice, prefer to dedicate themselves to another economic activity that is a source of better living conditions.
So, for the circumstances or determinants of a society to be guarantors of equity mechanisms (especially when we talk about health), it is necessary to make clear the idea that health systems work only with workers who are under conditions of adequate professional development. , education and employment that allows for greater retention and optimal performance of their work, since it is the only way to build health systems that have characteristics of availability, accessibility and quality.
In a clear and forceful way: it is imperative to improve the conditions of health workers. The vocation is fundamental, yes, but the guarantee of a worthy life for these people is of equal or greater importance. Those responsible for the Mexican health systems: act accordingly. Health professionals: it is time to demand what is yours.
(Clinical Pathologist. Specialist in Laboratory Medicine and Transfusion Medicine, professor of specialty and promoter of altruistic blood donation)