Give hope to the accelerated procedure in Trondheim?



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The case is being updated.

But first we invite to a kind of health trip. The journey begins in the Rift Valley in Africa for approx. 200,000 years ago, ended in the municipality of Trondheim in 2018. The red threads are the evolution, the brain worry, the welfare state, the permanent system and business ideas.

As a licensed general practitioner, you quickly notice this: there are many concerns, stress and anxiety in the population. A piece of the path, general medicine can be called medicine concern. And it's normal and natural. Why is this epidemic concern coming? It comes from the Rift Valley. It is there that Homo sapiens, "the wise man," has developed. Our own tribe, who then came out and conquered the world.

Many believe that they were the hardest and strongest among us who survived. That was not it. The hardest is no longer for us. They were worried about surviving. The Concern Center is strongly and strongly developed in our brain, in the form of robust neurological stress mechanisms. In general, all kinds of threats activate stress. Whether it is threatening health is not long for the majority of us. Fortunately. Or to a network doctor near you.

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Enough basic theory of evolution and simple theory of stress. Let us now turn to an exterminated rarity, the Norwegian fasting system. This is a rarity because there is almost no creature in the whole world. Many foreigners call it "the best mass treatment system in the world" and envy us. He is off because he is now under the weight of his own success. Is it worth it to be protected? Can it be viable? Or is it too late?

In 2001 it was decided that Norwegian general practitioners should become a permanent doctor in a separate order. There were ideas and research that a continuous, personal and comprehensive doctor / patient relationship would give the population the assurance that his health and care would be taken care of. Inexpensive too.

It was a success. Since inception, 86-88% of the population has declared themselves "very satisfied" with the project. It is the highest national level. The system worked so well that an increasing number of health tasks were transferred to permanent staff. The experience is that they are removed.

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We forgot, however reorganize the project with several owners. We now work on average 56 hours a week. More than 60% of respondents find that their job allows them to get rid of their health, 60% plan to change jobs in the last six months, 52% do not seem to be part of the five-year program. It will remain 90% if the conditions of the frame are improved.

That this is not sustainable was finally recognized politically. We are proposing the rehabilitation of the system, both in terms of general conditions and crew. Corrective measures are promised to come into effect in 2-4 years.

It's too long. General Practitioners do not treat 20 extra hours a week for 2 to 4 years. They will make a motive. And there is little signature. Few skilled graduates continue to use such conditions. We fear an accident this year.

As a result of an overloaded fixed line system, private solutions are now developing in a frightening way. Health problems are a good business idea. One of the best. Remember the brain of concern.

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An important point of sale is the availability. The loser is quality, trust and a social state of solidarity. Julian Tudor Hart, a savvy English generalist, developed in the 1970s "the act of reverse charge":

There are detailed guidelines that provide the best health care offer where it's needed most, and at least health care where it's needed most. And the more the service is based on market forces, the more effective the law is. If the GP exchanged with his solitary assignment in the community with the casual physician with his professional assignment, we would be legally skewed. This will be a sad step in the direction of the dismantling of the welfare state. For the most vulnerable, it becomes dangerous.

Unfortunately, we feel safe for this impact analysis. The fixed telephone system breaks down and is replaced by private solutions. It is now the municipalities that are politically responsible for avoiding this.

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In Trondheim, hope is discouraging. The mayor of the city, Rita Ottervik (AP), acknowledges that the general practitioner has immediate help and is on the ball. It seems that she plans to play quickly with the decision-making bodies of the municipality. At the political level, seriousness has been taken in our municipality. There is a willingness to look at possible obstacles, and a willingness to cooperate to which. It is recognized that we are the general practitioner who knows best where the shoe grows. The GP in Trondheim and throughout the country is going through an exciting and critical period.

If we, in cooperation with our local politicians, succeed in implementing emergency relief measures in our city, we hope this will have a national impact. Someone has to go there. Mayor Rita Ottervik is one of them.

Homo sapiens is the sage. Homo Economicus is the profitable man.

Our challenge to the municipalities of the country is: keep the wisdom. Let's keep the GP.

Listen to our commentators talk about: The director of the theater, thanks, more noise in KrF, a trip to Trondheim's Ap and a new song on RBK

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