Ezi ndaba bezilindelwe ngabafundi bezonyango. Ngoku, ngenxa yokuqokelelwa rhoqo kweesignesha, ukuhlanganiswa kwentlalo kunye noxinzelelo oluvela kwiimanyano, i UMphathiswa wezeMpilo ugqibe ekubeni anyuse inani leendawo zeMIR (OoGqirha baNgaphakathi abaHlali) kwifowuni ye-2023-2024. Ngalo mzamo, injongo kukunciphisa ukunqongophala kweengcali ezichaphazela amaziko ezibhedlele kulo lonke elaseSpain.
Ayisoze iyeke ukumangaliswa kukuba inkqubo yezempilo ethathwa njengophawu kwamanye amazwe amaninzi emhlabeni inengxaki yokugula. ukunqongophala kolwakhiwo lweengcali zonyango. Noko ke, le asiyongxaki yakutshanje, kodwa sele isenziwa amashumi eminyaka. Ukwanda kweendawo zeMIR ngumlinganiselo obalulekileyo, kodwa iingcali ezininzi ziyavuma ukuba akuyi kukwanela ukucombulula ingxaki esisiseko.
Ukunyuka kwiindawo ze-MIR 2023-2024: ngaba kwanele?
Kwi-2023-2024 ikhwelo loQeqesho lwezeMpilo oluKhethekileyo (FSE), iyonke Izihlalo ezi-11.600, eyi 3,8% ukwanda xa kuthelekiswa umnxeba yangaphambili kunye emangalisayo 38% ngaphezulu ukuba siyithelekisa ne-2018 umnikelo, ngokukodwa kwi-Medicine, ziye zabelwe Izihlalo ezi-8.767, emele ukwanda kwe 2,5% xa kuthelekiswa nekhosi yangaphambili.
Ngaphandle kolu phuculo, ezinye iingcali zecandelo lezempilo, ezifana noDkt. Sheila Justo, unobhala wezobugcisa weeDokotela eziNcinci kunye ne-MIR ye-State Confederation of Medical Unions (CESM), baye bavakalisa ukuba oku kunyuka kunokwanela. Isizathu kukuba, nangona inani leendawo liye landa, inkqubo yonyulo kunye ne ukungabikho kwezikhuthazi Kwiingcali ezithile zihlala ziyimiqobo ebalulekileyo. Ingakumbi kwiFamily and Community Medicine, apho nokwandisa inani leendawo ezibonelelwa ngama-34, kusekho ukunqongophala kolwakhiwo lweengcali.
Izinto ezikhethekileyo ezinomnikelo omkhulu kwi-MIR 2023
Ngokuphathelele kwiingcali, i I-MIR-2023 ibonelele ngeendawo ezingama-2.489 kwiFamily and Community Medicine, i-specialty enenani elikhulu leendawo ezikhoyo. Oku kulandelwa yiPediatrics and Specific Areas, eneendawo ezingama-508. Ezi ndawo zithathwa njengezibalulekileyo, kuba ziyimfuneko ekusebenzeni kweNkqubo yezeMpilo yeSizwe (i-SNS). Nangona kunjalo, ngaphandle kokubaluleka kwezi ndawo, inyaniso kukuba uninzi lwezi zikhundla azizaliswa.
Njengomzekelo, kwifowuni yangaphambili yeFamily and Community Medicine, bekukho ngaphezulu 200 iindawo ezingenabantu. Izizathu ezibangela le nto zininzi, kuquka iimeko ezinobungozi yomsebenzi kwiPrimary Care, i ukungabikho kwezikhuthazi kunye nomsebenzi omninzi ezi ngcali ziphantsi kwawo.
Enye into ekhethekileyo exhalabisa ngokukodwa I-Psychiatry yomntwana, eye yafumana ukwanda okukhulu kweendawo, ukusuka kwi-30 ukuya kwi-48. Le nto ikhethekileyo ibalulekile ukujongana nomthwalo okhulayo weengxaki zempilo yengqondo kubantwana nakwishumi elivisayo, inkxalabo efihliweyo ebonakalayo ebonakalayo kwicandelo lezempilo laseSpain.
Iindawo ezigcinelwe abantu abakhubazekileyo nabangengabo abe-EU abafake izicelo
Enye yezinto ezintsha ezibalulekileyo zokunyuka kweendawo zeMIR kukubandakanywa kwenani elikhulu leendawo ezigcinelwe abantu abakhubazekileyo kunye nabafaki-zicelo abangengabo abe-EU. Zizonke, ziye zagcinwa 812 iindawo zabafaki-zicelo abakhubazekileyo, emele i-7% yazo zonke iindawo ezikhoyo. Olu lwando lubaluleke kakhulu kuba luvula amathuba okuba abantu abaninzi abakhubazekileyo bafikelele kuqeqesho olukhethekileyo kwiMedicine.
Malunga ne abafaki zicelo abangengabo abe-EU, i-quota yeendawo yi-6%, elingana ne Izihlalo ezi-526 yeMedicine. KuBongikazi, inani lincinci, lineendawo ezintathu ezigciniweyo; kunye neKhemesti, ziindawo ezingama-21 kuphela ezabiweyo.
Ukongeza, inkqubo sele isekiwe a ubizo olungaqhelekanga kwimeko yokuba, emva komnxeba oqhelekileyo, kukho iindawo ezingakhange ziwongwe. Le fowuni iya kuvumela ukuba i-quota yeendawo zabafaki-zicelo abangengawo amalungu e-EU yandiswe ukuya kutsho kwi-10%. Kufuneka kuqatshelwe ukuba le nkqubo yenzelwe ukuthintela iindawo ukuba zingashiywa zingabiwanga, njengoko kwenzekile kwiifowuni zangaphambili.
Amanyathelo ongezelelweyo: ukuzinzisa kunye nomhlalaphantsi osebenzayo
UMphathiswa wezeMpilo akazange agxile kuphela ekwandiseni inani leendawo ze-MIR, kodwa uye wabhengeza uluhlu lwe amanyathelo ongezelelweyo ukuphucula inkqubo yezempilo xa iyonke. Phakathi kwabo kugqame ukuzinza yeengcali ezingaphezu kwama-67.300 kunye nokusetyenziswa komatshini we umhlalaphantsi osebenzayo, nto leyo eyayiza kuvumela oogqirha abadla umhlala-phantsi ukuba baqhubeke besebenza ukuba bayathanda, nto leyo eya kunceda ekunciphiseni ukunqongophala kweengcali.
Ukongeza, ukwanda kwenani I-15% yeendawo ezifumanekayo kwizikolo zikarhulumente zonyango. Lo mlinganiselo wenzelwe ukuba, kwiminyaka ezayo, inani loogqirha abajoyina imarike yezemisebenzi lanele ukukhawulelana nemfuno ekhulayo yoogqirha abaziingcali.
Naphezu kwayo yonke le migudu, kuyacaca ukuba ukuphucula iimeko zokusebenza zeengcali ezifana neNtsapho kunye neMithi yoLuntu kubalulekile ukuba oku kunyuka kwezikhundla kusebenze. Ngokutsho kukaDkt. Rafael MicĆ³, usekela-mongameli weSpeyin Society of Primary Care Physicians (Semergen), akwanelanga ukuqhubeka nokwandisa inani leendawo ukuba azizaliswanga. Kuyimfuneko ukwenza obu buchwephesha bube nomtsalane ngakumbi, obuqhubeka buba yenye yezona zinto zicetywayo nangona kukho imfuneko ephezulu yeengcali.
Ukunyuka kwenani leendawo ze-MIR linyathelo eliya kwicala elifanelekileyo. Nangona kunjalo, isisombululo sokusilela koogqirha abaziingcali eSpain sidinga indlela ebanzi enganyusi nje kuphela unikezelo loqeqesho, kodwa ikwajongana neengxaki zenkqubo yezempilo, ngakumbi kwindawo yoNyango oluPhambili. Ukuphucula iimeko zokusebenza, uzinziso lwabasebenzi kunye nocwangciso olungcono lwezabasebenzi zezinye zezinto ekumele ziqhubeke ukuvela ukuze la manyathelo matsha asebenze ngokwenene.