07141fe8 f72a 48ee a2d7 ae02fe0f7510

 

 

Queridísimo Juan Antonio,

¡ Cuanto nos duele y nos llena de tristeza que has tenido que dejarnos el 4 de enero tan repentinamente ! Ni tú, ni nosotros tuvimos tiempo de despedirnos. pero ten por seguro que seguirás viviendo en nuestros corazones y que tu sagrado fuego por la profesión médica seguirá iluminándonos el camino. Te somos infinitamente agradecidos por habernos dado el privilegio de poder compartir tu larga y profunga experiencia y excelencia no solamente en el campo de la medicina sino sobre todo en tu vocación de ser Médico, con mayúscula. La excelencia, el arte y la virtuosidad de ser médico de y para sus pacientes, teniendo su escucha y corazón siempre abiertos para los sufrimientos físicos, psíquicos y sociales de sus pacientes, teniendo su inteligencia, capacidad analítica, diagnóstica y terapeutica siempre despiertas y agudizadas, nos unían a todos en ASPROMEL. Ten por seguro, Juan Antonio, que tu ausencia nos corroborará aún más en este espíritu de ser MEDICOS. ¡ Qué el sagrado fuego para nuestra profesión-vocación no se apague nunca ! Descansa en paz querido amigo y compañero. Hasta siempre con un fuerte abrazo de tus amigos de ASPROMEL.

 

 unnamed

VALENTÍA, FRESCURA Y PODER DE LA CONFIANZA

BOLETIN INFORMATIVO

 

ASPROMEL – Asociación Profesional de Médicos de Ejercicio Libre de España

Representa los Médicos de Ejercicio Libre en España y en Europa a nivel de EANA y CPME

Fundada en Abril de 2006 en Madrid

Excelencia en el trabajo de todos los días, en la representación del ejercicio libre de la profesión, amistad, lealtad y pasión por la vida son los pilares de ASPROMEL.

 

AGENDA

El 20 de noviembre ASPROMEL/EANA participó en la reunión virtual desde Berlín, organizada por el CPME y la OMC alemana ( DÄK ), sobre la digitalización en la medicina. De particular interés para ASPROMEL era la oportunidad que la digitalización brinda para integrar todos los sectores existentes de la sanidad en España en una grande medicina española. ASPROMEL piensa que sólo de esta manera la medicina española puede escribirse con Mayúscula y colocarse entre la élite a nivel mundial.

Los días 20 y 21 de noviembre ASPROMEL/EANA participó en la Asamblea General del Comité Permanente de los Médicos de Europa CPME, con voz y voto. La promoción de una coalición para la vacunación está actualmente en el centro de los esfuerzos comunes, así como la creación de la Unión Europea de la Salud. ASPROMEL/EANA representan los médicos de ejercicio libre de España y de Europa.

Del 13 al 15 de noviembre ASPROMEL/SWISSpsy INSTITUTE participó en el simposio anual sobre neurociencias organizado por KORTIZES en Nuremberg. De particular interés para el ejercicio libre de la medicina eran los temas del dolor y su representación en el cuerpo, el yo-mismo ( self ) como interlocutor social y médico interior, inteligencia natural y artificial, el cerebro como máquina de previsión y el hecho que un cerebro nunca piensa sólo.

HACERSE SOCIO

Siendo ASPROMEL una Asociación independiente, corporativa y no sindical, representativa, cultural y científica, no recibe ningún tipo de subvenciones y su economía se rige por las cuotas de los socios y los ingresos de sus actividades de enseñanza y formación. La cuota anual de socio es de 120,00 Euros. Cualquier médico colegiado con ejercicio libre puede ser miembro de ASPROMEL y así  contribuir mediante su cuota activamente al trabajo tan apasionante como exigente y desafiante en beneficio de la profesión médica y del ejercicio libre de la medicina. 

DIRECCIÓN : ASPROMEL – Asociación Profesional de Médicos de Ejercicio Libre – Conde de Peñalver, 60 – 28006 Madrid http://www.aspromel.eu/Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo.

images

RESILIENCIA Y RESISTENCIA DE LOS SISTEMAS SANITARIOS FRENTE A UNA PANDEMIA COMO EL COVID-19

El meta-análisis que hace ASPROMEL / EANA se extrae de los datos coleccionados a nivel europeo del CPME ( Comité Permanente de los Médicos Europeos ), de EANA ( Asociación Europea de Médicos de Ejercicio Libre ), de la cual ASPROMEL tiene la Vicepresidencia, así como del propio banco de datos de ASPROMEL.

LA FUERZA DE UN SISTEMA SANITARIO SE BASA EN

1º INTEGRACIÓN PÚBLICA-PRIVADA

2º PRIORIZACIÓN DEL SECTOR AMBULATORIO

3º CULTURA DE COOPERACIÓN

4º AUTONOMÍA DE LA PROFESIÓN MÉDICA

5º RESERVAS NACIONALES DE MATERIAL, MEDICAMENTOS Y VACUNAS

6º DIRECTIVAS CLARAS

7º PRODUCCIÓN NACIONAL DE MATERIAL, MEDICAMENTOS Y VACUNAS

8º MONITORIZAJE EFICAZ Y SISTEMATICO

9º TRABAJO EN RED

10º ENFOQUE INTEGRADOR Y TRANSFRONTERIZO

 

1º  Sistemas Sanitarios del tipo "Bismarck", basados en la integración pública-privada se han revelado mejor preparados y más resistentes ( ej.Alemania, Austria, Suiza, Luxemburgo, países del este de Europa ) en comparación con Sistemas Nacionales de Salud del tipo "Beveridge", basados en un monopolio público ( ej. España, Reino Unido, Italia, Suecia ).

2º Sistemas enfocados a los cuidados ambulatorios ( ej. Alemania, Suiza, Austria ) se han revelado más resistentes que sistemas centrados en los hospitales ( ej.Francia , España, Reino Unido ).

3º Sistemas Sanitarios en culturas de cooperación se han revelado más resistentes que Sistemas Sanitarios en una cultura de confrontación. Entre las dos culturas existen grandes diferencias en el campo de la planificación del personal sanitario, en su remuneración económica y en las condiciones de trabajo en general. Como ejemplo sirvan Suiza de una parte y España de la otra.

4º Sistemas Sanitarios basados en la autonomía, competencia y autoridad de la profesión médica se han revelado más resistentes que sistemas de Salud basados en el funcionariado del personal médico.

5º Sistemas Sanitarios con reservas nacionales de medios de protección, material y medicamentos para emergencias ," just in case of " ,se han revelado más resistentes que Sistemas Sanitarios que operan con pocas reservas apuntando en la agilidad de la logística " just in time ".

6º Sistemas Sanitarios con directivas claras " guidelines " se han revelado más resistentes que Sistemas de Salud con poco limitada libertad de actuación individual y local.

7º Países con producción nacional del material indispensable para un caso de pandemia se han revelado más resistentes que países que optan por la subcontratación de la producción,"outsourcing", en el extranjero.

8º Sistemas Sanitarios operando con sistematico monitorizaje local y central se han revelado más resistentes que Sistemas Sanitarios sin monitorizaje o con monitorizaje deficiente.

9º Sistemas Sanitarios basados en el trabajo en red se han revelado más resistentes que Sistemas Sanitarios basados en la exclusión y en el monopolio.

10º Sistemas Sanitarios con un enfoque transfronterizo e integrador se han revelado más resistentes que Sistemas Sanitarios con un enfoque al propio ombligo.

CPME MONTHLY BULLETIN

Stay in the Loop!

November 2020

Dear colleagues,

We are pleased to share with you the latest edition of the CPME Monthly Bulletin, including the outcomes of the virtual Executive Committee meeting held on 19 November 2020.

Various items were discussed in our Executive Committee meeting, including the decision to join the World Health Professions’ Alliance campaign to “Stand up for Positive Practice Environments”.

I would like to take the opportunity and thank all of you for your active and engaged participation in our meetings 20-21 November. It was a new experience to have an online-only General Assembly and thanks to you, it went smoothly. However, I very much look forward to in-person meetings in the future.

We hope the bulletin is informative and we invite you to consult our latest news and the members’ section of our website.

Kind regards stay healthy!

Prof. Dr Frank Ulrich Montgomery CPME President

Executive Committee meeting 19 November 2020

Finance

Draft Budget 2021

The Executive Committee recommended the draft budget 2021 to be adopted by the General Assembly and took note of the accounts 30/09/2020.

Internal affairs

GA and Board, November 2020

The Executive Committee was updated about some last changes in the draft agendas.

Policies

Joint EMOs action on “European Health Union”

The Executive Committee agreed to proceed with a joint EMOs’ letter addressed to Commission President von der Leyen with a general statement on the European Health Union and a meeting request. The Executive Committee commissioned the Secretariat to work on a draft.
The initiative was discussed at the meeting of the EMOs’ presidents in October, at which FEMS and EANA had circulated drafts. Since then, a first set of policy and legislative proposals in the framework of the European Health Union have been published and an in-depth analysis is ongoing.

Croatian Medical Chamber survey request on patient ombudsman

The Executive Committee decided toforward the Croatian Medical Chamber’s question on the European patient ombudsman mechanisms to the membership.
Currently, there is no comprehensive overview available. This was confirmed also by the European Patients’ Forum (EPF).

Social Europe consultation

The Executive Committee adopted the CPME response to the consultation on Social Europe.

The consultation aims to scope future EU level action to further implement the European Pillar of Social Rights launched in 2017. The CPME response highlights the need to improve access to healthcare and to ensure safe and legal working conditions and employment environment for doctors.

Lancet Countdown 2020

The Executive Committee endorsed the Lancet Countdown EU Policy Brief 2020 focusing on climate change’s impact on cities, infectious diseases, and economic costs.
The recommendations target policymakers with the goal of taking advantage of the health opportunities of an effective response to climate change. The EU Policy Brief will be co-published by CPME and the Lancet Countdown on 7 December. CPME collaborated with the Lancet Countdown also with the 2019 and 2018 editions.


Strengthening the mandate and capacity of the ECDC

The Executive Committee decided to not endorse the background note of the European Chronic Disease Alliance (ECDA) which recommends extending the scope of the European Centre for Disease Prevention and Control (ECDC) to chronic diseases.
CPME is however asking to enhance the role of ECDC by increasing its competences, budget, and staff in the scope of infectious diseases.

WHPA campaign ‘Stand up for Positive Practice Environments’

The Executive Committee decided to join thecampaign‘Stand up for Positive Practice Environments’.
The initiative is coordinated by the World Health Professions’ Alliance, including the WMA. The EC agreed to the dissemination of the campaign material to the CPME membership. WMA will be informed of the decision.

European Citizens’ Initiative “Right to Cure”

The Executive Committee decided to not join the Right to Cure initiative given the fact that it is led by an association “Medicine pour le people” founded and run by the Belgian Marxist political party.


Monitoring

Data Governance Act

On 25 November, the European Commission adopted a proposal for a European Data Governance (also known as the Data Governance Act). The Regulation aims at increasing trust in data sharing (lack of trust currently being a major obstacle and resulting in high costs), creating new EU rules on neutrality to allow novel data intermediaries to function as trustworthy organizers of data sharing, facilitating the reuse of certain data held by the public sector (e.g. health data to advance research to find cures for rare or chronic diseases), providing means to Europeans to control the data they generate, by making it easier for companies and individuals to voluntarily make their data available for the wider common good under certain conditions. This is the first initiative of the 2020 European Strategy for Data. More dedicated proposals on data spaces are expected to follow 2021 complemented by a Data Act to foster data sharing among businesses, and between businesses and governments. For further information, please see here. CPME intends to analyze this proposal in more detail. The first scan so far points out to:

  • -  the creation of an expert group called the “European Data Innovation Board” consisting of Member States, the European Commission, the EDPB, representatives of data spaces and other competent authorities

  • -  the designation of specific competent authorities to monitor compliance of data sharing providers of certain rules, namely that they remain neutral in relation to the data exchanged (they cannot use data for other purposes). These competent authorities will be different than the data protection authorities.

  • -  A new undefined concept of “pre-processed data” under Article 5 of the proposal consisting of rendering personal data anonymous or pseudonymized. Pursuant to the GDPR, the action of anonymization or pseudonymization is considering processing personal data and therefore under the GDPR regime.

Statement on the future ePrivacy Regulation

On 19 November, the EDPB adopted a statement on the future ePrivacy Regulation and the future role of supervisory authorities and the EDPB in this context. The EDPB expressed concerns about some new orientations of the discussions in the Council concerning the enforcement of the future ePrivacy Regulation. Many provisions of the GDPR and the ePrivacy Regulation are closely

intertwined. Consistent interpretation and enforcement of both sets of rules would be better fulfilled if the enforcement of those parts of the ePrivacy Regulation and the GDPR would be entrusted to the same authority. The EDPB also stressed the need to adopt the new Regulation as soon as possible. In 2017, CPME issued a statement in relation to the Commission’s ePrivacy Regulation Proposal, focusing on the impact that the regulation could have on medical confidentiality and health data privacy.

 


Joint Statement on Data Protection and Privacy in the COVID-19 Response

On 19 November 2020, the United Nations, IOM, ITU, OCHA, OHCHR, UNDP, UNEP, UNESCO, UNHCR, UNICEF, UNOPS, UPU, UN Volunteers, UN Women, WFP and WHO support the adoption of this joint statement, in line with the UN personal Data Protection and Privacy Principles adopted by the UN System Organizations to support its use of data and technology in the COVID-19 response in a way that respects the right to privacy and other human rights and promotes economic and social development.

European Health Data Space (EHDS)

On 17 November, the EDPS published the ‘Preliminary Opinion 8/2020 on the European Health Data Space’. The EDPS highlights the essential elements that need to be considered when developing the EHDS. These include: the legal basis on which data processing in the space should rely (support is given for public interest legal basis as opposed to consent); the legitimacy of further data processing in the space; clarity in relation to the designation of actors involved in data processing within the space; clarity in relation to the categories of data processed within the space the EDPS proposes that only anonymous and aggregate data should, as a rule, be processed; a ‘comprehensive security infrastructure’ and the utility of data protection impact assessments in assessing relevant risks needs to be addressed; consider the ethical use of data within the space and, where relevant, the involvement of ethics committees; a strong data governance approach; data to be processed by entities respecting European values and in line with considerations of ‘digital sovereignty; and achieve the implementation of data portability principles in the space. The positions taken in the Preliminary Opinion remain general. However, more specific positions are likely to be offered as more details on the shape and legal framework of the space emerge. CPME will adapt its draft position on the EHDS taking into account the EDPS preliminary opinion.

 

eHealth network meeting

On 12-13 November, the eHealth Network met to discuss the EU Health Data Space, the EU investment programmes related to health, COVID-19 coordinated actions, future activities, the eHealth Digital Service Infrasturcture’ (eHDSI), interoperability of patient summaries, cybersecurity, the eHealth Joint Action, and the priorities of the Portuguese presidency. Please find the meeting agenda, cover notes, presentations and adopted documents here. The eHealth Network is a voluntary network of Member States’ competent authorities responsible for eHealth and to facilitate interoperability, the network developed an IT tool called the eHDSI with the scope of exchanging health data under the Connection Europe facility programme.


Portuguese Priorities

Digital transformation continues to be a key priority for the health sector. Focus will remain on the development of the EU Health Data Space, a common approach for capacity building on the exchange of medical information as well as on how to access and reuse health data for better research and public health outcomes, and stronger emphasis will be given to the use of telehealth. The events standing out are:

  1. i)  the eHealth Summit in June (3 day event) discussing telehealth, EHR interoperability and data reuse;

  2. ii)  19th meeting of the eHealth Network in June.

Main outcomes for this meeting are:

i) a policy statement on the EU digital transformation in healthcare and the removal of

barriers to cross-border telehealth;
ii) ii) deployment of cross-border telehealth service. Please see attached the

presentation of the PT Presidency concerning their priorities and cover note.

European Parliament AIDA committee Hearing on AI and health

On 02 December, the AIDA committee met to conduct an event including two panels on AI and health. The first panel focused on digital governance with the participation of the Minister of Digital Governance of Greece, Kyriakos Pierrakakis, as well as the Head of Unit Public Heatth Functions, ECDC, Vicky Lefevre and Deputy Director Genera of DG-SANTE, Claire Bury. The second panel will feature the participation of representatives of the industry, civil society and academia and will focus on uses of AI in the health sector and current challenges and opportunities. Further information can be found here.

Health ministers video conference

On 02 December European health ministers met in a video conference discussing the “European Health Union package” with three legislative proposals being discussed. Further Information please see here.

Upcoming events

  • -  04/12/2020: eHealth Stakeholders Group meeting; to be attended by Prof. Dr. Georgios Raptis and Sara Roda on the CPME’s part

  • -  14/12/2020: German Presidency and the Fundamental Rights Agency: Conference on AI and human rights

  • -  15/12/2020: EMA Joint Big Data Steering Group event to be attended by Sara Roda.


CPME News

Follow us on:

Twitter Facebook LinkedIn

CPME social media

CPME General Assembly and Board meeting

On 21st of November, CPME’s online General Assembly and Board meeting took place. The outcomes of our meetings, including the policies voted upon, can be accessed here.

Call to join the CPME WG on Vaccination

On 21 November, the CPME Board decided to establish a new working group on vaccination. The first online meeting of this group will take place on Tuesday, 15 December, at 14:00-15:00 (CET). Practical details and the agenda will be provided closer to the meeting. Should you be interested in joining the WG, please contact Esta dirección de correo electrónico está siendo protegida contra los robots de spam. Necesita tener JavaScript habilitado para poder verlo..

Lancet Countdown 2020

CPME is collaborating with the Lancet Countdown on health and climate change also this year. The new EU policy brief will be launched on 7 December at 4pm. Please register to watch the launch event live here.

Campaign: “Stand up for Positive Practice Environments”

We are pleased to present to you the “Stand up for Positive Practice Environments” campaign launched by the World Health Professions Alliance, and would like to invite our members to take part in it. With this campaign, global representatives of health professionals wish to support national medical associations and others in outreach to their members and policy-makers with suggestions on improving working environments.

Campaign materials are available in English, French and Spanish. The campaign booklet for health employers, managers and professionals is available here. The campaign booklet for national organizations representing health care professionals can be accessed here.
Social media tiles for PR purposes are available
here.


Recent publications on the CPME Website

Members’ section:

COVID-19 in the Czech Republic 20 November 2020
CPME Working Group on Vaccination
Terms of Reference
Report on the progress of the Centre for Empowering Patients and Communities (CEmPaC) CPME Statement on criminalisation of acts of solidarity
Minutes WG eHealth Meeting, online 29 September 2020
Draft CPME Policy on EU Health Data Space REV3
CPME Policy on Digital Competencies for Doctors
Letter of appointment of CPME Board Member and Head of Delegation
Hungary
European Union of General Practitioners (UEMO)
Activity Report November 2020
European Association of Senior Hospital Physicians (AEMH)
Activity Report November 2020 CPMA GA and Board November 2020 Draft Agenda
Letter of appointment of CPME Board Member
Slovakia
The European Commission plan for a “European Health Union”
DRAFT CPME Policy on digital competencies for doctors
Invitation to CPME-GMA joint confe
rence “Doctors going digital: How to future-proof skills” 20 November 2020, 9.00-12.00
COVID-19 Synthesis Report
CPME Semester Report April
November 2020
Final Agenda Session on eHealth online on 20 November 2020
Draft CPME Minutes of eHealth WG Online Meeting on 29 September 2020
CPME draft policy on European Health Data Space
Report Healthcare Sector Workshop of High Level Expert Group on Artificial Intelligence, 16 April 2020
Slides Finland Digital Doc 2nd Webinar, 24 September 2020
Slides EMSA Digital Doc 2nd Webinar, 24 September 2020
Slides DSKC Digital Doc 2nd Webinar, 24 September 2020
Pharma WG meeting
supporting documents item 2.2.
Pharma WG meeting, supporting document
item 2.1.2.
CPME Final set Q&A on GDPR & secondary use health data for EMA, 10 July 2020
CPME response to public consultation on the European Child Guarantee
Report on meeting with WHO office to the EU, 20 August 2020
AMR report ”What do European doctors know about antibiotics and antibiotic resistance? ” – November 2020
President’s Report November 2019 – November 2020
European Council of Medical Orders (CEOM)
Activity Report November 2020
Letter of nomination of new Board member for Poland, November 2020
Letter from Pascal Canfin to Stella Kyriakides, 20 October 2020
Invitation to EVP webinar on “How to address the problem of medicines shortages in the EU“ Speaking notes for web conference on ‘Access to social and medico-social services for ALL: a springboard out of poverty’ hosted by the conference of INGOs of the Council of Europe Speaking notes on country reports at European Forum of Medical Associations web-meeting European memorial to doctors fallen in the fight against COVID-19
CPME Session on eHealth
Draft Agenda of the meeting, online, 20 November 2020
Virtual General Assembly and Board meeting, November 2020
Draft agedas
Background note and indexation of CPME budgets
November 2020
Letter of nomination of new Board member and Head of Delegation for Greece, October 2020 Actual accounts 2020 as of September 2020 and draft budget 2021
List of Candidates for CPME rapporteurs & WG Chair


CPME news section

CPME response to the public consultation on the integration and inclusion of migrants and people with a migrant background
Welcome to the 33
rd edition of the CPME Newsletter
Antibiotics’ resistance: Report on European doctors’ knowledge and attitudes

Press Release: CPME and German Medical Association to host conference on digital skills for doctors
CPME Statement on criminalization of acts of solidarity
New CPME Policy on Physical Activity

CPME Policy on Digital Competencies for Doctors
Pandemic Preparedness
European Doctors’ Recommendations to the EU European Doctors publish CPME report on COVID-19 in Europe
CPME: General Assembly and Board meeting outcomes

Report on web-meeting with DG SANTE Director General Ms Sandra Gallina, 7 October 2020 WMA press release ‘Threat to Dismantle Turkish Medical Association Strongly Criticised’, 27 October 2020
Report of the Final Conference of the JA CHRODIS+ on Chronic Diseases
27 October 2020 CPME Draft Policy on digital competencies for doctors

COVID-19: lessons learned November 2020
Application letter for CPME observer membership
North Macedonia
Report of the European Parliament’s ENVI Committee’s Health Working Group on Climate Change

and Health 28 October 2020
CPME Executive Committee Minutes; April 2020
September 2020
Contribution Key 2021
Report on the HTA Network meeting, 27 October, web-meeting
CPME Monthly Bulletin
October 2020
CPME Session on Professional Practice and Patients’ Rights – DRAFT Agenda of the meeting, online, 20 November 2020
DRAFT CPME Statement on criminalisation of acts of solidarity
CPME Draft Policy on Digital Skills
Letter of European Medical Organisations on recognition of doctors’ qualifications post-Brexit, July 2020
Report on web-meeting with DG TRADE negotiators of EU-UK free trade agreement, 16 October 2020
CPME Working Group on Refugee Health DRAFT Report of the web-meeting, 05/10/2020
Draft Minutes of the CPME Online Session on Pharmaceuticals... – 3 April 2020
DRAFT Pharma WG meeting agenda, web-meeting, 18 November 2020
Supporting document for the pharma WG agenda item 2.3.
Supporting document for the pharma WG agenda item 2.1.1.
International calendar 2010-2021
Draft agenda of the CPME Online Session on Public Health and Disease Prevention
20 November

2020
Draft CPME Policy on Physical Activity
Draft Minutes of the CPME Online Session on Public Health and Disease Prevention
3 April 2020 Draft CPME Working Group on Vaccination Terms of Reference
Draft CPME Policy on Vaccination
Background for the Discussion on Front-of-Pack Nutrition Labelling
Report on the Medical Devices Coordination Group meeting with stakeholders


fullsizeoutput 3d9cSEPEN - HEALTH WORKFORCE TENDER - EXPERT NETWORK

El 2 de septiembre de 2020 tendrá lugar el próximo webinar sobre optimizar los recursos profesionales en los sistema de salud. ASPROMEL/ EANA, miembro de SEPEN, trabaja desde su fundación en abril 2006 por la plena integración de los profesionales del ejercicio libre de la medicina en la planificación de los recursos profesionales de un sistema español de salud único, abandonando las diferentes " sanidades " paralelas que existen hoy.