The Invisible Charge of Labor Pathology
The impact of working conditions on health is a reality that often goes unnoticed in primary care centers. Family doctors face an increase in mental disorders and musculoskeletal problems daily, which become the most common work pathologies. These conditions are often marginalized by the Social Security collaborating mutual societies, which reject a high percentage of cases.
The Mutual System: a crisis structure
Most companies work with the eighteen collaborating mutual companies that manage the contributions for labor injuries. However, data from the Catalan Primary Care Forum (FOCAP) indicate that three out of four patients with labor diseases are referred to public health without the necessary resources for proper care.
Recognize work pathologies: a necessary challenge
Dr. Laia Riera, from Focap, emphasizes that only 25% of labor pathologies are recognized as such. This creates a situation where patients are forced to navigate a system that does not always recognize their health needs, and often receive inappropriate referrals.
The hidden cost of subnotification
The Ministry of Health of the Generalitat does not have data on the costs associated with the subnotification of labor diseases. However, it is estimated that this problem generates significant financial pressure, with a figure of approximately 600 million euros a year that affect the primary care budget.
Mental health: a critical area
Mental health pathologies are the most common among those derived from work, as indicated by the Health Quality and Evaluation Agency in Catalonia. However, the lack of proper recognition of these diseases prevents patients from obtaining the resources and care they need.
Inequalities in the system: a necessary analysis
The GP collective doctors indicate that mutuals tend to easily recognize acute injuries, such as obvious work accidents, but are reluctant to recognize other types of diseases that may affect the functionality of the worker. This generates additional vulnerability for patients.
The right to protection: an undeniable need
The non -recognition of a pathology as a job limits access to economic benefits and health resources that workers have the right to receive. This not only affects the patient’s quality of life, but also perpetuates a system that unprotected the most vulnerable.
Proposals for a better future
Doctors call for a change in the responsibility of the mutual societies, which should show that damage is not work when indicated by health professionals. This could improve access to resources for those suffering from health conditions derived from their work.
A new health care model
It is essential to transform the current model of care, where mutuals control access to occupational health, into a system that prioritizes the welfare of the worker. This requires a greater investment in public health services and a closer coordination between primary care and occupational health services.
The importance of collective action
The current situation requires a deep reflection on how working conditions affect the health of workers. It is essential that solutions are sought that not only improve access to care, but also foster a healthier work environment for all.