The. Inflation for the period between 2000 and 2012 - 125.55% b. Increase allowed by ANS for health plans - 170.78% c. Readjustment of health plan tables in this period - 0%Everyone realized that that situation would be unbearable and that if no action was taken, several services would be closed, as well as the compromise of several jobs. We had already tried to organize ourselves in some way to try to counteract the leonine contracts offered by health operators, but we always ran into the obstacle where we could be identified as a cartel and consequently suffer serious legal and CADE sanctions. It seemed that we were at a dead end, when we became aware of a professional defense movement for the medical profession, led by the Union of Doctors of Pernambuco, in the person of our mentor Dr. Mário Fernando Lins, since that time, President of the State Commission of Medical Fees of PE (CEHM-PE). This entity also had in its formation the Regional Council of Medicine of Pernambuco, the Medical Association of Pernambuco and some professional medical societies. CEHM-PE had been having these negotiations directly with the Directorates of the health operators, representing the doctors (Individuals), who could not suffer legal sanctions or even be classified as a cartel, since they were exercising a legitimate right of the category to fight for better working conditions and pay. We were aware of some favorable negotiations for pediatricians, among other specialists. The Society of Radiology of Pernambuco met with the president and members of the honorary committee and requested guidance for negotiations in this category. The SRPE already had its Professional Defense Board, which promptly found out how the movement worked and brought the negotiation model to the category. Now follows a brief history of how this model of the commission of medical fees works and, in sequence, the benefits achieved for the category of radiologists in Pernambuco.
Phases: i. The Physicians' Union convenes an Extraordinary General Assembly (AGE) for the category, through a public notice published in a widely circulated newspaper, as per its statute II. Technical directors sign solidarity letter* III. Solidarity statement from the specialty society** IV. CEHM sends letters communicating the results of the AGE deliberations, with a deadline for response and date of the next AGE v. CEHM awaits responses to letters sent within the stipulated period SAW. Evaluation of proposals* in a new AGE *important: analysis of proposals by a professional with a background in finance and knowledge of CBHPM or tables of Health Plan Operators (OPS) VII. Beginning of the category's legitimate movement - under the Federal Constitution (CF) and the Code of Medical Ethics (CEM) VIII. Negotiations IX. Results evaluated in a new AGE for the category.Start of movements in defense of our category (Radiologists): 2013 One of the pillars of the medical professional defense movement is to try our best to negotiate peacefully, always aiming to reach an agreement to avoid conflict. However, if the conflict is unavoidable, it is important that we try to resolve the impasses: one operator at a time! As of 2013, some actions were carried out as a result of difficulties imposed by the operators during the negotiations. There was a need to suspend calls to several operators, always, one at a time. To do so, we always gave prior notice that this could happen, safeguarding the care of urgent, emergency, hemotherapy, hemodialysis, oncology, hospitalized patients and the like. Initially, the operators did not think that we would reach the point of suspending elective care. And that's why they even refused to negotiate. With the start of the stoppages, several billboards and outbuses were placed in the city, articles in newspapers with wide circulation and even daily calls on the radio with the highest audience in the city explaining to users the reason for the suspension of service to a certain operator. Subtitle: Example of billboard placed in Recife With these actions, we were approached by the operators to sit at the negotiation table and reach a fair agreement. In 2013 and 2014, there were some clashes, including lawsuits by operators against radiological clinics, but which were all withdrawn, as they realized that it was not the clinics that were suspending care, but the doctors (individuals), duly represented by the Union of Doctors of Pernambuco, through the State Commission of Medical Fees. As an initial result, in 2013 we had approximately 25% of readjustments in practically all areas of activity in diagnostic imaging. The accumulated until 2017 was something around 60% of readjustments. Since then, we have had, for the most part, fair negotiations for the category, with the replacement of inflation indices (IPCA). We emphasize that the year 2020 was atypical, due to the pandemic. In view of the above, I would like to leave the message that, in order for us to be valued by those who pay us, we have to unite in order to have a voice on issues that have such an impact on our lives.
Álvaro Campos Radiologist doctor; Director of Professional Defense at SRPE
Director of the PE Doctors Union Member of the CBR Professional Defense Commission
Member of the PE Medical Fees Committee