SODOMEFYC warns about unconsulted changes in the Primary Health Care Level
The Dominican Society of Family and Community Medicine (SODOMEFYC) has expressed its deep concern regarding the recent modifications implemented in the First Level of Care. According to the entity, these adjustments, which range from service hours and work shifts to the redistribution of personnel and the internal organization of the centers, are being executed without the necessary planning or the participation of those who operate directly within the system.
The organization warns that these unilateral decisions jeopardize the continuity of care and the quality of service received by patients, which are vital elements for the proper functioning of the Dominican healthcare system.
Demand for dialogue and participation
SODOMEFYC has emphasized that family medicine professionals cannot remain mere observers in the face of transformations that directly affect their work environment and community care. For this reason, they have insisted on the creation of a permanent dialogue table with the competent authorities.
We are not against changes. We want the changes to strengthen the system.
SODOMEFYCThe entity maintains that, although they do not oppose the evolution of the healthcare model, it is imperative that any reform be the result of technical planning, have sufficient resources, and, above all, integrate the vision of the specialists who maintain daily contact with families and communities.
Uncertainty in the sector
Despite the medical society’s attempts to establish communication channels to present proposals and expose the reality experienced by health centers, they point out that finalizing these meetings remains a complex task. This lack of communication generates uncertainty among professionals, who see how decisions are made without considering the impact on the daily operations of the services.
Finally, SODOMEFYC reiterated its willingness to collaborate with the authorities, underscoring the urgency of establishing an effective conversation that allows for defining the direction of the First Level of Care, ensuring that Family and Community Medicine occupies the strategic place it deserves in this transformation process.









