Coronavirus, Court of Auditors: large hospitals privileged, defenseless territory – La Stampa


The concentration of care in large hospitals that has occurred in recent years and the consequent impoverishment of the assistance system in the area, which has become less and less effective, has left the Italian population “without adequate protection” in the face of the Covid emergency. This is what the Court of Auditors writes in an in-depth analysis on health contained in the latest Report on the coordination of public finance.

The crisis, explains the Court, also highlighted, and above all, the risks inherent in the delay with which we moved to strengthen the territorial structures, in the face of the strong effort made to recover higher levels of efficiency and appropriateness in the use of hospitalization facilities. “If the concentration of hospital care in large specialized structures certainly had a justification for protecting the health of citizens, reducing the minor ones which, due to the number of cases and availability of technologies, did not guarantee adequate treatment results, the lack of an effective system of assistance in the area has left the population without adequate protections – the accounting magistrates point out – If so far these deficiencies had discharged not without problems on families, counting on private economic resources and on assistance often based on labor with low socio-sanitary qualification (carers), ending up affecting the individual detail, they ended up representing a weakness also from the point of view of the overall defense of the system when a new and unknown challenge presented itself “.

According to the Court, it is “increasingly evident that an adequate network of assistance in the area is not only a matter of civilization in the face of the difficulties of the individual and of people with disabilities and chronicity, but represents the only defense tool to face and quickly contain phenomena such as the one we are fighting. The insufficiency of the resources destined for the territory made the first front that had to be able to oppose the spread of the disease late and made itself disarmed and found itself involved in the difficulties of the population, paying a very high price in terms of lives “. A focus on these issues was seen in the latest budget law with the provision of funds for the purchase of equipment for general practitioners, “but it will still have to be implemented after the crisis, as well as resources will be needed for investments aimed at bringing healthcare structures back to efficiency “.

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