Coronavirus, Court of Auditors: “Population without protections for impoverishment of the territorial assistance system”


There concentration of care in large hospitals occurred in recent years and the consequent impoverishment of the system assistance in the area, which has become less and less effective, has left the Italian population “Without adequate protection” in the face of the emergency Covid. The reports it Court of Auditors in the last Report on the coordination of public finance in an in-depth analysis on healthcare.

The crisis, the accounting magistrates explain, has also and above all highlighted the risks inherent in the delay with which we moved to strengthen the territorial structures, in the face of the strong effort made for the recovery of higher levels of efficiency and appropriateness in the use of hospital facilities.

“If it certainly had a justification for protecting the health of citizens, the concentration of hospital care in large specialized structures reducing the minor ones which, due to the number of cases and availability of technologies, did not guarantee adequate results of care, the lack of an effective assistance system in the area has left the population without adequate protection. – underline the accounting magistrates – If up to now these deficiencies had discharged not without problems on the families, counting on private economic resources and on assistance often based on low-skilled labor socio-sanitary (carers), ending up affecting the individual detail, they ended up representing a weakness also from the point of view of overall defense of the system when a new and unknown challenge arose ”.

In the Court’s opinion, it is in fact “increasingly evident than one adequate service network on the territory is not only a matter of civilization in the face of the difficulties of the individual and people with disability and chronicity, but it represents the only one defense tool to deal with and contain phenomena such as what we are fighting quickly. L’insufficient resources intended for the territory made later and did find unarmed the first front that must have been able to oppose ramp of the disease and that he found himself involved in the difficulties of the population, paying a price in terms of lives very high”.

A focus on these issues was seen in the last Budget law with the provision of funds for thepurchase 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 health structures back to efficiency”.

The analysis also speaks of a real “escape” from Italy for lack of places and low wages. So doctors leave the peninsula in search of fortune abroad. Based on the data OECD in the past 8 years, they are over 9,000 doctors trained in Italy who went to work abroad. UK, Germany, Switzerland is France are the markets that more than the others have represented a solution “to legitimate employment needs and adequate remuneration when not met by the national private sector “. A condition which, underline the accounting magistrates, “while arguing in favor of the quality of the training system national, is likely to make the measures taken to increase specializations ineffective, unless accompanied by a incentive system that allows you to effectively combat the distortions highlighted “.

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