Court of Auditors: “Having privileged the big hospitals has not protected the Italians”


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 – underline the accounting magistrates – If so far these deficiencies had discharged not without problems on families, relying 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 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 like what we are fighting.

The inadequacy of the resources destined for the territory made the first front that had to be able to oppose the spread of the disease and that it was itself involved in the difficulties of the population, by paying a very high price in terms of lives, made it unarmed. “. 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 health structures back to efficiency “.

Doctors on the run, in 8 years 9 thousand emigrated abroad To make matters worse, even what is a real escape from Italy, due to the lack of places and low salaries, by doctors. Based on OECD data over the past 8 years, over 9 thousand doctors trained in Italy have gone to work abroad. The UK, Germany, Switzerland and France are the markets that have represented a solution “to legitimate employment needs and adequate remuneration when not met by the national private sector”.

This condition, underline the accounting magistrates, “while arguing in favor of the quality of the national training system, risks making the measures taken to increase specializations ineffective, if not accompanied by an incentive system that allows to effectively combat distortions highlighted. ”

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