The Court of Auditors explains the health crisis: privileged large hospitals, defenseless territory

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ROME – The analysis of the Court of Auditors on the Italian health system is clear: the concentration of care in large hospitals that has occurred in recent years and the consequent impoverishment of the assistance system on the territory, which has become less and less effective, has left the Italian population “unprotected adequate “in the face of the Covid emergency. The analysis of health by the state organ is contained in the last one Report on the coordination of public finance.The health crisis, explains the Court, has also highlighted, and above all, the risks inherent in the delay with which we have moved to strengthen the territorial structures, in the face of the strong effort made to recover higher levels of efficiency and of appropriateness in the use of hospitalization facilities.


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“If it certainly had a justification for protecting citizens’ health 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 treatment results, the lack of an effective assistance system on the territory left the population without adequate protection, underline the accounting magistrates.

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If until now these deficiencies had discharged not without problems on families, relying on private economic resources and on assistance often based on labor with low socio-sanitary qualifications (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 arose “.




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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 “.




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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 “.The Court of Auditors then highlighted the “flight” of doctors from Italy due to the lack of places and low salaries. It is that of the Italian doctors, looking for luck abroad. Based on OECD data over the past 8 years, over 9,000 doctors trained in Italy have gone to work abroad. The United Kingdom, Germany, Switzerland and 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”.




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A condition which, 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 the distortions highlighted “.



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https://www.repubblica.it/cronaca/2020/05/30/news/la_corte_dei_conti_spiega_la_crisi_della_sanita_privilegiati_i_grandi_ospedali_territorio_indifeso-258012441/

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