Combinations and Houses of Arezzo saluteAd the future is already here - Corriere della Sera

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Case Combinations and health
Arezzo has already arrived in the future

New organization with very positive results: the project ‘cloud computing’ data of the patients are all in network

If you want a preview of the future family medicine, take a trip to Arezzo. “We are perhaps the only healthcare company with functional territorial aggregations (Aft) operating throughout the country – said the general manager, Henry Want -. They left a year ago exactly. I’m 13, each formed by an average of twenty doctors and about 20-25 thousand patients. We have also already launched seven Houses of health and we are going to take them to 13. Where is this garrison authoritative public, open 10-12 hours a day, continuity of care is felt. The influx is reduced to the emergency room. ” In March, also came into operation the new number one of continuity of care (managed by non-health), which has so far received more than 37 thousand calls. Of these, 85% achieved a response: in 73% of cases, immediate (within 15 seconds) and 27% with an average wait of 73 seconds. To close the circle, in July the company health Tuscan has signed an agreement with the unions FIMMG, SNAMI and Smi thanks to which even the doctors of continuity of care have become part of the functional aggregations.

FIFTY SOFTWARE – In August, then another agreement with NetMedica Italy (the portal of “cloud computing” created by FIMMG) is developing a network of doctors and medical continuity family, to share data welfare of their patients. “The” cloud “is already operational between one hundred medical investigators – said Alessandro From the Widows of NetMedica – but we aim to connect another 300 by year-end, with the potential to exceed the 1,000 already in the beginning of 2014.” The cloud allows dialogue with any program used by doctors, thus overcoming the hitherto insurmountable barrier constituted by more than 50 different health record software in Italy. It is not enough. With the support of Federsanità, the “cloud” will also allow the exchange of data with hospital specialists for the integrated management of chronic diseases. In particular, type 2 diabetes mellitus, heart failure, chronic obstructive pulmonary disease and stroke.

PROJECT IN VENETO – The information to support the emergency medical service will instead be the subject of an experiment approved by the Veneto Region, the first of its kind in Italy, which will start in January 58 between the medical service of continuity of care in Verona. “It is a project of” triage “phone – says Alberto Vaona, provincial secretary FIMMG Sector continuity of care in Verona -. The computer program has 457 “clinical scenarios,” to which the referring physician access to the affected area of ??the body or simply by typing a symptom. For example, calls the mother of a child who vomits the doctor type “vomiting” and appears to be the clinical scenario with a series of questions to ask Mommy. ” For each question, there are several possible answers, and their combination allows software to assign a level of urgency.

IMPORTANT QUESTIONS – “The hypothesis of our study is that the use of this tool increases the amount of essential questions to ask the doctor goes to each clinical scenario ‘ says Vaona. Often doctors do not do all the necessary questions, because if they forget or because they act under pressure. “From the preliminary data we have, it appears that the quality of telephone triage is much improved – added Vaona -. The data USL 20 of Verona, unpublished, they say that doctors usually pose on the phone about a third of the questions you should ask. “

Ruggiero Corcella