Tuesday, May 20, 2014

The Pact for Health “Minister Lorenzin that shakes health … – Strill.it

                             
                 

                      Stefano Perri – It’s called “Pact for Health” the new plan of reorganization prepared by the Minister of Health Beatrice Lorenzin with the aim of cutting costs and improving the efficiency of the health sector national. According to the statement by the Minister, the plan will end up on the table of the State-Regions Conference in the first days of June. “The work – said the Minister – had an elongation due to the change of government and the uncertainties on the financial budget,” but now “the time is ripe”, “at this time the technicians of the Ministry and those of the State-Regions Conference work to define aspects suspended, we think we will be able to deal with the political aspects so conclusive by the middle of June. “

It is therefore now a run scored. The “Pact for Health” will be operational in the next few months and already includes a number of new features that will affect a lot on the health system also thrived.

VIA THE SMALL HOSPITALS – The main point is certainly one of the closure of small hospitals. The plan cuts substantially all of the facilities with fewer than 60 beds, which will gradually convert into rehabilitation facilities. A total of 192 at the national level are the structures in close and 2800 the number of beds to be transformed into service centers. In Calabria, the cut should cover a total of 20 properties for a total of 665 beds, with a loss of employment of more than 1,300, not counting the termination of the related industries. A paradoxical situation since it was as a result of planned cuts in the repayment plan in recent years many many regional facilities fell below the fateful threshold of 60 beds under the new ministerial level and for this currently facing closure.

STRUCTURES AT RISK – Just to name a few among the acute healthcare facilities, scattered throughout the region, are at risk of closure Cascini Nursing Home, Nursing Home S. Lucia, Villa del Sole-Cs, La Madonnina, the Nursing Home St. Luke, the Sacred Heart, Scarnati Ltd., Santa Rita, Villa Olive, Calabro Dental, Romulus Hospital, Villa Serena, Villa del Sole – Cz, Villa Michael, Campanella Foundation, Villa dei Gerani, Villa Elisa, Villa Aurora, Villa S. Anna – Rc and the Nursing Home Caminiti.

EFFICIENCY – Another important point is that the inefficiencies. Overall in Italy will be closed over 7000 beds accommodated by structures whose service is considered inefficient from the point of view of the clinician.

REFUNDS – The plan introduced by the Minister on the issue also affects performance at the expense of the NHS. New guidelines related to health care demands more and greater risk of inappropriateness will determine when a performance is refundable or not.

THE CASE OF HEALTH – The new plan calls for what has already been prepared and well under way in the repayment plan regional health in Calabria. “Case of health” will provide assistance 24 hours and 24 simple diagnostic tests in order to act as a “filter” to the emergency room. A sort of decentralization of services to avoid overload of emergencies.

SANITARY TICKET – This plan provides finally a complete reorganization of the prices of tickets that should result in a substantial reduction and distribution more homogeneous among patients. The exemptions will not be in fact more related to income but the income tax situation declared in the model Isee. In this way, according to the ministry’s intentions, it would avoid “rewarding” the Dodgers would benefit instead of larger families, the elderly and the chronically ill who, however, in the case of a high income Isee, most would not enjoy the exemption from prescription charges .

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