government Renzi has been legitimized by Italian citizens who went to vote for the European. It ‘just so that a force that has obtained 40% of the vote must be supported by the other parties in order to make it work for the good of all.
One of the important issues that will have to be sooner or later attention is the health sector. The future of health care in Italy to play up the courage to stop the spending and parasitic on a moral turning point in a position to give full meaning to the appropriateness of care. Improper, for example, the use of P.S. where in 2012 increased to 13.4 million people, but only 1 out of 6 has been recognized as necessary hospitalization for an acute illness. If in 2013 the citizens above the age of 65 are 1/5 of the population in 2043 are expected third to nearly 20 million. Only the recovery of the medicine of the territory could cope with a population that is increasingly in need of health. According Giuseppe Remuzzi , one of the scientists Italians placed among the top 100 most influential in the world, investing $ 1 in health, brings in $ 3 economic growth. You should not invest in the but spending on savings and appropriateness to achieve greater health. I try to give some ideas which could start Matteo Renzi.- Health checks performed randomly on patients and not on my medical records according to the study published in 2003 and 2008, which, if executed, only for secondary cataract would lead to a saving significant only in the region of Lombardy . But above all, bring greater health to the people and the disappearance of cases such as Santa Rita, Maugeri, San Raffaele, Stamina. Introduction of Health History as the collection of all health data so subjective, not objective by institutions, which will free medicine from local bureaucratic control and trusted medicine for her back closer to the citizen. 70% of the citizens went to the doctor for a prescription basis only, because of what 60% of Italians went to PS code in white or green to no avail.
Uniformity of purchases of drugs and medical instruments as shown in the various specialist companies that commit to find two possibilities for the region, or rather the ministry, will put out to tender.
leaderships hospital independent from political divisions but for excellence and commitment in the area and in particular
Annual Congress only entirely online with specialties for access control so that no doctor or being “hosted” by pharmaceutical companies or medical instruments with effects on costs .
Mandatory placing online by of all the companies specialized drugs, investigations and surgical modalities useful to improve the quality of diagnosis and treatment of citizens accessible to every specialist that will be updated periodically.
randomized control of DRGs in public and private facilities accredited in order to see who does what, what, and why. Making health only by the patient and not, as is often the case, for defensive medicine rife health with an annual cost of 10 billion Euros well as higher-cost health when you consider that, for example, a CAT scan “useless” leads to an X-ray exposure as if you were in the sun continuously for 365 days!
Reformulation of all DRGs in the direction of simplification and appropriateness for the diagnosis and the cost we pay an eye examination without splits in various ways (eg fundus, tonometry, Schirmer test) risky for the diagnosis and the good of the patient.
health l ‘ Ethics and professional honesty often difficult to reconcile with the policy and the interests category who have never as the only common bond # ilpazientealcentro. I wish the ill health to get rid of the many shady characters who dress in clothes with art and words that dazzle but do not cure. Dear Renzi try to find a way to bring down health care spending that year corresponds to 114 billion euro (7.3% of GDP) with three words: efficiency, effectiveness, ethics. The citizen-patient asks for it.
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