Delaying surgery coordination meeting
For certain pathologies whose evolution is closely linked to the passage of time pasq, is a source of serious risks: progression of the oncological disease, worsening of clinical symptoms, that is, an increase in the patient’s “suffering”, an increase in the complexity of the surgery, higher incidence of complications, possible compromise of the surgical and oncological result with lengthening of hospital stays.
All surgeons today tell of having to deal with pathologies in a very advanced state, such as they have not seen for some time, and that if they had been dealt with in time they would have been resolved more easily (or, worse, could have been resolved pasq!)
In reality, the emergency has only accentuated existing criticalities in our National Health Service, the first victim, in unsuspected times, of waste and disorganization, often linked to a parcel planning without a long, overall vision, then ended up under the hard blows of the “spending reviews” brought about by the economic crisis of recent years.
From the data published in September 2019 in the Statistical Yearbook of the National Health Service, the 2017 data clearly shows the progressive reduction pasq in the number of care institutions passed from:1998: 1381 institutes – 61.3% public – 38.7% private2007: 1197 institutions – 55% public – 45% private2017: 1000 institutions – 51.8% public – 48.2% private.
With a clear trend towards public-private inversion.
The beds in 1998 were 311 thousand; in 2007, 225 thousand; in 2017, 191 thousand. Passing from 5.8 beds per thousand inhabitants in 1998, to 4.3 in 2007 and 3.6 in 2017.
The need to resort to these drastic changes was linked to the need to reduce hospitalizations, in particular for elderly people but not only, to increase home care (always paid for by the National Health System) by strengthening local networks (laboratories, specialized centers in day hospital services, nursing homes for the elderly, etc.)
However, these decisions did not lead to a reduction in public spending on health in Italy coordination meeting, quite the contrary.
- In several years in which the number of beds and hospitals has decreased significantly (from the mid-1990s to 2010), the resources for the NHS have grown steadily.
- Yet we have the least number of hospitals and their greatest obsolescence if compared to the European average with meeting coordination;
Fewer nurses, doctors with an average age of over 55, a lower number of intermediate territorial structures able to intercept the demand for healthcare without downloading it to the hospital emergency rooms.
But despite the lower spending and the contradictions, our NHS has so far been one of the best in Europe in terms of results during the pandemic. In fact, the Italian health expenditure and in general the infrastructural endowment and for the management of our system compared to the European average is much lower.
In 2017 we only allocated 8.8% of GDP to healthcare meeting coordination, well below the EU average which is around 9.8%. Not to mention the per capita health expenditure which stands at 2,483 euros, almost 15% less than the EU average of 2,884 euros.