IL PRIVATO SOCIALE: UN'OPPORTUNITÀ PER I PAZIENTI E PER LE STRUTTURE SANITARIE NELL'ATTUALE CONTESTO ECONOMICO

Translated title of the contribution: [Autom. eng. transl.] SOCIAL PRIVATE: AN OPPORTUNITY FOR PATIENTS AND HEALTH STRUCTURES IN THE CURRENT ECONOMIC CONTEXT

Michele Di Donato, Massimiliano Fabbiani, Umberto Moscato, Giovanna Giannetti, Pietro Contegiacomo

Research output: Chapter in Book/Report/Conference proceedingConference contribution

Abstract

[Autom. eng. transl.] The current scenario of economic and above all financial crisis has had and has a significant impact on the national health system in conjunction with the completion of the progressive administrative decentralization from the central government to the regions. For this reason, in the current situation, some regions that had accumulated a significant deficit over the years, were forced to impose on their citizens an increase in taxation (IRAP) and the need to launch a repayment plan with a cut in resources and a reduction of the offer of health services both in the territory and in the hospital (beds). Finally it emerges with evidence that the increase in costs for the provision of health services cannot be separated from a revision of the current system of citizen participation in health spending (Ticket) probably differentiating this participation by income brackets. Although the health system has maintained a public and universalistic system, in the face of a steady increase in the demand for services supported by an increase in waiting lists, the services still existing cannot but act in the direction of respecting the appropriateness of the request and of supply and expansion of the offer at zero cost. The concept of health care provided in private society (PS) is part of this path. In fact, these are simple and complex outpatient health services provided at a rate equal to that provided by the regional tariff in an additional time slot to that provided for the NHS services. This activity intercepts a user who is not exempt from the payment of the co-participation fee and who can, with a very limited tariff difference, obtain the provision of the services generally requested in a shorter time. The service thus provided must be carried out by all personnel, medical and nursing, in a number of hours, therefore outside service hours, preferably in the afternoon time slot. Therefore it must not be mixed with ordinary business or overlaid with business operations. Waiting lists for institutional activity and for the PS must therefore be kept separate. The PS started in 2011 has been increasing over time, tripling the number of services provided from around 10,000 to over 27,000 to May 2013 and the trend is constantly increasing. The NHS is struggling to keep up with the demands of health demand precisely where wastes and inefficiencies have emerged. Before and beyond the effects of the spending review and the consequent containment of dedicated resources, the welfare system fails to fully meet the demand, and the Social Private Surrogate is complete as it cannot be guaranteed to all, offering in the absence of valid or different alternatives a question-based response model To conclude this system, it is possible to increase the capacity of health offers in isorisorse, at least 12 hours of activity on Saturday included, breaking down the waiting lists by offering users a more flexible and coherent approach with its concrete and real needs.
Translated title of the contribution[Autom. eng. transl.] SOCIAL PRIVATE: AN OPPORTUNITY FOR PATIENTS AND HEALTH STRUCTURES IN THE CURRENT ECONOMIC CONTEXT
Original languageItalian
Title of host publicationAtti del 46° Congresso Nazionale SItI
PagesN/A
Publication statusPublished - 2013
Event46° Congresso Nazionale SItI - Taormina
Duration: 17 Oct 201320 Oct 2013

Conference

Conference46° Congresso Nazionale SItI
CityTaormina
Period17/10/1320/10/13

Keywords

  • Privato sociale

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