[Autom. eng. transl.] The global epidemic of Covid-19 that broke out in early 2020 has put various issues in terms of the health system at the center of the debate: first of all, the unpreparedness of the National Health Service to deal with an event deemed unlikely, in consideration of the epidemiological transition; but also the conviction that the cause of this lack of preparation is to be found in the fragmentation of the NHS into many regional and provincial subsystems. Therefore, the conviction emerged that it is possible to respond better to crises of this type by re-centralizing the health system or simply by increasing public funding from the NHS. Starting also from what happened in Lombardy, it is instead possible to propose a less simplistic reflection that focuses on the crisis factors that have emerged in recent months and on their possible solutions starting from some social fractures on which perhaps not enough thought has been given: development adequate relationship between health and social, between hospital and territory, between districts and local communities, between the health system and the social system as a whole. It would therefore not only be a question of rethinking health governance but of placing social relations within communities at the center of it.
|Translated title of the contribution||[Autom. eng. transl.] The response of the National Health Service to the Covid-19 pandemic. Reflections and proposals starting from the Lombard case|
|Title of host publication||FuturAP. Rapporto sul Futuro e l’innovazione dell’Amministrazione Pubblica – 2021|
|Number of pages||10|
|Publication status||Published - 2021|
- salute, sistemi sanitari regionali, governance socio-sanitaria, Covid-19, Lombardia