Home » “Enough with the cuts in health care. The Region will make the reform by the end of the year”

“Enough with the cuts in health care. The Region will make the reform by the end of the year”

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«We must stop with the cuts in health care, we came from a period that began in 2011, when a dramatic and constant downsizing of health care costs began. We must understand and make it clear that healthcare spending is good, indeed it is an investment for our citizens. We had the resources to hire nurses but a law prevented us from doing so. Now we need to look to the future with a bit of optimism even if the battle is not over and vaccines are the effective way to win it ». The intervention of the president of Lombardy region, Attilio Fontana, at the convention, organized from Asst Sette Laghi to Villa Cagnola, entitled “The new frontier, the new challenges beyond the crisis”, it tries to give substance to that new frontier to which healthcare aspires.

A meeting that has set a series of stakes, starting from keyword that mark this phase, entrusted to the introduction of the journalist Matteo Inzaghi, director of Rete 55, who gave a map to all the other interventions of the working day. The pandemic has been marked from Irony e from disbelief, from awareness and come on cold numbers (which, according to the interlocutors, do not have “a soul”), from concreteness and vanity, passing through i social and the rebirth to finally arrive at one new awarenessa.

BAUMAN’S FARMIRANCE

Words bring order and so does the general manager of the Asst 7 lakes Gianni Bonelli Talks about three founding principles that characterize organizations: foresight, perseverance and adaptability, quoting the sociologist Zygmunt Bauman according to which the change it is the only permanent thing and uncertainty the only certainty. The commitment in this renewed challenge of the ASST and the health personnel is beyond question. Confirmation comes from Aurelio Filippini, president of the professional order of nurses in the province of Varese, who shares the affirmation that numbers have no soul: “We have always given those numbers a face and a history”, and from president of the order of doctors, Giovanna Beretta, which underlines the importance of relaunching “a commitment to care based on science and conscience”.

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Healthcare personnel were the first line in the war on Covid and the turnover on the front was not always effective. Angelo Tagliabue rector of‘University of Insubria he admits that Covid “has taught us to rethink training courses, including that of the figure of nurses also in the local area, to give more space to these professionals. We have taken everything that is good in this pandemic and we have put it in our competences ».

COVID HAS ACCELERATED ALL PROCESSES

Covid in its tragic manifestation it was a process accelerator and an awareness generator. The narration passes from the words. But to say «that everything will be fine, then things are all going well. There are moments in history when one feels so tested that it is difficult to talk about happiness ». Two historians, Paolo Colombo and Gioacchino Lanotte, with a show of music and lyrics, they try to retrace that narrative trying not to correct the course but to glimpse new landing places.

After the pandemic, second Giancarlo Cesana, Something is changed. Saying what is not easy. Because the concept of health is not taken for granted. The reason is that «the modern medicine does not have its own doctrine of the sick man, there is no single vision, while Hippocrates he had a holistic approach and looked at the whole person ». At this stage, the lack of uniqueness is aggravated by uncertainty. And the cause, he says Francesco Maietta of Censis, it is due to the effects of a double combination of «vaccinations and delta variant». So the uncertainty concerns the very possibility “of getting out of it quickly”. The two effects are evident: an alert on health issues has returned and the relationship between citizens and health systems has changed.

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Although it is difficult to simplify where there is complexity, Francesca Lecci of the Sda Bocconi tries by listing the four things that cannot be ignored six look to the future. «The covid – says the researcher – forces us to consider the beds of intensive care because we could prepare to question the organization in the institutions again. We have the great vaccination site, an operation that will go on. There’s a activity planning theme because distancing and sanctification take time away. Finally there is the Pnrr who gives us 20 billion to do many things and we are not used to all these resources ».

THE MEDICINE OF THE TERRITORY

What is certain is that mission 6 of the Pnrr foresees 7 billion euros for territorial expansion. Resources that Alice Borghini of Agenas (National Agency for Regional Health Services) considers it necessary “to create a point of reference for citizens with proximity networks and telemedicine, to respond to chronicity. The three factors are: widespread organization, multi-professional team, continuous reference point for the population ». A basic risk hovers over all these discourses represented by bureaucracy on which public organizations that live off bureaucratic models are based. A bugbear that Francesco Furgiuele, ceo of Copernican, engineer who deals with the transformation of organizations, dismisses with a joke: “The public organization lives on a bureaucratic model, that model can be changed”.
The theme of numbers returns cyclically e Gianluca Vago, university professor and coordinator of the technical secretariat for research policies of the ministry of education, university and research, claims “a system and procedure for the open and transparent sharing of research data that contrasts with the biomedical research model . A process that accelerated considerably during the pandemic. Medicine is a probabilistic science and responds with probabilistic numbers ».

If the pandemic has accelerated some processes already underway, Chiara Sgarbossa of the Polytechnic of Milan, rHead of the Digital Health Observatory in Italy, highlights that the many problems were already there before: long waiting times, increase in patients who struggle to access treatment, reduced integration between hospital and territory, territorial disparity. “Digital reorganization can help solve these challenges – suggests Sgarbossa – and support citizens to take care of themselves, while today there is a fragmentation of these services”.

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OPTIMISM AND HOPE

Emanuele Mounti, President of the Health Commission of Pirellone, announces the shopping list or, better, the investment, starting with the accreditation on robots, an important element for bringing robotic surgery to Varese. «We are working on the hybrid operating room and then we have emblematic projects such as terzo lot of the Del Ponte hospital with 17 million allocated to finish the pediatric hub – points out Monti – We are the last mile for Cuasso al Monte with an important allocation to bring the pole for the pneumological rehabilitation. Now we are confronted with the reform: the law will be approved by 21 July, from 21 July to 27 October in commission, by the end of the year will be approved in the regional council. We have done more than 150 auditions in a short time. The key role will be played by the districts that will belong to the Asst ».

At this stage it is important to distinguish between optimism and hope and the regional councilor Raffaele Cattaneo, he explains why: «Hope is possible when it is founded on a certainty that I already recognize today. From what happened there is a lesson to be learned why the biggest drama of the crisis is wasting it as Pwhat Francesco. Covid was a blessing because it confronted us with the need to understand. Numbers are the bolts, but they don’t have a soul and hospitals were born from charity, a reason that came well before numbers ».


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