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PNRR: how the 20 billion will be spent on high-tech home care

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TAKING assistance to the patient’s bedside “, is the post-pandemic goal declared by Minister Speranza.” Strengthening local healthcare, which is largely absent during emergency management “is the other priority. The opportunity to innovate our health system is all in the approximately 20 billion of the Recovery plan destined for health, which will be able to change its face for the better if we know how to take advantage of the great technological innovation that is knocking on the doors. Digital applications for self-management of diabetes as well as other diseases chronic; technologies capable of integrating clinical and laboratory data to provide diagnosis, prognosis and personalized treatments for each patient; home tests to detect viral infections of sexual origin on their own and quickly. Remote monitoring kit for nutritional therapy, alert on exacerbation of chronic pathologies, which together with traditional instruments but ‘home’ format, such as ECG, spirometers, blood gas analysis and portable format X-ray equipment, represent that technological support essential to transform the ADI into true integrated home care, rather than limiting it to a simple nursing visit for a few days a week.

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The fractures

But also innovative arthroscopic technologies to best saturate, in a minimally invasive way, frequent injuries such as those of the meniscus; computer-assisted navigation technologies to more efficiently and safely repair the most severe fractures of the humerus, femur and tibia, often the cause of permanent disability in the elderly population. These are some of the innovative technological supports highlighted by the Dossier of ‘Confindustria medical devices’, intended to mark the transition to the new ‘4P medicine’: predictive, which through complete and detailed analyzes is able to identify frailties and defects that predispose to disease in time. ; preventive, which by detecting lifestyles, biological and environmental parameters allows you to anticipate many otherwise disabling diseases; personalized, to identify the medical treatment best suited to the individual characteristics of the person; participatory, which allows the person to make informed choices on the basis of precise information, perhaps detected with his own contribution. Thanks also to devices such as wearable devices, which are able to monitor multiple vital parameters at the same time or are able to predict the flare-up of a chronic disease, and to equipment for remote telemonitoring of nutritional therapy or oxygen therapy.

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Personalized medicine

The possibility of real-time monitoring of patients outside the hospital context will allow to guarantee at the same time better therapeutic efficacy and fewer side effects, moving towards an increasingly personalized medicine. However, the urgency to renovate our hospitals does not assume any less importance. Old on the outside, with an average seniority of over 70 years, and old on the inside, because their fleet is obsolete. The average age of traditional mammograms is 13.4 years when it shouldn’t exceed six, according to safety standards. 74% of MRIs are no longer up to date and so 51% of CT scans.

18 thousand obsolete diagnostic equipment

With its 18,000 obsolete diagnostic equipment, Italy is at the bottom of the European ranking. And this is also a big problem for patients trapped on waiting lists, made even more interminable by Covid, which has blown 37% of scheduled interventions and further lengthened by rusty machinery, often out of use because it is under maintenance. All problems which the 3.4 billion allocated by Recovery for the technological renewal of health facilities should face.

“To technologically upgrade hospitals and strengthen territorial medicine, in particular home care – he comments Massimiliano Boggetti, president of Confindustria medical devices – it is however necessary to shift the evaluation of the products and services to be purchased, rather than on measures such as quantities and prices, on the overall clinical, diagnostic and therapeutic value, knowing that prevention and technological innovation allow more appropriate treatment and rehabilitation , in the end making you spend even less. “After all, if the tenders at the maximum discount have been banned for construction sites, it can also be done for investments on which our health depends.

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