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Healthcare after Covid: waiting lists and hospices are the first problems to be solved

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Healthcare after Covid: waiting lists and hospices are the first problems to be solved

TORINO. The reduction of waiting lists, of course, that President Cirio intends to cut by 30% every quarter, also with the participation of private individuals: two years of health services to be recovered, based on a plan at the starting line. But the end of the state of health emergency, not to be confused with the end of the epidemic, brings to the surface a series of problems: some long-standing, let’s even say chronic, others contingent, others still around the corner.

This is why, when the national commissioner structure led by General Figliuolo passes the deliveries to the Regions, inviting them to be ready in view of a possible epidemic recovery next autumn, also in Piedmont we begin to look beyond Covid. At the end of the month, the Crisis Unit will be stopped on stand-by: the snitch will return to Corso Regina Margherita, seat of the regional health department, and in particular to Dirmei, which is paired with the Turin ASL.

Not surprisingly, the return to “normality”, albeit supervised, coincides with a series of appeals relating to issues that have nothing to do with Covid. Indeed: the impact of Covid has made them, if possible, even more current. And cannot be postponed.

This is the case of the chronically ill non self-sufficient elderly and Alzheimer’s patients, the subject of the open letter sent to the president Alberto Cirio by CSA and the Social Promotion Foundation. Three pages of problems and solutions required: setting up a working group to reorganize the Rsa, reviewing the regulation of the structures, raising the standards of the staff, providing rehabilitation services and guaranteeing pain relief and palliative care; guarantee the priority right to home health services, extending hospitalization at home, reorganizing the team work of integrated home care, approving the regulation of regional law 10/2010 to include the sharing of health in the individualized care project and the contribution o Asl care allowance for the priority right to home care for chronically ill non self-sufficient patients; activate the agreements for the elimination of the waiting list for an affiliated place in the RSA, so that the resources of the social and health services falling within the essential levels of assistance are increased.

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An often theme, considering that, is the beginning of the letter, “in the RSA there are at least 5,000 empty seats and over 4,500 chronically ill elderly people on the waiting list, even for years, to have the ASL agreement”. In practice, 50% of the cost of the hospitalization fee paid by the health system.

If another theme is framed, the region’s plan to reorganize the territorial health, here is where the nurses show up. 1,500 will be needed to allow the 91 community houses, 29 community hospitals and 43 operational centers to function, calculates the Nursind Piemonte union. Then the question: how does the Region intend to find them?

Another shot, another question, this time by the leader of the Democratic Party in the Regional Council, Raffaele Gallo: how do you intend to stabilize the administrative and health staff so far involved on a temporary basis? “For now we have extended the contracts until the end of the year,” explained the commissioner Icardi.

From the lack of staff in the emergency rooms to the mobility of patients to other Regions, a chapter on which silence has fallen, the list could go on. Covid ebbs, the nodes come into the open. –

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