Sunday , September 20 2020

From diagnostics from a family doctor to a pharmacy service. Revenge on the "territory"



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General practitioner diagnostics and more pharmacy services and opportunities are two new ways to expand your out-of-hospital health care offering, which should be considered with greater optimism (which does not mean continuing to make sure that you work well done) and as a clear sign that the National Health Service is able to innovate, experimenting with new ways of responding to new health needs.

16 NEW – "They are little", "They are useless", "this is not a priority". There was, of course, no criticism of Minister Speranza's decision to invest a stake (235 million) in health care funds to purchase top-level diagnostic equipment (but the property remains with ASL to buy), with declared goal to reduce waiting time.

And there is always another investment these weeks to finally start experimenting with a pharmacy service with an initial allocation of 36 million in 9 regions and with the goal, at least this hope of a series of camera-approved bipartisan moves to expand experimentation to all regions.

Two, perhaps small, but very emblematic, signs of specific attention to what we have been calling "territory" for years, meaning a set of services and people who provide health care outside the hospital.

A place, not a place that we have tried to identify better over time, sometimes giving it incomprehensible acronyms (ACT, which stands for "functional territorial aggregation" or PRO, which stands for "complex primary care units") or inventing more magical names like "Case della Salute".

But beyond the names (and I personally think it would be better if we go back to the old term "Clinic") to point to an alternative health facility in the hospital where each of us can find everything we need, from a family doctor to specialist, passing through the nurse and psychologist), these two moves undoubtedly signify a change in concrete step to re-launch the "extra walls" in the health field.

It may be noted, as we have seen, that 235 million for Italian family physicians are not so many that one would need to be careful in thinking about the methods and terms of a "non-specialist" diagnostic intervention to avoid mistakes and also possible repercussions in terms of professional responsibility, or that these little diagnostic aids will not be enough to beat waiting lists … all true, but all relevant and above all acceptable.

As evidenced by all the real functionality and usefulness of expanding the functions of pharmacies related to the National Health Service (public and private) that the legislator had hoped for even ten years ago (the pharmacy law dates back to 2009), but remains There is no doubt that not "taking advantage" of the widespread network of 20,000 Italian pharmacies to give them additional tasks, compared to traditional drug delivery, would be a serious mistake.

Diagnostics from the GP and more services and opportunities for assistance in pharmacies are therefore two new means of expanding non-hospital health care, which should, for once, be looked at with greater optimism (which does not mean being awake, so that things are going well) and as a clear sign that the National Health Service is in a position to innovate, experimenting with new ways of responding to new health needs.

Cesare Hasari

November 16, 2019
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