Health: Meritocracy Italy, ‘territorial medicine must become a reality’

“The PNRR offers important opportunities for the relaunch of the economy, but also for the restructuring of the health system. With the pandemic emergency, the strategic importance of an adequately organized territorial medicine has come to light. For the realization of the objective, however, not only structural investments are needed, but above all in terms of human capital (family doctors, pediatricians of free choice, outpatient specialists, pharmacists, as well as personnel operating in Rsa, Ra, Rada and day centers). the PNRR allocates to Healthcare (27 billion) are aimed almost exclusively at the establishment of about 1250 ‘community houses’ “. Thus in a note Meritocrazia Italia. “The resources for assistance, prevention and treatment – notes the note – should be allocated by the national health plan, which however does not foresee any increase; on the contrary, the allocation for Health goes from 6.7% of GDP to 6 , 4% in a few years. It is certain that the ‘community houses’ or ‘health houses’ will constitute an indispensable safeguard to guarantee assistance to citizens who live in even not very large municipalities (up to 15,000 inhabitants) (assistance of basic, treatment of chronicity and frailty, first level diagnostics, prevention and rehabilitation) However, small towns, municipalities with a reduced number of inhabitants, or located in geographic areas with a particularly sparse or elderly population, remain aloof. If the ‘Case della Salute’ were the only territorial center, perhaps with a transition to the dependence of all the affiliated doctors who now work in the area, all citizens residing in rural areas would be deprived of the assistance of she which they enjoy today “. “Meritocracy Italy – continues the note – insists on the proposal for the immediate establishment, at least in the Municipalities with a number of inhabitants less than 10,000, of ‘Micro-Teams’ made up of doctors, nurses and study staff (with affiliated doctors organized in relation to assistance needs of the population in different associative modalities, based on the population density), recognizing the possibility for family doctors and pediatricians of free choice to hire study and nursing staff in order to guarantee the population better assistance and the opening of studies for a greater number of hours, so that the domiciliary of care and the taking in charge of the population are pursued, guaranteeing the effectiveness of the right to health pursuant to art. 32 cost “, concludes in the note Meritocrazia Italia.