Modern health care has been deeply transformed by the two-year pandemic and redefines goals and guidelines for intervention in the light of the experience gained and the investments envisaged in the area of the National Recovery and Resilience Plan (Pnrr): the most important investment in the province’s health network of history about the health of fashion. The total loan to Modena is actually equal to 72.9 million euros: to the 45.5 million that Pnrr has allocated to Ausl and to the 16.6 million to the university hospital, in fact, 10.8 million must always be added in Aou from Supplementary national plan. The construction plan for the structures defined by the territorial health authority envisages allocating 19.8 million to the community houses (with extraordinary maintenance interventions and new buildings), 10.8 million to municipal hospitals, 6.3 million for the renewal of major diagnostic technologies and 6.2 million for information technologies aimed at fully digitizing clinical trials in hospitals; Finally, 2.4 million is for the Territorial Operational Center (COT), one with the role of hub in Modena and six spokes in the other districts.
“The pandemic has exacerbated inequalities and created new hardships; it created an imbalance due to the centralization of emergency health policies and highlighted the need to bring health care closer to citizens, improve proximity services and home care. It is now necessary to reaffirm the basic principles: the universality of public health and freedom of remuneration in order to guarantee high-quality health care by focusing on innovation and the development of hospital and territorial networks, which must be closely linked “. This was stated by Mayor Gian Carlo Muzzarelli, also chair of the Social and Health Territorial Conference (Ctss), under the City Council on Thursday 5 May dedicated to changes in local public health following the Covid emergency, where some agendas were also discussed. staff are fundamental, areas in which the University of Modena plays a leading role. Rector of the University of Modena and Reggio Emilia Carlo Adolfo Porro, who also confirmed that the effort started for the training of new doctors and nurses.
The Director-General of Ausl Antonio Brambilla stressed that “coviden has taught us that the system must have two lungs to function well, the hospital and the territory: only by turning to help for fragile citizens, for the chronic, thanks to the contribution of various professionals In addition to hospital professionals and GPs, also through the use of new technologies, we will be able to avoid the use of unnecessary hospitalizations, reduce incorrect access to emergency rooms and improve the overall response to health needs “.
And the general manager of the University Hospital Claudio Vagnini focused on investments in new technologies and equipment for hospitals: “From a technological point of view, the company will intervene in both its hospitals, which as third tier hospitals need a constant renewal of the equipment, while structurally was decided to intervene with the Polyclinic ”.
The lines of action that the entire public health will then move on are to promote clinical competence in local hospitals and renew infrastructure in a network logic, increase flexibility and productivity, concentrate cases, increase professionalism and be aware of costs. With the risk of avoiding next fall, Muzzarelli specified, a paralysis of hospitals in light of a possible resumption of Covid or a pandemic development of influenza virus.
The development of the territorial network will also include strengthening the 118 system and the emergency rooms, overcoming the lack of specialists in collaboration with the university, strengthening the integrated clinic and assistance networks, involving associations, and telemedicine to benefit citizens’ full responsibilities. .
Muzzarelli stressed the importance of strengthening the network of intermediate care and general medicine, also rationalizing the outpatient network, which sets a number of goals: prevention culture, primary care (initiative medicine, home care, telemedicine, protected discharge) and clinical networks that overcome fragmentation , local nurses, associated medicine and reduction of waiting times for outpatient specialists.
The mayor concluded by recalling the need for social and health integration to respond to the increase in fragility, also by strengthening investment in education and research facilities, which are essential elements for the quality of assistance.