National health system: In order to rebuild it, it is necessary to start from local medicine

There health disorganization it can no longer afford to confront citizens with health emergencies like those we have had in these two years of pandemic. There are too many bare wires to replace, because covering them now, as has been done several times, would not lead to an improvement in assistance. First you have to leave the university again, e.g from special schools. They must be released, at least until the medical shortage needs are met. I would do territorial studies to be changed periodically for assigned access numbers: if there are no pediatricians in the south we will open more pediatrician places. A system similar to notaries with obviously larger numbers.

Basically, in my opinion, rebuilding a national health system that has been considered among the best in the world, it is based on local medicine. Limited hours, answering machines and secretaries no longer make sense in the emergency of first access. Continuity houses as useless intermediate centers between the local doctor’s office and hospitals. Expensive structures that become duplicates without rhyme or reason.

Let’s start with the schedules. They vary greatly between maximalists and those who are “satisfied” not to be: it is no longer possible. They must be at least as accessible as hospitals.

general practitioners they have to go back to being doctorsas I have been saying for years, they must be government employees, no longer affiliated freelancers. They must “aggregate” as specialists in hospital departments in the first filter. Nothing to do with the continuity houses that don’t and can’t have all the equipment and all the co-specialists for a complete diagnosis In the case of. We don’t waste as much money as we did in Milan with the revitalization of the exhibition pavilions, even though it was with donated money. Continuity Houses are the same. Cathedrals in the desert.

Are we sure to spend 235 million, which sooner or later we will have to give back, to build “houses” such as revitalization in the pavilions of the Milan fair, detached from any logic of immediate diagnosis for the benefit of the citizen? Instead, how much local medicine would help if it was structured in hospitals where there is a serious shortage of emergency medicine throughout Italy? 4,200 missing doctors could be replaced by round-the-clock shifts of local doctors, as any specialist doctor is used to doing. If they think they can then get their mutual study for the remaining hours or paid overtime.

This redistribution of local medicine is very important in hospitals and not in continuity homes, useless above all because of the fact that access to emergency rooms increased by 20%, which, combined with the lack of emergency doctors, has caused the system to go haywire. I repeat, we organize local medicine, there is a civil servant in hospital rooms in contact with specialists to support them and to make the first indispensable filter as well to free up space for real emergencies must be assigned to a specialist as soon as possible. Emergency rooms will work better and be more quickly available. All without thinking that more lies reduce the risk of errorswhich is one of the reasons for doctors’ departure from the emergency room due to the risk of reporting.

On September 25, we have hoped (with a small s) that it can finally be there new health minister who is willing to listen and do more for the public part of our system than for the private accredited ones. A minister you think for the next generations and not at the next election. A minister who is honest among the honest, so that the word “I was wrong” does not expire. It will be an honest doctor that he takes the helm to get us out of the stormy sea and land in safe harbor.

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