“Here are the homes of the community”

Venice – in a few years, thanks to the money from the NRP (well 2 billion euros nationally), we will have community homes: Less than a hospital, more than a clinic, they will be structures Always open, 24 hours a day, 7 days a week, In addition to your GP, you can find specialists and take tests. Community homes will be on top of patient services: 99 are planned in Veneto, and will have to be built by 2026. But for now? In any case, what will patients do in their areas where these “places of excellence” are not available? This is where the proposal of Fimmg of Veneto, the Federation of Family Physicians which, moreover, has recently had rather strained relations with the region, comes in, to the point that it has deserted the discussion table. The idea is It is preferable to group doctors with the region Which should contribute to the outpatient costs of administrative staff and training. “Our proposal – says FIMG’s secretary, Maurizio Scasola – is intended to be an opportunity to re-launch relations and reopen the negotiating tables.”

The reform proposal was spelled out yesterday, May 28, at the Assembly of the Venetian Confederation, and also presented by National Secretary Silvestro Scotti, and “as soon as possible it will also be presented to the District, as a sign of the desire to serve as a subject of proposal rather than opposition.” The starting point is that today 50% of family physicians work alone in Veneto, and they do not have a secretary. the reason? “Because there is an organized structure with administrative personnel costs,” Scasola explains. Objection: With what the GP takes, the employee will also be able to afford it. “But the GP profession is no longer attractive, the model is rudimentary, and many prefer to do something else. As in the emergency and emergency services, it is the workload that makes doctors flee.” Scosula cites the 17th General Medicine course, which is just beginning: “There were 370 fresh graduates, and 70 of them have already resigned.”
The other data is that only 23% of the Veneto population has a reference group medicine organized by trained administrative and nursing staff: of the 86 authorized, only 76 have been activated. “This is unacceptable – says Cassola – because in this way inequality is created with respect to the population.” The Fimmg Secretary adds, among other things, that since 2018 the region no longer funds integrated medicines. All experienced physician shortages: Fimmg’s data speaks of 2,710 physicians on duty, with 375 expected to retire in the next three years. And it may be even more so if they decide to retire before they reach 70. The situation is critical in the continuity of assisting the former medical guards with 537 vacant positions. As for the decision to enlist the apprentices, the so-called doctors, Skasola has no doubt: “Without tutoring they are boys sent into battle.”

Given the premises and considerations (“If we’re at this point it’s because programming was wrong, both nationally and regionally”), the comparison to Palazzo Balbi doesn’t promise to be downhill. However, Fimmg is counting on it and will propose a reform based on three levels of territory. 1) microtime (called Aft) having at least 5 doctors of the same area, where there is the possibility of having administrative staff in at least one clinic; Continuous activities for 12 hours, 5 days a week. 2) Integrated group medicines With at least 10 doctors and, for example, equipment suitable for level 1 diagnosis, with continuous activities for 12 hours 7 days a week. 3) community homes, regulated by Pnrr; Minimum 10 GPs plus full team, open 24 hours a day, 7 days a week.
It goes without saying that according to Fimmg, in order to facilitate the grouping of general practitioners and thus to provide greater services to citizens, the province and the state should bear the costs of at least the administrative staff of the clinics. “Our proposal to reform public medicine – says Cassola – is intended to be an opportunity to re-launch relations and reopen the negotiating tables with the Veneto region. It is no longer the time for preventive measures frantically chasing emergencies, which we exist and know. We believe this reorganization can To be a structural and tangible response to the population’s health and assistance needs.”

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