L’era dell’ospedale sotto casa è definitivamente tramontata: si va verso strutture grandi (che offrono tutti i servizi e anche l’eccellenza) e strutture più piccole ma iperspecializzate. Non è un caso se la relazione al previsionale 2019 predisposta dall’assessore Raffaele Piemontese segnala, tra i problemi da affrontare nel 2019, quello della mobilità passiva: un saldo negativo di 180 milioni di euro che equivale, più o meno, al costo di 5-6 medi ospedali. Un recupero del 20% del saldo di mobilità potrà consentire l’incremento delle assunzioni, soprattutto quando l’uscita dal Piano operativo permetterà alla Regione di gestirle in autonomia senza chiedere l’assenso preventivo dei ministeri. Ma il recupero della mobilità passiva non potrà avvenire senza la collaborazione con i privati, che dovranno offrire le prestazioni più richieste fuori regione (al primo posto c’è la chirurgia per l’alluce valgo) in cambio di una premialità extratetto.
L’altra voce critica è la spesa per i farmaci, che continua ad assorbire 150-200 milioni più del tetto di spesa. In questo senso vanno lette le iniziative di contenimento, che stanno portando le Asl a una più attenta verifica delle prescrizioni dei medici di base (sul rispetto delle regole sancite dall’Aifa), e che dovrebbero poi portare a incrementare la distribuzione diretta da parte degli ospedali (che produce risparmi considerevoli, perché elimina tra l’altro i margini commerciali). In parallelo, la Regione ha aderito alla campagna nazionale «#IoEquivalgo» per promuovere i generici: l’effetto per le casse pubbliche è nullo (il servizio sanitario rimborsa la specialità a costo più basso, la differenza è a carico del cittadino), ma si spera di educare a un consumo di farmaci più sano e meno orientato agli interessi di chi li produce e di chi li prescrive.
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leadingMax ⇒ 750
introMax ⇒ 500
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wrap_output ⇒ 0
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add_trimming_dots ⇒ 0
trimming_dots ⇒ ...
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categories ⇒
articles_switch ⇒ 0
debug ⇒ 0
Thumbnails ⇒ 0
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