“We need to work on local healthcare in an increasingly integrated, multidisciplinary and multi-professional manner, ensuring that there is real teamwork in the area, that there is an interconnection to ensure that services and systems connects” into a system with “social sentinels who can alert you to routes.” Barbara Mangiacavalli, national president of the Federation of Nursing Orders and Professions (Fnopi), told Adnkronos Salute at the presentation – today in Rome – of the conference ‘Health poverty in Italy’, scheduled for Verona on 10 May. This is the first of a series of meetings promoted by the Episcopal Commission for the service of charity and health and by the National Office for the pastoral care of health of the CEI, the Italian Episcopal Conference, in collaboration with the 11 federations and national councils of the professions health and social health, approaching the health Jubilee of 2025, dedicated to health poverty.
“We have this wealth, it just needs to be put online.” Connections already exist in “municipal administrations with social services – adds Mangaicavalli – There is the pure health network, but also the social welfare network”, in addition to the people who carry out “a service, in small parishes, in small communities”, but also “of voluntary associations, of the elderly group, of the shop next door, the concierge of the condominium, if we are in urban centres. We have a territory with an important wealth also from the point of view of solidarity. We need to network it, to strengthen it Anyone who works in the healthcare field and deals with frailty, disability and illness every day, realizes that on the one hand illness is very democratic, on the other there are important inequalities.”
Beyond the “non-health determinants of health – therefore the level of education, culture, livability, the healthiness of environments – which exist and are still being fought”, for President Fnopi the issue of access to health is fundamental which “is not the same and is not homogeneous and is not just a problem of the presence of services. In Italy – he continues – we are used to talking about active and passive health mobility, with less fortunate regions where citizens have to move. But also in Within the so-called ‘lucky regions’ there are segments of the population who, due to their fragility, are unable to access services. I am thinking above all of local services, because when you get to the emergency room, even if access is in some way inappropriate , the person is welcomed into our National Health Service.”
In the area there are “constellations of services – explains Mangiacavalli – which are often still too poorly networked, too poorly integrated, interconnected, where, most of the time, it is the citizen and his family” who have to “extricate themselves ” in a path that is “an obstacle course” to access rights such as “exemptions or for some facilities, hospitalizations in alternative facilities to acute care facilities. We are witnessing a lack of homogeneity in the provision of services and services manages to have them, those who have fewer tools sometimes find themselves losing.”
Particularly relevant is the theme of loneliness. “Italy – observes President Fnopi – is becoming an older, poorer and more lonely country. We often find ourselves dealing with people who live in complete solitude, people who, due to issues related to stigma, particular pathologies , have precarious and important family situations that are often not intercepted by services. The meaning of health poverty – he concludes – is also to reflect on these situations and ensure that professionals and the system do not only deal with those who arrive in. to the services in some way, but of those who do not arrive”.
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