The Matera Charter, the proposal for the health reform of territorial medicine, local health authorities and local assistance starts from the South
It is in his Basilicata that the Minister of Health Roberto Speranza “baptizes” the proposal of health reform (already in the priority objectives of the NRP) which brings territorial medicine back to the center. From 21 to 23 October in the Lucanian capital will converge representatives of the Health of Abruzzo, Molise, Campania, Puglia, Basilicata and Calabria, including some invited central-northern regions (Emilia Romagna and Lazio) by setting up a laboratory for a new district healthcare that makes twelve o’clock the protagonist of a path of renewal who wants to recover the north-south gap starting from the expected impact of the NRP on the evolution of the Italian health system.
Saturday October 23 the minister Hope, in his Basilicata, will receive together with the learners the definitive document, the “Matera card for a new district health care“, with the reading of the final report by Antonella Guida, director of the health district of Caserta and head of the Health Sector of the Study Center of the Mezzogiorno Region, Mediterranean Region Eumed, a cultural association that together with the Italian Home Care Association promotes the appointment in Matera .
In the working groups and in the round tables there will be doctors, general managers, public administrators, presidents of the Medical Associations, operators of territorial medicine and of the ASL districts, university professors, representatives of the non-medical health professions, management experts, representatives of the third sector from all regions involved to refine a document already discussed and elaborated, illustrated in recent months to the Budget Commission of the Chamber and which aims to enhance what is already contained in the draft of the plan for allotment to the Regions of the Funds of the Recovery Fund.
“More than 20 years after the 229 reform of 1999 – he explains Antonella Guida – the positive and negative aspects of that law that innovated our National Health Service are now clearly evident and it is time to draw a point on district health care with respect to what must be changed, if not eliminated, and what must instead be addressed without preconceptions and in a secular form. To this task he adds another, even more demanding and of great responsibility, that of contextualizing all the aspects just mentioned in the health sector in the South, which must make up for particular delays compared to the regions of central and northern Italy. This – concludes Guida – should not place us in a condition of psychological subjection but encourage us to identify the knots to be solved to ensure health to our fellow citizens as regards the organization, as well as for the availability of economic and technological resources and for the recruitment of personnel. We will deal with defining the functions of the new health district which has the legal responsibility for ensuring the health services of Italian citizens and the South, where today the district is the Cinderella from hospital healthcare “.
Headlights therefore focused on organizational structure of the district, the General medicine and the outpatient specialist, the home care, the strengthening outpatient activities and specialist centers, integration with accredited private individuals, telemedicine and unbureaucratization for a patient increasingly at the center of the project who is preferably treated at home with a range of alternative assistance possibilities to the hospital. Space therefore also for the topics of prevention, screening, health checks, lifestyles and interventions on chronic diseases with the home care teams to be strengthened, the integration of the hospital territory, the district and protected discharge, pediatric home care.
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