The Italian Association of Medical Oncology, “Aiom, seeks to improve the equity of care on the national territory with guidelines that dictate standards” of care “for all neoplasms, therefore also in ovarian ones. Given that we are in a federalist, therefore regional, system, management is divided “in oncology networks. I am happy that that bell is one of the best in Italy, also in terms of performance indicators. In addition to the diagnostic-therapeutic guidelines, Aiom is committed to ensuring that screening programs are more efficient, for tumors in which these services are part of the LEAs, and in primary prevention, eliminating risk factors for cancer”. This is the comment of Francesco Perrone, president of Aiom and director of the complex structure of clinical trials of the National Cancer Institute Irccs Fondazione Pascale, Naples, which took part, in the Neapolitan capital, in the event ‘Ovarian cancer in Campania: let’s change course’, organized with the patronage of Acto (Alliance against ovarian cancer) Campania and the sponsorship of GSK.
“Oncology networks – adds Perrone – today are not considered by all regions to be a necessary tool” in the treatment of cancer, “but they become one when the National Health Service is unable to guarantee equity of care, across the entire national territory, by virtue of historical differences that pertained to the last century. Giving greater responsibility to the territories and allowing everyone to create an organization had a logic – observes Perrone – before being ‘autonomous’ in the management of regional services we must guarantee that the starting point is equal opportunities, with equal levels of assistance ( Lea) achieved before entering the regional health services system. At that point they would have guaranteed that everyone was starting from the same point and health policy could be articulated in the individual regions on the basis of local possibilities and perspectives. In reality we have never reached the starting point of equal conditions. The minimum levels of assistance were not of the same quality and quantity in all regions of Italy, despite this, the federal reform of the National Health Service was implemented”.
After 20 years, “and many observers say this – concludes Perrone – the disparities, the inequalities that existed at the beginning and that we wanted to combat thanks to federalism have in some cases perhaps improved but in the majority they have worsened, they have broadened and began to concern even broader aspects of the need for assistance”.
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