(only) has just ended the press conference held by '
Association Codes "Indignamoci, we snatch the dignity and health "
the name of the campaign launched by the health. The speakers were Louis
Gabriel, Provincial Secretary CODES
Frosinone and Alessandra De Giorgi, Department of Communication.
The campaign was created originally by a feeling of indignation towards
politicians and administrators of the government who think
solve the problem of medical malpractice under several
and parliamentary bills that take away the responsibility of
doctors. Today "Indignamoci" is an observatory on medical malpractice
caused by the negligence of health care professionals
national who has brought to light widespread medical errors in Italy and in particular in
Lazio. The Lazio region is in fact a region from the heavy
and inefficiencies.
The case made by documenting
institutional sources has revealed several issues.
The first point to address is certainly inherent errors
doctors.
In Lazio, according to data from "Report of the Committee of Inquiry health
" between the end of April 2009 and January 25, 2011,
alleged errors occurred nineteen and other thirteen
medical malpractice. Of the 19 alleged errors - which are being investigated by the judiciary
- 11
led to the death of the patient and the critical range from incorrect diagnosis, errors in
ward to the hospital infections caused by the failure to adopt the
information required by ministerial circulars.
According to the Court of Auditors, the cost of medical malpractice in Italy,
concentrated mainly in the Lazio region, amounted to € 254 million
, this is in fact the total amount of loss of revenue
challenged. This well over 130 million euro in the Lazio region
. The critical part
certainly also a crisis that crosses the 'Ares
118. According to the CGIL, Rome and Lazio, the region's fleet
would be lower than that set by the legislation of 39
ambulances. In fact, the number of ambulances should
be equal to 186, 225 against Lazio.
From 2009 data of the Healthcare Commission's thirteenth President of Lazio Region
also miss 159 doctors, 478 nurses, 531
drivers, 679 ambulance.
In this context hardly reassuring, Frost is one of the provinces of Lazio
, probably second in Rome, which has suffered more
the recent changes brought about by application of the decree
Polverini.
After the President's plan and the conversion of hospitals
Ceprano, Ceccano, Anagni, Pontecorvo, Arpino, Isola del Liri, and
Ferentino Atina, Frosinone health emergency has become a
real sense of urgency.
A serious blow was dealt to the various emergency room.
protests of citizens concerning, for example, the closure of
ER Ceprano. Recently it has been closed then the first
rescue Ferentino. The citizens of Ferentino, Supino, and Morolo
Fumone so will go to the ER Alatri, Anagni Frosinone
or to be visited.
I want to highlight not only critical to the emergency room but
shortages in hospitals in Cassino and Sora.
Sora knows how much longer will the eternal unfinished, so much so that despite the short observation
be completed for months it still is not active
absence of medical personnel.
Cassino was and is hampered by lack of staff, this was closed
months ago the Department of Orthopaedics and the Department of Medical Oncology
has been moved to the Hospital of Sora,
causing serious inconvenience to over 1500 people.
Another problem encountered is that relating to long lists of '
hold. They certainly reflect the 372 days of Cassino
used to perform an echo (color) dopplergrafia
lower or upper limb or distr., Arterial or venous, and even the 202 for a visit
physiatric rehabilitation at the hospital Sora
and 261 days of waiting for a complete abdominal ultrasound at the Hospital of
Alatri.
But if health is in red, the new King Midas is enriched with green leaves
patients, in portfolios and anger. We speak of the leaders of the ASL Frosinone
of their salaries and golden. The total gross annual salary
observed by the code refers to the year 2008. The re-washed
maximum salary is equal to € 235,945.96 for a senior doctor
Level II, about the average local health executives arriving at
earn 100.000/110.000 thousand euro gross per year.
Figures significant when we consider the poor health
that is offered to patients of Frosinone.
"The framework - comments Luigi Gabriele, Secretary Provincial
CODES - is the result of the continued disengagement of local and
excessive presence of politicians in both roles administrative roles in
electives. Much of the political fabric of the province is
fact composed of physicians who have focused their interest on
purely economic issue, downplaying, if not
even ignoring the moral issue, and strong civil
responsibility that the medical profession imposes on them. In reality - continues
Gabriele - the problem lies in the inability management
of those who are called to such projects
organizational and operational solutions. Policies and choices that were wicked
done in previous years and current are certainly among the causes
that led to the deterioration of health situation in Frosinone. I unfortunately
citizens pay the price and cost of health
malaffari years and years and if we neglect by
Institutions ".
" Considering the general scenario, codes, within the campaign
"Indignamoci" has presented in February 2011 a proposal for a regional law
with the aim of bringing the focus of attention of the structures and
and health professionals
the main subject of the system, the citizen-continuous Alessandra De Giorgi -
The text aims to introduce substantial changes in the sphere of
rights, but aims at rationalizing and especially
to "steer" the system. The preamble recalls the centrality of the person
and health as a fundamental right of the individual. "
emerge from the picture painted so many critical issues in health system
region that strongly affect the health of people
. The difficulties can be summarized as :
· - serious disruption of services, it is clear in particular cases by
who see patients in the emergency room hostage held
hours and hours on a stretcher before being assisted. In this context, the
the ambulance service is suspended in order to contain the
disservice. The lack of litters would have to address those of
ambulances, blocking the public rescue service. Codes Announces
exposed to the public prosecutor for interruption of public service
;
· - wasted no indication of performance and application in
unconventional way of defensive medicine, which is to practice
therapeutic measures which do not conform to the principle of appropriateness
but as a guarantee of responsibility following forensic
to medical treatment. Failure to check the appropriateness of
performance will lead to saturation of the same
and mismanagement of the health system;
· - errors in diagnosis, in this context, there is a manifest failure
application of care protocols that are applied incorrectly
not applied or applied in a slavish and
do not fit the patient
· Total absence of the necessary checks with the result, poor health and bad
transparency in the organization. This
mismanagement is evident because of the familiar and frequent cases of
pressure ulcers and nosocomial infections;
· - 118: Delays and inefficiencies "chronic" because of bad
organization.
regard to the scourge of waiting lists whose killing was
called "priority care" back in Health Plan 1998-2000 and
access to health services is proposed:
· - the integration of the circuit CUP
all the structures that deliver health services in addition to the Hospitals and Surgeries,
directly managed by the Regional Health Service, including all
private structures that join
integral through accreditation;
· - intramoenia: the present management of the professional
intramural contributes significantly to the longer waiting times
. The correlation between professional practice and intramural private
waiting lists is already highlighted in the Act of
guidance and coordination for the professional activities of doctors
intramural (Decree of 27/03/2000) where it is determined that
"the occupation must be intramural
aimed at reducing waiting lists." Unfortunately there was
the contrary! It is therefore necessary to review the management of intramural
professional, by making concessions to his
actual achievement of the reduction of waiting lists.
How is the law! We also ask that there are more controls in regard to their professional
intramural.
And yet it is proposed:
°-control by the citizens is necessary to activate all
participatory tools provided by law, including the cards
services, which need to be rescheduled, according to the demands placed on
be.
analysis of golden salaries of health managers in
also refers to the cost of medical staff, the CODES
make the following proposals:
°-automatic block of the variable part of salary
of directors and the entire leadership of the Entities
Health Region (Local Health and Hospitals), in the case of
overrun the budget and in relation to the size of the deficit
;
· - introduction of targets affecting the quality and quantity
performance, the assignment of positions to management, even
in anticipation of a balanced budget and increased productivity;
· - cost of medical staff: This item deals with the highest weight percentage in the composition
health expenditure, amounting to 34.6%.
It accounts for 50% of total hospital expenditure, cost certainly
too much to bear. Finally
:
· - CODES are outraged at the irresponsibility of doctors would like
a bill currently in the Healthcare Commission
Senate.
In conclusion, we are faced with a disorganized health care system that borders on
degradation. A form of disorganization
assumed to be due to the health food alternative to
public. (Only)
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