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Proposte per la Sanità del futuro

Proposte per la Sanità del futuro

          
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About the Book

Lea, costi standard, budget, Drg, Ticket, tempo di attesa, Noc, accreditamento: termini ormai più frequenti di diagnosi, cura, assistenza, salute, prevenzione, paziente, convalescenza, guarigione. Il Ssn si è popolato di controlli e si è spogliato di risultati clinici. La sanità, finanziata pubblicamente, risponde ancora agli obiettivi di preservare e migliorare la salute della popolazione? Razionalizzazione? Reingegnerizzazione? Senza un approfondimento e una revisione "medica" - "specifica" dei contenuti, non possiamo che "razionalizzare", "razionare" il sistema. Una riorganizzazione o un aggiustamento dei costi? I costi standard e i Lea, con queste prospettive, hanno già concluso la loro azione "calmieratrice". La carenza di prospettive a lungo termine e il controllo delle "prestazioni" non consentirà una evoluzione positiva del servizio sanitario. Eliminare le prestazioni "inutili" non significa eliminare il costo della struttura che produce la prestazione, e rischia di non fornire il finanziamento minimo per garantire il servizio efficace. La rincorsa al risparmio è diventata senza prospettive e oltre un determinato limite diventa destruente e persino pericolosa. Cosa va rivisto? In che modo dobbiamo operare? Quali sono i risultati attesi? Cosa significa, prendersi cura, assistenza, qualità e appropriatezza del servizio?In questo contributo si propongono alcune modifiche sostanziali all'organizzazione attuale con azioni di integrazione, semplificazione, coordinamento, suddivisione organizzativa, con una filiera corta, eliminazione di procedure e attività non indispensabili, in particolare amministrative, per strumentare interventi di risposta ai cittadini (gli azionisti del sistema) con responsabilità di risultato, oltre a ridurre, significativamente, la spesa del SSN. Viene indicata anche una modifica sostanziale delle normative vigenti, per consentire una profonda revisione sia organizzativa che funzionale, che elimini le barriere fisiche e logiche del sistema, una modalità di finanziamento innovativa nella logica di un servizio di alta qualità ad elevata professionalità per migliorare sicurezza e soddisfazione per i cittadini e la comunità, ad un costo meno elevato. Nel modello di finanziamento vengono introdotti obiettivi di risultato (outcome) e non solo prestazionali (output), con lo scopo di tendere a garantire il più alto livello di salute con elevati livelli di qualità per il servizio, con la migliore spesa possibile e un sistema di valori prevalenti comune a tutti i soggetti operanti, che, da "curare la malattia" si trasforma in "preservare e migliorare la salute del cittadino".


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Product Details
  • ISBN-13: 9798687547871
  • Publisher: Independently Published
  • Publisher Imprint: Independently Published
  • Height: 280 mm
  • No of Pages: 122
  • Spine Width: 7 mm
  • Width: 216 mm
  • ISBN-10: 8687547870
  • Publisher Date: 18 Sep 2020
  • Binding: Paperback
  • Language: Italian
  • Returnable: N
  • Weight: 299 gr


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