Ansa
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It is doctors and nurses alert. About 30-40% are missing from organic plants in hospitals and health services in the area. With the emergency caused by the pandemic, the system risks the default. In the financial maneuver prepared by the Conte government, four billion are expected which in 2021 will be used to hire, albeit on a temporary basis, 30 thousand white coats and health workers. But in the meantime, what will happen? The forecast of the insiders does not make us rest assured. “In mid-November in various hospitals, especially in the Center-South, intensive care could become saturated and it may be necessary to call resuscitators from other departments and we would not want to close or penalize other welfare activities” reports Flavia Petrini, president of the Company Italian anesthesia resuscitation and intensive care and member of the CTS. “At the moment, intensive care does not have problems of space and capacity – reassures the Undersecretary of Health, Sandra Zampa – and I would like to say that we are in a position not to reach a situation under pressure”.
The places available in resuscitation are 6,700 and those that can be prepared in case of need would reach 4,400, as announced by the deputy minister Sileri. But the problem of specialized doctors exists. We would need one for every 6-8 beds, while competent nurses would need one for every two patients. “We were forced to enroll fifth and fourth year postgraduates – says Petrini – and this is certainly not an ideal situation”. How then? «Unblock the competition immediately, starting the training of new specialists and use all the anesthesiologists present in the NHS in the anesthesia-resuscitation wards. And, if that’s not enough, widen the possibility for postgraduates to be employed as early as the third year of the course, rather than, as is now the case, from the fourth “: this is the package of extraordinary measures proposed by the president of the Federation of Medical Orders (Fnomceo) , Filippo Anelli.
“This year there are 1,649 places for specialization schools in anesthesia-resuscitation, they were 962 in 2019 – explains Anelli – and there are more than 600 third-year postgraduates, doctors who could usefully be employed in the wards, obviously under supervision. of “tutor” specialists ». “There are still 6 thousand doctors and executives missing – comments the national secretary Anaao-Assomed, Carlo Palermo – and the allocation to staff of about 60% of health care expenditure, with salary increases and hiring, is appreciable, but these cannot be limited to a simple extension of the various types of contracts activated in March, however insufficient. Simplified procedures must be launched for new hires, contracted, albeit for a fixed term, drawing, in the absence of specialists, from the pool of doctors in the last two years. We cannot miss this opportunity – concludes Palermo – to reinforce the trenches in hospitals »Alessandro Vergallo, president of the Italian hospital anesthesiologists-resuscitators association (Aaroi-Emac) also emphasizes pharmaceutical spending, which seems to have been neglected. Francesco Esposito, secretary of the Italian federation of medical unions united-Fismu, addresses the minister Speranza.
“We are moving towards a situation of health chaos – he underlines – because in addition to Covid, now we must also fight the flu: we are asking for the hiring of 10 thousand precarious white coats to reactivate the medicine of services, that is for prevention, schools, vaccinations, the management of swabs and rapid tests ». But the shortcomings of the health system also concern the computerization of medical records, useful for shortening the times of services by eliminating a good deal of bureaucracy, and the “118” driver-rescuers, who are also at risk of contagion. The appeal, in the latter direction, comes from Mario Balzanelli, president of the Italian 118 System Society (Sis 118): “We need the 118 stations to be strengthened, we need nursing staff to answer users’ calls by providing the required information, and we also need more ambulances ».
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