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Italy, neighborhood nurse and doubled resuscitations


Posts of intensive care doubled, investments in home care andneighborhood nurse, creation of a Covid-Hospital network, 190 million euros for overtime and allowances for hospital staff who have fought on the front lines in recent months. Starting from the relaunch dl, € 3.2 billion for healthcare: Italy is preparing for a long battle with the coronavirus; in February we were not ready and today we count over 30 thousand dead, but we will not have to be found unprepared in the autumn, especially if there will be a second wave. Here then we invest in respirators and intensive care units, those that in the most dramatic days were insufficient: only Covid’s patients were dying 4,000 and, in some cases, doctors feared they had to choose who to save.

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What are the investments decided by the government? They explain to the Ministry of Health: the 3,500 more seats will become stable intensive care that had been set up in the emergency. «It goes from a number of 5,179 (before the coronavirus) to 8,679, an increase of 70 percent. To these must be added the predisposition to intensive care, with the sole implementation of mechanical ventilation and monitoring, of 2,112 semi-intensive care beds ». Finally, if needed, there will be 300 mobile intensive care beds, divided into 4 movable structures, ready to be set up in a short time in areas with increased needs. “This brings the availability of intensive care to 11,091 intensive care beds, more than 115 percent compared to pre-emergency availability.” Another node is that of Covid-Hospitals, structures intended only for infected patients: some regions have already set them up, the goal is to bring them all over the country to avoid, as happened during the emergency, that hospitals become multipliers of the epidemic if there is no separation of patients. Covid ambulances will also be purchased and emergency rooms refurbished. Overall, the investment in hospital facilities is worth almost a billion and a half.

Another of the weaknesses of the system, especially in the early days of the epidemic, was the scarce presence of “local health”, at least in some regions: the patients all ended up in the hospital, they were not treated at home in time. Hence the decision to reserve over 1.2 billion euros for this sector. Here, for example, the neighborhood nurse. What is it about? «There are 9,600 new nurses, 8 for every 50,000 inhabitants, also in support of the Special Continuity Assistance Units (Usca). 332,640,000 euros have been allocated for the new hires ».

“The availability of nursing staff to support general medicine studies to cope with the emergency also increases with € 10 million.” But what are the Usca? They are groups that operate on the territory, made up of doctors and nurses, with the task of going, for example, to the RSA (assisted healthcare residences) but also to homes. Precisely for home care “of patients over 65 years of age it will go from the current 610,741 patients, equal to 4 percent of the population over 65, to 923,500 units, equal to 6.7. Services for the population under 65 also doubled. ” There will be home monitoring thanks to an app, more social workers and structures in the area for isolation. Finally, half a billion euros is earmarked for hiring, training and staff incentives.

Explains the Minister of Health, Roberto Speranza, in a video message on Facebook, recalling that in the last five months a total of 8.8 billion has been invested in health: «We prepare our hospitals and our emergency-urgency services to manage an possible second wave of Covid-19. We must be ready, because scientists tell us that a possible second wave cannot be excluded. We have decided to confirm more places for intensive care, we will work with the Regions to be quick and ready before autumn. These places will remain forever, even when there is a vaccine for coronavirus, and will make our national health service and our country stronger ».



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