The Ready Lists decree has turn into regulation with the ultimate approval of Parliament. Amid heated political controversy with the left accusing the chief of privatizing healthcare as a substitute of investing with out having the mandatory protection, within the authorities’s concept the brand new measure will serve to scale back, exactly, the ready lists within the nationwide healthcare system the place, for instance, the instances for an belly ultrasound on the Friuli Centrale College Hospital can attain as much as 498 days, a 12 months and a half. However what adjustments now with the brand new regulation whose outcomes, claims the Minister of Well being Schillaci“will we see one another within the fall”?
Skip the Line: Personal Visits When There’s No Area
The so-called “Skip the Line” rule ought to assure visits and checks inside the authorized deadlines. If on the time of reserving there isn’t a place for the go to or take a look at within the hospital inside the most established instances, the ASL must make sure the service inside the anticipated instances in an accredited non-public facility or contained in the hospital by resorting to the non-public occupation of docs. The affected person must pay the ticket however not pay different further prices. Each from the monitoring of Cittadinanzattiva and from that of the Welfare & Well being Observatory for the Sole 24 Ore, the difficulties in respecting, right this moment, the instances established by regulation emerge: within the ASL Roma 4, for instance, solely 17.8% of belly ultrasounds are performed inside the most 10 days of ready; within the Marche lower than half of mammograms are assured within the 4 months foreseen; within the ASL Napoli 1 Centro simply 14% of oncology visits are supplied in 10 days.
Visits and exams additionally within the night or on weekends
The decree offers for the opportunity of extending visits and checks in well being amenities to Saturdays and Sundays and likewise to increase the time slots by which appointments may be made. Extraordinary opening can be foreseen for transfusion facilities to make sure self-sufficiency in blood wants.
Tax-free time beyond regulation
One of many key factors of the decree is the introduction of a 15% substitute tax on compensation paid to healthcare managers and healthcare personnel for added companies carried out. The purpose is to incentivize personnel to work time beyond regulation as a result of it’s extra economically handy and, consequently, cut back ready instances for sufferers. The brand new tax regulation offers that compensation for added companies will probably be taxed with a substitute tax of 15%, as a substitute of the normal marginal Irpef charges, which may attain as much as 43%.
Regional Cups for the listing of private and non-private companies
The decree offers for the creation of a CUP at regional or infra-regional stage, which incorporates each private and non-private suppliers with an inventory of all of the schedules and locations obtainable for every particular person healthcare service. So far, solely 13 Areas have activated single CUPs with a single phone quantity that residents can name to e book visits. And even fewer Areas have unified the schedules of public hospitals and personal hospitals with a contract right into a single platform.
Those that don’t cancel the go to pay
From the CUP, residents will obtain a name two working days earlier than the go to or examination booked to verify or cancel the appointment. If you don’t present up for the appointment with out having canceled (aside from causes of power majeure) you’ll nonetheless should pay the ticket.
Nationwide monitoring of expectations
Agenas, the Company for Well being Providers, is now tasked with managing a nationwide ready listing platform that goals to enhance entry to well being companies for residents and medical personnel. The platform must also enhance monitoring and measurement of ready listing performances all through Italy, for each the private and non-private programs. In essence, the positioning will present a well timed and actual image of ready instances for every service, area by area.
#Ready #Listing #Decree #Heres #Legislation
– 2024-07-26 08:34:07
