Towards more G7 Health: prevention is a challenge for generic medicine

ANCONA – The work of general practitioners is one of the strategic tools, and, with data and studies, among the most effective, to implement concrete prevention policies, both for oncological diseases and for non -chronic contact, such as cardiovascular diseases, those due to smoking, chronic and obstructive lung disease, diabetes, osteoporosis, cognitive disorders of the elderly (Alzheimer’s and dementia) and also in other age groups of the the people

The conference

This, and in particular the need for an increasingly better structure and to strengthen more communication and the cooperation network between GPs, specialists and hospitals for prevention, will be discussed at the conference that scheduled within the G7 Extra Health schedule, organized by the Italian General Federation. professionals. The appointment is set for the morning of Saturday 5 October at the Archaeological Museum, from 9am to 1pm and will be structured in two sessions. The first will be dedicated to the preventive work of general practitioners, and the second will be a round table with a gathering of experts in the fields of cardiology, diabetology, pulmonology, endocrinology and oncological prevention. The conference will also address, with intervention from INPS, the subject of the economic and social costs related to health care and how prevention could have a positive effect in terms of savings.

And give

General medicine moves a series of annual contact with patients equals to approximately 22,500 units for each doctor. Every doctor has a responsibility on average around 150 diabetic patients, 450 hypertensive/cardiac patients, 50 – 150 patients with tumor history (new or with periodic examinations), 50-100 patients with mental and neurological problems. So these are situations where closeness to the family is particularly important, not forgetting all subsequent patients with family doctors in the facilities (retirement homes, RSAs, hospitals). in terms of cost issuethe Favo-Censis data related to the social costs of tumor (December 2023) highlight that the average annual cost per capita in Italy, relating to all patients diagnosed for at least five years, is 34,210 euros. Measuring the impact of the disease on work confirms that more than 20 percent of patients had to leave the practiceanother 10.2 percent resigned and 2.3 percent were fired.

The prevention challenge is played at different levels, in which the Marche Department, Ast and GPs are the main players. As is known, in the case of a series of pathologies, such as colorectal cancer and breast cancer, interested citizens according to age group or special conditions will be invited at home to undergo an appropriate screening. Right now the data related to the acceptance of the invitation for screening stands at about 33 percent. “Experimental studies show that if compliance with screening was encouraged in a structured way by GPs, it would reach values ​​of around 94 percent” he explains Dr. Aldo Tiberigeneral practitioner, adviser of the Medical Association of the Ancona region, member of the regional coordination group of the Oncology Screening project, of the network of contacts for the AST 2 Training in the Region of Ancona and of the thematic working group Active Communities – Plan regional prevention 2020, as well as the deputy assistant secretary of Fimmg in the Ancona region and co-organizer of the Extra G7 event together with Dr. Paola Lodolini, regional secretary of Fimmg Ancona and with Dr. Annalisa Pini, general practitioner. “The greater effectiveness of the contribution of the general practitioner compared to adherence to preventive screening – continues Tiberi – is the result of a series of factors, first of all the doctor-patient trust relationship, the deep knowledge of the history of the latter. and the ability to reassure him about the diagnostic and, possibly, therapeutic pathways that need to be addressed. It is only from this data that the importance of the collaboration network between the different prevention systems implemented in the field and also between the different professionals involved (general and specialist positions) can be seen”.

The plateau of data on which he works in collaboration takes pictures of local conditions, which GPs believe can be improved through pathways and protocols that continue to strengthen the links between within the health network and health services, integrating interventions, with the aim of access and access to increase the suitability of social and health services and compliance with preventive measures. Prevention that is even more necessary after the Covid period when “this side – he says Dr. Paola Lodolini – necessarily ignored. The generational change affecting general medicine represents another challenge in these terms and there is a need for increasingly greater skills, especially from younger doctors who are going to -into this post. The implementation of prevention in the clinic cannot ignore the management of individual risk factors of each person, which only the general practitioner has special competence, due to his role in caring for the patient and not only on his illnesses”. “Challenge prevention – he said Dr. Annalisa Pini – long-term care must also be considered, ie creating the conditions for aging and shifting attention from the disease to the individual, which must be part of the treatment process himself in a conscious way. Therefore, individual health needs must be addressed in terms of a multi-professional team, which takes into account the needs of the person, the carer and the environment in the broadest sense.”

The program of the conference

Therefore the conference on October 5 will not only describe the modern situation, but contribute to the concrete design of the forms, the tables and the collaboration protocols, take into account the preliminary data, which provides an unquestionable basis. duty to family doctors, and local data related to the prevalence of diseases analyzed in terms of population health, support for families and caregivers, but also health spending and the rationalization and maintenance of waiting lists and access to the emergency room. Here is the work program in detail:

A General Medicine Challenge: Strengthening an Interdepartmental Hospital Area for MCNT Prevention and Oncology

They will intervene

Dr. Filippo Anelli President of Fnomceo
Dr. Alberto Oliveti President of the Enpam Foundation
Dr. Silvestro Scotti National Secretary of the Italian Federation of General Practitioners