Essential levels of care

Healthcare, here are the regions with the best and worst care according to the Ministry

Health Ministry report highlights differences in the quality of care between Italian regions

by Marzio Bartoloni

Una corsia dell'Ospedale Molinette, Torino, 23 novembre 2018.ANìì ANSA/ALESSANDRO DI MARCO

2' min read

2' min read

Per oltre 16 milioni di italiani cure insufficienti

More than 16 million Italians in eight regions - almost all in the south - receive inadequate care in at least one of three fronts of assistance: the hospital, territorial healthcare and prevention. The rejection comes from the new "report cards" of the ministry of health contained in the latest report of the New Guarantee System, which measures the quality of the offer of the Lea, the essential levels of care, i.e. the services that must be guaranteed throughout Italy by the National Health Service. The monitoring promotes 13 regions, among them those with the best scores are Veneto, Emilia, Tuscany and the Province of Trento.

The 'report cards' and the 13 regions promoted

The Ministry's Guarantee System monitors the services offered by the regions on the basis of 88 indicators, of which 22 are considered 'core', i.e. the most important ones, and range from vaccination coverage among children to the spread of cancer screening, from the ability of hospitals to operate within two days for people with a fractured femur to the ability of the 118 emergency services to intervene in an emergency.

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The latest update just published takes a snapshot of the benefits guaranteed to Italians in 2022. According to these 'report cards' - the score in the three areas must exceed the minimum threshold of 60 points - as mentioned promoted are 13 regions, namely: Piedmont, Lombardy, Trento, Veneto, Friuli, Liguria, Emilia Romagna, Tuscany, Umbria, Marche, Lazio, Apulia and Basilicata. At the top by scores are Emilia, Veneto, Trento and Tuscany.

LE PAGELLE

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Eight regions failed or postponed treatment

Among the failed and postponed - i.e. below the sufficiency threshold of 60 points - there are eight regions and autonomous provinces, almost all from the South: in particular, the worst performance is that of Valle d'Aosta, which "scores below the threshold in all three macro-areas" (hospital, territory and prevention).

Calabria, Sicily and Sardinia, on the other hand, present a below-threshold score both in the area of prevention and in the district area (healthcare on the territory closest to the citizen). The Autonomous Province of Bolzano, Abruzzo and Molise instead present a score below the threshold for the prevention area while Campania is insufficient and therefore below the threshold in the district area.

The indicators with the worst performance

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Among the most critical performances is, for example, the summary indicator on lifestyles, which 'shows critical situations throughout the southern part of the country and decreases for almost all regions', a fact that denotes 'a slight increase in health risk behaviour'.

The oncological screening coverage indicators are also bad, stable compared to 2021, which 'confirm a situation that is overall below 50 per cent of the target, in all three campaigns (breast, cervix and colorectal cancer) and very diversified among the various regions: in fact, there is a wide regional variability, with greater criticality for colorectal cancer screening, especially in the Centre-South of the country'.

With regard to home care, 'scores below the sufficiency threshold are reported in Calabria, Friuli Venezia Giulia and Valle d'Aosta'. Nine regions are below the threshold on rapid intervention in the case of femur fractures in the over-65s (the most critical situations are in Molise, Calabria and Sardinia).

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