“Better to call, more appropriate assistance”

Cau di Navile, Casalecchio and San Lazzaro closed at nightfrom July 1st: assistance will be not only guaranteed but even improved. Meanwhile, This is assured by Michele Meschi, health director of the Ausl of Bologna.

What changes from July 1st, at night, in the cau?

“The urgent assistance centers of Navile. Furthermore, Casalecchio and San Lazzaro will not be closed at night: the citizen has this guarantee. In addition, They modify direct access and integrate with a strengthened form of medical guard”.

In what way?

“Until 20, nothing changes. Nevertheless, Starting from 20, citizens are invited to call the unique number of continuity of care which is 051-3131. But only for minor urgencies: slight headache. redness to the eyes, teeth, muscle contractures all those pathologies for which it normally goes to the cau. After 8 pm it is not that people can “better call, more appropriate assistance” no longer enter the centers. but that everything is filtered by a phone call. made to the medical staff who makes an evaluation of what is described by the citizen.

If a person. for example at midnight, arrives in front of the cau because he does not feel good and has not telephoned, what happens?

“It can be presented and will be welcomed inside, we would miss more: nobody is sent back”.

But then why not leave everything as before …

“At the basis of the reasoning that we have implemented there is the idea of ​​starting to introduce mediated access into the system does not mean distancing patients. but to increase appropriateness and go to the unique numbers 116 and 117 for minor pathologies and a totally integrated primary assistance between family doctors, medical guard. But if the person he calls describes very serious symptoms. the doctor will immediately “better call, more appropriate assistance” say to call the unique number 112 The patient is prevented precious time gone to the cau.

Are there other reorganizations in place for the AUSL?

“Everything must be seen inside the new territorial medicine system which is that of the DM/77. we are working to so that there is always a greater dialogue between hospital and territory, in all forms”

What does it mean concrete?

“Enhancement of home care, an increasing comparison between specialists and general practitioners: for example a specialist geriatric assessment. All paths that tend to change the taking care of the new type of patient who are the chronic. who must be managed as much as possible in their context. We know well that bringing an elderly person to the hospital is the serious risk that it is disoriented”.

Healthcare personal question: how is the situation, are there difficulties?

“Our situation reflects the general one: there “better call, more appropriate assistance” is a lack of nurses because people are missing. In the medical field there are important shortcomings in the emergency-urgency, the candidates are very few. Then surely there are no pediatricians, gynecologists, anatomopathologists, but also general practitioners do not abound”.

What can it say about waiting lists?

“We are doing a great job: we have implemented an inter -company task force managed by the staff who deals with management. health organization to contain waiting times but above all to encourage the most direct take -off paths, putting in the conditions the prescriber and the dispenser to dialogue better and agree together what is the best exam and in which time you can do”.