According to Acquaroli, an act that “defines the strategy and vision that we want to impart to regional healthcare and introduces many innovative aspects: a healthcare that once again places the citizen at the centre, which enhances the territory, aims at widespread and distributed healthcare with the objective of rebalancing the social-health offer and services throughout the region”. Saltamartini: “The priorities are the recovery of passive mobility and the consolidation and development of the integrated system of territorial services”.
26 MAY – Achieve a real change for the reduction of inequalities and the improvement of living conditions and the state of health of the population through the integration of health and social care, the strengthening of hospital and territorial assistance, the development of highly specialized hospitals and smaller structures spread throughout the territory, the reduction of waiting lists, the drastic reduction of passive mobility, the integration between public and private services, the fight against waste, the optimal use of regional and national resources (Health Fund) and European (Recovery Fund). These are the main objectives described in the 200 pages of the new health, safety and innovation social plan for citizens approved by the Marche Region Council. The provision sets out the actions and interventions to be implemented for the transformation and reconstruction of the regional health system.
“Today is an important day for our regional community. In addition, we have approved one of the most significant acts of the legislature – commented the president of the Marche Region in a note, Francis Acquaroli – The new Health Plan defines the strategy and vision that we want to impart to regional health care and introduces many innovative aspects: a health care system that once again places the citizen at the centre, which enhances the territory with the aim of curbing passive mobility, aims to widespread and distributed healthcare with the aim of rebalancing the social and healthcare offer and services throughout the region”.
“For the first time – continued Acquaroli – the health plan starts from an analysis of needs carried out in a scientific way, which has given us back the real health demand of the population. From an exclusively hospital-centric vision, we move on to a healthcare that sees the territory and territorial medicine as strategic elements of our healthcare system to provide answers to the health needs of citizens. Another element is the priority given to the digitization of the health system with telemedicine. The other aspect of which we are very proud is that this text comes after a long process of confrontation with the territories, the Mayors, the social categories which can now continue in the Regional Council for its final approval “.
“The proposed social health plan – adds the Councilor for Health Philip Saltamartini – sees the absolute priorities in the recovery of passive mobility and in the consolidation and development of the integrated system of territorial services. In this perspective, the actions must be strictly consistent with the Essential Levels of Assistance, and with the integration between the social and socio-health services systems, declining in a definite and incontrovertible manner the need to strengthen the system of prevention and territorial care, consolidate hospital services, develop individualized care plans consistent with health needs, reaffirm the centrality of the citizen’s needs, with particular attention to situations of discomfort and fragility”.
The technical preparation of the document, started by the director of the Health Department, made use of the collaboration of all the managerial structures of the Department and of the Regional Health Agency. The Marche Polytechnic University and the Bicocca University of Milan contributed to the elaboration of the analysis and in-depth analysis of the data contained in the Appendices.
Below is a summary prepared by the press office of the Region on the list of Programs with an indication of some of the elements which contribute to defining the priority objectives to be achieved.
As regards the programs aimed at guaranteeing the Essential Levels of Assistance, are highlighted:
– Prevention: planning elements are indicated to create concrete intervention actions where the most critical conditions arise for emergency situations, fragility and chronicity due to particular pathologies or specific epidemiological and social, ethnic conditions, in relation to issues connected to Regional Prevention Plan on health, environment, occupational safety, veterinary health and food safety;
– Territorial Assistance: the conditions for the development of territorial services are highlighted to be foreseen in a capillary way throughout the region, reducing healthcare mobility and to eliminate any differences in the provision of assistance, linked to territories, gender, age , to the provenance. The topics covered concern the social health network in the area of primary care, community homes, community hospitals, disabilities, rare diseases, mental health, pathological addictions, palliative care, prison health;
– Hospital Assistance: the remodeling of clinical networks, the recovery of passive mobility, the strengthening of services in particularly disadvantaged areas in relation to the demand and needs of patients and always in the logic of recovering passive mobility. Indications are provided for the consolidation of clinical networks, the implementation of diagnostic therapeutic assistance pathways (PDTA), the organization of hospital services, with particular attention to disadvantaged areas.
Closely connected to the operation of the aforementioned welfare areas, the following topics are also covered:
– Governance of waiting times, consolidation of service connection and coordination methods, risk management: for an efficient and effective connection between structures, operators and citizens, enhancing the functions of integration between hospital and territory through widespread services and differentiated, for topics such as the emergency system, the management of waiting times, risk management and the safety of care;
– The development of pharmaceutical assistance, prosthetics and medical devices: to make pharmaceutical assistance and the network of pharmacies and related services adequate and appropriate, as well as for the strengthening of pharmacovigilance, as well as the adaptation of actions for prosthetics and medical devices.
As regards cross-cutting and support areas and actions:
– Innovation and digitization in the SSR: transversal program to bring the structures, through investments in technology, to the highest standards of functioning and safety in terms of organisation, structure, technique and logistics as well as to consolidate the integration of communication systems and information, digitizing and simplifying support systems and administrative procedures, as well as to allow for the analyzes and evaluations necessary to guide choices and promptly overcome critical issues, with particular reference to the digitization of clinical care processes, telemedicine, the electronic health record;
– Infrastructural adaptation: the Regional Social Health Plan must be developed in full synergy with the National Recovery and Resilience Plan (Pnrr), making the implementation of the regional project consistent with the necessary actions on all the main structural and infrastructural realities of the regional health;
– The qualification of personnel and the enhancement of research: adapting and enhancing the managerial, technical, professional and digital skills and experiences of personnel, through the strengthening of the workforce, the increase in specialized training and the consolidation of professional skills and the development research activities;
– Interventions in the regulatory, organizational and relational fields: the PSSR contributes to fully implementing the regional health reform law, in order to achieve a better exercise of governance together with an adaptation of the role and organization of the public system, in terms of differentiation, integration of services and relations with institutional interlocutors, private operators, stakeholders, trade unions, citizens and voluntary associations.
In particular, the redevelopment of the Marche hospital network si builds on the basis of a model that goes beyond the single hospital in an integrated hospital network logic on the territory. This objective will be achieved through the review of the organizational level and the adaptation of the number of beds, the strengthening of advanced technological equipment, the integration and strengthening of information systems, tools for managing overcrowding in emergency rooms, the active involvement of the patient in the treatment process and the construction of new hospitals in Pesaro, Macerata and S. Benedetto del Tronto, taking into account the state funding already provided. The new Salesi maternal and child hospital in Ancona, the Ancona Sud INRCA Ancona-Osimo hospital and the new hospital in Fermo will have to complete their construction quickly.
At the same time, the Region intends to implement concrete action for the rebalancing of the territory in response to emerging assistance needs, with a view to proximity, for pathologies with medium and low intensity of care, above all with direct access by the citizen. Therefore, the intention is to strengthen and reorganize the territorial and non-hospital health services which will have to develop in parallel with the National Recovery and Resilience Plan (PNRR) in the M6 Mission relating to Health.
May 26, 2023
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