The Voice of Politics – 11/04/2022

Continuity of care and 118
Since 1995, there has been talk of reforming the continuity of assistance in the Region: we all know that the on-call medical service is inefficient and a waste of resources. But it represents a security that mayors do not want to do without, otherwise residents would not feel safe without a doctor at night.
However, there is a paradox that we know all too well: the emergency medical service is there, and Doctor 118 on the other hand is not.
118 provides for the presence of a staff consisting of an emergency doctor, a nurse and a driver. There are currently nurses and drivers, but no 118 doctors and general practitioners are called upon to initiate pregnancy, without training and without permission. Fully Lucanian practice.
Where is the training of the 118 doctors that we have been waiting for for four years now?
Given the inconsistency and knowing the issues well, why not implement the assistance continuity reform through the reallocation of EMS and 118 competencies?

Hospital medicine
Before preparing my conclusions, you will now allow me a small excerpt on hospital medicine.
Known to all – health workers and citizens – the crisis situation in the Lucanian hospitals, in particular San Carlo di Potenza and Madonna delle Grazie in Matera; The condition is more common by the peripheral structures.
I think the question you asked about the “Miulli” hospital in Acquaviva delle Fonti is incredible: isn’t the political burden to strengthen or create local health services so that healthy immigration is reduced? Citizens are free to treat themselves wherever they want. Among other things, Miulli has been raised, even a few years ago in danger of closure, and has become a center of excellence of reference also for other regions, thanks to the valuable work of one of our compatriots.
This is to remind the entire ruling political class that our land is full of people of high value and there is not always a need to go out in search of the skills to manage our facilities and our health.

I used to use adrenaline in pediatrics, I must say that in politics you did not use it much, did not solve critical matters of health and leave it worse than what you found when you entered the territory.

I conclude by saying that setting the PNRR, which you totally missed (er, there was a pandemic!) – saturation delays that are hard to remediate with changing the resident guard – would have required and involved all actors in the system. This is not only in the implementation phase, but also, and above all, in the planning phase, which is being consumed over the heads of citizens and the future of Lucanian healthcare.
If there is a sudden change of course, it may be time to take charge of the development we want to achieve through the NRP. We Kananis are in dire need and I, like my other colleagues, are fully prepared to put ourselves at the service of restructuring healthcare in our region.
I now hope that your successor – to posterity I leave the task of investigating the real political causes of the cabinet reshuffle – will take into account the problems I have presented to you that have not yet been resolved and may realize their magnitude. Collective action at this moment is necessary to restore the health status of Basilicata.

Giovanni Asprilla
Senate General Practitioner