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Faroni (Aiop Lazio): “Health in collapse: public-private synergy, the only recipe to get out of the crisis”

“In Italy there are no doctors or nurses. We are witnessing a diaspora of personnel fleeing the health sector due to low pay and grueling shifts. In the health sector, we are at war: the shortage of medical and nursing staff is not a secondary problem because it affects the lifespan. Our contracts are fixed at 8-10 years, the tariffs are blocked in 2011”.

October 18 – Call of alarm from the president of AIOP Lazio, Jessica Faron at the Study Conference on the formation, orientation and professionalization of health care held on October 11 at UniCamillus, at the initiative of the Rector Gianni Profita. The President intervened among the speakers of the first Round Table. AIOP Lazio (Italian Association of Private Hospitals) represents around 17,000 private hotel workers and 80% of the structures are accredited with the Regional Health Service.

In his speech, Faroni drew attention to the urgency of the flight of health personnel: “In Italy there are no doctors or nurses. We are witnessing a diaspora of personnel fleeing the health sector due to low salaries and exhausting hours”, he said in the opening of his speech to the audience representing HR from large Italian companies, as well as from professional associations and experts and institutional representatives of CNEL. The President of AIOP Lazio declared: “In the health sector we are at war: the shortage of medical and nursing personnel is not a secondary problem because it affects the length of life”.

Among the most obvious problems that we are encountering in Italy, the President underlines the situation of the specialization schools, which can be registered through the national competition for the access of doctors to the specialization schools of the health area, but which, in because of the way they are organised, runs the risk of dispersing energy and professionalism.

There is an urgent need to reform specialist schools and to recall that the needs of NHS doctors must lead to the international equivalence of medical degrees.

As for the PNRR, which could be a great opportunity for Italy, Faroni adds: “I would like to remind you that there has been no increase in the national fund for health personnel. Our contracts were terminated 8-10 years ago, the tariffs are frozen in 2011. Considering also how much doctors are paid abroad (in Romania a trainee earns 4,000 euros per month) we understand well, how much this It is more attractive for a doctor trained in Italy to work abroad, with the consequent dispersion of resources and human capital”, continued the president of AIOP Lazio.

On the limited access to the Faculty of Medicine Faroni specifies that “it is a sensitive point, the estimate of the needs was made on a completely erroneous figure since we find ourselves with a strong shortage of medical personnel and – adds the President – the reform of specialization schools should take into account the real needs in personnel; also for the nursing sector in recent years nothing has been done, there is a strong gap between the north and the south, as well as in the rear -countries with large cities where it is difficult to find health personnel”.

“Faced with the lack of nursing staff and the shortage of doctors, I proposed in the Region the creation of an intermediate figure between the doctors, the OSA and the OSS, that of the specialized OSS but there also the unions opposed it”, the AIOP Lazio president concluded in his speech.

The Aiop recalls that “the shortage of personnel, in particular caregivers, will tend to worsen, also taking into account the need to equip the new supply units envisaged by the PNRR such as community houses, community hospitals and the COTs, who are strongly nurse-led and they are also considering new roles as a family nurse. According to the statistics of a deep crisis that affects the entire world of health, today in Italy the applications for enrollment in the courses of the faculties of nursing are almost lower than the places available.

“In the PNRR – continues the Aiop in a note – no funding is provided for the health personnel who will have to work in these structures, which means additional burdens on the public budget from 2027. The Sustainability Plan annexed to the PNRR wants to be able to save a good 1.36 billion from the reorganization of structures to be used to finance health personnel. The problem is that by adding the financial needs of the personnel of the ADIs (1.1 billion), the Community Hospitals (304 million) and the Community Homes (567 million), we see that the estimated budget is largely exceeded ( 2 billion). In the Lazio region alone – they conclude -, limited to community hospitals, by 2027 it will be necessary to find at least 576 units of health personnel (including 36 doctors, 324 nurses and 216 OSS)”.

October 18, 2022
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