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Because the frontier of family doctors is almost defenseless and defenseless. Word of doctors

Because the frontier of family doctors is almost defenseless and defenseless. Word of doctors

Swabs from family doctors? There is a lack of staff and it is difficult to foresee different wards in average studies to separate suspected Covid from other patients. Facts, numbers and insights

Nasal swabs from family doctors. This is what the government and Domenico Arcuri, extraordinary commissioner for the Covid-19 emergency hopes. However, the position of doctors is different, who complain of being few, of needing support and that in studies it is impossible to divide who is a Covid suspect from those who go for other disorders.

All the details.

THE WORDS OF ARCURI

Let's start with the wishes or, better still, with the government's plans. Last weekend the tender for the purchase of 5 million rapid antigen tests to be provided to general practitioners concluded. These are tests that must be administered nasally, simple to carry out and which would give the result within a few minutes.

“We will need a few days to evaluate the offers but within a week, ten days we will acquire them. Very quickly we will deploy these tools and we will do it not only for ports and airports but there will also be a certain number at the disposal of general practitioners ", promised Commissioner Arcuri , according to what Il Messaggero reports .

BASE DOCTORS: 5,000 MISSING ON THE APPEAL

All right? No. "In many Regions very few of them remained in service, starting from Lombardy – says Silvestro Scotti, secretary of the trade union Fimmg, in Repubblica – according to our calculations 3 thousand doctors have retired this year, and another 2 thousand will go there at the beginning of the next ". Accounts in hand, out of 40,000 family doctors, 5,000 are missing.

NEED NURSING SUPPORT

The number of doctors at work is not the only problem to be solved. In fact, doctors need nursing support to make swabs in their studies.

The government has already thought about this, to tell the truth, but only on paper: in the August bill the government allocated 10 million euros to hire nurses to support family doctors, but the sums have not even been divided.

“Now they ask us to swab, but we are still waiting for the nurses who should work alongside us to be hired”, complains Scotti.

SNAMI: IMPOSSIBLE TO MAKE SWABS IN MEDICAL STUDIES

Snami, the second largest trade union in the sector, prevalent in Lombardy, also raises concerns about the government's "tamponade" plan.

“It's pure madness. Our studies are not suitable for separating the suspected cases that come for the test from the others ”, says Roberto Rossi, regional manager of the acronym.

AND THE USCA?

The Usca, the Units created during the first wave of the emergency to go to patients' homes to make swabs and provide assistance, are also missing in most regions.

As Italo Angiolillo, president of the Italian Society of Preventive Hygiene, told Repubblica : the virtuous regions are "Emilia-Romagna and Tuscany, in the others the system does not work".

The numbers, even in this case, speak for themselves: in Italy an Usca should be established for every 50,000 inhabitants, and therefore “they should be 1,200, in reality less than half are active”, explains Angiolillo. The government, explains the newspaper directed by Maurizio Molinari, has allocated a billion to hire 9,600 nurses to be allocated to health districts and Usca, but few have been called.


This is a machine translation from Italian language of a post published on Start Magazine at the URL https://www.startmag.it/innovazione/perche-e-quasi-sguarnita-e-inerme-la-frontiera-dei-medici-di-famiglia-parola-di-medici/ on Tue, 13 Oct 2020 12:20:27 +0000.