From new watchdogs to needs-based health care: what the law does to prevent waiting lists from closing for specialist visits
There will be regions 90 days time to create the conditions envisaged by law on waiting lists take action.
Introduction effective from August 1After being published in the Official Journal the previous day, the law has a number of innovations, including monitoring and control of situations through an organism health examination, sanctions and rewards for bodies and regions that can guarantee services within reasonable time frames, wage incentives currently less applications for medical specialties, strengthening and recruitment of new personnel healthcare and starting January 1, 2025 calculating health care costs based on actual needs and is no longer within the maximum cost ceiling that Regions must adhere to today.
For the rest of this year, they will be able to claim5% increase The same spending ceiling to deal with the problem of waiting lists.
The new law also provides for the regions responsibility in addition: respecting the efficiency of health care delivery.
New oversight bodies for public health
In fact, a new body that could also use the help of the NAS will monitor the progress of the health structures. The regions will be forced to do so on their own Appoint a single manager within 90 days regional e to create a central control unit healthcare and waiting list times.
If they do not, a similar national body reporting to the Ministry of Health will intervene with a monitoring function.
Regions will therefore be required to appoint health directors annual goals should be respected with the penalty of salary reduction or, in the most severe cases, temporary removal from the list of directors.
Similarly, sanctions measures will be applied to regions where unacceptable results in reducing waiting times have occurred – or, conversely, rewards if positive.
Waiting list law: other measures
The new measures introduced by the law are primarily concerned with relevance priority of specialist visits based on diagnostic doubts. And then a dilation of both hours and days where these can be implemented. Including weekends.
For this, some things are needed for health workers unusual the taxationregardless of the income of each individual, it will Reduced to 15%.
Obviously, this will not be enough to guarantee the improvement of services that ignore the recruitment of new health workers.
For this reason, starting from 2025, the upper limit of healthcare costs for the regions will be removed by introducing a calculation system that will be based on actual needs.
Court of Auditors: “health care costs have increased”
On the other hand, health care costsAs the Court of Auditors itself noted, ‘Report on the financial management of the Regions/Autonomous Provinces for the financial years 2020-2023”, already from 2020 to 2022 increased from 136.7 billion to 149.5 billion and only 13 Regions and autonomous Provinces were able to exceed the sufficiency level in the monitored macro areas, especially in the prevention sector.
The greater growth health care expenses occurred in the year Regions with ordinary statutes and above all nord.
Certain times for health services
According to estimates that support the development of the new bill, the new calculation based on real needs and other proposed measures could lead to the introduction of certain deadlines for health services.
Waiting lists can no longer be closed and therefore a greater involvement of young doctors tasks up to 10 hours a week, as well as combating the so-called “token operators” phenomenon and will be implemented new fixed term recruitment.
The hospital will be able to hire companies also “self-employed workers” and “using in-house outpatient specialists to fill waiting lists.”
Likewise, a 20% increase in the hourly rate of public health system workers is expected.
Help will come from you accredited private doctors, but their agenda must be combined with ordering unique Trophies in each region.
Ultimately, they will also play an important role service pharmacies, will be able to guarantee vaccinations, some first-line diagnostic tests, blood tests and tests to detect bacterial infections.