Community care in chaos: 496 general practitioners needed, only 41 arrived.
The last call for tenders was a flop, and the acceptance phase of the assignments went even worse: 70 had participated, about thirty did not show up for the call.
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Many Sardinian towns without basic healthcare will continue to suffer. As is well known, the last call for applications for general medicine was a flop, but now that the final step in the process has been completed, the picture emerging is even more worrying. There were 496 positions available—and for the first time, incentives were available for "disadvantaged areas"—seventy applications were submitted, and in the end, when the tenure positions were accepted, many of these seventy candidates didn't even show up, and only 41 clinics were officially assigned.
The numbers
Ares published the documents in recent days and certified that 18 locations were given in the Cagliari ASL, 8 in the Sassari ASL, 4 in the Medio Campidano, one in the Sulcis ASL, 3 in the Oristano ASL, 2 in Ogliastra, one in the Nuoro ASL, 4 in the Gallura ASL.
As always, the most sought-after areas are Cagliari and Sassari, while elsewhere there remains a "hunger" for primary care (which then leads people to flock to cities, emergency rooms, and hospitals that cannot cope with the load), or, even more seriously, to forgoing the right to healthcare. Between 2019 and 2025, the number of general practitioners in Sardinia decreased by 40.3% (nationally by 14.1%), and over 60% of those still practicing exceed the maximum capacity of 1,500 patients.
The hearing
Federico Contu, regional secretary of the FIMMG, heard by the sixth commission of the Regional Council, tries to be optimistic: "Forty-one locations assigned? Given the dramatic conditions we find ourselves in, I see the bright side: 41 new clinics will still open. I reiterate that unfortunately, it's not the financial incentives that make the difference; the resources made available by the Region, while important, aren't enough to convince colleagues to go to small towns. In any case, we currently only have one assignment per year; I wish there were at least two, because someone would catch up."
Cristina Cossu
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