In Nuoro it is a disaster outside the hospital, where there are no general practitioners, but also inside, "with the San Francesco debased for at least seven years". In Ogliastra there is a huge lack of staff in the ward and numerous towns do not have a "doctor". Like a third of the population of the Oristano area, "around 45 thousand residents without coverage". In Cagliari things are better on this front, but it is into the healthcare facilities of the capital that patients from all the other uncovered areas flock. It is inevitable that hospitals will suffer. And from Sassari comes an appeal for adequate compensation for doctors, while this regional council also seems to want to focus on coin-operated ones. Thus political controversy erupts on this point.

The numbers on Sardinia deprived of the right to health were brought to the Regional Council, Health Commission, by orders and unions of doctors from across the island.

Maria Giobbe, for Nuoro, illustrated the data from San Francesco: «For about seven years the hospital has been debased and we have denounced this phenomenon. The emergency room staff was 18 medical managers but today there are 5 plus the director plus 7 specialists, who are not self-employed, plus some "token operators" for the white codes. As for general practitioners, there were 34 in the city and today there are 15 but things are worse in the local towns, where there are none at all. Therefore, the emergency room at San Francesco had to fatally take on the shortcomings of basic medicine."

Giobbe added: «The Orthopedics department is no longer able to operate and only carries out daytime clinics; surgery, which also celebrated 500 robotic operations, was divided into two: one department has a director and a doctor while the other has a director and 4 residents." Problems, deficiencies and inefficiencies also occur in the Urology and Geriatrics departments while «strokes can be dealt with in Interventional Radiology from 8am to 2pm on weekdays. Otherwise the patient is diverted from San Francesco to other hospitals." Even in Serious problems arise: «The surgeon is only present three days a week».
In Ogliastra, at the Lanusei hospital, there is a lack of nurses (176 on duty out of a staff of 228) and also social health workers: 85 out of 100. Not to mention general practitioners, «completely absent in Ulassai, Seui , Osini and Ussassai. The situation is becoming unsustainable."

For the province of Oristano, president Antonio Luigi Sulis said that «45 thousand patients are without a GP. That is, a third of the provincial population. This means that an improper load is spilled onto the San Martino, which has caused the Medicine and Surgery departments to collapse. We know little about the real capabilities of token doctors, who cannot certify absence from work, are paid a lot for green and white codes and this generates a sense of injustice among colleagues . " Sulis also denounced the problem of doctors in prison ("there are none") and the lack of a medical guard in the city.

For Cagliari, the voice of president Emilio Montaldo: «We are not able to provide all the numbers today but if the general medicine of the city of Cagliari is all in all quite covered it is clear that patients from Oristano and Sulcis are flocking to the emergency rooms». Salvatore Lorenzoni (Order of Doctors of Sassari) asked above all for "concrete compensation to motivate doctors and ensure that they participate in competitions".

The group leader of the Progressives Francesco Agus asked the commission for "specific hearings on the condition of paediatrics, both at hospital and territorial level" and said he was against the department's decision to reiterate the ban on paid doctors, "an activity that it is creating discrimination among doctors." In the sights is the Ares announcement which allocates 6.5 million to recruit rented scrubs to be deployed in the various emergency rooms on the island.

The Health Commission continued with the hearing of all general medicine unions. Umberto Nevisco and Marco Puddu (Fimmg) started speaking, urging digitalisation ("we waste three hours a day dealing with bureaucracy") and training courses like in Friuli "to allow family doctors to carry out ultrasound scans".

The topic of technological modernization was introduced by Luciana Cois (CISL doctors) while for the same union Giorgio Fiori returned to talk about the «unacceptable discrimination between doctors who get three thousand euros a month to deal with real emergencies and the “coin dealers” who get fifteen a month to make white codes and recipes."

Anna Rita Ecca (Fmt) asked the commission for "incentives that push doctors to choose rural areas" while Simona Luconi (Smi) highlighted the problems of Sorgono, where "there are 6 family doctors missing and 118 has almost no There's never a doctor on board and we often get on board."

Luciano Congiu's (Smi) prediction is drastic: «We family doctors are a dying category, look at us today because next year who knows how many of us will still be in service. In Sardinia there are at least 100 thousand patients without a family doctor but, if concrete action is not taken, there will be double or even triple that number in the next five years. We can't find substitutes for going on holiday or even when we get sick. The presence of the "token operators" did nothing but aggravate the problem because it made the young doctors understand how much our time working away from the public is really worth."

(Unioneonline/E.Fr.)

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