Sardinia failed, in 2022, for the essential levels of assistance offered in two health areas: collective prevention and district prevention, which show scores below the sufficiency threshold, equal to 46.5 and 50.5 respectively. However, the score recorded by the hospital area is higher than sufficient (69.1), which also improves compared to 2021 (58.71).

The picture emerges from the monitoring of the New Guarantee System, the tool through which the quality and appropriateness of care provided to citizens is measured, presented to the Ministry of Health.

Analyzing the individual "Core" indicators of the prevention area , the report highlights a score of 3 in vaccination coverage in children at 24 months and an insufficient value of the indicator proportion of people who have carried out first level screening tests, in a program organized by breast, uterine cervix and colorectal, equal to 38.8.

In the district area, in 2022 there are three indicators that reach the maximum score of 100: standardized hospitalization rate in adulthood for complications from diabetes, chronic obstructive pulmonary disease and heart failure; consumption of sentinel/tracer drugs per 1,000 inhabitants - antibiotics; percentage of re-admissions between 8 and 30 days in psychiatry.

However, there are 4 indicators that do not reach a sufficient score, as stated in the monitoring : the Alarm-Target interval of the emergency vehicles (score 0 - 25 minutes); the percentage of performances, guaranteed on time, of priority class B in relation to the total of class B performances (score equal to zero due to poor data quality); the number of cancer deaths assisted by the palliative care network (score of 34.8); the number of non-self-sufficient elderly people in residential socio-health treatment in relation to the resident population, by type of treatment (intensity of care). The score is 0 due to lack of data.

In the hospital area, the indicators on the percentage of patients over 65 diagnosed with fracture of the neck of the femur operated within 2 days under the ordinary regime (18.4) and on caesarean sections (37.8) are highly critical. As regards the No Core indicators, the critical issues concern influenza vaccination coverage in the elderly (65 years or older), the proportion of stage II+ cancers detected by breast cancer screening programmes , the per capita consumption of drugs sentinel/tracers.

(Unioneonline)

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