57% of Sardinian doctors think of leaving the public service: 35% to go into the private sector, another 21% to change activities. And half of them say that, if they could go back, they would no longer choose to enroll in medicine.

It is the result of a survey by Fadoi, the Federation of hospital internal medicine doctors.

However, half of the doctors who do not regret the choices made justify their decision with the awareness of wanting to guarantee everyone's right to health. And then there is a good 35% who still perceive job security as a value.

The investigation then aims to analyze the critical issues in internal medicine departments, those which on average absorb around 50% of all hospital admissions.

For 14% the problem - according to the report - remains the lack of medical and nursing staff. The poor valorisation of the internal medicine doctor in the organization of hospital work is instead reported by 42% of internal medicine specialists.

The poor or lack of integration between hospital and local services is indicated by 15% of interviewees.

Almost a plebiscite in favor of the use of specialists to cover gaps in the workforce: only 21% think they could put the quality of care at risk. For 57%, however, it is useful, as long as they carry out their activities accompanied by a tutor.

The formula "better paid overtime, equals fewer waiting lists" contained in the economic package convinces doctors: it is judged effective by 50% of those interviewed, but for 28% it is important to hire staff. While for 14% it is essential to better organize activities in order to guarantee greater use of both diagnostic equipment and human resources.

«The major critical issues of internal medicine in Sardinia - comments the president of Fadoi Sardinia, Carlo Usai - are certainly linked to the lack of medical and nursing staff in some hospital facilities, to the incomplete and insufficient integration between hospital and territory, to the poor valorisation of figure of the internal medicine doctor . However, as also emerges from the survey, proposals are starting to appear to resolve these problems such as the contractualization of doctors in training, the use of additional services, the creation of organizational models for hospital-territory integration. We hope, like Fadoi Sardegna - concludes Usai - that these proposals can be fully implemented as soon as possible with the control room of the internal medicine doctor".