The Italians continue to move from one region to another to receive treatment. And increasingly, for this, it is the patients who face the cancer, with all the discomfort and fatigue that this entails. On the other hand, hospital admissions fell by 2% in a year, especially those that were "inappropriate," which is avoidable with better care. This is the picture described by the new Report on Hospital Discharge, published by the Ministry of Health.
By 2017, there were more than 8.5 million hospitalizations, about 171,200 less than in 2016. While there were almost 59 million hospital days spent by Italians in 2017: by 2016 they had exceeded 60 million, with a fall even in this case, 2%. Health mobility remains more or less stable, ie the number of patients moving to receive treatment.
It is surprising, but not surprising, that many journeys from one region to another are treated by cancer patients, directed to centers of excellence away from home. More than half a million were hospitalized in 2017 due to a diagnosis of cancer, of which 10% were in a region other than that of residence. But mobility increases when it comes to choosing where to care. In fact, the percentage of those moving to chemotherapy is growing: in view of the almost 50,000 cycles performed under the hospitalization regime, interregional mobility in 2017 is equal to 17%, compared to 16% in 2016. Slightly, instead addition to the daytime hospital & # 39; with a mobility of 6.6% (it was 7% in 2016). The number of patients who "migrate" to obtain radiotherapy is even greater: in 2017, 10,889 were performed, of which 27% were outside the region. While those performed in "day hospital" were 2,934, with a mobility of 32%, in almost a case of three (was 25.5% in 2016).
As for the general data, in addition to the hospitalizations, the number of rehabilitation services decreased, both in the ordinary regime (-0.7%) and in the "hospital-day" (-4.6% in high). Finally, the long-term care activity (5.4%) is decreasing. The data, in general, increasingly focus on adequacy and, the report points out, also allow us to assess the effectiveness of the whole path of prevention and access to care. In fact, fewer hospitalizations usually mean better care and less need to go to the hospital. For example, in 2017, the rate of hospitalization for uncontrolled diabetes was 12 per 100,000 inhabitants (13 in 2016).